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Previous Volume 355:2695-2696 December 21, 2006 Number 25 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Medical education is undergoing a paradigm shift, from the traditional experience-based model to a program that requires documentation of proficiency.¹ Technological advances in health care, the development of day-case surgery, and the setting of quality-assurance targets have led to a striking reduction in training opportunities for young doctors. It is no longer acceptable, or appropriate, for students at any level of training to practice new skills on patients, even if they have a patient's explicit consent.

As Reznick and MacRae point out in this issue of the Journal, these "changes in the wind" are beginning to transform surgical residency programs.² . . . [Full Text of this Article]

Source Information

From the Department of Biosurgery and Surgical Technology (R.A.) and the Division of Surgery, Oncology, Reproductive Biology, and Anaesthetics (A.D.), Imperial College, London.

This article has been cited by other articles:

• Kneebone, R. L. (2009). Practice, Rehearsal, and Performance: An Approach for Simulation-Based Surgical and Procedure Training. JAMA 302: 1336-1338 [Full Text]  
• Gorrindo, T., Groves, J. E. (2009). Computer Simulation and Virtual Reality in the Diagnosis and Treatment of Psychiatric Disorders. Acad. Psychiatry 33: 413-417 [Full Text]