IF 12.5 2区 医学 Q1 SURGERY
Marta de Andres Crespo, Panagis Michael Lykoudis, Fiona Pwint-Oo Myint, Pasquale Berlingieri
{"title":"Surgery and technical skill decay: a literature review.","authors":"Marta de Andres Crespo, Panagis Michael Lykoudis, Fiona Pwint-Oo Myint, Pasquale Berlingieri","doi":"10.1097/JS9.0000000000002313","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>An increasing number of surgical trainees are taking time out of clinical training for research, parental leave or other interests. A comprehensive review was carried out to evaluate the current evidence on whether and how such time results in surgical skill decay.</p><p><strong>Methods: </strong>A PubMed, Embase, Web of Science, and Cochrane Library search was performed using the phrase: (\"skills decay\" OR \"skills fade\") AND \"surgery.\" All relevant literature was analysed and summarised.</p><p><strong>Results: </strong>A total of 41 relevant articles were identified. The skills that are most adversely affected by time out of training are technical operative skills and, within those, speed and accuracy in operations. Factors that affect skill decay include the complexity of the task itself, the degree of overlearning (i.e. the skill of the surgeon prior to time out of training) and the retention interval (i.e. the length of time for which the trainee is out of training and whether or not spaced practice is carried out). The articles suggest that simulation may be of assistance in mitigating skill decay, however, this has yet to be fully investigated.</p><p><strong>Conclusions: </strong>As an increasing number of surgical trainees are taking time away from clinical training for academic research, higher degrees, parental leave, or other interests, further research is required to investigate how to mitigate the resulting surgical skill decay, potentially through the use of simulation.</p>","PeriodicalId":14401,"journal":{"name":"International journal of surgery","volume":" ","pages":""},"PeriodicalIF":12.5000,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International journal of surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/JS9.0000000000002313","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0

摘要

背景:越来越多的外科受训人员因研究、育儿假或其他兴趣离开临床培训。为了评估这些时间是否以及如何导致外科技能衰退的现有证据,我们进行了一项全面的综述:方法:以("技能衰退 "或 "技能消退")和 "外科 "为关键词,对 PubMed、Embase、Web of Science 和 Cochrane 图书馆进行了检索。对所有相关文献进行了分析和总结:结果:共发现 41 篇相关文章。脱离培训时间对技能影响最大的是技术性手术技能,以及其中的手术速度和准确性。影响技能下降的因素包括任务本身的复杂性、过度学习的程度(即脱离培训前外科医生的技能)和保持间隔时间(即受训者脱离培训的时间长度以及是否进行间隔练习)。这些文章表明,模拟训练可能有助于减轻技能衰退,但这一点还有待全面研究:由于越来越多的外科学员因学术研究、攻读更高的学位、休育儿假或其他兴趣而离开临床培训,因此需要进一步研究如何减轻由此导致的外科技能衰退,可能的方法是使用模拟。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Surgery and technical skill decay: a literature review.

Background: An increasing number of surgical trainees are taking time out of clinical training for research, parental leave or other interests. A comprehensive review was carried out to evaluate the current evidence on whether and how such time results in surgical skill decay.

Methods: A PubMed, Embase, Web of Science, and Cochrane Library search was performed using the phrase: ("skills decay" OR "skills fade") AND "surgery." All relevant literature was analysed and summarised.

Results: A total of 41 relevant articles were identified. The skills that are most adversely affected by time out of training are technical operative skills and, within those, speed and accuracy in operations. Factors that affect skill decay include the complexity of the task itself, the degree of overlearning (i.e. the skill of the surgeon prior to time out of training) and the retention interval (i.e. the length of time for which the trainee is out of training and whether or not spaced practice is carried out). The articles suggest that simulation may be of assistance in mitigating skill decay, however, this has yet to be fully investigated.

Conclusions: As an increasing number of surgical trainees are taking time away from clinical training for academic research, higher degrees, parental leave, or other interests, further research is required to investigate how to mitigate the resulting surgical skill decay, potentially through the use of simulation.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
17.70
自引率
3.30%
发文量
0
审稿时长
6-12 weeks
期刊介绍: The International Journal of Surgery (IJS) has a broad scope, encompassing all surgical specialties. Its primary objective is to facilitate the exchange of crucial ideas and lines of thought between and across these specialties.By doing so, the journal aims to counter the growing trend of increasing sub-specialization, which can result in "tunnel-vision" and the isolation of significant surgical advancements within specific specialties.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信