A high degree of [[skill]]; expertise. ---- While the Halstedian approach to surgical training has been widely influential, it has also been criticized for being overly focused on technical [[proficiency]] at the expense of other important aspects of surgical practice, such as communication skills and patient-centered care. In recent years, there has been a movement towards more holistic approaches to surgical [[education]] that take into account the many different skills and competencies required to be a successful surgeon.