This book offers a carefully argued approach to the postgraduate preparation of surgeons and doctors. At a time when surgical/medical education is undergoing profound change this text will prove an invaluable resource for those both reorganizing teaching programmes and those working with learning surgeons/doctors. It emphasizes what is involved in learning to be a surgeon and/or doctor who can engage in professional conduct and exercise professional judgement, as opposed to being trained in surgical/medical activities in order to demonstrate the behaviour expected by assessors. It provides many examples and ideas which have been developed and refined over the past three years in partnership with a wide range of working surgeons and doctors in practical settings and in reflective seminars. The authors have together brought to the production of this book a unique combination of a practising surgeon who is dedicated to the development of excellence in surgical practice, and a practising teacher educator who is dedicated to developing expertise in educational practice, particularly in clinical settings.

Understanding and researching professional practice is crucial both to enhancing the quality of professional learning and to improving professional education more generally. Yet professional practice remains something that is little known, theoretically and philosophically, despite a longstanding interest in what might be called the meta-field of professional practice, learning and education. The contributors to this book, drawn from fields such as education, allied health, psychology and business, explore different aspects of practice in the professions, professionalism, and research. This includes engaging with the burgeoning literature on practice theory and philosophy, including the increasingly influential neo-Aristotelian tradition, and taking account of growing interest in practice thinking across contemporary scholarship. It considers issues such as the primacy of practice, the nature of professional judgement, the role of ‘experience’, ethics, context, and the practitioner standpoint. As such, it raises important and timely questions about practice ontologies, epistemologies and methodologies, and also praxis and politics. This is especially needed in a context otherwise increasingly organised by neoliberalism, economic rationality, anxious managerialism, and what some see as a general drive towards de-professionalisation and new nuances and intensities of regulation.

"This book is written by two eminent educators and clinicians in medicine, and provides a wealth of information and food for thought for those who have responsibility for curriculum development." Journal of Orthodontics What are the contemporary problems facing curriculum designers and developers? What are the key questions that ought to be addressed with regard to curriculum design for medical practice? How might a curriculum for practice in medical education be developed? Medical Education offers a detailed response to these questions and shows what form a curriculum for practice should take and how one can be developed. These ideas are presented in a highly practical and readable account that is essential reading for those involved in educating the doctors of the future and for policy makers in the field of medical education. It also offers useful advice for those in related fields of health care. The authors show that recent developments of curricula for postgraduate doctors have been founded on the misguided view (promoted by politicians and policy makers) that medical practice is routine, straightforward and able to be reduced to simple protocols that professionals must learn and follow. In this view, doctors are technicians who need merely to be trained through a simple curriculum. In contrast, this book shows that the practice of medicine as experienced by working doctors is complex, uncertain and unpredictable. This requires a curriculum that provides the opportunity to learn to exercise professional judgement and make decisions based on practical wisdom.

Surgical Education: Theorising an Emerging Domain delineates surgical (as opposed to medical) education as a new and emerging field of academic enquiry. This reflects profound changes in healthcare training and practice on an international basis. As such, this book introduces, examines and explores the contribution of selected concepts and theories to surgical learning and practice. The first four chapters consider core facets of surgical education, such as simulation, while subsequent chapters take a key idea, often well known in another field, and examine its relevance to surgical education. Of course, performing invasive procedures is no longer the exclusive preserve of ‘traditional’ surgeons. Boundaries between surgery and the interventional specialties (radiology, cardiology, intensive care) are becoming increasingly blurred, especially as technology continues to expand. Changing work patterns and explosive technological development mark this out as a major growth area. New educational approaches (e.g. the use of simulation) are emerging. And all clinical practice is a team activity, where clinicians from many specialties (medicine, nursing, allied professions) come together with shared goals. For all the above groups, and their patients, education (teaching, training, learning and assessment) is of crucial importance. Yet the unique characteristics of surgical education have not previously been addressed from an educational perspective, nor have its possibilities as a new research domain been mapped. The domain needs to be theorised and its epistemological foundations established. There is thus both a need and a market for a definitive work in this area, aimed at surgeons, other clinicians, non-clinicians, educators, and others interested in this new domain.

This book is designed to provide the reader with comprehension of the principles of contemporary surgical education and skills to design and implement effective curricula that include learning theory, needs assessments, curriculum development, effective teaching methods, valid and reliable assessment of learners, and comprehensive program evaluation. This text will provide a comprehensive, state-of-the art review of this field and will serve as a valuable resource for anyone wishing to become a better educator regardless of the level of the trainee. The book will review how people learn and how to vary teaching methods accordingly. It will cover curriculum planning, measurement and performance assessment, teaching residents to teach, coaching, promoting professionalism, teaching surgeons to lead, and burnout. It will aid in identifying differences in generations and how to select students and residents who will thrive in your program. Specifics on teaching in the operating room, use of new technologies and honing of feedback skills will be addressed. The effect of duty hours and due process for struggling learners will also be addressed as well as preparing residents for beyond residency. Specifics on how to set up simulation centers and utilize this technology will also be discussed. These are a few of the topics which will prepare the reader to excel in education and thus be able to positively influence patient care well beyond that of any one individual.

Surgery is a craft specialty: ‘doing’ in response to what is seen, felt and anticipated. The potent odours and the raw images of flesh, elicit strong sensations and responses in the here-and-now or ‘thisness’ (haecceities) of practice. These experiences, trigger a world of affects and senses that can disturb or rupture familiar or established ways of thinking and knowing. This book attempts to articulate these emotional complexities of learning and practice by exploring affective encounters with the uncertainty of medical events. Employing a practice based inquiry, grounded in philosophical notions of affect and related concepts, real stories of actual practice are analysed and theorised to examine how events of clinical practice come to matter or become meaningful to surgeons, potentially disclosing new or modified capacities to see, think, understand and act. The philosophical writings of Alfred North Whitehead, Gilles Deleuze, Gilbert Simondon and Brian Massumi inform the exploration. The critical discussions of this book are relevant for healthcare professionals, medical educators, practitioners and researchers interested in its main exploration: the affective conditions that emerge from disturbances in practice and their power to shape, construct and transform how professionals understand their practice and function within it.

This book is designed for anyone involved in surgical education. While it is intended as a core reference for surgeons who want to develop their surgical education knowledge and practice, it also a valuable resource for anyone undertaking a higher degree in health professions education. Divided into five parts, it starts with chapters on foundational knowledge, exploring the past before documenting the current state of surgical education and highlighting various educational leadership and governance topics. The second part examines a range of theories that inform surgical education – cognitive, behavioural and social, while the third part offers practical guidance on elements of surgical education – curriculum design, selection, feedback, assessment, evaluation, simulation and managing trainee underperformance. It also includes chapters on supporting the development of psychomotor skills, operative skills in theatre, professionalism, teamwork and patient safety. The next part shifts the focus to research in surgical education, introducing readers to all phases of conducting education research based on qualitative, quantitative and mixed methods paradigms. The final part looks to the future of surgical education and of surgical educators. Assembling these topics in one volume makes this book invaluable to anyone involved in surgical education.

Back for a second edition, Current Surgical Guidelines has been fully updated to reflect changes in guidelines across the surgical sub-specialities since its first publication. Drawing together printed and digital guidelines from the Scottish Intercollegiate Guidelines Network (SIGN), the National Institute for Health and Clinical Excellence (NICE), and relevant US guidelines, this book acts as a valuable complete and comprehensive reference for those embarking on their surgical training, revising for exams, or for senior staff as an aide-memoire. Guidelines have been distilled into summary tables, and topics are formulated to answer most real-life clinical practice questions with contemporary facts and figures, decision recommendations, and treatment options. New chapters on hernias, skin malignancies, trauma, and medicolegal practice have been added to increase fresh challenges facing the contemporary surgical trainee.

Clinical reasoning lies at the core of health care practice and education. Clinical Reasoning in the Health Professions, therefore, occupies a central place in the education of health professionals, the enhancement of professional decision making of individuals and groups of practitioners with their clients, and research into optimal practice reasoning. All chapters updated and 20 new chapters added Concrete examples, cases and vignettes were added to bring discussions to life for the reader Reflection points strategically placed to assist readers to extend their insights and build learning from their own practical experiences and theoretical knowledge Devices of particular value to reflective practitioners and educators All chapters updated and 20 new chapters added Concrete examples, cases and vignettes were added to bring discussions to life for the reader Reflection points strategically placed to assist readers to extend their insights and build learning from their own practical experiences and theoretical knowledge Devices of particular value to reflective practitioners and educators.

Clinical reasoning is the foundation of professional clinical practice. Totally revised and updated, this book continues to provide the essential text on the theoretical basis of clinical reasoning in the health professions and examines strategies for assisting learners, scholars and clinicians develop their reasoning expertise. key chapters revised and updated nature of clinical reasoning sections have been expanded increase in emphasis on collaborative reasoning core model of clinical reasoning has been revised and updated