scholarly journals Military General Surgical Training Opportunities on Operations in Afghanistan

2009 ◽  
Vol 91 (5) ◽  
pp. 417-419 ◽  
Author(s):  
Adam J Brooks ◽  
Arul Ramasamy ◽  
David Hinsley ◽  
Mark Midwinter
Keyword(s):  
Surgical Management ◽  
Surgical Training ◽  
Trauma Surgery ◽  
Organ Injury ◽  
Surgical Trauma ◽  
Training Opportunity ◽  
Injury Management ◽  
Surgical Trainees ◽  
Specific Organ ◽  
The Uk

INTRODUCTION In the UK, general surgical specialist trainees have limited exposure to general surgical trauma. Previous work has shown that trainees are involved in only two blunt and one penetrating trauma laparotomies per annum. During their training, nearly half of trainees will not be involved in the surgical management of liver injury, 20% will not undertake a trauma splenectomy and only a quarter will see a trauma thoracotomy. Military general surgical trainees require training in, and exposure to, the surgical management of trauma and specifically military wounding patterns that is not available in the UK. The objective of this study was to determine whether operative workload in the sole British surgical unit in Helmand Province, Afghanistan (Operation HERRICK) would provide a training opportunity for military general surgical trainees. PATIENTS AND METHODS A retrospective theatre log-book review of all surgical cases performed at the Role 2 (Enhanced) treatment facility at Camp Bastion, Helmand Province on Operation HERRICK between October 2006 and October 2007, inclusive. Operative cases were analysed for general surgical trauma, laparotomy, thoracotomy, vascular trauma and specific organ injury management where available. RESULTS A total of 968 operative cases were performed during the study period. General surgical procedures included 51 laparotomies, 17 thoracotomies and 11 vascular repairs. There were a further 70 debridements of general surgical wounds. Specific organ management included five cases of liver packing for trauma, five trauma splenectomies and four nephrectomies. CONCLUSIONS A training opportunity currently exists on Operation HERRICK for military general surgical specialist trainees. If the tempo of the last 12 months is maintained, a 2-month deployment would essentially provide trainees with the equivalent trauma surgery experience to the whole of their surgical training in the UK NHS. Trainees would gain experience in military trauma as well as specific organ injury management.

The Reconstructive Trauma Surgery Interface Fellowship and its applicability to military and civilian trainees

2018 ◽  
Vol 164 (5) ◽  
pp. 360-361 ◽  
Author(s):  
Douglas Hammond ◽  
J Breeze ◽  
D Evriviades
Keyword(s):  
Surgical Training ◽  
Major Trauma ◽  
Complex Trauma ◽  
Trauma Surgery ◽  
Queen Elizabeth Hospital ◽  
Trauma Patients ◽  
Multidisciplinary Management ◽  
Leadership Experience ◽  
The Uk ◽  
The Military

The Reconstructive Trauma Surgery Fellowship is a based at the Queen Elizabeth Hospital, Birmingham, and focuses on the multidisciplinary management of major trauma from presentation to discharge. It is unique to the UK in that it provides both management and leadership experience as well as operative surgical skills particularly in terms of reconstruction on complex trauma patients including those from the military. This paper describes the relevance of fellowships in modern surgical training, composition of the reconstructive trauma fellowship and the relevance for both civilian and military trainees.

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 Study leave funding: a national survey of postgraduate centres

2007 ◽  
Vol 89 (5) ◽  
pp. 164-166
Author(s):  
R Moorthy ◽  
V Veer ◽  
L Abbas
Keyword(s):  
Surgical Training ◽  
National Survey ◽  
Surgical Trainees ◽  
The Uk

All surgical trainees attend courses. Their training is enhanced as a result, indeed, some courses are even mandatory. But these courses are not cheap. This paper examines the study leave budgets for surgical trainees across the UK and reveals inconsistencies between deaneries and also within deaneries. It raises some important questions and is a pointer toward a debate that I am sure will occur sometime soon: who should pay for surgical training? In order to benefit from the most consistently well-trained workforce best able to care for patients, should it be the taxpayer, or in an increasingly cashstrapped NHS should trainees fund themselves?

scholarly journals A Critical Appraisal of the Evidence of Current Methods of Assessment for Surgical Trainees

2013 ◽  
Vol 95 (6) ◽  
pp. 7-11
Author(s):  
AJ Batchelder ◽  
MJ McCarthy
Keyword(s):  
Surgical Training ◽  
Critical Appraisal ◽  
Junior Doctors ◽  
The Past ◽  
Medical Careers ◽  
Surgical Trainees ◽  
The Uk ◽  
Supervision And Training ◽  
And Training

Over the past decade training pathways in the UK have been subject to extensive changes. Concerns regarding the supervision and training of junior doctors led to a number of reforms that were implemented through the Modernising Medical Careers programme and these mandated formalisation of curricula for all specialties. Consequently, the surgical royal colleges of the UK and Ireland designed the Intercollegiate Surgical Curriculum Programme (ISCP), which delineates the framework for surgical training from core trainee level through to the award of a Certificate of Completion of training.

scholarly journals Curtailment of Higher Surgical Training in the UK: Likely Effects in Otology

2005 ◽  
Vol 98 (6) ◽  
pp. 259-261 ◽  
Author(s):  
J Ray ◽  
E Hadjihannas ◽  
R M Irving
Keyword(s):  
Skull Base ◽  
Surgical Training ◽  
Questionnaire Survey ◽  
Training Programme ◽  
Surgical Trainees ◽  
Operative Experience ◽  
Higher Surgical Training ◽  
One Year ◽  
The Uk

Higher surgical training in the UK faces a cut of two years. We conducted a questionnaire survey to assess the operative experience of current higher surgical trainees in otological surgery and the likely effect of the proposed reduction from six to four years. 91 (65%) of the 142 higher surgical trainees responded with details of major otological procedures performed (independently or assisting) over one year. In the present six-year scheme a typical trainee performs 72 myringoplasties, 79 mastoidectomies, 7 skull base procedures and 28 other procedures. In the first four years, however, his or her experience is only 39 myringoplasties, 44 mastoidectomies, 4 skull base procedures and 7 others. The large shortfall in experience that might result from shortening of the training programme would need to be met by intensification of the training or institution of accredited otology fellowships. Very similar dilemmas are faced by other surgical specialties.

scholarly journals Surgical training in China

2008 ◽  
Vol 90 (3) ◽  
pp. 84-86 ◽  
Author(s):  
Yong-Ming Lu
Keyword(s):  
Communication Skills ◽  
Surgical Training ◽  
Medical Practice ◽  
Training Time ◽  
Surgical Trainees ◽  
Unmet Demand ◽  
The Uk ◽  
Training Opportunities

Many of the problems in the structure of surgical training in our society seem to occur in China as well. Drs Lu and Fau have shown that there is diversity of training opportunities and facilities among Chinese hospitals. Communication skills are becoming as necessary in the East as they are in Western medical practice. It is interesting to note the perceived unmet demand for GPs within China. Our own trainees may feel that they are now contributing to the costs of their training with falling (stolen) study leave budgets but trainee surgeons' salaries in China are a mere fraction of those in the UK. Thankfully, in the UK we don't reduce the training time for those with postgraduate degrees. Perhaps worthwhile exchanges between Chinese and UK surgical trainees may be more feasible following last year's council visit to China?

scholarly journals Experiences in academic publication among ENT trainees in the UK: results from a national survey

2021 ◽  
pp. 1-7
Author(s):  
S Shahidi ◽  
M S Osborne ◽  
G M Jama ◽  
S Bola ◽  
J Murphy
Keyword(s):  
Surgical Training ◽  
Full Time ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Surgical Trainees ◽  
Current Survey ◽  
Academic Publications ◽  
The Mean ◽  
Higher Surgical Training ◽  
The Uk

Abstract Objective This study aimed to provide an objective means of identifying patterns in academic publication among ENT trainees during their higher surgical training. Method A cross-sectional survey was distributed to ENT higher surgical trainees. Results A total of 153 ENT specialty trainees participated, giving a response rate of 46.5 per cent. Across all years of training, the mean number of first author publications was three and the mean number of non-first author publications was two. For trainees at specialty trainee year 8 level, these figures were nine and five, respectively. Participants with doctoral degrees and those in academic programmes published more papers but the mean difference was only significant for the doctoral subgroup (p < 0.0001). Those with additional undergraduate degrees and those in less than full-time training had an overall lower number of publications. Conclusion Participants in the current survey achieved a higher average number of academic publications than is presently required to successfully complete higher surgical training in ENT. It is hoped that these results act as a guide for trainees planning the research component of their training to ensure that they remain competitive at consultant interview.

scholarly journals Exposure to and training in the control of major intraoperative haemorrhage: a survey of surgical trainees

2021 ◽  
Vol 103 (1) ◽  
pp. 28-31
Author(s):  
RJ Brown ◽  
SA Hosgood ◽  
R Praseedom ◽  
ML Nicholson
Keyword(s):  
Surgical Training ◽  
Emergency Surgery ◽  
Large Animal ◽  
Surgical Trainees ◽  
The Uk ◽  
And Training

Recent changes in surgical training coupled with increased specialisation of surgeons have led to reduced exposure for trainees to general and emergency surgery. We conducted a survey of all current general surgical trainees in the East of England to ascertain levels of experience and extent of training in dealing with major intra-operative haemorrhage during surgery. The findings confirmed that trainees lack exposure to and training in this area. Respondents were keen to see improvements in the existing training pathway and the majority were supportive of the establishment of a live large animal course in the UK as part of the solution.

scholarly journals The Impact of an Independent Sector Treatment Centre on Basic Surgical Training

2012 ◽  
Vol 94 (8) ◽  
pp. 276-278
Author(s):  
PG Vaughan-Shaw ◽  
SG Chiverton ◽  
DA Rew ◽  
PH Nichols
Keyword(s):  
Surgical Training ◽  
Medical Training ◽  
Substantial Reduction ◽  
University Hospital ◽  
Full Time ◽  
Surgical Trainees ◽  
Treatment Centre ◽  
Independent Sector ◽  
The Uk ◽  
The Impact

The reorganisation of postgraduate medical training in the UK as a result of Calman reforms, the New Deal and the implementation of the European workingTime regulations (EwTr) has led to a substantial reduction in working hours and a fall in operative experience for surgical trainees. The move of large volumes of minor and intermediate NHS surgical caseload into independently run hospitals and specialist centres (of which the Southampton NHS Treatment Centre, an independent sector treatment centre (ISTC) is a well-established example) has also radically altered the basic surgical training environment. The Southampton ISTC is run on contract by Care UK and is medically staffed by a mix of full-time Care UK employees from the UK and abroad as well as by visiting consultants from University Hospital Southampton NHS foundationTrust (UHSFT).

Sign in / Sign up

Export Citation Format

Share Document