Improving Core Surgical Training in Plastic Surgery

2012 ◽  
Vol 94 (9) ◽  
pp. 304-306
Author(s):  
O Gilleard ◽  
N Segaren ◽  
D Markeson ◽  
R Uppal ◽  
Y Tavsanoglu ◽  
...  
Keyword(s):  
Plastic Surgery ◽  
Surgical Training ◽  
Outpatient Clinic ◽  
Service Provision ◽  
Operating Theatre ◽  
Outpatient Clinics ◽  
Medical Careers ◽  
Surgical Trainees ◽  
European Working

Since the introduction of the European Working Time Regulations (EWTR) and Modernising Medical Careers (MMC), concerns have been raised regarding the quality of early surgical training. Recurring issues include the lack of time spent in the operating theatre and outpatient clinic with increased time spent on service provision. As a means of restoring the quality of early surgical training, the Joint Committee on Surgical Training (JCST) has devised a set of SMART (specific, measurable, attainable, relevant, time-framed) standards to be met by core surgical trainees (CSTs). These include the following scheduled weekly activities: four half-day sessions (18 hours) supervised in the operating theatre, one half-day session (4.5 hours) in supervised outpatient clinics and two hours of structured teaching.

Training in the MMC Era: Procedure-Based Assessments – the Parents' Perspective

2011 ◽  
Vol 93 (5) ◽  
pp. 1-3
Author(s):  
RM Nataraja ◽  
SC Blackburn Department ◽  
D Rawat ◽  
E Benjamin ◽  
SA Clarke ◽  
...  
Keyword(s):  
Postgraduate Medical Education ◽  
Assessment System ◽  
Medical Careers ◽  
Surgical Trainees ◽  
Medical Education And Training ◽  
European Working ◽  
Technical Competencies ◽  
Competency Based ◽  
The Uk

The recent implementation of Modernising Medical Careers (MMC) has had a significant impact on the way that both medical and surgical trainees in the UK are trained and clinically or technically assessed. The aim of MMC is 'to drive up the quality of care for patients through reform and improvement in postgraduate medical education and training'. Surgical training has also been affected by the final stage of the implementation of the European Working Time Regulations. One of the primary changes in MMC has been the introduction of a formal assessment system of the trainees. The new system was initiated to progress towards more competency-based training rather than the total time spent in training. The trainee's progress in achieving clinical and technical competencies is assessed, as is the quality of the trainee and the training he or she receives.

Changes in surgical training: more than just European Working Time Regulations and Modernising Medical Careers

2013 ◽  
Vol 95 (2) ◽  
pp. 74-75
Author(s):  
C G Leonard ◽  
C Hoo ◽  
C Hill
Keyword(s):  
Surgical Training ◽  
Service Provision ◽  
Medical Literature ◽  
Surgical Techniques ◽  
Working Time ◽  
The Public ◽  
Medical Careers ◽  
European Working ◽  
The Impact ◽  
And Training

Since the introduction of European Working Time Regulations (ETWR) and Modernising Medical Careers (MMC), the impact on and changes to surgical training have been discussed in this forum, the wider medical literature and the public domain. Concerns have been raised regarding reduction in exposure to surgical techniques and procedures, and time in theatre has been shown to be of significant value. It has also led to efforts to optimise management of trainees' time and to balance service provision and training appropriately.

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.

Where is General Paediatric Surgery Going? An Analysis of General Paediatric Surgery in South Wales, 1997–2006

2012 ◽  
Vol 94 (1) ◽  
pp. 1-4
Author(s):  
WD Beasley ◽  
R Surana
Keyword(s):  
Paediatric Surgery ◽  
General Hospitals ◽  
Surgical Services ◽  
Medical Careers ◽  
South Wales ◽  
Surgical Trainees ◽  
Surgical Units ◽  
European Working ◽  
General Surgeons ◽  
Working Practices

Traditionally, general paediatric surgery (GPS) has been delivered by general surgeons, often in district general hospitals (DGHs). Changes to higher training in general surgery as a result of Calmanisation, the European Working Time Regulations and Modernising Medical Careers has meant that fewer general surgical higher trainees are being exposed to GPS Together with changes in paediatric anaesthesia working practices and guidelines, the future delivery of GPS services in DGHs is in jeopardy. The burden on specialist paediatric surgical units (SPSUs) will increase with implications for the training of paediatric surgical trainees. Evidence from England has shown that there has been a shift of paediatric surgical services from DGHs to SPSUs.

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 Surgical anatomy in the age of EWTD and ISCP

2008 ◽  
Vol 90 (7) ◽  
pp. 245-245
Author(s):  
Vishy Mahadevan
Keyword(s):  
Surgical Training ◽  
Surgical Anatomy ◽  
Working Time ◽  
European Working Time Directive ◽  
Medical Careers ◽  
European Working ◽  
The Face ◽  
Considerable Impact ◽  
The Uk ◽  
Working Time Directive

Four major new initiatives being implemented nationally are set to have a considerable impact on the nature of surgical training in the UK. When fully operational, these developments will alter the face of surgical training: the European Working Time Directive (EWTD), Modernising Medical Careers (MMC), the Intercollegiate Surgical Curriculum Programme (ISCP) and the new MRCS examination.

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.

scholarly journals Surgical training and EWTD – can it be done?

2007 ◽  
Vol 89 (6) ◽  
pp. 206-209 ◽  
Author(s):  
WH Allum ◽  
NI Markham
Keyword(s):  
Surgical Training ◽  
Working Time ◽  
European Working Time Directive ◽  
Training And Education ◽  
Out Of Hours ◽  
Medical Careers ◽  
European Working ◽  
Working Time Directive ◽  
Training Opportunities ◽  
Postgraduate Surgical Training

The introduction of the European Working Time Directive (EWTD) has created specific and predictable pressures on surgical training and education. In many hospitals the emphasis has been on ensuring a safe service, particularly out of hours. This has been to the detriment of training opportunities. The changes inherent in Modernising Medical Careers with the introduction of progressive training will further limit the amount of time for postgraduate surgical training to a total of six or seven years.

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.

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