scholarly journals Dead Men's Shoes: The Employment Prospects for Welsh Surgical Trainees

2013 ◽  
Vol 95 (1) ◽  
pp. 1-3
Author(s):  
DGY Adamson-Fisher ◽  
PJ Billings
Keyword(s):  
Surgical Training ◽  
Clinical Service ◽  
Market Forces ◽  
Surgical Trainees ◽  
The Future ◽  
Higher Surgical Training ◽  
National Training

Warnings have been issued regarding the recreation of the 'lost tribe' in the transition between core surgical training and higher surgical training. However, it is more likely that waiting to fill 'dead men's shoes' at the end of surgical training may become the major fear of the new Certificate of Completion of training (cct) holder. The majority of national training number (ntn) holders will receive a cct but market forces may preclude appointment. The projected increase in mismatch of cct holders and vacant posts is not a new phenomenon, nor is the emergence of a subconsultant grade. In the light of what is fast becoming a consultant delivered rather than a consultant led clinical service, are we training too many or too few surgeons for the future?

scholarly journals Shortlisting for higher surgical training: now and the future

2007 ◽  
Vol 89 (3) ◽  
pp. 94-96
Author(s):  
P Durani ◽  
P Rajan ◽  
A Menon ◽  
RS Pickard
Keyword(s):  
Surgical Training ◽  
Selection Criteria ◽  
Medical Careers ◽  
The Future ◽  
Higher Surgical Training ◽  
Insight Into

The Modernising Medical Careers changes to higher surgical training are almost upon us. Selection into ST1–3 has begun, but what are the most important selection criteria and how have they changed from the old Calman-system? Applicants are desperate to succeed but when it comes to knowing what specialty programme directors look for in a candidate, they have little to go on. This paper goes some way to answering these questions and perhaps gives applicants some useful insight into the minds of those with the power to say 'yes'.

scholarly journals Visuospatial and Technical Ability in the Selection and Assessment of Higher Surgical Trainees in the London Deanery

2007 ◽  
Vol 89 (6) ◽  
pp. 591-595 ◽  
Author(s):  
P Tansley ◽  
S Kakar ◽  
S Withey ◽  
P Butler
Keyword(s):  
Surgical Training ◽  
Practical Skills ◽  
Surgical Trainee ◽  
Surgical Department ◽  
Technical Ability ◽  
Surgical Trainees ◽  
Competency Based ◽  
Higher Surgical Training ◽  
Training Programmes ◽  
Selection And Assessment

INTRODUCTION Despite awareness of the limitations of current selection and competency assessments, there is little consensus and alternatives have not been readily accepted. Essential surgical skills include visuospatial and technical ability. The aim of this study was to survey current methods of higher surgical trainee selection and assessment. We suggest ways to improve the process. MATERIALS AND METHODS Nine surgical training programmes in the London deanery were surveyed through questionnaires to programme directors, existing trainees and examination of deanery publications. RESULTS Testing of visuospatial and technical ability was piloted at selection only in a single general surgical department. Practical skills were assessed in 3/9 (33%) specialties (ENT, plastic and general surgery). Once selected, no specialty tested visuospatial and technical ability. Practical skills were tested in only 1/9 (11%) specialties (plastic surgery). The remaining 8/9 (89%) were ‘assessed’ by interview. CONCLUSIONS Lack of visuospatial and technical ability assessment was identified at selection and during higher surgical training. Airlines have long recognised early identification of these qualities as critical for efficient training. There is a need for more objective methods in this area prior to selection as time to assess surgical trainees during long apprenticeships is no longer available. We advocate a suitably validated competency-based model during and at completion of training.

scholarly journals Changes in UK ophthalmology surgical training: analysis of cumulative surgical experience 2009–2015

BMJ Open ◽  
2017 ◽  
Vol 7 (10) ◽  
pp. e018526 ◽  
Author(s):  
Jeremy Hoffman ◽  
Fiona Spencer ◽  
Daniel Ezra ◽  
Alexander C Day
Keyword(s):  
Surgical Training ◽  
Secondary Level ◽  
Training Programme ◽  
Median Number ◽  
Specialist Training ◽  
Surgical Experience ◽  
Training Scheme ◽  
Higher Surgical Training ◽  
National Training ◽  
The Uk

ObjectiveTo investigate changes in the patterns of cumulative surgical experience for ophthalmologists in the UK following the introduction of a new national training scheme.DesignRetrospective review of all surgical training records submitted to the UK Royal College of Ophthalmologists by trainees for the award of Certificate of Completion of Training (CCT) for the period 2009–2015.SettingSecondary level care, UK.Participants539 trainees achieving CCT over the 7-year study period.InterventionsHigher specialist training or ophthalmology specialist training.Outcome measuresNumber of CCT awards by years and procedures performed for cataract surgery, strabismus, corneal grafts, vitreoretinal (VR) procedures, oculoplastics and glaucoma.ResultsCataract surgical experience showed little change with median number performed/performed supervised (P/PS) 592, IQR: 472–738; mean: 631. Similarly, the median number of strabismus (P/PS 34), corneal grafts (assisted, 9) and VR procedures (assisted, 34) appeared constant. There was a trend towards increasing surgical numbers for oculoplastics (median 116) and glaucoma (57). Overall case numbers for ophthalmic specialist training (OST) trainees (7-year training programme) were higher than higher surgical training (HST) trainees (4.5-year programme) with the exception of squint (P/PS), corneal grafts (P/PS) and VR cases (P/PS).ConclusionsOverall case numbers reported at time of CCT application appear stable or with a marginal trend towards increasing case numbers. HST (4.5-year programme) case numbers do not include those performed before entry to HST, and although case numbers tended to be higher for OST trainees (7-year programme) compared with HST trainees, they were not proportionately so.

scholarly journals Curtailment of Higher Surgical Training in the UK: Likely Effects in Otology

2005 ◽  
Vol 98 (6) ◽  
pp. 259-261 ◽  
Author(s):  
J Ray ◽  
E Hadjihannas ◽  
R M Irving
Keyword(s):  
Skull Base ◽  
Surgical Training ◽  
Questionnaire Survey ◽  
Training Programme ◽  
Surgical Trainees ◽  
Operative Experience ◽  
Higher Surgical Training ◽  
One Year ◽  
The Uk

Higher surgical training in the UK faces a cut of two years. We conducted a questionnaire survey to assess the operative experience of current higher surgical trainees in otological surgery and the likely effect of the proposed reduction from six to four years. 91 (65%) of the 142 higher surgical trainees responded with details of major otological procedures performed (independently or assisting) over one year. In the present six-year scheme a typical trainee performs 72 myringoplasties, 79 mastoidectomies, 7 skull base procedures and 28 other procedures. In the first four years, however, his or her experience is only 39 myringoplasties, 44 mastoidectomies, 4 skull base procedures and 7 others. The large shortfall in experience that might result from shortening of the training programme would need to be met by intensification of the training or institution of accredited otology fellowships. Very similar dilemmas are faced by other surgical specialties.

scholarly journals Experiences in academic publication among ENT trainees in the UK: results from a national survey

2021 ◽  
pp. 1-7
Author(s):  
S Shahidi ◽  
M S Osborne ◽  
G M Jama ◽  
S Bola ◽  
J Murphy
Keyword(s):  
Surgical Training ◽  
Full Time ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Surgical Trainees ◽  
Current Survey ◽  
Academic Publications ◽  
The Mean ◽  
Higher Surgical Training ◽  
The Uk

Abstract Objective This study aimed to provide an objective means of identifying patterns in academic publication among ENT trainees during their higher surgical training. Method A cross-sectional survey was distributed to ENT higher surgical trainees. Results A total of 153 ENT specialty trainees participated, giving a response rate of 46.5 per cent. Across all years of training, the mean number of first author publications was three and the mean number of non-first author publications was two. For trainees at specialty trainee year 8 level, these figures were nine and five, respectively. Participants with doctoral degrees and those in academic programmes published more papers but the mean difference was only significant for the doctoral subgroup (p < 0.0001). Those with additional undergraduate degrees and those in less than full-time training had an overall lower number of publications. Conclusion Participants in the current survey achieved a higher average number of academic publications than is presently required to successfully complete higher surgical training in ENT. It is hoped that these results act as a guide for trainees planning the research component of their training to ensure that they remain competitive at consultant interview.

scholarly journals 602 Specialty Training Progression from Core Surgical Training: Is There Evidence from Plastic Surgery of The Importance of Location, Location, Location?

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
Z Vinnicombe ◽  
M Little ◽  
K Johal
Keyword(s):  
Plastic Surgery ◽  
Surgical Training ◽  
Specialty Training ◽  
Surgical Trainees ◽  
Significant Difference ◽  
National Training ◽  
Competitive Nature

Abstract Introduction Obtaining a National Training Number (NTN) in Plastic Surgery is highly competitive (&lt;40 posts per year), with applicant:post ratios between 3.73 to 4.19 in 2017-2019. Our aim was to compare deaneries for numbers successfully progressing directly from CT2 into a ST3 post in Plastic Surgery. Method Data for surgical trainees progressing directly from CT2 to ST3 (2017-2019) in all specialties was obtained from the GMC. The percentage of those directly progressing that obtained a Plastic Surgery NTN and the total number progressing was calculated. Results A total of 840 trainees obtained a NTN directly from CT2 between 2017 and 2019, 61 of whom did so in plastic surgery. Of those directly progressing, there was no significant difference between deaneries for the percentage of plastic surgery posts obtained. The highest number of trainees progressed from London deaneries (16 total (26%); 7 South, 6 NC&E, 3 NW) and the lowest number from Yorkshire and Humber (1). Conclusions Higher numbers of those undertaking core surgical training in London progress directly from CT2 to ST3 in Plastic Surgery. Low total numbers highlight the competitive nature of obtaining a Plastic Surgery NTN, necessitating many to undertake additional experience prior to obtaining a training number.

Procedure-based assessments: the past, the present and the future

2019 ◽  
Vol 96 (1131) ◽  
pp. 7-8
Author(s):  
Ahmed Abdelaal
Keyword(s):  
Surgical Training ◽  
Surgical Trainee ◽  
The Past ◽  
Surgical Trainees ◽  
The Future ◽  
The Uk ◽  
Almost All

One of the most significant changes to the structure of surgical training in the UK was the introduction of workplace-based assessments (WBAs). Since its integration into the Intercollegiate Surgical Curriculum Programme, we as surgical trainees became the children of WBAs. Procedure-based assessment (PBA) is one of the pillars of WBAs and no surgical trainee portfolio is complete without a significant number of PBAs completed. As a senior trauma and orthopaedics trainee myself, I have encountered PBA on a regular basis, both as a trainee and as an assessor to my junior colleagues. My journey in understanding and implementing PBAs has not been a smooth one. This is also a reflection of almost all surgical trainees across all specialties. In this review, I aim to shed some light on my perspective on PBA, its values, limitations and concerns that have risen as a result of its introduction. I also aim to use my experiences to highlight possible ways of improvement in PBA.

scholarly journals Outcome of surgical fellow ships: road to nowhere or highway to higher surgical training?

2007 ◽  
Vol 89 (6) ◽  
pp. 218-219
Author(s):  
MA Morgan ◽  
AN Hopper ◽  
WG Lewis
Keyword(s):  
United Kingdom ◽  
Surgical Training ◽  
General Surgery ◽  
Principal Measure ◽  
The United Kingdom ◽  
Higher Surgical Training ◽  
National Training

Compliance with the raft of recent legislation regarding surgical training in the United Kingdom has spawned a new breed of junior surgeon, the clinical fellow. Advertised and promoted by NHS Trusts with CV-strengthening potential, fellowships are in practice often of questionable training benefit, with a heavy service commitment. The aim of this study, therefore, was to assess the outcomes of such fellowships in one UK deanery. The principal measure of outcome was appointment to an SpR post in general surgery, with type 1 national training number (NTN).

scholarly journals 930 Impact of the COVID-19 Pandemic on Higher General Surgical Training – A West of Scotland Experience

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
K S Khan ◽  
M McLellan ◽  
N J Galbraith ◽  
A Lannigan ◽  
S Mahmud ◽  
...  
Keyword(s):  
Surgical Training ◽  
General Hospitals ◽  
Surgical Trainees ◽  
Higher Surgical Training

Abstract Introduction COVID-19 pandemic has caused significant disruption in all aspects of training. Our aim was to explore the degree of impact caused by the pandemic on higher general surgical trainees. Method All higher general surgical trainees in a single UK deanery were invited to participate in an online, voluntary, anonymous survey via SurveyMonkey. Results 64 (72.7%) of the trainees responded. 39.1% were ST3/4, 29.7% were ST5/6, 20.3% were ST7/8 and 10.9% were out of training (maternity & research). Thirty-five (55.6%) worked in district general hospitals. Forty (68.9%) trainees felt that they had fewer opportunities to be primary surgeon. Forty-two (67.7%) trainees did not have access to laparoscopic simulation trainers. Fifty-two (88.1%) trainees had their courses and 2 (3.4%) had their FRCS part 2 exam postponed. 16 (27.1%) trainees reported they had been off-sick, with a median of 7 days off (range 3-35 days). Thirty-three (55.9%) trainees felt more stressed due to the pandemic and 35 (59.4%) had symptoms of burnout. Conclusions The COVID-19 pandemic has had an unprecedented impact on all aspects of higher surgical training. The most noticeable impact has been on the reduction in the confidence in laparoscopic and endoscopic skills.

Sign in / Sign up

Export Citation Format

Share Document