Current Issues Faced by the Knee Surgical Trainee - Can Simulation Mitigate?

OrthoMedia ◽  
2021 ◽  
Keyword(s):  
Surgical Trainee

scholarly journals P38 COVID-19 impact on Surgical Training And Recovery Planning (COVID-STAR) Survey

BJS Open ◽  
2021 ◽  
Vol 5 (Supplement_1) ◽  
Author(s):  
◽  
Joshua Clements
Keyword(s):  
Surgical Training ◽  
Negative Impact ◽  
Healthcare Delivery ◽  
Cross Sectional Study ◽  
Surgical Trainee ◽  
Surgical Specialty ◽  
Cross Sectional ◽  
Training Time ◽  
Surgical Trainees ◽  
And Training

Abstract Background The COVID-19 pandemic has resulted in dynamic changes to healthcare delivery. Surgery as a specialty has been significantly affected and with that the delivery of surgical training. Method This national, collaborative, cross sectional study comprising 13 surgical trainee associations distributed a pan surgical specialty survey on the COVID-19 impact on surgical training over a 4-week period (11th May - 8th June 2020). The survey was voluntary and open to medical students and surgical trainees of all specialties and training grades. All aspects of training were qualitatively assessed. This study was reported according to STROBE guidelines. Results 810 completed responses were analysed. (M401: F 390) with representation from all deaneries and training grades. 41% of respondents (n = 301) were redeployed with 74% (n = 223) redeployed > 4 weeks. Complete loss of training was reported in elective operating (69.5% n = 474), outpatient activity (67.3%, n = 457), Elective endoscopy (69.5% n = 246) with > 50% reduction in training time reported in emergency operating (48%, n = 326) and completion of work-based assessments (WBA) (46%, n = 309). 81% (n = 551) reported course cancellations and departmental and regional teaching programmes were cancelled without rescheduling in 58% and 60% of cases respectively. A perceived lack of Elective operative exposure and completions of WBA’s were the primary reported factor affecting potential training progression. Overall, > 50% of trainees (n = 377) felt they would not meet the competencies required for that training period. Conclusion This study has demonstrated a perceived negative impact on numerous aspects of surgical training affecting all training specialties and grades.

Surgical Trainee Supervision During Non-Trauma Emergency Laparotomy in Rwanda and South Africa

2021 ◽  
Author(s):  
Linda Pohl ◽  
Megan Naidoo ◽  
Jennifer Rickard ◽  
Egide Abahuje ◽  
Nazmie Kariem ◽  
...  
Keyword(s):  
South Africa ◽  
Emergency Laparotomy ◽  
Surgical Trainee

scholarly journals Understanding the Role for Operative Performance Rating Tools in Meeting Surgical Trainee Feedback Needs

2016 ◽  
Vol 4 (6) ◽  
pp. e780 ◽  
Author(s):  
Ricardo J. Bello ◽  
Samuel Sarmiento ◽  
Gedge D. Rosson ◽  
Damon S. Cooney ◽  
Scott D. Lifchez ◽  
...  
Keyword(s):  
Performance Rating ◽  
Surgical Trainee ◽  
Operative Performance

scholarly journals 982 Higher General Surgical Trainee preferences for Annual Review of Competency Progression during COVID-19 Pandemic

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
K Khan ◽  
G Torpiano ◽  
N Galbraith ◽  
M McLellan ◽  
A Lannigan
Keyword(s):  
Surgical Training ◽  
Annual Review ◽  
Surgical Trainee ◽  
Training Groups ◽  
Surgical Trainees ◽  
The Impact

Abstract Aim The COVID-19 pandemic has caused significant disruption in surgical training. We aim to explore the preferences of higher general surgical trainees for Annual Review of Competency Progression (ARCP) also compare the responses across different training grades. Method All higher general surgical trainee in a single deanery were invited to participate in an online voluntary anonymous survey. The respondents were divided in two groups: junior (ST3-ST5) and senior higher surgical trainees (ST6-ST8) and responses compared. Results Sixty-four of 88 trainees responded. Thirty-three (51.6%) were ST3–ST5, 24 (37.5%) were ST6–ST8 and 7 (10.9%) were out-of-training. More trainees in ST3–ST5 group preferred to defer the next rotation for 12 months (18.2% vs 0%, p = 0.034), repeat current sub-specialty (33.3% vs 4.2%, p = 0.009), or add 12 months to training and delay predicted CCT date by 12 months (18.2% vs 0%, p = 0.034). Most trainees in both groups preferred the option of prolonging training should be offered to all trainees with an option to decline extension if ARCP competencies met (66.7% vs 50.0%, p = 0.276). Conclusions The preference for ARCP and length of training was different between two training groups, hence the need of trainees should be considered by training committees when addressing the impact of COVID-19.

scholarly journals Consultant-supervised, core surgical trainee-led theatre lists – Successfully maximising learning opportunities in the time available

2014 ◽  
Vol 12 ◽  
pp. S80-S81 ◽  
Author(s):  
Laura Derbyshire ◽  
Aqsa Siddiqui ◽  
Moez Zeiton ◽  
James Pollard ◽  
David Jones
Keyword(s):  
Learning Opportunities ◽  
Surgical Trainee

The left handed surgical trainee

BMJ ◽  
2008 ◽  
Vol 337 (dec16 1) ◽  
pp. a2883-a2883 ◽  
Author(s):  
B Lieske
Keyword(s):  
Surgical Trainee ◽  
Left Handed

scholarly journals Egalitarianism in surgical training: let equity prevail

2020 ◽  
Vol 96 (1141) ◽  
pp. 650-654 ◽  
Author(s):  
David Bryan Thomas Robinson ◽  
Luke Hopkins ◽  
Osian Penri James ◽  
Chris Brown ◽  
Arfon GMT Powell ◽  
...  
Keyword(s):  
Multivariable Analysis ◽  
Annual Review ◽  
Pass Rates ◽  
Success Rates ◽  
Surgical Trainee ◽  
Counter Measures ◽  
Medical Graduates ◽  
Time Period ◽  
National Training ◽  
Minority Ethnic

This study aimed to quantify core surgical trainee (CST) differential attainment (DA) related to three cohorts; white UK graduate (White UKG) versus black and minority ethnic UKG (BME UKG) versus international medical graduates (IMGs). The primary outcome measures were annual review of competence progression (ARCP) outcome, intercollegiate Membership of the Royal College of Surgeons (iMRCS) examination pass and national training number (NTN) selection. Intercollegiate Surgical Curriculum Programme (ISCP) portfolios of 264 consecutive CSTs (2010–2017, 168 white UKG, 66 BME UKG, 30 IMG) from a single UK regional post graduate medical region (Wales) were examined. Data collected prospectively over an 8-year time period was analysed retrospectively. ARCP outcomes were similar irrespective of ethnicity or nationality (ARCP outcome 1, white UKG 60.7% vs BME UKG 62.1% vs IMG 53.3%, p=0.395). iMRCS pass rates for white UKG vs BME UKG vs IMG were 71.4% vs 71.2% vs 50.0% (p=0.042), respectively. NTN success rates for white UKG vs BME UKG vs IMG were 36.9% vs 36.4% vs 6.7% (p=0.023), respectively. On multivariable analysis, operative experience (OR 1.002, 95% CI 1.001 to 1.004, p=0.004), bootcamp attendance (OR 2.615, 95% CI 1.403 to 4.871, p=0.002), and UKG (OR 7.081, 95% CI 1.556 to 32.230, p=0.011), were associated with NTN appointment. Although outcomes related to BME DA were equitable, important DA variation was apparent among IMGs, with iMRCS pass 21.4% lower and NTN success sixfold less likely than UKG. Targeted counter measures are required to let equity prevail in UK CST programmes.

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