AimThere is currently an increased focus on competency‐based training, in which training and assessment play a crucial role. The aim of this systematic review is to create an overview of hands‐on training methods and assessment tools for appendectomy and colon and rectal surgery procedures using either an open, laparoscopic or robot‐assisted approach.MethodA systematic review of Medline, Embase, Cochrane and Scopus databases was conducted following the PRISMA guidelines. We conducted the last search on 9 March 2023. All published papers describing hands‐on training, evaluation of performance data and development of assessment tools were eligible. The quality of studies and the validity evidence of assessment tools are reported.ResultsFifty‐one studies were identified. Laparoscopic assessment tools are abundant, but the literature still lacks good‐quality assessment tools for open appendectomy, robotic colectomy and open rectal surgery. Overall, there is a lack of discussion regarding the establishment of pass/fail standards and the consequences of assessment. Virtual reality simulation is used more for appendectomy than colorectal procedures. Only a few of the studies investigating training were of acceptable quality. There is a need for high‐quality studies in open and robotic‐assisted colon surgery and all approaches to rectal surgery.ConclusionThis review provides an overview of current training methods and assessment tools and identifies where more research is needed based on the quality of the studies and the current validity evidence.

中文翻译：

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结直肠手术和阑尾切除术的培训和评估——系统评价

目标目前越来越关注基于能力的培训，其中培训和评估发挥着至关重要的作用。本系统综述的目的是概述使用开放、腹腔镜或机器人辅助方法进行阑尾切除术以及结肠和直肠手术的实践培训方法和评估工具。方法对 Medline、Embase、Cochrane 和Scopus 数据库是按照 PRISMA 指南进行的。我们于 2023 年 3 月 9 日进行了最后一次检索。所有发表的描述实践培训、绩效数据评估和评估工具开发的论文均符合条件。报告了研究的质量和评估工具的有效性证据。结果确定了 51 项研究。腹腔镜评估工具很丰富，但文献中仍然缺乏针对开腹阑尾切除术、机器人结肠切除术和开腹直肠手术的高质量评估工具。总体而言，缺乏关于通过/失败标准的建立和评估后果的讨论。虚拟现实模拟更多地用于阑尾切除术而不是结直肠手术。只有少数调查培训的研究具有可接受的质量。需要对开放式和机器人辅助结肠手术以及所有直肠手术方法进行高质量的研究。结论本综述概述了当前的培训方法和评估工具，并根据研究的质量确定了需要进行更多研究的领域以及当前的有效性证据。