scholarly journals Future of Vascular Surgical Training: The Trainees' Views

2008 ◽  
Vol 90 (2) ◽  
pp. 96-99 ◽  
Author(s):  
Toby Richards ◽  
Keith Jones
Keyword(s):  
Vascular Surgery ◽  
Surgical Training ◽  
General Surgery ◽  
Endovascular Aneurysm Repair ◽  
Endovascular Techniques ◽  
European Working ◽  
The Uk ◽  
Aneurysm Repair ◽  
Working Time Directive ◽  
Future Work

INTRODUCTION In the UK, surgical training includes all aspects of general surgery. Vascular surgery is not an independent specialty. We wished to assess the views of vascular trainees in UK on the future of vascular surgery and training. MATERIALS AND METHODS Trainees were surveyed in 2003, 2004 (after introduction of the European Working Time Directive) and 2005, concentrating on four areas – future practise of vascular surgery, role of endovascular training, vascular specialisation and future training. RESULTS The majority of trainees want to practise vascular surgery alone. In 2003, 80% thought training should include endovascular techniques. By 2005, all trainees regarded training as mandatory as endovascular techniques would represent a significant part of their future work. Opinion changed on training; from 4 years general then 2 years vascular surgery (qualification in general surgery) to 2 years general and 4 years vascular surgery (specialist qualification in vascular surgery; P < 0.0001). Opinion also changed, that vascular surgery should spilt from general surgery to form its own speciality (P < 0.0007). CONCLUSIONS Trainees now regard training in endovascular techniques and endovascular aneurysm repair as mandatory. The majority wish to specialise from general surgery and achieve a separate qualification in vascular surgery.

scholarly journals Surgical anatomy in the age of EWTD and ISCP

2008 ◽  
Vol 90 (7) ◽  
pp. 245-245
Author(s):  
Vishy Mahadevan
Keyword(s):  
Surgical Training ◽  
Surgical Anatomy ◽  
Working Time ◽  
European Working Time Directive ◽  
Medical Careers ◽  
European Working ◽  
The Face ◽  
Considerable Impact ◽  
The Uk ◽  
Working Time Directive

Four major new initiatives being implemented nationally are set to have a considerable impact on the nature of surgical training in the UK. When fully operational, these developments will alter the face of surgical training: the European Working Time Directive (EWTD), Modernising Medical Careers (MMC), the Intercollegiate Surgical Curriculum Programme (ISCP) and the new MRCS examination.

Basic surgical training outcomes in the era of the EWTD

2006 ◽  
Vol 88 (6) ◽  
pp. 206-207 ◽  
Author(s):  
BM Frost ◽  
C Beaton ◽  
AN Hopper ◽  
MR Stephens ◽  
WG Lewis
Keyword(s):  
Surgical Training ◽  
Medical Profession ◽  
Junior Doctors ◽  
Training Outcomes ◽  
Mixed Response ◽  
Surgical Trainees ◽  
European Working ◽  
The Uk ◽  
Working Time Directive ◽  
The New Deal

The European Working Time Directive (EWTD) represents the latest challenge to surgical training in the UK, following Calmanisation and the implementation of the New Deal on junior doctors' hours. Compliance with the EWTD in the UK demands shift working patterns and as such it has received a mixed response from the UK medical profession. While physicians in training are relatively content with the regulations of the EWTD, surgical trainees have voiced concerns regarding the potential impact of an altered working week on their clinical experience and training as well as quality of life.

scholarly journals Universal SHO and SpR shift rotas adversely influence SHO operative experience

2006 ◽  
Vol 88 (7) ◽  
pp. 244-246 ◽  
Author(s):  
C Beaton ◽  
MR Stephens ◽  
AN Hopper ◽  
WG Lewis
Keyword(s):  
General Hospital ◽  
Shift Work ◽  
Clinical Experience ◽  
Surgical Training ◽  
General Surgery ◽  
District General Hospital ◽  
European Working ◽  
Training Post ◽  
Operative Experience ◽  
Working Time Directive

The European Working Time Directive (EWTD) will reduce the clinical experience obtained by surgeons prior to attaining consultant status from 21,000 surgical hours to 7,640 hours, 1 with shift work obligatory for compliance. We have shown previously that the operative experience of SHOs in general surgery is on the wane in our own hospital, varies with subspecialty interest 2 and has witnessed further erosion by the introduction of the EWTD. 3 The aim of this study was to assess the influence of an all tier shift rota on the emergency and elective operative experience of SHOs in a category 1 general surgical training post working in a large district general hospital serving a population of 600,000.

General surgical training in the Netherlands

2007 ◽  
Vol 89 (3) ◽  
pp. 92-93
Author(s):  
J Veldkamp
Keyword(s):  
The Netherlands ◽  
Surgical Training ◽  
European Working Time Directive ◽  
Independent Practice ◽  
Orthopaedic Trauma ◽  
Medical Careers ◽  
European Working ◽  
General Surgeons ◽  
The Uk ◽  
Working Time Directive

Miss Veldkamp has the advantage of having trained in both British and Dutch hospitals. Entry into Dutch surgical training is as hard as the Modernising Medical Careers (MMC) hurdles: in the former case it is gained by research degree and publication or as a 'noticeable' SHO. Overall, the level of competence achieved by the Dutch scheme would appear to be a little behind that of our own training, although that may well change following MMC. On completion of training a number of Dutch trainees take up a fellowship post before assuming independent practice…shades of the future in the UK? In such a sophisticated country as the Netherlands it is an anomaly for general surgeons to continue to manage orthopaedic trauma. Yet again, another EU country appears to have cocked a snook at European Working Time Directive.

The European working time directive has a negative impact on surgical training in the UK

The Surgeon ◽  
2011 ◽  
Vol 9 (1) ◽  
pp. 56-57 ◽  
Author(s):  
Claire Simpson ◽  
Howard Cottam ◽  
J. Edward Fitzgerald ◽  
Charles E.B. Giddings
Keyword(s):  
Surgical Training ◽  
Negative Impact ◽  
Working Time ◽  
European Working Time Directive ◽  
European Working ◽  
The Uk ◽  
Working Time Directive

scholarly journals Supporting laparoscopic general surgery training with digital technology: The United Kingdom and Ireland paradigm

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Gemma Humm ◽  
Rhiannon L. Harries ◽  
Danail Stoyanov ◽  
Laurence B. Lovat
Keyword(s):  
Surgical Training ◽  
General Surgery ◽  
Digital Technology ◽  
Interdisciplinary Collaboration ◽  
Surgical Care ◽  
Surgical Technology ◽  
Surgery Training ◽  
European Working ◽  
The Uk ◽  
General Surgery Training

AbstractSurgical training in the UK and Ireland has faced challenges following the implementation of the European Working Time Directive and postgraduate training reform. The health services are undergoing a digital transformation; digital technology is remodelling the delivery of surgical care and surgical training. This review aims to critically evaluate key issues in laparoscopic general surgical training and the digital technology such as virtual and augmented reality, telementoring and automated workflow analysis and surgical skills assessment. We include pre-clinical, proof of concept research and commercial systems that are being developed to provide solutions. Digital surgical technology is evolving through interdisciplinary collaboration to provide widespread access to high-quality laparoscopic general surgery training and assessment. In the future this could lead to integrated, context-aware systems that support surgical teams in providing safer surgical care.

scholarly journals Near-misses and Missed Opportunities: Poor Patient Handover In General Surgery

2008 ◽  
Vol 90 (3) ◽  
pp. 96-98 ◽  
Author(s):  
M Tokode ◽  
L Barthelmes ◽  
B O'Riordan
Keyword(s):  
General Surgery ◽  
Working Hours ◽  
Junior Doctors ◽  
Learning Potential ◽  
Missed Opportunities ◽  
Near Misses ◽  
Medical Careers ◽  
European Working ◽  
Working Time Directive ◽  
Patient Handover

Since the introduction of shift systems for junior doctors as part of the European Working Time Directive, different teams of doctors look after patients over the course of a day. This requires ro bust handover mechanisms to pass on inf ormation between differ ent teams of doctors to avoid misses and near-misses in patients' care. Modernising Medical Careers shortens the placements of doctors in foundation programmes in general surgery to four months compared with six-month placements as pre-registration house officers in the past. The reduction in working hours will therefore adv ersely aff ect exposur e and experience of junior doctors in general surg ery unless the learning potential of time spent at work is maximised.

The Lost Generation: Impact of the 56-hour EWTD on Current Surgical Training

2010 ◽  
Vol 92 (3) ◽  
pp. 102-106 ◽  
Author(s):  
CR Chalmers ◽  
S Joshi ◽  
PG Bentley ◽  
NH Boyle
Keyword(s):  
Shift Work ◽  
Surgical Training ◽  
New Deal ◽  
Working Hours ◽  
Lost Generation ◽  
Surgical Trainees ◽  
European Working ◽  
Working Time Directive ◽  
Training Opportunities ◽  
The New Deal

The reform of specialist surgical training – the New Deal (1991), the Calman report (1993) and the implementation of the European Working Time Directive (EWTD, 1998) – has resulted in shorter training periods with reduced working hours. The Calman reform aimed to improve and structure training with regular assessment and supervision whereas the New Deal and the EWTD have concentrated predominantly on a reduction in hours. The adoption of full or partial shift work to provide surgical cover at night compliant to a 56-hour working week, as stipulated by phase one of the EWTD, has resulted in daytime hospital attendance for surgical trainees of an average three days per week despite almost universal acknowledgement of the limited training opportunities available at night.

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