tailieunhanh - Obstetrics and Gynecology Clinics of North America 33 (2006)

Surgical education is changing. Mandates that foster this change include increasing demands from the public for perfection without practice, decreasing trainee work hours, increasing minimally invasive therapies, and fewer surgical educators. In addition, rising health care costs have caused many experienced surgeons to focus on patient care rather than the mentoring of surgical trainees. A paradigm shift in surgical education is being forced by all these issues. This paradigm shift is important not only for new surgical trainees but also for established surgeons who need to learn new technical skills to keep pace with evolving medical technology and new procedures | ELSEVIER VUADtRt OBSTETRICS AND GYNECOLOGY CLINICS OF NORTH AMERICA ELSEVIER SAUNDERS Obstet Gynecol Clin N Am 33 2006 xiii-xiv OBSTETRICS AND GYNECOLOGY CLINICS OF NORTH AMERICA Foreword Teaching and Evaluating Surgical Skills William F. Rayburn MD Consulting Editor Gynecologic surgery has advanced during the past two decades. Refinements in instrumentation video technology suture material and adhesion prevention have resulted in less morbid and more efficient procedures. New vistas will certainly challenge the new resident physician or the experienced surgeon to rethink his or her surgical approach. Cutting-edge robotics may forecast a time when the pelvic surgeon operates with accuracy and safety away from the patient. With the introduction of these new procedures and with more emphasis on quality assurance there is a need to critically evaluate the surgeon s capabilities. Dr. Rebecca Rogers guest edits a compelling issue dedicated to teaching and evaluating current skills while recognizing certain pitfalls to avoid in surgical training. This effort was undertaken in response to rapid changes encountered in the teaching of surgical principles. New surgical trainees and established surgeons alike will benefit from learning new technical approaches to prepare for evolving technology. This issue reflects not only the basic sound principles of established gynecologic surgical skills but also what is controversial in the sometimes slow yet steady advance in knowledge of our surgical specialty. Major educational topics are addressed by the 15 contributing authors who excel as surgical educators. Uses of imagery and virtual reality simulations are presented along with specific suggestions for improving current techniques in the operating room. This com- 0889-8545 06 - see front matter 2006 Elsevier Inc. All rights reserved. doi xiv FOREWORD pilation will serve students of all levels of experience with a .