C. M. Pugh MD, PhD; L. D. Britt MD, MPH.
SURGICAL EDUCATION: ASSESSMENT IN THE WORKPLACE
In-training assessments used in the United States surgical residency programmes
Article first published online: 5 JUN 2013
© 2013 Royal Australasian College of Surgeons
ANZ Journal of Surgery
Special Issue: Surgical Education
Volume 83, Issue 6, pages 460–465, June 2013
How to Cite
Pugh, C. M. and Britt, L. D. (2013), In-training assessments used in the United States surgical residency programmes. ANZ Journal of Surgery, 83: 460–465. doi: 10.1111/ans.12217
- Issue published online: 5 JUN 2013
- Article first published online: 5 JUN 2013
- Manuscript Accepted: 29 APR 2013
- curriculum standards;
- educational measurement;
- general surgery;
- graduate medical education;
- medical societies;
Quality and safety concerns have always been the impetus for evaluating surgical competence. This paper provides a focused overview of key historical events that lead to the development and implementation of surgical training standards and competency assessments in the United States.
Focused review of surgical literature.
The following events were found to correlate with the development and implementation of training standards and competency assessments: (i) The Flexner Report issued in 1910; (ii) The American Medical Association's 1928 endorsement of the ‘Essentials of Approved Residencies and Fellowships’; and (iii) The formation of several major surgical organizations – American College of Surgeons (1913), American Board of Surgery (1937), Residency Review Committee for Surgery (1950) and Association of Program Directors in Surgery (1966).
The process by which competence is assessed in the US surgical training programmes is multifactorial and heavily linked to the structure and function of several national organizations in surgery and medicine.