The medical residency system in 2020
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Abstract
The present review of the last years in the training of human resources in surgery highlights the validity and vision for the future of Prof. Dr. Mario Brea’s speech. When he defines the residency system, we realize that the principles are the same, but adapted to the 21st century:
▪ Progressive training.
▪ Pre-established programs with modern curricula and comprehensive systems of evaluation.
▪ Promotion and allocation of more responsibilities: compliance with Milestones (or in the future with some other type of assessment such as Entrusted Professional Activities, EPAs).
▪ Direction, guidance and close supervision with the implementation of feedback as a pedagogical tool.
Appropriate work environment and schedule: simulation as a protected environment for learning surgical and NTS skills; restrictive working hours to reduce medical error.
▪ Research and teaching: the publication of original papers should be encouraged since the early years of training as well as the relationship with junior residents to create a virtuous circle of professional training.