Abstract

Surgical trainees have traditionally acquired their core surgical knowledge (theory of surgery) through self directed study in libraries or at home, participation in classroom based courses, or attendance at national or international scientific meetings. Such learning inevitably occurs at a distance from the clinical setting and trainees usually studied individually. But the knowledge base that underpins surgical practice in the 21st century is ever expanding, posing an immence pedagogical challenge to surgical educators and trainees alike. The Royal College of Surgeons in Ireland has developed an online learning programme, SCHOOL for Surgeons, which is designed to allow trainees access information in their workplace, at the “point of care”. Clinical cases are presented (virtual grand rounds) and trainees have to work through the clinical presentation, differential diagnosis, investigation and management. The trainees work in “learning sets” and are given assignments which have to be submitted online. The assignments form part of their annual appraisal process. SCHOOL for Surgeons also incorporates an online journal club and also a “discussion room” for trainees. They may also download pod casts of keynote surgical presentations. The advantage of online learning is that it is available anywhere anytime, the content is focused and up to date and the medium is interactive. The development of an online programme allows standardisation of teaching across an entire country and has provided a more efficient way for surgical trainees to access and acquire core surgical knowledge.

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