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Updated: Jan 17, 2026

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Developing a Structured Training and Accreditation Program for Endoscopic Nipple-Sparing Mastectomy.

Serene Si Ning Goh^1,2,3, Karen Kaye Romano Casida², Shaik Ahmad Buhari²

¹NUS Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.

World Journal of Surgery

|September 16, 2025

Summary

This summary is machine-generated.

Simulation, mental rehearsal, and careful case selection are key for surgical training. Structured feedback further supports skill development in advanced surgical techniques.

Keywords:

breast cancer surgery competency‐based surgical training minimally invasive breast surgery structured training program surgical education

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Area of Science:

Surgical Education
Medical Simulation
Advanced Surgical Techniques

Background:

Implementing effective training curricula for advanced surgical techniques presents challenges.
Trainee proficiency and patient safety are paramount in surgical education.

Purpose of the Study:

To identify key principles for a successful training curriculum in advanced surgical techniques.
To evaluate the impact of simulation and case selection on surgical skill acquisition.

Main Methods:

A pilot program incorporating simulation, mental rehearsal, and structured feedback was implemented.
Trainees engaged in hands-on simulation prior to live operative experience.
Initial training cases were carefully selected based on patient factors like breast density and tumor location.

Main Results:

Simulation and mental rehearsal were essential precursors, building trainee confidence and reducing intraoperative errors.
Selecting less complex cases (low breast density, peripheral tumors) minimized stress and facilitated skill mastery.
Structured feedback was identified as crucial for supporting learning progression.

Conclusions:

Simulation, mental rehearsal, and strategic case selection are vital components of surgical training.
A structured approach to surgical education enhances skill acquisition and patient safety.
Continuous feedback mechanisms are integral to advancing surgical expertise.