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 More Trainees and Less Operative Exposure: A Quantitative Analysis of Training Opportunities for Junior Surgical Trainees

2010 ◽  
Vol 92 (5) ◽  
pp. 170-173 ◽  
Author(s):  
EC Toll ◽  
CR Davis
Keyword(s):  
Postgraduate Medical Education ◽  
Working Hours ◽  
Training Time ◽  
Surgical Services ◽  
Medical Careers ◽  
Surgical Trainees ◽  
European Working ◽  
The Uk ◽  
Working Time Directive ◽  
Training Opportunities

The evolution of postgraduate medical education in the UK continues to influence the quality of surgical training. Many reforms over the last three decades have affected training, including the Calman reforms, Modernising Medical Careers (MMC) and the European Working Time Directive (EWTD). The net effect of these changes is a reduction in working hours and shorter total training time for surgical trainees. Compounded by increasing subspecialisation, centralisation of surgical services and surgeon-specific data reporting, there may be fewer operative opportunities for surgical trainees.

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.

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.

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.

scholarly journals Time spent in theatre predicts training opportunities and progression for core surgical trainees

2012 ◽  
Vol 94 (10) ◽  
pp. 352-353 ◽  
Author(s):  
Sophie-Anne Welchman ◽  
Denis Wilkins ◽  
Harvey Chant
Keyword(s):  
Surgical Training ◽  
Operating Theatre ◽  
Time Constraints ◽  
Surgical Trainees ◽  
Explicit Training ◽  
Structured Approach ◽  
Training Opportunities

Operative skills are the defining attribute of a surgeon. Traditional surgical training encourages trainees to take every opportunity to spend time observing and assisting in the operating theatre. There is an impression that the time constraints of working schedules, the breakdown of the traditional consultant team and the structured approach adopted by the Intercollegiate Surgical Curriculum Programme (ISCP) have discouraged trainees from spending time in the operating theatre outside of explicit training sessions.

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 Postgraduate Surgical Training in the UK: the Trainees’ Perspective

2021 ◽  
Author(s):  
Anna Rose ◽  
Noel Aruparayil
Keyword(s):  
Surgical Training ◽  
Working Hours ◽  
Surgical Trainee ◽  
The United Kingdom ◽  
Flexible Working Hours ◽  
Flexible Working ◽  
The Uk ◽  
Training Opportunities ◽  
Postgraduate Surgical Training

AbstractOver the last 20 years, surgical training in the United Kingdom (UK) has changed dramatically. There have been considerable efforts towards creating a programme that delivers the highest standard of training while maintaining patient safety. However, the journey to improve the quality of training has faced several hurdles and challenges. Recruitment processes, junior doctor contracts, flexible working hours and equality and diversity have all been under the spotlight in recent times. These issues, alongside the extended surgical team and the increasingly recognised importance of trainee wellbeing, mean that postgraduate surgical training is extremely topical. Alongside this, as technology has evolved, this has been incorporated into all aspects of training, from recruitment to simulated training opportunities and postgraduate examinations. The coronavirus (COVID-19) pandemic has brought technology and simulation to the forefront in an attempt to compensate for reduced operative exposure and experience, and has transformed the way that we learn and work. In this article, we reflect on the UK surgical trainee experience and discuss areas of success as well as highlighting potential areas for improvement going forward.

scholarly journals 1358 Does A COVID Protected Hospital Within A COVID Hospital Enable Elective Care and Training Opportunities?

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
H Rashid ◽  
T Gala ◽  
Q Ain ◽  
H Ashraf ◽  
S Vesamia ◽  
...  
Keyword(s):  
Critical Care ◽  
Training Environment ◽  
Informatics System ◽  
Surgical Trainees ◽  
Business Informatics ◽  
The Uk ◽  
The Impact ◽  
Second Wave ◽  
Training Opportunities ◽  
And Training

Abstract Introduction Elective care in the UK came to a standstill with the advent of the COVID-19 pandemic. A restart could only be enabled with ‘green site’ separation and a ‘covid protected’ zone. A ‘hospital within the hospital’ concept was developed including 9 elective theatres, 28 ring fenced elective beds, a surgical enhanced care unit, a canteen, and a separated entrance. This model was underpinned with PPE, enhanced infection control and guidance for staff. The study documented the ability to recover elective activity and therefore provide a training environment for surgical trainees. Method Data was collected weekly (7/20 to 1/21) through the business informatics system with regard to theatres cases completed compared to the activity achieved in the 11-theatre elective estate pre COVID-19. Results Pre COVID-19, an average of 263 cases were completed per week. In the first week of operation, 31% of theatre capacity was achieved. By week 7, 106% of pre COVID was recorded and 130% by week 11. This was maintained until the impact of the second wave where activity has reduced to 50% but is not anticipated to reduce further as local anaesthetic and blocks maybe utilised. Conclusions This ‘hospital within the hospital’ has enabled elective care to return to above normal levels, with increased efficiencies. This has enabled a rapid return to a training environment for trainees disheartened with deployment to critical care in the first wave.

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?

Sign in / Sign up

Export Citation Format

Share Document