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[Goal-setting in Plastic Surgery using the SMART principle].

Rafael G Jakubietz¹, Riccardo E Giunta², Michael G Jakubietz¹

¹Klinik für Unfall-, Hand-, Plastische und Wiederherstellungschirurgie, Universitätsklinikum Würzburg Chirurgische Klinik 2, Würzburg, Germany.

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|November 2, 2023

Summary

Registrar surgical training can be enhanced using active, self-directed learning principles, similar to music or sports. The SMART goal-setting strategy aids in acquiring surgical expertise efficiently and safely.

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Area of Science:

Surgical Education
Medical Training
Skill Acquisition

Context:

Registrar training faces economic and medicolegal challenges, necessitating efficient skill acquisition methods.
Reduced case loads in surgical training demand simulation and self-directed learning to improve outcomes.
Active, self-directed learning principles, applied in medical school, are adaptable for surgical expertise development.

Purpose:

To explore the application of active, self-directed learning principles in surgical registrar training.
To introduce the SMART (Specific, Measurable, Achievable, Relevant, Time-bound) goal-setting strategy for surgical skill acquisition.
To demonstrate how task fragmentation and goal setting can accelerate expertise development without compromising patient safety.

Summary:

Surgical expertise acquisition can be modeled on learning in music or sports, requiring both intellectual and manual skills.
The SMART principle facilitates structured goal setting, practice, and reflection, enhancing compliance and success in surgical training.
Breaking down complex procedures into smaller, manageable units enables rapid skill acquisition and safe practice.

Impact:

The SMART principle offers a structured approach to surgical training, improving trainee compliance and outcomes.
This self-directed learning model supports the continuous acquisition of surgical expertise amidst contemporary training challenges.
Supervisors and mentors can guide trainees in applying self-directed learning principles for effective surgical skill development.