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DOI: 10.1055/s-0045-1813668
Foundational Excellence: Theories for Modern Colorectal Surgery Education—Key Pedagogical Frameworks and Strategies that Every Colorectal Surgeon Teaching Medical Students, Residents, and Co-workers Should Know
Autoren
Abstract
Quality modern colorectal surgery education demands more than simply teaching technical skills; it requires a deep understanding of how surgeons learn. This article explores foundational pedagogical theories that support effective instruction across all stages of surgical training. Cognitive load theory, behaviorist models, and constructivist approaches such as experiential and social learning are examined for their relevance to surgical education. Deliberate practice and mastery learning frameworks offer structured methods for developing procedural expertise. Teaching strategies such as simulation and feedback models are discussed to promote competence and autonomy. Additionally, the article considers emotional and motivational components of learning, highlighting the roles of self-efficacy, feedback, and reflective practice. By aligning educational practice with established theory, colorectal surgeons can more effectively train future colleagues and elevate standards of care, professionalism, and continuous learning in a dynamic healthcare landscape.
Keywords
surgical education - cognitive load theory - deliberate practice - colorectal surgery trainingPublikationsverlauf
Artikel online veröffentlicht:
28. November 2025
© 2025. Thieme. All rights reserved.
Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA
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References
- 1 Sachdeva AK, Korndorffer JR, Phitayakorn R. Educational underpinnings and their application to surgery resident education. In: Hoyt DB, Sachdeva AK, Flint LM. Et al., eds. Optimal Resources for Surgical Education and Training. Chicago: American College of Surgeons; 2021: 9-23
- 2 Sachdeva AK. Preceptoring, proctoring, mentoring, and coaching in surgery. J Surg Oncol 2021; 124 (05) 711-721
- 3 Schunk DH. Learning Theories: An Educational Perspective. 6th ed.. Pearson; 2012: 2
- 4 Halsted WS. The training of the surgeon. Bull Johns Hopkins Hosp 1904; 15: 267-275
- 5 Sweller J. Cognitive load during problem solving: effects on learning. Cogn Sci 1988; 12 (02) 257-285
- 6 Skinner BF. About Behaviorism. New York, NY: Vintage Books; 1976
- 7 Piaget J. The role of action in the development of thinking. In: Overton WF, Gallagher JM. eds. Knowledge and Development. Boston, MA: Springer; 1977
- 8 Kolb DA. Experiential Learning: Experience as the Source of Learning and Development. Englewood Cliffs, NJ: Prentice-Hall; 1984
- 9 Yardley S, Teunissen PW, Dornan T. Experiential learning: AMEE guide no. 63. Med Teach 2012; 34 (02) e102-e115
- 10 Bandura A, Walters RH. Social Learning Theory. Oxford, England: Prentice-Hall; 1977
- 11 Sandars J, Cleary TJ. Self-regulation theory: applications to medical education: AMEE guide no. 58. Med Teach 2011; 33 (11) 875-886
- 12 Andrews MA, Kelly WF, DeZee KJ. Why does this learner perform poorly on tests? Using self-regulated learning theory to diagnose the problem and implement solutions. Acad Med 2018; 93 (04) 612-615
- 13 Maslow AH. A theory of human motivation. Psychol Rev 1943; 50 (04) 370-396
- 14 Fitts PM, Posner MI. Human Performance. Belmont, CA: Brooks/Cole Publishing; 1967
- 15 Anderson JR, Fincham JM. Acquisition of procedural skills from examples. J Exp Psychol Learn Mem Cogn 1994; 20 (06) 1322-1340
- 16 Anderson JR. Acquisition of cognitive skill. Psychol Rev 1982; 89 (04) 369-406
- 17 Clark RE, Estes F. Cognitive task analysis for training. Int J Educ Res 1996; 25 (05) 403-417
- 18 Rikers RM, Schmidt HG, Boshuizen HP. Knowledge encapsulation and the intermediate effect. Contemp Educ Psychol 2000; 25 (02) 150-166
- 19 Hinds PJ, Patterson M, Pfeffer J. Bothered by abstraction: the effect of expertise on knowledge transfer and subsequent novice performance. J Appl Psychol 2001; 86 (06) 1232-1243
- 20 Sullivan ME. Applying the science of learning to the teaching and learning of surgical skills: the basics of surgical education. J Surg Oncol 2020; 122 (01) 5-10
- 21 Ericsson KA, Krampe RT, Tesch-Römer C. The role of deliberate practice in the acquisition of expert performance. Psychol Rev 1993; 100 (03) 363-406
- 22 Schenarts PJ, Schenkel RE, Sullivan ME. Biology and psychology of surgical learning. Surg Clin North Am 2021; 101 (04) 541-554
- 23 Kolb DA. Experiential Learning: Experience as the Source of Learning and Development. Upper Saddle River, NJ: Prentice-Hall; 1984: 19-38
- 24 Knowles M, Holton E, Swanson R. eds. The Adult Learner: The Definitive Classic in Adult Education and Human Resource Development. 8th ed.. New York, NY: Routledge; 2015
- 25 Rowe M, Frantz J, Bozalek V. The role of blended learning in the clinical education of healthcare students: a systematic review. Med Teach 2012; 34 (04) e216-e221
- 26 AlJamal YN, Ali SM, Ruparel RK, Brahmbhatt RD, Yadav S, Farley DR. The rationale for combining an online audiovisual curriculum with simulation to better educate general surgery trainees. Surgery 2014; 156 (03) 723-728
- 27 Sweeney WB. Teaching surgery to medical students. Clin Colon Rectal Surg 2012; 25 (03) 127-133
- 28 Schmidt HG, Wagener SL, Smeets GACM, Keemink LM, van der Molen HT. On the use and misuse of lectures in higher education. Health Prof Educ 2015; 1 (01) 12-18
- 29 Tarras SL, Thacker J, Bouwman DL, Edelman DA. Effective large group teaching for general surgery. Surg Clin North Am 2021; 101 (04) 565-576
- 30 Thomas C, Plumblee L, Dieffenbaugher S, Talley C. Teaching on rounds and in small groups. Surg Clin North Am 2021; 101 (04) 555-563
- 31 Gottesman L. To pimp or not to pimp: that is the question. Dis Colon Rectum 2025; 68 (04) 385-387
- 32 Ranganath C. Why We Remember: Unlocking Memory's Power to Hold on to What Matters. New York: Doubleday; 2024
- 33 Jimenez MJD, Kantak P, Raskin J. Why pimping works: the neurophysiology of emotional memories. Cureus 2024; 16 (07) e64237
- 34 Oh RC, Reamy BV. The Socratic method and pimping: optimizing the use of stress and fear in instruction. Virtual Mentor 2014; 16 (03) 182-186
