61 Burnout in Core Surgical Trainees and Potential Use of Mindfulness

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
S Farrell ◽  
M Khadum ◽  
A Molodynski

Abstract Aim Surgical trainees deal with long hours and stressful work content. We aimed to assess the burnout levels in London trainees, and trial a mindfulness intervention. Method London core surgical trainees (CST1) were asked to complete an online survey including validated burnout scoring system (Oldenburg Inventory). 54 of a possible 78 trainees responded (69%). We then asked them to take part in a 2-week mindfulness intervention (approximately 5 minutes a day using the app Headspace). We later resurveyed. Results 60% of trainees who answered the survey feel ‘somewhat’ or ‘completely’ burnt out. Oldenburg burnout inventory calculates 85% of trainees to be ‘disengaged’ and 93% ‘exhausted’. 13/54 trainees completed the mindfulness training. 10 out of 13 trainees found this to be ‘somewhat’ or ‘massively’ helpful for burnout. Conclusions A high percentage of year one surgical trainees can be categorised as burnt out. The low uptake of mindfulness may speak to lack of capacity trainees have to invest in resources that will self-resolve this. We cannot say with significance whether mindfulness helped burnout (and length of trial could be too short) but the majority who did trial report positive experience with mindfulness.

2011 ◽  
Vol 56 (4) ◽  
pp. 206-209 ◽  
Author(s):  
B M Stutchfield ◽  
E M Harrison ◽  
S J Wigmore ◽  
R W Parks ◽  
O J Garden

With recent ‘working-time'-related changes to surgical training structure, the value of dedicated research during surgical training has been questioned. Online survey examining career and academic outcomes following a period of surgically related dedicated research at a Scottish University between 1972 and 2007. Of 58 individuals identified, contact details were available for 49 and 43 (88%) responded. Ninety-five percent ( n = 41) of respondents continue to pursue a career in surgery and 41% ( n = 17) are currently in academic positions. Ninety-one percent ( n = 39) had published one or more first-author peer-reviewed articles directly related to their research, with 53% ( n = 23) publishing three or more. Respondents with a clinical component to their research published significantly more papers than those with purely laboratory-based research ( P = 0.04). Eighty-one percent ( n = 35) thought that research was necessary for career progression, but only 42% ( n = 18) felt research should be integral to training. In conclusion, the majority of surgical trainees completing a dedicated research period, published papers and continued to pursue a surgical career with a research interest. A period of dedicated research was thought necessary for career progression, but few thought dedicated research should be integral to surgical training.


BJS Open ◽  
2021 ◽  
Vol 5 (Supplement_1) ◽  
Author(s):  
John Pascoe ◽  
Paul Foster ◽  
Muntasha Quddus ◽  
Angeliki Kosti ◽  
Francesca Guest ◽  
...  

Abstract Introduction SMILE is a free online access medical education (FOAMEd) platform created by two UK surgical trainees and a medical student that delivered over 200 medical lectures during lockdown. Method The role of Social Media in the development of SMILE was interrogated using a survey sent to all SMILE participants and by analysing activity on SMILE social media platforms. Results 1306 students responded to the online survey with 57.2% saying they heard of SMILE through Facebook. Engagement using facebook remained highest with 13,819 members, over 800 user comments and >16,000 user reactions. 4% of the students heard of SMILE through Twitter or Instagram. Facebook analytics revealed the highest level of traffic when lectures were most commonly held suggesting students used Facebook to access lectures. Other educators were able to find SMILE on social media, leading to collaborations with other platforms. Throughout the survey many mentioned how social media created and maintained a community of medical students enhancing group-based learning Conclusions We demonstrate that social media platforms provide popular and cost-effective methods to promote, sustain & deliver medical education for students and educators.


2021 ◽  
pp. 73-82
Author(s):  
Rhian Deslandes ◽  
Louise Hughes

Objective: Objective Structured Clinical Examinations (OSCEs) assess competencies in undergraduate pharmacy students. Students in senior years marked those in the year below during a formative OSCE. Method: The study explored the views of students who marked and had been marked by peers via an online survey. Ethical approval was obtained. Results: 115 (36%) of markers and 114 (35%) of those who were marked responded. Most students who were marked agreed that it was a positive experience and were comfortable receiving feedback from their peers; there were varied views on student marker consistency and how they were not equivalent to staff markers. Student markers felt prepared and confident giving feedback and marks. Markers felt it was a beneficial experience. Working collaboratively with another marker and assessing more than one student was valuable to allow discussion and inform their own OSCE. Conclusion: Overall, students supported this initiative, which has now been embedded into the undergraduate programme.


2017 ◽  
Vol 4 (7) ◽  
pp. 2131
Author(s):  
Alfred Egedovo ◽  
Yik-Hong Ho ◽  
Sarah Larkins ◽  
Chrispen Mushuya ◽  
Muhammad Ashraf ◽  
...  

Background: For generations, surgical training has followed the example of an apprenticeship model. However, many doctors see this training as insufficient and potentially unsafe for the patient. Web-based simulation training for teaching laparoscopic surgery is not only becoming increasingly popular but is cheaper in comparison to the traditional apprenticeship method. Objective is to assess the educational value of web-based training videosMethods: Data was obtained through questionnaires sent to consultant surgeons and   surgical trainees at three sites in North Queensland. Study invited participants to complete a 24-item questionnaire on knowledge and attitudes. The questionnaires were distributed using online survey monkey software to send emails to the three Government Hospitals.Results: There was a response rate of 11.40%, Consultant surgeons (13/17; 72.20%) and surgical trainees (4/17; 22.20%).  Majority of participant`s sources of learning laparoscopic surgery was from supervisors in operating theatre (64.30%) and online Web-based training video (WBTV; 7.10%), although satisfaction with current web-based training video resources was found to vary widely for a variety of reasons. WBTV were used mainly when required for clinical rotation.Conclusions: There was a response rate of 11.40%, Consultant surgeons (13/17; 72.20%) and surgical trainees (4/17; 22.20%).  Majority of participant`s sources of learning laparoscopic surgery was from supervisors in operating theatre (64.30%) and online Web-based training video (WBTV; 7.10%), although satisfaction with current web-based training video resources was found to vary widely for a variety of reasons. WBTV were used mainly when required for clinical rotation.


Author(s):  
Mei Wang ◽  
Marc Oliver Rieger

AbstractWe conduct an online survey to explore how Chinese people living in Germany perceive and react to group criticism in the context of the debate on the Wuhan Diary, a chronicle about life during the lockdown in Wuhan. We find that the majority rating of the book is a lukewarm “neither like nor dislike.” Most participants are open to criticism in principle and do not agree that the book only spreads so-called “negative-energy”. However, many participants were skeptical about the objectivity of the book and concerned about its potential use by so-called anti-China forces, even though the degree of blind patriotism is relatively low in our sample. The factors influencing the book’s evaluation are intriguing: perceived Western sentiment, media exposure and uncritical patriotism all affect COVID-19-related conspiracy beliefs, which in turn lead to a more negative evaluation of the book. A cluster analysis reveals two groups which differ in terms of properties like blind patriotism, belief in certain conspiracies, and also demographic parameters. Our results shed light on identity politics, motivated beliefs, and collective narcissism.


Author(s):  
Jorge Reyna

It has been determined that students at the School of Education, University of Western Sydney (UWS) are widely spread throughout the Greater Western Sydney (GWS) region and that many have competing schedules due to being enrolled full-time in a course and having a full-time job (Martinez-Fernandez, Rerceretnam, & Sharp, 2006). This makes group assignments a time-consuming task, and in many cases, group work and collaboration does not occur in an optimal way. Recent research has discussed the case for wikis as collaborative learning tools in education, and some has explicitly focused on the use of wikis in completing group projects (Bold, 2006; Parker & Chao, 2007). However, the use of Google Docs in a tertiary educational setting remains largely unexplored in the literature; even though the collaborative features of wikis and Google Docs are relatively comparable. In this regard, the authors identified a potential use of Google Docs to improve group assignments, allowing the students to interact and collaborate online, thus enhancing their learning experience. They set up three different scenarios including nine lecturers (unit convenors and tutors) in order to evaluate the advantages and disadvantages of including Google Docs within units taught at the School of Education. Preliminary data (collected over four consecutive semesters and featuring online survey responses of 963 students) showed a potential use of Google Docs to facilitate group assignments, to share information between students and academics, and to gather information via online surveys. The authors believe this powerful online application can be an excellent resource to overcome students’ isolation and engage them in online knowledge construction.


2019 ◽  
Vol 15 (4) ◽  
pp. 307-322 ◽  
Author(s):  
David J. Hall, MD ◽  
Juan C. Mira, MD ◽  
Melissa R. Hoffman, MD, ND ◽  
Hari B. Keshava, MD, MS ◽  
Kevin R. Olsen, MD ◽  
...  

Background: Increasing opioid-related deaths have heightened focus on combating the opioid epidemic. The impact of surgical trainees on opioid-related deaths is unclear, and there is little data examining the association between trainee pain management education and opioid prescribing practices.Methods: An anonymous, online survey was distributed to members of the Resident and Associate Society of the American College of Surgeons. The survey covered five themes: education and knowledge, prescribing practices, clinical case scenarios, policy, and beliefs and attitudes. Linear mixed models were used to evaluate the influence of respondent characteristics on reported morphine milligram equivalents (MME) prescribed for common general surgery clinical scenarios.Results: Of 427 respondents, 54 percent indicated receiving training in postoperative pain management during medical school and 66 percent during residency. Only 35 percent agreed that they had received adequate training in prescribing opioids. There was a significant association between undergoing formal pain management training in medical school and prescribing fewer MME for common outpatient general surgery scenarios (94 ± 15.2 vs 108 ± 15.0; p = 0.003). Similarly, formal pain management training in residency was associated with prescribing fewer MME in the survey scenarios (92.6 ± 15.2 vs 109 ± 15.2; p = 0.002).Conclusion: In this survey, nearly two-thirds of surgical residents felt that they were inadequately trained in opioid prescribing. Our findings additionally suggest that improving education may result in increased resident comfort with managing surgical pain, potentially leading to more responsible opioid prescribing. Further work will facilitate residency programs’ development of educational curricula for opioid prescribing best practices.


2018 ◽  
Vol 48 (4) ◽  
pp. 330-334 ◽  
Author(s):  
Mary McCauley ◽  
Yohannes Amado ◽  
Nynke van den Broek

Many skilled medical professionals from high-income countries volunteer to work in poor-resource settings. There is, however, little research to assess the views and experiences of such healthcare providers. Our study sought to explore this among Voluntary Service Overseas volunteers working in Ethiopia for one year. An online survey was distributed to all returned international medical volunteers one year after their return to their base country. Most felt that they had impacted the local community in which they worked and reported a positive experience, recommending this to friends or family, but there was a small subgroup whose experience was otherwise. We believe there is a need for more comprehensive, systematic and robust monitoring in order to evaluate the outcomes of medical volunteers’ placements.


2018 ◽  
Vol 23 (6) ◽  
pp. 239-242
Author(s):  
Steven Dixon ◽  
Sean Woodcock

Introduction Advising patients when they are medically fit to drive following general surgical procedures is crucial to minimise risk to patients, the general public as road user’s and pedestrians and also avoid negligence claims against medical practitioners. Historically, in the UK, this advice has come from a number of sources including surgeons, general practitioners, insurers and the Driver and Vehicle Licensing Agency (DVLA). The aim of this study was to review how current surgical teams distribute this advice and what this advice is based upon. Materials and methods An online survey was devised and distributed to all consultant general surgeons and trainees in the North East of England via email. Leading vehicle insurance companies and the DVLA were contacted to assess what advice they gave for specific procedures (ventral hernia, appendicectomy, cholecystectomy, fundoplication). Results A total of 135 surveys were distributed, 56 were returned, with a response rate of 41.5%. Twenty-two (39.3%) of respondents were consultants, 30 (53.6%) were speciality trainees (ST3-8) and 4 (7.1%) were core surgical trainees (CT1-2). Some (14.2%) gave driving advice to every patient, 39.3% gave advice to most patients; 42.9% gave advice pre-operatively in clinic, 39.3% gave the advice pre-operatively on the day of surgery, and 96.4% of responders based their advice on traditional teaching. Discussion and conclusions: There is variation in the content and timing of advice regarding driving after general surgical procedures. This inconsistency will undoubtedly lead to incorrect information being distributed to patients and will impact post-operative patient safety. We suggest formulating consistent advice in a written format, standardising the process which in turn will protect patients and surgeons.


2020 ◽  
Vol 10 (2) ◽  
pp. 3-10
Author(s):  
Le Thi Thanh Thu

This study investigates the online learning experience of the Master of TESOL students studying at Ho Chi Minh City Open University. The online survey was sent to students of both the local and join Master programs who took online courses during the university closures because of Covid-19. The findings showed that the students had positive experience with their online learning. They indicated that they were ready for studying online in the future though they had challenges such as improper attention in online study; poor internet connectivity, unfavorable conditions to study at home and lack of training for online study. Key words: online learning experience, Covid-19 closures, university, postgraduate


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