title: New technologies, more complex procedures, and a host of external constraints have changed where and how surgical skills are taught.
authors.forename: Shawn
authors.initials: S
authors.lastname: Tsuda
authors.forename: Daniel
authors.initials: D
authors.lastname: Scott
authors.forename: Jennifer
authors.initials: J
authors.lastname: Doyle
authors.forename: Daniel B
authors.initials: DB
authors.lastname: Jones
mesh_terms: D002983:Clinical Competence / Q000592:standards*; D003135:Common Bile Duct / Q000293:injuries; D003137:Common Bile Duct Diseases / Q000601:surgery; D003198:Computer Simulation; D003194:Computer-Assisted Instruction / Q000379:methods; D013502:General Surgery / Q000193:education* / Q000639:trends; D006801:Humans; D007396:Internship and Residency; D010535:Laparoscopy / Q000592:standards* / Q000639:trends; D008348:Manikins; D019300:Medical Errors / Q000517:prevention & control; D013677:Medical Laboratory Science / Q000639:trends*; D019060:Minimally Invasive Surgical Procedures / Q000193:education; D018794:Problem-Based Learning / Q000592:standards* / Q000639:trends; D012955:Societies, Medical; D011795:Surveys and Questionnaires; D014481:United States