Sufficient Competence to Enter the Unsupervised Practice of Orthopaedics: What Is It, When Does It Occur, and Do We Know It When We See It? AOA Critical Issues

The Journal of Bone and Joint Surgery. American Volume
Vincent D PellegriniTimothy W R Briggs

Abstract

The goal of residency programs is to provide an educational venue with graduated responsibility and increasing levels of independence as preparation for entering the unsupervised practice of medicine. Surgical programs are required to both cultivate and convey skills pursuant to three fundamental domains: a sufficient fund of knowledge, technical competence in surgical procedures, and a degree of professionalism to enable ethical independent practice. Never before has the expectation that residency programs provide graduated responsibility in preparation for entering the unsupervised practice of medicine been so clearly articulated as it has by Nasca in the recent Accreditation Council for Graduate Medical Education (ACGME) work-hour guideline revisions. The Royal College of Physicians and Surgeons has provided similar guidance in Canada. Yet, as we progress further into the second decade of work-hour restrictions, it is unclear that we have adequately defined or can recognize the critical end points essential to trainee competency. What is clear is that we must achieve these end points in a manner different from that prior to the introduction of work-hour restrictions. We present the current state of thinking from North Americ...Continue Reading

References

Apr 27, 2011·Medical Teacher·Brian David HodgesWinnie Wade

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Citations

Sep 21, 2018·The Journal of Bone and Joint Surgery. American Volume·Paul J DoughertyPatrick M Osborn
Nov 15, 2019·Annals of Surgery·Rachel R KelzJeffrey H Silber
Aug 10, 2020·The Journal of Bone and Joint Surgery. American Volume·Daniel G Tobert
Jan 18, 2020·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Diana Velazquez-PimentelKalpesh R Vaghela
Mar 1, 2021·Journal of Surgical Education·Grace L PaleySusan M Culican
Jun 11, 2021·European Radiology·D AmirasM Hamady
Jun 30, 2021·Academic Medicine : Journal of the Association of American Medical Colleges·Brenessa LindemanGeorge Sarosi

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