Surgical training for the next millennium

Varghese, Delvin; Patel, Hana; Varghese, Arun

doi:10.12968/hosp.1999.60.3.1085

Cited by 6 publications

(2 citation statements)

References 2 publications

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“…6 It has been demonstrated that specialist registrars have felt the benefits of these changes within a single deanery, 4 although this is not a finding common in the surgical specialities. [7][8][9][10] Our data suggest a very marked variation in the delivery of basic education within a single speciality in the UK in contrast to the conclusions of Paice et al 4 This is particularly evident in the setting of educational objectives, feedback and the delivery of hands-on experience, three of the four cornerstones of Calman's recommendations.…”

Section: Discussionmentioning

confidence: 69%

The record of in-training assessments (RITAs) in urology: an evaluation of trainee perceptions

Pearce

Royle²,

O’Flynn

et al. 2003

ann r coll surg engl

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Unification in the registrar grade has initiated an improvement in urological education for SpRs. There has, however, been haphazard delivery of that education due to a lack of objectivity in definition and assessment of the educational goals in individual training years. The RITA process should be more prescriptive in its administration and the setting of annual targeted training objectives should help to optimise the training opportunities for individual SpRs.

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Section: Discussionmentioning

confidence: 69%

The record of in-training assessments (RITAs) in urology: an evaluation of trainee perceptions

Pearce

Royle²,

O’Flynn

et al. 2003

ann r coll surg engl

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“…I t is increasingly recognised that maintaining surgical training at a sufficient level is demanding, [1][2][3][4] particularly in more recent years, where training has been shortened, and weekly working hours decreased. 5 6 Moreover, the tendency towards increasing subspecialisation makes it difficult for many units to offer a broad spectrum of general surgical procedures to trainees, and many of the procedures performed are often done by consultants due to the high specialisation required.…”

mentioning

confidence: 99%

Surveillance of surgical training by detailed electronic registration of logical components

Tøttrup¹

2002

Postgraduate Medical Journal

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Objective: To obtain detailed information about the degree of surgical trainee supervision and delegation of procedures in a subspecialised department. Design: Operative procedures and their logical components were recorded in a database constructed in Microsoft Access. Information about operating surgeon and assistants and their grade was registered prospectively over 12 months. Subjects and methods: A total of 1250 intermediate or major procedures were performed by eight consultants, one staff specialist, four senior registrars, three specialist registrars, and five registrars. Main measure: Number of components performed by surgeons in each grade and the degree of supervision and delegation. Results: Eight hundred and eighty five of the operations were elective, while 365 were done as emergency procedures. Emergency procedures were far more often done by surgeons in training than by a staff surgeon, while the opposite was true for elective operations. Out of 323 elective operations done by surgeons in training, 189 were done under supervision (58.5%), while 119 out of 276 emergency operations done by surgeons in training were supervised (43.1%; p=0.0002). One hundred and twenty eight of 638 (20%) open abdominal operations were done by the most junior surgeons, and yet they closed 36% of all abdominal wounds. Although the most junior surgeons only served as operating surgeons in 39 of 334 bowel operations (12%), they constructed 24% of all stomas, and 20% of all anastomoses. Registrars and specialist registrars never constructed stomas or anastomoses without supervision. Conclusion: Detailed information about individual and general training and supervision was achieved by a simple registration. Significant additional information was obtained about the extent of delegation of components compared with standard registration of operative procedures.

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Minimally invasive techniques in common surgical procedures: Implications for training

et al. 2003

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Surgical training for the next millennium

Cited by 6 publications

References 2 publications

The record of in-training assessments (RITAs) in urology: an evaluation of trainee perceptions

The record of in-training assessments (RITAs) in urology: an evaluation of trainee perceptions

Surveillance of surgical training by detailed electronic registration of logical components

Minimally invasive techniques in common surgical procedures: Implications for training

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