Exposure to and training in the control of major intraoperative haemorrhage: a survey of surgical trainees

Brown, Rex V.; Hosgood, SA; Praseedom, Raaj K.; Nicholson, M. L.

doi:10.1308/rcsbull.2021.9

Cited by 3 publications

(1 citation statement)

References 7 publications

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“…The role of simulation in addressing the paucity of trauma operative training has also been addressed within the revised ISCP curriculum. A recent survey of UK trainees has proposed the introduction of a live large animal course to facilitate trauma training [12]. Among 54 trainee respondents to the survey, 90% agreed or strongly agreed that a live large animal course with exposure to major intraoperative haemorrhage is beneficial.…”

Section: Discussionmentioning

confidence: 99%

Competency in trauma surgery: a national survey of trainees and consultants

et al. 2022

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Background The current sparsity of surgical trainees’ exposure to training in operative trauma surgery is multifactorial. This concern has been addressed in the revised Intercollegiate Surgical Curriculum Programme (ISCP) for general and vascular surgery (2021). In the lead up to its implementation, we aimed to assess both trainee and consultant confidence levels as a surrogate reflection in the core competency operative skills in general emergency trauma surgery, identify individual experience in commonly performed trauma procedures and gauge interest in a career in trauma surgery. Method An online survey was circulated to general surgery and vascular surgery trainees and consultants. Self-reported competencies were assessed using a 1–10 confidence rating scale. Most questions were based on competencies in emergency trauma surgery as set out by the ISCP. Results Out of 251 surgical trainees and consultants, 119 responded to our survey (47.4% response rate). Less than half (44.1%; n = 52) of respondents had experienced a trauma thoracotomy. Respondents scored ‘somewhat’ or ‘not at all’ competent in the majority of competencies assessed. Conclusion Self-reported competencies in operative trauma skills across all subgroups were sub-standard with incremental levels of perceived competence proportional to years of surgical training. Our data supports the necessity of the new curriculum, in addition to modern training pathways with direct exposure to operative trauma surgery involving dedicated trauma centres and networks, and responsibility of training pathways in the provision of training trauma surgery.

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Section: Discussionmentioning

confidence: 99%