Completeness of training in thoracic surgery: the perfect operative log book
Open accessAbstract
One of the most important and difficult aspect of surgical training is to assess the competence of a trainee. Miller’s pyramid of clinical competence in surgery has been described as a ladder which starts with knowledge, followed by understanding of the pathophysiology (1). Then the trainee is expected to show how the procedure can be performed and then actually performs the procedure under the guidance or assistance of a mentor.
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Miller's Pyramid of Clinical Competence serves as a valuable framework, emphasizing progression through four levels: 'knows,' 'knows how,' 'shows how,' and 'does.'
“Miller's Pyramid of Clinical Competence [49,50] serves as a valuable framework, emphasizing progression through four levels: 'knows,' 'knows how,' 'shows how,' and 'does.'”
From Formative assessment and feedback in medical education: A practical guide: AMEE Guide No. 189 (2026) · cites this paper as [49]
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Cites
Licht, P. B., Jørgensen, O. D., Ladegaard, L., et al. (2013) · The Annals of Thoracic Surgery · doi:10.1016/j.athoracsur.2013.04.011 · Cited by 229 · see citing works
Postgame Analysis: Using Video-Based Coaching for Continuous Professional Development
Hu, Y., Peyre, S. E., Arriaga, A. F., Osteen, R. T., Corso, K., Weiser, T. G., Swanson, R. S., Ashley, S. W., Raut, C. P., Zinner, M. J., et al. (2011) · Journal of the American College of Surgeons · doi:10.1016/j.jamcollsurg.2011.10.009 · Cited by 221 · see citing works
Play to Become a Surgeon: Impact of Nintendo WII Training on Laparoscopic Skills
Giannotti, D., Patrizi, G., Rocco, G. D., Vestri, A. R., Semproni, C. P., Fiengo, L., Pontone, S., Palazzini, G., & Redler, A. (2013) · PLoS ONE · doi:10.1371/journal.pone.0057372 · Cited by 77 · see citing works
Klepetko, W. (2001) · European Journal of Cardio-Thoracic Surgery · doi:10.1016/s1010-7940(01)00942-3 · Cited by 55 · see citing works
Miller's Pyramid and Core Competency Assessment: A Study in Relationship Construct Validity
Williams, B. W., Byrne, P. D., Welindt, D., et al. (2016) · Journal of Continuing Education in the Health Professions · doi:10.1097/ceh.0000000000000117 · Cited by 53 · see citing works
Thoracoscopic lobectomy: Introduction of a new technique into a thoracic surgery training program
Reed, M. F., Lucia, M. W., Starnes, S. L., et al. (2008) · Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/j.jtcvs.2008.05.005 · Cited by 42 · see citing works
Jensen, K. H., Hansen, H. J., Petersen, R. H., Neckelmann, K., Vad, H., Møller, L. B., Pedersen, J. H., & Konge, L. (2018) · Surgical Endoscopy · doi:10.1007/s00464-018-6428-1 · Cited by 38 · see citing works
Training in robotic thoracic surgery
Linsky, P. L., & Wei, B. (2018) · Journal of Visualized Surgery · doi:10.21037/jovs.2017.12.12 · Cited by 34 · see citing works
The role of wet lab in thoracic surgery
Bedetti, B., Schnorr, P., Schmidt, J., et al. (2017) · Journal of Visualized Surgery · doi:10.21037/jovs.2017.03.23 · Cited by 25 · see citing works
Comparison of cardiothoracic surgery training in usa and germany
Tchantchaleishvili, V., Mokashi, S. A., Rajab, T. K., et al. (2010) · Journal of Cardiothoracic Surgery · doi:10.1186/1749-8090-5-118 · Cited by 22 · see citing works
Training cardiothoracic surgeons of the future: The UK experience
Kenny, L. A., Booth, K., Freystaetter, K., Wood, G. K., Reynolds, G., Rathinam, S., & Moorjani, N. (2018) · Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/j.jtcvs.2018.01.088 · Cited by 22 · see citing works
Thoracic surgery training in Europe—the perspective of a trainee
Frick, A. E., & Massard, G. (2017) · Journal of Thoracic Disease · doi:10.21037/jtd.2017.03.138 · Cited by 9 · see citing works
Flagged first, then by citations
Research works printed but not linked: 3
- Halsted WS. The training of the surgeon. Bull Johns Hopkins Hosp 1904;15:267-75.
- Accreditation Council for Graduate Medical Education. Case Requirements for Residents Beginning on or after July 1, 2017. Review Committee for Thoracic Surgery.
- Klepetko W, Aberg TH, Lerut AE, et al. Structure of general thoracic surgery in Europe. Eur J Cardiothorac Surg 2001;20:663-8.
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Formative assessment and feedback in medical education: A practical guide: AMEE Guide No. 189
Lipnevich, A. A., Mattern, K., & Feddock, C. (2026) · Medical Teacher · doi:10.1080/0142159x.2025.2569623 · Cited by 37 · see citing works
- Authors
- Batirel, H. F.
- Venue
- Journal of Thoracic Disease
- Publisher
- AME Publishing Company
- Published
- 2019-04
- Volume
- 11
- Issue
- S7
- Pages
- S1014-S1017
- ISSN
- 2072-1439 (ISSN-L)
- 2077-6624
- PMC
- PMC6535476
- OpenAlex
- W2941816666
- Cited by
- 4
- References
- 12
- Citations by year
- 2025: 1 · 2024: 1 · 2022: 1 · 2021: 1
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by-nc-nd
- Locations
- Journal of Thoracic Disease (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Dspace Repository (Marmara Üniversitesi) (submittedVersion, other-oa)
- Dspace Repository (Marmara Üniversitesi) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
- Health Sciences › Medicine › Surgery › Surgical Simulation and Training
- Health Sciences › Medicine › Emergency Medicine › Hospital Admissions and Outcomes
- Keywords
- thoracic surgery training, surgical skill assessment, surgical training, trainee assessment, mentoring
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