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Pedagogical Approaches for Surgical Education

Abstract : Medical students face many difficulties in learning surgery, which result in many of them abandoning the specialty. These difficulties are mainly due to the decrease in hours spent in the operating room, learning by watching and doing. To overcome these difficulties, there are now many simulation devices that allow surgeons in training to practice outside the operating room, in less stressful conditions, and in a repeated manner. However, these devices, as numerous and varied as they are, fail to effectively cover all of the multiple knowledge and skills necessary to learn surgery. The spectrum of this knowledge and skill is wide, from the technical (dexterity, knowledge of anatomy, risks, instruments, steps of the procedures etc.) to the non-technical (situational awareness, ability to formulate a plan of action, gather information, lead a team etc.). One of the main reasons for this is that these devices, often high-tech, are not designed on the basis of pedagogical considerations, or on human learning in general, and surgical learning in particular. Indeed, the considerations are often more technological than pedagogical. This thesis therefore aims, first, to describe as comprehensively as possible, the body of knowledge and skills necessary to master surgery. Then, the thesis aims to define the impact of different surgical training devices, whose design will have been guided by pedagogical considerations, on the evolution of these skills, in comparison with more classical - and therefore less pedagogical - training devices. The results show that a pedagogical approach in the design of technological training devices for surgery can participate in the development of target skills (i.e. those used during performance in real conditions), in the development of knowledge that is essential to the realization of the gesture and difficult to access, and demonstrate a tendency to increase technical skills in real conditions.
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Submitted on : Wednesday, June 29, 2022 - 3:57:28 PM
Last modification on : Tuesday, August 2, 2022 - 4:32:23 AM


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  • HAL Id : tel-03709072, version 2


Éléonore Barbut Ferrier-Barbut. Pedagogical Approaches for Surgical Education. Surgery. Sorbonne Université, 2022. English. ⟨NNT : 2022SORUS057⟩. ⟨tel-03709072v2⟩



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