Australian orthopaedic surgery training: Australian Orthopaedic Association's strategic education review.


Journal

ANZ journal of surgery
ISSN: 1445-2197
Titre abrégé: ANZ J Surg
Pays: Australia
ID NLM: 101086634

Informations de publication

Date de publication:
06 2020
Historique:
received: 19 09 2019
revised: 12 11 2019
accepted: 17 11 2019
pubmed: 21 12 2019
medline: 30 4 2021
entrez: 21 12 2019
Statut: ppublish

Résumé

The Australian Orthopaedic Association (AOA) is the peak professional body for orthopaedic surgeons in Australia and is responsible for their training and continuing medical education. The 2012 AOA strategic education review employed a gap analysis to identify issues and generate a roadmap for the enhancement of AOA's education and training activities. This paper describes the process and outcomes of this review, which led to the 'AOA 21' Education Re-design Project, and the review's relevance to surgical education in Australia. The AOA strategic education review was undertaken by international clinician education and orthopaedic experts, and involved AOA staff, fellows and trainee members throughout Australia. This review progressed through four phases: a review of current training; a global 'best-practice' perspective; a set of aspirational goals; and a roadmap for implementation. Seven key strengths (e.g. camaraderie in training and surgical skills teaching) and 15 challenges (e.g. 'non-technical' skills teaching, subjective methods of decision making and inadequate assessment practices) were identified in the review stage. Sixteen major recommendations for improvements incorporating current or emerging world's best education practices were targeted in an 8-year implementation framework. The AOA's strategic education review serves as a roadmap for other specialty training organizations to review their programmes and implement contemporary best practices in surgical training. The AOA 21 project has positioned orthopaedic surgery as a leader in competency-based surgical education and training in Australia.

Sections du résumé

BACKGROUND
The Australian Orthopaedic Association (AOA) is the peak professional body for orthopaedic surgeons in Australia and is responsible for their training and continuing medical education. The 2012 AOA strategic education review employed a gap analysis to identify issues and generate a roadmap for the enhancement of AOA's education and training activities. This paper describes the process and outcomes of this review, which led to the 'AOA 21' Education Re-design Project, and the review's relevance to surgical education in Australia.
METHODS
The AOA strategic education review was undertaken by international clinician education and orthopaedic experts, and involved AOA staff, fellows and trainee members throughout Australia. This review progressed through four phases: a review of current training; a global 'best-practice' perspective; a set of aspirational goals; and a roadmap for implementation.
RESULTS
Seven key strengths (e.g. camaraderie in training and surgical skills teaching) and 15 challenges (e.g. 'non-technical' skills teaching, subjective methods of decision making and inadequate assessment practices) were identified in the review stage. Sixteen major recommendations for improvements incorporating current or emerging world's best education practices were targeted in an 8-year implementation framework.
CONCLUSION
The AOA's strategic education review serves as a roadmap for other specialty training organizations to review their programmes and implement contemporary best practices in surgical training. The AOA 21 project has positioned orthopaedic surgery as a leader in competency-based surgical education and training in Australia.

Identifiants

pubmed: 31859427
doi: 10.1111/ans.15609
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

997-1003

Informations de copyright

© 2019 Royal Australasian College of Surgeons.

Références

Franzese CB, Stringer SP. The evolution of surgical training: perspectives on educational models from the past to the future. Otolaryngol. Clin. North Am. 2007; 40: 1227-35.
Collins JP, Gough IR, Civil ID, Stitz RW. A new surgical education and training programme. ANZ J. Surg. 2007; 77: 497-501.
Carr S. The foundation programme assessment tools: an opportunity to enhance feedback to trainees? Postgrad. Med. J. 2006; 82: 576-9.
Flexner A. Medical education in the United States and Canada: a report to the Carnegie Foundation for the advancement of teaching. 1910. [Cited 13 Nov 2019.] Available from URL: http://archive.carnegiefoundation.org/pdfs/elibrary/Carnegie_Flexner_Report.pdf.
Gofton WT, Dudek NL, Wood TJ, Balaa F, Hamstra SJ. The Ottawa surgical competency operating room evaluation (O-SCORE). Acad. Med. 2012; 87: 1401-7.
van der Vleuten C, Lindemann I, Schmidt L. Programmatic assessment: the process, rationale and evidence for modern evaluation approaches in medical education. Med. J. Aust. 2018; 209: 386-8.

Auteurs

Ian W Incoll (IW)

Australian Orthopaedic Association, Sydney, New South Wales, Australia.
Faculty of Health and Medicine, The University of Newcastle, Newcastle, New South Wales, Australia.

Jodie Atkin (J)

Australian Orthopaedic Association, Sydney, New South Wales, Australia.

John Owen (J)

Australian Orthopaedic Association, Sydney, New South Wales, Australia.

Ally Keane (A)

Australian Orthopaedic Association, Sydney, New South Wales, Australia.

Omar Khorshid (O)

Australian Orthopaedic Association, Sydney, New South Wales, Australia.

Adrian Cosenza (A)

Australian Orthopaedic Association, Sydney, New South Wales, Australia.

Jason Frank (J)

Royal College of Physicians and Surgeons of Canada, Ottawa, Ontario, Canada.

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