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 Furthermore, with the rapid change in technology, operations are often rapidly superseded and leave surgeons at risk of criticism if they are not 'up to date' in a condition outside their specialty.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.

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.

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

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.

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

PP25 The take home naloxone intervention multicentre emergency setting feasibility (TIME) trial: an early perspective from one UK ambulance service

2021 ◽  
Vol 38 (9) ◽  
pp. A11.1-A11
Author(s):  
Sasha Johnston ◽  
Helen Snooks ◽  
Jenna Jones ◽  
Fiona Bell ◽  
Jonathan Benger ◽  
...  
Keyword(s):  
Life Support ◽  
Controlled Trial ◽  
Advanced Life Support ◽  
Time Trial ◽  
Ambulance Service ◽  
Feasibility Trial ◽  
Royal Infirmary ◽  
Emergency Setting ◽  
Training Time ◽  
Randomised Controlled

BackgroundDrug poisoning deaths in England and Wales have increased by 52% since 2011 with over half involving opioids. Deaths are preventable if naloxone is administered in time. Take Home Naloxone (THN) kits have been distributed through drug services; however, uptake is low and effectiveness unproven. The TIME trial tests the feasibility of conducting a full randomised controlled trial of providing THN administration and basic life support training to high-risk opioid-users in emergency care settings.MethodsA multi-site feasibility trial commenced in June 2019 with two hospitals and their surrounding ambulance services (Bristol Royal Infirmary (BRI) with South Western Ambulance NHS Foundation Trust (SWASFT) and Hull Royal Infirmary with Yorkshire Ambulance Service) randomly allocated to intervention arms; and sites in Wrexham and Sheffield allocated as ‘usual care’ controls. SWASFT began recruiting in October 2019 with the aim of recruiting and training 50% (n=111) of paramedics working within the BRI’s catchment area, to supply THN to at least 100 eligible patients during a 12-month period.ResultsThe trial was suspended between 17.03.2020-06.08.2020 and extended to 01.03.2021 (COVID-19). Despite this, 121 SWASFT paramedics undertook TIME training. TIME trained paramedics attended 30% (n=57) of the n=190 opioid-related emergency calls requiring naloxone administration during the study period. A total of n=29 potentially eligible patients were identified before and n=28 after the COVID-19 suspension. Two patients were supplied with THN during each period. During the COVID-19 suspension, twenty-two potentially eligible patients were missed. The majority of eligible patients presented with a reduced consciousness level, preventing recruitment (73%; n=42/48). These patients were transported to hospital for further treatment (n=39) or died on scene following advanced life support (n=3).ConclusionsThe lowered consciousness levels of prehospital emergency ambulance patients who present with opioid poisoning, often prevent the delivery of training required to enable the supply of THN.

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.

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 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.

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