A critical view on the surgical training.
An inquiry set up in the Flemish- and French-speaking parts of Belgium, shows some deficiencies in surgical training. The training of a general surgeon should not take longer than six years. The first four years should consist in a general training in surgery, the last two years being used for the subspecialization. At the beginning of each year, the trainees should be provided with a list of the operations to be performed by the training surgeon. Each hospital, where the training of surgeons is performed, should have a list of its routine operations. An examination is useful: however this should not be the only way to evaluate a trainee. Lectures during working hours are preferable to those given in the evenings. The residents should be allowed to go off duty after a night on duty, this is already standard practice in several European countries. An independent visitation committee, evaluating the departments, their heads and the resident trainees is needed.
Degrieck
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Surgical Department, University Hospitals of Ghent, Belgium.
D001530:Belgium; D003479:Curriculum; D004503:Education, Medical, Graduate / Q000592:standards*; D004521:Educational Measurement; D013502:General Surgery / Q000193:education*; D007396:Internship and Residency; D013043:Specialties, Surgical / Q000193:education