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Knowledge-building in surgery: An evolving craft.

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Surgical knowledge construction relies on evidence-based medicine and experiential learning. Critical thinking is essential for surgeons to navigate these, ensuring informed decision-making in dynamic surgical environments.

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Area of Science:

  • Surgical Education
  • Medical Knowledge Construction
  • Clinical Decision-Making

Background:

  • Surgical knowledge acquisition occurs via evidence-based medicine (EBM) and experiential learning.
  • Clinical practice guidelines, derived from EBM, face challenges with frequent updates and lack of personalization.
  • Experiential learning, while fundamental, can be influenced by dogma and singular perspectives.

Purpose of the Study:

  • To explore the dual scenarios of knowledge construction in surgery: EBM and experiential learning.
  • To analyze the limitations of current clinical practice guidelines.
  • To highlight the critical role of critical thinking in surgical decision-making.

Main Methods:

  • Conceptual analysis of knowledge construction in surgical practice.
  • Discussion of the interplay between evidence-based medicine and experiential learning.
  • Examination of the impact of critical thinking on surgical dynamism.

Main Results:

  • Evidence-based medicine and experiential learning represent distinct yet interconnected pathways for surgical knowledge.
  • Clinical practice guidelines, though vital, present practical challenges in daily surgical application.
  • Critical thinking is indispensable for surgeons to effectively integrate diverse knowledge sources and make sound decisions.

Conclusions:

  • Effective surgical practice necessitates a balanced integration of evidence-based medicine and experiential learning.
  • Surgeons must employ critical thinking to overcome the limitations of guidelines and dogma.
  • Developing critical thinking skills is paramount for navigating the complexities of surgical decision-making.