Utbildningsboken revision 120808.pdf - Svensk Kirurgisk Förening

95
Utbildningsbok – Kirurgi
System knowledge
The surgical specialist should have knowledge of the health-care organization,
management, economics and regulatory framework and its management for the best
utilization of resources.
Expertise in medical science and quality work
Medical Science
The surgical specialist should have a medically scientific vision and approach,
knowledge of research methodology, including basic epidemiological concepts and methods
of evidence-based medicine and review of scientific information.
Improvement and quality work
The surgical specialist should have knowledge and skills in evidence-based
improvement and quality work. The aim is to initiate, participate in and be responsible for
continuous improvement efforts with an emphasis on a holistic approach, patient safety,
patient benefit, measurability and learning management to critically examine and evaluate
their own activity.
Public health and prevention
The surgical specialist should have knowledge of health determinants, and other
public health concerns and methods of health promotion and injury and illness prevention
efforts so that this can be taken into account in the medical scientific work and quality.
Educational Structure
Early education and training in basic surgical technique is essential and should
take place in both clinical and simulated environments in both core and branch specialities.
Training in the initial treatment of acute surgical diseases should begin early and continue
throughout the entire training of surgical treatment and aftercare.
Training in surgical pathophysiology, basal pain management, critical care and
the effects of anesthesia should take place in the early part of the training and constitutes the
base for the more specialized training.
The specialized training can begin in the first part of surgical training preferably
with continuous training in a setting where large volumes of operative training can be offered.
Training in gastrointestinal surgery is critical and should be given ample space. The main
rotation should be halfway through the surgical training period. However, a shorter rotation
may be appropriate early on to provide basic training in dealing with emergencies.
Rotation in units treating breast surgery, endocrine surgery, vascular surgery and
urological surgery should preferably take place during the end of the training.
Courses, auscultations and theoretical studies are to be performed parallel with
the corresponding clinical rotation whenever possible. The more specialized rotations should
be as continuous as possible and should only be interrupted by unavoidable emergency room
rotations or clinical courses.
Communication skills, leadership skills and expertise in medical science and
quality work should be initiated early and continued as a natural and integral part of the
surgical training.