Medical education is undergoing a paradigm shift toward proficiency documentation, transforming surgical residency programs and reducing traditional experience-based training on patients.
Medical education is undergoing a paradigm shift, from the traditional experience-based model to a program that requires documentation of proficiency.1 Technological advances in health care, the development of day-case surgery, and the setting of quality-assurance targets have led to a striking reduction in training opportunities for young doctors. It is no longer acceptable, or appropriate, for students at any level of training to practice new skills on patients, even if they have a patient's explicit consent.As Reznick and MacRae point out in this issue of the Journal, these “changes in the wind” are beginning to transform surgical residency programs. . . .
Aggarwal et al. (2006) conducted an editorial in Medical education. Medical education is undergoing a paradigm shift toward proficiency documentation, transforming surgical residency programs and reducing traditional experience-based training on patients.
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