We read with interest the article by Picarella and colleagues and their proposed modification of the classic paradigm used in surgical training from "see one, do one, teach one" to "do one, teach one" and would like to provide a British perspective. The "see one, do one, teach one" model of competence is based on the traditional "master-apprenticeship" model of surgical residency training devised by Halsted at Johns Hopkins Hospital in the late 19th century. Although the "master-apprenticeship" model for surgical training has been successful, it has gradually become outdated. In August 2007 through implementation of Modernizing Medical Careers (MMC), British postgraduate medical training was restructured into a continuous pathway of specialty training similar to the CanMed System. Thus, within the United Kingdom, Halst-ed's "master-apprenticeship" model of surgical training has now been replaced by a model of the development of competence in which surgical trainees are assessed according to approved standards of the Intercollegiate Surgical Curriculum Programme (ISCP).
展开▼
