Regional variations in surgical examination performance across the UK: is there a postcode lottery in training?

2011 ◽  
Vol 93 (6) ◽  
pp. 214-216 ◽  
Author(s):  
Ed Fitzgerald ◽  
Charles Giddings
Keyword(s):  
Objective Assessment ◽  
Pass Rate ◽  
League Table ◽  
Success Rates ◽  
Surgical Trainee ◽  
Training Standards ◽  
Surrogate Measure ◽  
The Uk ◽  
Training Opportunities

The restrictions placed on training opportunities mean that good-quality teaching is of paramount importance to the modern surgical trainee. The authors of this month's article have constructed a league table of training regions based on success rates of candidates sitting the MRCS examination. They acknowledge that pass rate at examination is only one surrogate measure of training standards and that an objective assessment and ranking of rotations would need to take into account several other factors. Nevertheless, a relatively large variation in performance is evident, which highlights the need for more comprehensive, transparent assessments of the quality of training delivered.

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 Rationalising medical careers

2009 ◽  
Vol 33 (8) ◽  
pp. 309-312
Author(s):  
Gregory J. Lydall ◽  
Julius H. Bourke
Keyword(s):  
Psychiatric Training ◽  
Specialist Registrar ◽  
Medical Careers ◽  
Educational Literature ◽  
Training Quality ◽  
The Uk ◽  
The Sacrifice ◽  
Training Opportunities

SummaryThis article assesses the quality of higher psychiatric training opportunities under Modernising Medical Careers (MMC) and compares them with the existing specialist registrar (SpR) grade; the UK psychiatric educational literature is reviewed, and trainee concerns reported. Anecdotal reports of higher training losses under MMC suggest disparity between specialty training year 4 (ST4) and the first SpR year. the roles, controversies and losses of protected clinical special interest sessions and the research day are reviewed. UK psychiatric literature notes underutilisation and poor supervision of these highly valued protected training sessions, with suggestions for improvement. the sacrifice of protected training to service provision may have implications for training quality, leading to under-trained consultants in the long term, to the detriment of patients.

scholarly journals Surgical Trainee-Led Clinical Anatomy Course for Senior Medicalstudents

2013 ◽  
Vol 95 (1) ◽  
pp. 1-4
Author(s):  
H Dixon ◽  
T Nieto ◽  
T Lo ◽  
PH Abrahams
Keyword(s):  
Medical Curriculum ◽  
Three Dimensional ◽  
Gross Anatomy ◽  
Clinical Anatomy ◽  
Surgical Trainee ◽  
Anatomical Teaching ◽  
National Guidance ◽  
The Uk ◽  
Foundation Stone

Anatomy is a foundation stone of modern medical education and has been for hundreds of years. In the UK anatomy teaching is undergoing substantial changes. These are highly controversial and much debated, especially regarding the necessity of dissection to learn three-dimensional gross anatomy. The quantity of anatomy taught to undergraduates is also under scrutiny. Lack of national guidance and evaluation has led to a range in the type and quality of anatomical teaching in various medical schools. This shift is due to changes in the modern medical curriculum, which is wider than ever, and a change in the perception of the relevance of basic sciences.

Quality of training in endoscopic retrograde cholangiopancreatography (ERCP) for nurse assistants: a survey

2020 ◽  
Vol 18 (Sup8) ◽  
pp. S10-S16
Author(s):  
Elizabeth Ratcliffe ◽  
Anirudh P Bhandare ◽  
Shanil Kadir
Keyword(s):  
Independent Practice ◽  
Complication Rates ◽  
Nurse Training ◽  
Success Rates ◽  
Endoscopic Retrograde ◽  
Complex Procedure ◽  
Experienced Nurse ◽  
The Uk ◽  
The Impact

Background: Endoscopic retrograde cholangiopancreatoscopy (ERCP) is a technical and complex procedure requiring highly skilled and trained endoscopists and assistants. Literature so far has highlighted a need for better training for assistants of ERCP, as well as linking the volumes of procedures performed to improved success rates and reduced complication rates. Methods: A survey was undertaken of 51 ERCP nurse assistants' experience of training in ERCP from district general, teaching and tertiary hospitals in the UK. Nursing assistants are registered nurses with endoscopy skills or nursing practitioners of band 4 and above with experience in ERCP. Findings: Of those surveyed, 93% had undertaken fewer than 50 procedures supervised by experienced nurse assistants prior to being deemed competent, with 63% having performed fewer than 25 procedures. Only 40% felt confident at independently assisting. Attending formal training had little impact on this, but did improve confidence in out-of-hours work. Participants' main suggestions for training were a course involving familiarisation with equipment, close supervision and anatomy training. Conclusions: There is a lack of guidance on the correct training and experience required for nurse assistants. This survey's findings suggest many are commencing independent practice feeling underprepared. More work needs to be done to improve the quality of nurse training and support their learning, and further studies are needed to look into the impact this has on patient outcomes.

The objective assessment of the quality of hospital care: dream or reality?

2007 ◽  
Vol 148 (43) ◽  
pp. 2033-2041
Author(s):  
Éva Belicza ◽  
Erika Takács
Keyword(s):  
Hospital Care ◽  
Objective Assessment

A nemzetközi szakirodalom egyre gyakrabban foglalkozik azzal a kérdéssel, hogy a minőségi indikátorokra támaszkodó nyilvános minőségértékelésnek mi a hatása az ellátás minőségére és az érintettek döntésére vonatkozóan, illetve melyek azok a kritériumok, amelyek mentén nyilvános minőségértékelési rendszereket célszerű kialakítani. A nemzetközi szakirodalom alapján a dolgozat hat témakört mutat be: (1) az indikátorok képessége a szolgáltatók megkülönböztetésére; (2) az eredményindikátorok alkalmassága a szolgáltatók megítélésére; (3) a bajnoki tabellák képessége a szolgáltatók rangsorolására; (4) a lakosság viselkedése a szolgáltatók választása során; (5) az indikátorokra támaszkodó nyilvános minősítések hatásai; (6) ajánlások minősítési rendszerek kidolgozására. A szakirodalmi kutatások szerint elsősorban a kockázatkiegyenlítési problémák miatt az indikátorok képessége a szolgáltatók megkülönböztetésére a nyújtott ellátás minősége szempontjából kérdéses; az elért ellátási eredmények nem feltétlenül utalnak vissza az ellátási folyamatok minőségére; a több indikátorból komponált intézményi sorrendek (bajnoki tabellák) nem megbízhatóak; a lakosság a szolgáltatók kiválasztásakor elsősorban a környezet véleményét és a távolságot veszi figyelembe; és a nyilvános közlések hatására igazoltan romlik az ellátás átfogó minősége. A szolgáltatók értékelésében alkalmazott mérési eredmények közzétételét eszköznek kell tekinteni. A lakosság intézményválasztásának elősegítésére az ő preferenciáik mentén végzett betegelégedettségi vizsgálatok nyilvánossá tétele hozhatja meg a kívánt eredményt. A minőségfejlesztési célokat igazoltan segítik a szolgáltatói körben végzett közvetlen visszajelzések az indikátorok mért értékeiről, illetve pontosabb kép kapható az ellátási és szervezési folyamatok, standardok egységes felülvizsgálatára alapozott eljárások külső értékelési rendszerekbe történő beemelésével.

Precarious Work and Young Workers in the United States

2018 ◽  
Author(s):  
Arne L. Kalleberg
Keyword(s):  
Labor Market ◽  
The United States ◽  
Young Workers ◽  
Severe Problem ◽  
Precarious Work ◽  
The Great Recession ◽  
The Us ◽  
Training Opportunities ◽  
And Training

This chapter discusses how the growth of precarious work and the polarization of the US labor market have produced major problems for the employment experiences of young workers. A prominent indicator of young workers’ difficulties in the labor market has been the sharp increase in their unemployment rates since the Great Recession. Another, equally if not more severe, problem faced by young workers today is the relatively low quality of the jobs that they were able to get. Other problems include the exclusion of young workers from the labor market and from education and training opportunities; the inability to find jobs that utilize their education, training, and skills; and the inability to obtain jobs that provide them with an opportunity to get a foothold in a career that would lead to progressively better jobs and thus be able to construct career narratives.

A study of the role and educational needs of ophthalmic specialist nurses

2021 ◽  
Vol 30 (14) ◽  
pp. 858-864
Author(s):  
Pornjittra Rattanasirivilai ◽  
Amy-lee Shirodkar
Keyword(s):  
Clinical Skills ◽  
Active Role ◽  
Educational Needs ◽  
Assessment Tools ◽  
Standards Of Care ◽  
Learning Needs ◽  
Hands On ◽  
Specialist Nurses ◽  
The Uk ◽  
Training Opportunities

Aims: To explore the current roles, responsibilities and educational needs of ophthalmic specialist nurses (OSNs) in the UK. Method: A survey of 73 OSNs ranging from band 4 to band 8 was undertaken in May 2018. Findings: 73% of OSNs undertake more than one active role, with 59% involved in nurse-led clinics; 63% felt formal learning resources were limited, with 63% reporting training opportunities and 21% reporting time as major barriers to further training. More than 38% emphasised hands-on clinic-based teaching had a greater impact on their educational needs. Some 64% were assessed on their skills annually and 59% felt confident with their skill set. Conclusion: The Ophthalmic Common Clinical Competency Framework provides a curriculum and assessment tools for OSNs to use as a structure to maintain clinical skills and knowledge. Eye departments should use this as guidance to target learning needs and improve standards of care to meet the changing needs of society.

Sign in / Sign up

Export Citation Format

Share Document