Beyond “see one, do one, teach one”: toward a different training paradigm

Rodriguez-Paz, Jose M.; Kennedy, Mary‐Claire; Salas, Eduardo; Wu, Albert W.; Sexton, J. Bryan; Hunt, Elizabeth A.; Pronovost, Peter J.

doi:10.1136/qshc.2007.023903

Cited by 200 publications

(168 citation statements)

References 66 publications

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“…However, it has received little attention in the training programs of not just medical physicists, and has been identified as a major shortcoming in allied residencies’ models 11 , 12 . A recent survey of the AAPM members recognized importance of formal ethics and professionalism instruction in both graduate and postgraduate training of medical physicists (13) .…”

Section: Resultsmentioning

confidence: 99%

“…Although this program was developed prior to the development of formal standards by the CAMPEP, it not only encompasses those standards referring to such issues as ethics and professionalism, (24) patient safety and collaborative working, but it also formally incorporates them into the program, as opposed to an ad hoc approach relying on senior staff transferring their wisdom through occasional contact with the resident (12) . As with any other educational and training program, there is always scope for improvement.…”

Section: Discussionmentioning

confidence: 99%

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Development of a residency program in radiation oncology physics: an inverse planning approach

Khan

Dunscombe

2016

J Applied Clin Med Phys

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Over the last two decades, there has been a concerted effort in North America to organize medical physicists’ clinical training programs along more structured and formal lines. This effort has been prompted by the Commission on Accreditation of Medical Physics Education Programs (CAMPEP) which has now accredited about 90 residency programs. Initially the accreditation focused on standardized and higher quality clinical physics training; the development of rounded professionals who can function at a high level in a multidisciplinary environment was recognized as a priority of a radiation oncology physics residency only lately. In this report, we identify and discuss the implementation of, and the essential components of, a radiation oncology physics residency designed to produce knowledgeable and effective clinical physicists for today's safety‐conscious and collaborative work environment. Our approach is that of inverse planning, by now familiar to all radiation oncology physicists, in which objectives and constraints are identified prior to the design of the program. Our inverse planning objectives not only include those associated with traditional residencies (i.e., clinical physics knowledge and critical clinical skills), but also encompass those other attributes essential for success in a modern radiation therapy clinic. These attributes include formal training in management skills and leadership, teaching and communication skills, and knowledge of error management techniques and patient safety. The constraints in our optimization exercise are associated with the limited duration of a residency and the training resources available. Without compromising the knowledge and skills needed for clinical tasks, we have successfully applied the model to the University of Calgary's two‐year residency program. The program requires 3840 hours of overall commitment from the trainee, of which 7%–10% is spent in obtaining formal training in nontechnical “soft skills”.PACS number(s): 01.40 Di, 01.40.gb, 87.10‐e

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Development of a residency program in radiation oncology physics: an inverse planning approach

Khan

Dunscombe

2016

J Applied Clin Med Phys

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“…However, with time the realization is there that this model is inadequate to train surgeons to the highest level without impacting on patient care [104]. The concept of training and surgical education changed with the introduction of robotic surgery.…”

Section: Training In Robotic Surgerymentioning

confidence: 99%

Gynecological Surgery and the Robot

O’Sullivan¹,

O’Reilly²

2014

ENG

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As the only robotic device with FDA approval for gynecological surgery, the da Vinci ® Surgical System dominates robot-assisted surgery in the field. Benefits to the Surgeon include decreased risk of neck and back injury secondary to improved ergonomics. However, patients benefit greatly due to decreased length of stay, decreased blood loss and analgesic requirements. Unfortunately the initial economic impact of purchasing and maintaining a robot is great but must be balanced with the potential savings from reduced length of stay and earlier return to normal activity. This article looks at the indications for robot-assisted surgery in gynecology. Assessing the efficacy of this modality compared to both straight stick (Laparoscopy) and open procedures. We discuss the impact and implications for surgical training imposed by robotic surgery. Furthermore, we assess the safety of robotic surgery from both the surgeons prospective and as a surgical modality.

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“…[1] Training to become a doctor is almost the same as serving an oldfashioned apprenticeship, during which skills from more experienced seniors are passed on to students in an experiential learning setting. [3][4][5] As training progresses in postgraduate specialisation, the need for constant, highquality feedback from clinical supervisors/mentors to students intensifies to aid in the development of the trainees' finely honed competencies in their chosen field. It is only through the provision of feedback that strengths can be identified and amplified, and corrective measures can be put in place to overcome deficiencies.…”

mentioning

confidence: 99%