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

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