Alphonsus Chong's Personal Wiki

Source: Darzi A, Mackay S. Assessment of surgical competence. Qual Saf Heal Care. 2001;10(Supplement 2):ii64-ii69.

The objective assessment of technical skill is “the weakest aspect of assessment in surgical training”

“Broad area of competence assessment in surgical practice”

Model of surgical practice –> to facilitate a thorough appraisal of competence

Surgeon's technical skills is:

“At the centre of surgical practice”

“Imperative to demonstrate that the process introduced does indeed improve the outcomes”

1. Model: The model of care is a loop in which diagnosis is re-evaluated and, if indicated, further investigations are done as the case progresses
2. Diagnosis and Plan are not always separate and intertwine
3. Technical performance
   • judgement - diagnosis, plan intraop
   • knowledge
   • dexterity
4. Post operative care