Surgical training in Italy

2007 ◽  
Vol 89 (10) ◽  
pp. 348-350 ◽  
Author(s):  
Bruno Cola
Keyword(s):  
Surgical Training ◽  
General Surgery

There are 41 faculties of medicine in Italy, located at 36 different universities, some of which have 2 (Naples, Bari) or even 4 faculties (Rome, Milan). Each faculty has one or more schools of specialisation in general surgery, making a total of 60 schools. On average, each school accepts 6 students a year, ranging from 1 to 32. At present, there are 1,812 students registered in the various academic years of the schools of general surgery in Italy.

scholarly journals Telemedicine Experience of General Surgery Trainees: Impact on Patient Care and Education

2021 ◽  
pp. 000313482110234
Author(s):  
Brandon J Nakashima ◽  
Navpreet Kaur ◽  
Chelsey Wongjirad ◽  
Kenji Inaba ◽  
Mohd Raashid Sheikh
Keyword(s):  
Patient Care ◽  
Surgical Training ◽  
General Surgery ◽  
Southern California ◽  
University Of Southern California ◽  
General Surgery Residency ◽  
Surgical Training Program ◽  
Current Utilization ◽  
Surgery Resident ◽  
The Impact

Objective The COVID-19 pandemic has had a significant impact on patient care, including the increased utilization of contact-free clinic visits using telemedicine. We looked to assess current utilization of, experience with, and opinions regarding telemedicine by general surgery residents at an academic university–based surgical training program. Design A response-anonymous 19-question survey was electronically distributed to all general surgery residents at a single academic university–based general surgery residency program. Setting University of Southern California (USC) general surgery residency participants: Voluntarily participating general surgery residents at the University of Southern California. Results The response rate from USC general surgery residents was 100%. A majority of residents (76%) had utilized either video- or telephone-based visits during their careers. No resident had undergone formal training to provide telemedicine, although most residents indicated a desire for training (57.1%) and acknowledged that telemedicine should be a part of surgical training (75.6%). A wide variety of opinions regarding the educational experience of residents participating in telemedicine visits was elicited. Conclusions The COVID-19 pandemic brought telemedicine to the forefront as an integral part of future patient care, including for surgical patients. Additional investigations into nationwide telemedicine exposure and practice among United States general surgery residencies is imperative, and the impact of the implementation of telemedicine curricula on general surgery resident telemedicine utilization, comfort with telemedicine technology, and patient outcomes are further warranted. Competencies Practice-based learning, systems-based practice, interpersonal and communication skills

General Surgery Residents’ Perception of Robot-Assisted Procedures During Surgical Training

2015 ◽  
Vol 72 (2) ◽  
pp. 235-242 ◽  
Author(s):  
Behzad S. Farivar ◽  
Molly Flannagan ◽  
I. Michael Leitman
Keyword(s):  
Surgical Training ◽  
General Surgery ◽  
Robot Assisted

The RCS ESOS Course: What Have We Learned and What Have We to Offer Other Course Organisers?

2011 ◽  
Vol 93 (8) ◽  
pp. 1-5
Author(s):  
ML Davies ◽  
M Teli ◽  
R Collins ◽  
G Morris-Stiff ◽  
MH Lewis
Keyword(s):  
At Risk ◽  
Surgical Training ◽  
General Surgery ◽  
Rapid Change ◽  
Emergency Setting ◽  
Training Time ◽  
Wide Exposure

Previous surgical training provided a long and wide exposure to general surgery but the combination of subspecialisation and reduced training time means that current trainees and consultants are no longer exposed to the same variety and number of surgical cases. Although this may not be a problem in the day-to-day running of a surgical firm, both trainee and consultant surgeons in the emergency setting can feel concerned and stressed by a condition encountered infrequently. Furthermore, with the rapid change in technology, operations are often rapidly superseded and leave surgeons at risk of criticism if they are not 'up to date' in a condition outside their specialty. It is therefore important that trainees and consultants alike keep abreast of advances in the management of a broad range of emergency conditions while continuing to develop their own subspecialty interest.

scholarly journals Impact of the COVID-19 pandemic on core surgical training

2020 ◽  
Vol 65 (4) ◽  
pp. 133-137 ◽  
Author(s):  
Khurram Shahzad Khan ◽  
Rona Keay ◽  
Morag McLellan ◽  
Sajid Mahmud
Keyword(s):  
Surgical Training ◽  
Teaching Hospital ◽  
General Surgery ◽  
Negative Impact ◽  
Outpatient Clinics ◽  
Box Trainer ◽  
Surgical Trainees ◽  
Long Term Impact ◽  
The Impact

Background and aims COVID-19 pandemic has caused significant disruption in training which is even more pronounced in the surgical specialties. We aim to assess the impact of COVID-19 pandemic on core surgical training. Methods All core surgical and improving surgical trainees in West of Scotland region were invited to participate in an online voluntary anonymous survey via SurveyMonkey. Results 28 of 44 (63.6%) trainees responded, 15 (53.6%) were CT1/ST1. 14 (50.0%) working in teaching hospital and 15 (53.6%) working in general surgery. 20 (71.4%) felt that due to the pandemic they have less opportunity to operate as the primary surgeon. 21 (75.0%) have not attended any outpatient clinics. 8 (28.6%) did not have any form of access to the laparoscopic box-trainer. 20 (71.4%) felt their level of confidence in preforming surgical skills has been negatively impacted. 18 (64.3%) found it difficult to demonstrate progress in portfolio. 21 (75.0%) trainees have not attended any teaching. 10 (35.7%) trainees have been off-sick. 8 (28.6%) trainees have felt slightly or significantly more stressed. Conclusion COVID-19 pandemic has an unprecedented negative impact on all aspects of core surgical training. The long term impact on the current cohort of trainees is yet to be seen.

scholarly journals Celebrating the surgical care team

2019 ◽  
Vol 101 (1) ◽  
pp. 32-33
Author(s):  
Ashley Davis-Marin
Keyword(s):  
Patient Care ◽  
Surgical Training ◽  
General Surgery ◽  
Surgical Care ◽  
Care Team

The winners of our surgical care team photo competition, Royal Derby General Surgery team, tell us how they have embraced the wider team to improve surgical training and advance patient care.

Paying the Price: Understanding the Opportunity Cost of Dedicated Research Time during Surgical Training

2018 ◽  
Vol 84 (11) ◽  
pp. 1723-1726 ◽  
Author(s):  
Michael P. Dewane ◽  
Daniel C. Thomas ◽  
Walter E. Longo ◽  
Peter S. Yoo
Keyword(s):  
Cost Analysis ◽  
Surgical Training ◽  
General Surgery ◽  
Opportunity Cost ◽  
Surgical Oncology ◽  
Academic Hospital ◽  
Surgical Residency ◽  
General Surgery Residency ◽  
The Impact ◽  
Financial Implication

The pursuit of dedicated research time during surgical residency prolongs training and delays entry into practice. Currently, there is a lack of research quantifying the financial implication of this delay and trainees’ understanding of its impact on career earnings. An opportunity cost analysis was performed regarding the impact of delay due to training within general surgery and selected subspecialties. An anonymous survey was distributed to general surgery categorical junior trainees in 2017 at a large academic hospital in the Northeast to determine understanding and beliefs regarding dedicated training on career earnings. For all specialties analyzed, dedicated research time was shown to negatively affect career earnings. The net cost was highest among those intending to pursue cardiothoracic surgery and lowest for those intending to pursue surgical oncology. A total of 26 of 35 (74%) present research residents and clinical residents intending to perform dedicated research time responded to an anonymous survey. On average, survey respondents underestimated the impact of dedicated research time on career earnings by $1.4 million. Dedicated research time during general surgery residency carries a substantial opportunity cost to overall career earnings. General surgery residents lack understanding of both the direction and the magnitude of this opportunity cost.

scholarly journals Surgical training in the midst of a pandemic: a distributed general surgery residency program’s response to COVID-19

2020 ◽  
Vol 63 (4) ◽  
pp. E346-E348 ◽  
Author(s):  
Graeme C. Hintz ◽  
Katrina C. Duncan ◽  
Emily M. Mackay ◽  
Tracy M. Scott ◽  
Ahmer A. Karimuddin
Keyword(s):  
Surgical Training ◽  
General Surgery ◽  
General Surgery Residency

Surgical Training in Camp Bastion, Afghanistan

2012 ◽  
Vol 98 (2) ◽  
pp. 23-27
Author(s):  
CA Fries ◽  
RF Rickard
Keyword(s):  
Resource Management ◽  
Plastic Surgery ◽  
Surgical Training ◽  
Surgical Procedures ◽  
General Surgery ◽  
Trauma Care ◽  
Orthopaedic Surgery ◽  
Surgical Trauma ◽  
Training Time ◽  
Critical Aspects

IntroductionSurgical trauma care on operations is delivered by consultants. The DMS presently delivers training to surgeons to enable them to deliver this care as newly-qualified consultants. Deploying as a trainee is one of many training evolutions available to achieve this competency. This paper describes the process involved in trainees deploying, and the training received by the first author (CAF) during a recent deployment.MethodsPre-deployment training and the process for gaining recognition of training time by the GMC are described. All surgical procedures performed by the first author were recorded prospectively, together with the level of supervision.ResultsThe first author performed 210 procedures in 124 operations on 87 patients in a seven week deployment. This was prospectively recognised for training by the GMC. All procedures were supervised by consultant trainers. Procedures included trauma surgical procedures and those under the specialties of Plastic Surgery, Orthopaedic Surgery and General Surgery.ConclusionsDeploying on operations as a trainee is invaluable in preparing DMS juniors for their future roles as consultants in the DMS. Training is received not only in a breadth of surgical and resuscitative procedures, beyond a trainee’s “base specialty”, but also in other critical aspects of deployments including Crew Resource Management.

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