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HospitalsHospitals
Mandatory courses
Check lists
No fixed way of education
Self-organized surgical practice
Waiting list and difficult to be absentRigid course and curriculum structure
Good quality, and paid expences
Not competence-driven, and with varying guidance
Makes sure that trainees have to do a certain number of procedures
Temporary positions makes for uncertain economy and future
Provides flexibility for trainees
Difficult to plan and organize surgical practice
Ability to influence own education
The Norwegian way: Pros and cons
Possibilities
PT
How to get it? How to use it?
Modules- curriculum- sertification
Start – curriculum - sertification-finish
Finish
4 hours /week
Module Curriculum Assessment
Basic laparoscopy
Anatomy- books
Enterance- www.websurg.com
Instruments- demonstration
Ergonomy- demomonstration
Information to the patients- bed side/trainer
Complications – e-learning
• Multiple choice• Simulator/box.• Operation
Proficiency level
Proficiency level
Courses
The future of mandatory courses
… In the future?
No syllabus provided for the courses
No fixed recommendations for course order
Difficult to change courses and curriculum
Very different value early in the education contra late
Syllabus handed out in advance encourage self-tuition
Written recommendations for the training course order
Revised and improved course content
Basic training course of sufficient capacity
Today …
Structure and planning
Training and assessment are sides of the same coin
Objective metrics andTraining to proficency