صلاحیت جراحی در دستیاران رشته جراحی عمومی: یک گزارش کوتاه

زمینه وهدف: توسعه صلاحیت جراحی نیازمند شناسایی دقیق و واکاوی ابعاد مفهوم صلاحیت است. این مطالعه باهدف تبیین و ارایه مدل توسعه صلاحیت جراحی دستیاران رشته جراحی عمومی با استفاده ازرویکرد هشت مرحله‌ای واکر و اوانت انجام شده است.روش بررسی: این مطالعه یک مطالعه کیفی است که در سال 1399 در دانشگاه علوم پزشکی شهید بهشتی انجام گرفت. برای مشخص کردن ویژگی‌های تعریفی مفهوم صلاحیت جراحی از روش هشت مرحله‌ای تحلیل مفهوم واکر و اوانت استفاده شد. حاصل جست‌وجوی نظام‌مند در پایگاه داده‌ها و بر‌اساس معیارهای ورود، شناسایی تعداد 20 مقاله مرتبط بود.یافته‌ها: براساس نتایج حاصل از این مطالعه، مفهوم صلاحیت جراحی تعریف شده و ابعاد چهارگانه عناصر، اهداف، مولفه‌ها و فرایند توسعه صلاحیت جراحی مشخص شد. سپس با روشن شدن ویژگی‌های صلاحیت جراحی، مدل توسعه صلاحیت جراحی ترسیم شد.نتیجه‌گیری: توسعه صلاحیت جراحی منوط به کسب دانش تخصصی و مهارت‌های متعددی است‌ که ازطریق کسب تجربه و تحت نظارت ‌دیگران در یک جامعه عملی جراحی ‌به‌دست می‌آید. 

surgical competence in general surgery assistance: a brief report

background: the training and education of competent and qualified surgeons have been one of the challenges of the surgical profession. the concept of surgical competence has been affected widely due to a series of developments in the new disease emergence, various surgical techniques and the introduction of advanced tools and equipment into the operating. the development of surgical competence and achieving this goal requires accurate identification and analysis of the dimensions of competence. this study was done to explain the concept of surgical competence using the 8step walker and avant approach.methods: this study is a qualitative study that was conducted from may october 2016 at shahid beheshti university of medical sciences. the present study is a qualitative and conceptual analysis study, which is done with walker&avant’s eightstep approach to determine the defining characteristics of the concept of surgical competence. a systematic search was conducted between 1990 and 2020 by keywords search such as surgery, surgical, operation or laparoscopy and competence competency development competency proficient, proficiency, expertise, clinical, in the database like google scholar, pubmed, sid, magiran, scopus, web of science. twenty articles were included in the study based on inclusion and exclusion criteria. moreover, the defining features of the concept were extracted from it.results: based on the results of this study, the concept of surgical competence was defined and the four dimensions of elements, goals, components and the process of developing surgical competence were identified. then, by clarifying the characteristics of surgical competence, a model of surgical competence development was drawn. surgical competence development depends on the acquisition of specialized knowledge and numerous skills that are acquired through experience and deliberated practice under the supervision of others in the surgical community of practice and over time.conclusion: surgical competence is a set of observable and measurable skills that allows a surgeon to manage the surgical process independently pbt while maintaining the patient’s safety. it includes specialized knowledge, communication skills, cognitive and technical skills, and basic surgical skills.