Orthopaedic training experience in the UK and Ireland: An analysis using the elogbook

Jameson, Simon; Lamb, Andrew; Wallace, W. Angus; Sher, J. L.; Marx, Clare; Reed, Mike

doi:10.1016/s1479-666x(09)80093-0

Cited by 9 publications

(7 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Thus, the time spent as the assistant represents a missed opportunity for surgical training for junior trainees. Similar to our findings, analysis of orthopaedic logbook data from the United Kingdom has shown that there are significant missed opportunities for training in the operating room [8,10,11,19] and this effect is greater the more junior the trainee [11]. With challenges in the provision of operative exposure to trainees at all levels, it is possible that procedures traditionally performed by junior trainees have now shifted to more senior trainees.…”

Section: Discussionsupporting

confidence: 78%

“…Recent data from the United States has shown concerning deficiencies in the operative exposure of general surgical trainees upon the completion of training [18]. Similar trends have recently emerged for senior trainees in general surgery [6,7] and orthopaedics [8-11] from the United Kingdom. We have now shown that operative exposure during basic surgical training is sub-optimal.…”

Section: Discussionmentioning

confidence: 82%

“…Recent data from the United States, suggests that the operative exposure of junior surgical trainees may be affected by these changes to an even greater extent [4,5]. Data has been published on the operative experience of senior trainees in general surgery [6,7] and orthopaedics [8-11] in the United Kingdom and Ireland. However, few studies have specifically reported the operative experience of trainees in the formative years of surgical training and those that have been published are based on a subset of operations [12,13] or a single institution [14-16].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Analysing the operative experience of basic surgical trainees in Ireland using a web-based logbook

et al. 2011

View full text Add to dashboard Cite

BackgroundThere is concern about the adequacy of operative exposure in surgical training programmes, in the context of changing work practices. We aimed to quantify the operative exposure of all trainees on the National Basic Surgical Training (BST) programme in Ireland and compare the results with arbitrary training targets.MethodsRetrospective analysis of data obtained from a web-based logbook (http://www.elogbook.org) for all general surgery and orthopaedic training posts between July 2007 and June 2009.Results104 trainees recorded 23,918 operations between two 6-month general surgery posts. The most common general surgery operation performed was simple skin excision with trainees performing an average of 19.7 (± 9.9) over the 2-year training programme. Trainees most frequently assisted with cholecystectomy with an average of 16.0 (± 11.0) per trainee. Comparison of trainee operative experience to arbitrary training targets found that 2-38% of trainees achieved the targets for 9 emergency index operations and 24-90% of trainees achieved the targets for 8 index elective operations. 72 trainees also completed a 6-month post in orthopaedics and recorded 7,551 operations. The most common orthopaedic operation that trainees performed was removal of metal, with an average of 2.90 (± 3.27) per trainee. The most common orthopaedic operation that trainees assisted with was total hip replacement, with an average of 10.46 (± 6.21) per trainee.ConclusionsA centralised web-based logbook provides valuable data to analyse training programme performance. Analysis of logbooks raises concerns about operative experience at junior trainee level. The provision of adequate operative exposure for trainees should be a key performance indicator for training programmes.

show abstract

Section: Discussionsupporting

confidence: 78%

Section: Discussionmentioning

confidence: 82%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Analysing the operative experience of basic surgical trainees in Ireland using a web-based logbook

et al. 2011

View full text Add to dashboard Cite

show abstract

“…Increased postoperative mortality is associated with older age, 27 Trainees' logbooks may be used to guide further training and monitor competence. 28 Adequate training and supervision is increasingly important.…”

Section: Discussionmentioning

confidence: 99%

Mortality and Re-Operation Rate after Proximal Femoral Fracture Surgery by Trainees

Khunda

Jafari

Alazzawi

et al. 2013

J Orthop Surg (Hong Kong)

View full text Add to dashboard Cite

purpose. To review records of 761 patients who underwent surgery for proximal femoral fractures to determine whether surgeon's experience and volume was associated with 6-month mortality and reoperation rates. Methods. Records of 761 patients who underwent surgery for proximal femoral fractures were reviewed. Patients operated on by a consultant or trainees with supervision of a scrubbed consultant were classified as the consultant group (n=214). Patients operated on by trainees alone (n=516) or trainees with supervision of an unscrubbed consultant (n=31) were classified as the trainee group (n=547). A total of 21 trainees were identified. They had different levels of experience, which was quantified according to the total number of operations performed for proximal femoral fractures from the start of their training to the start of the study. results. Patients in the trainee group were older (80±12 vs. 77±14 years, p<0.001), and the fractures were more complex in the consultant group. TheMortality and re-operation rate after proximal femoral fracture surgery by trainees 6-month mortality rate was 24.2% (n=184). The odds of dying within 6 months after operation was 80% higher in patients operated on by trainees without supervision of a scrubbed consultant (odds ratio, 1.8; 95% confidence interval, 1.1-2.7). Variables associated with the 6-month mortality rate were age (p<0.001), American Society of Anesthesiologists grade (p<0.001), pre-injury activity level (p<0.001), and the surgeon's grade (p<0.05). The 6-month reoperation rate was 3.8% (n=29) and did not differ significantly in the 2 groups. The experience level of the trainees was not associated with the 6-month reoperation rate. conclusion. The odds of dying within 6 months after a surgery for proximal femoral fractures was 80% higher in patients operated on by trainees without supervision of a scrubbed consultant.

show abstract

“…Die Organisation der Weiterbildung kann durch Einhaltung der geforderten jährlichen WB-Gespräche und ein einheitlich geführtes Logbuch (z. B. online) erheblich transparenter gestaltet werden [13][14][15]. Ein fester hausinternerwenn nötig externer -Rotationsplan sollte bereits bei Vertragsabschluss existieren und bis zum Erlangen der Facharztkompetenz geführt werden [16].…”

Section: Was Kann Man Konkret Verbessern?unclassified

6 Jahre nach Reform der Weiterbildungsordnung – gibt es noch Verbesserungspotenzial?

Niethard¹,

Depeweg²

2010

Z Orthop Unfall

View full text Add to dashboard Cite

Expectations of the head physicians concerning the skills of a new specialist did not match the expected skills defined in the specialty training reglementation regarding basic knowledge, self-reliant work, surgical skills as well as conservative orthopaedics and multiple trauma management. A reasonable structuring is necessary in order to implement the requested contents of the specialty training reglementation. This can only be achieved if demands on aims are compliant.

show abstract

Orthopaedic training experience in the UK and Ireland: An analysis using the elogbook

Cited by 9 publications

References 4 publications

Analysing the operative experience of basic surgical trainees in Ireland using a web-based logbook

Analysing the operative experience of basic surgical trainees in Ireland using a web-based logbook

Mortality and Re-Operation Rate after Proximal Femoral Fracture Surgery by Trainees

6 Jahre nach Reform der Weiterbildungsordnung – gibt es noch Verbesserungspotenzial?

Contact Info

Product

Resources

About