New surgical procedures: can we minimise the learning curve?

摘要: The Ross procedure for aortic valve replacement was introduced at two paediatric cardiac centres (Freeman Hospital, Newcastle, and Royal Liverpool Children's Hospital) where surgeons had no previous experience of this technique. A structured programme training cooperation between the enabled to minimise learning curve procedure. We share our suggest options who wish undertake new procedures in current era surgical practice clinical governance. Issues informed consent risk stratification remain. #### Summary points Surgeons have always recognised concept a when undertaking procedure Recent events mean that there is lack professional public tolerance suboptimal results due curve Learning technique, even an established consultant, requires some sort curve Introducing way incorporates formal courses, cadaveric resection, assistance from expert practitioners can reduce curve The recent General Medical Council (GMC) inquiry into Bristol Paediatric Cardiac Surgical Unit highlighted many concerns common all specialties. At end judgment, president GMC listed 13 issues professions should address, senate surgery recently published its response.1 curve, which has long been by surgeons, particular consequence. However, responded “there be as far patient safety concerned.”1 To learn perform without having dilemma we, consultants surgery, faced we wanted introduce practice. We discussed strategies hoped would steepness …