Key result
Recent influences such as the European Working Time Directive and Modernising Medical Careers have driven radical changes to the traditional apprenticeship model of surgical training in the UK.
Discusses the impact of recent directives and programs on the traditional surgical training model in the UK.
Answers are grounded in this paper and cite their sources.
Prompts review of UK surgical training adequacy; leaves open validated competency metrics for post-apprenticeship models.
The surgical model of training in the UK has traditionally been viewed as a 'cumulative experience through mentorship and apprenticeship', drawing on a traditional apprenticeship, hospital-based education model such as that proposed by Halsted over a century ago. The European Working Time Directive (EWTD), Modernising Medical Careers (MMC) and the Intercollegiate Surgical Curriculum Programme (ISCP) have recently driven radical changes to this training model. These influences have resulted in significant changes in postgraduate specialty training, 'inducing educators to consider other possible changes in training that may better prepare trainees for the 21st-century world of practice'.
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Fleming et al. (2010) conducted a review in Surgical education and training. Changes in postgraduate specialty training (EWTD, MMC, ISCP) vs. Traditional apprenticeship model was evaluated. Recent influences such as the European Working Time Directive and Modernising Medical Careers have driven radical changes to the traditional apprenticeship model of surgical training in the UK.
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