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General surgery education across three continents.

Craig McIlhenny1, Yo Kurashima2, Carlos Chan3

  • 1Royal College of Surgeons of Edinburgh, Edinburgh, UK.

American Journal of Surgery
|December 17, 2017
PubMed
Summary
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US surgical training has evolved from the traditional Halstedian model to competency-based education using simulators. This review compares US surgical education paradigms with those in the UK, Japan, and Mexico to foster international idea exchange.

Area of Science:

  • Medical Education
  • Surgical Training
  • Comparative Education

Background:

  • The traditional 'see one, do one, teach one' surgical training model has been largely replaced in the US.
  • Current US surgical education emphasizes ACGME competencies, milestones, and entrustable professional activities (EPAs).
  • Surgical skill acquisition increasingly occurs via simulation outside the operating room.

Purpose of the Study:

  • To review and compare surgical training paradigms in the UK, Japan, and Mexico with the US model.
  • To identify international influences on American medical education reforms.
  • To promote the exchange of best practices in global surgical education.

Main Methods:

  • Comparative review of surgical training systems.

Related Experiment Videos

  • Analysis of educational structures and methodologies in the UK, Japan, Mexico, and the US.
  • Literature synthesis on international surgical education paradigms.

    • Main Results:

    • Significant shifts in US surgical education have occurred over the last decade.
    • International training models have influenced changes in American medical education.
    • Key differences and similarities exist between US, UK, Japanese, and Mexican surgical training.

    Conclusions:

    • Understanding diverse international surgical training paradigms offers valuable insights for US medical education.
    • Comparative analysis can drive innovation and improvement in global surgical competency development.
    • Fostering international collaboration is crucial for advancing surgical education worldwide.