Surgical training of specialist registrars in obstetrics and gynaecology in Wales

Myerson, Nicholas; Pugh, D. H. O.

doi:10.1576/toag.2001.3.3.152

Cited by 6 publications

(5 citation statements)

References 10 publications

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“…Surgical training for gynaecology trainees has raised concern in recent years [1,2]. The implementation of the European Working Time Directive has had a real impact on the work and training of junior doctors [3].…”

Section: Introductionmentioning

confidence: 99%

Laparoscopy training for obstetrics and gynaecology trainees? A pilot study in the Eastern Deanery, UK

Majmudar

Slack

2008

Gynecol Surg

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Training in laparoscopic surgery has been difficult to implement, worldwide. This survey aims to identify the current status of laparoscopic training in the Eastern Deanery, UK. We hope to identify factors which influence training and propose solutions towards improving it. Methods: All 75 trainees within the 14 National Health Service (NHS) Hospitals of the Eastern Deanery were sent out a postal questionnaire in September 2006. The response rate was 89.3%. Seventy four to eighty three percent were performing various level 1 procedures and only a small percentage were doing level 2 and level 3 procedures. All respondents felt the necessity to be independently competent in level 1 and 2 procedures by the end of their training programme but two-thirds remained sceptical about achieving their training objectives. The main factors hindering training were: inability to be the primary surgeon (87%), lack of theatre time (60%) and availability of simulator training (55%). The results reflect the lack of provision for laparoscopic training at most hospitals in the UK Eastern Deanery. This has also been reflected in another survey amongst Welsh trainees. Individual hospitals must be encouraged to provide simulator training. The training programme should allocate more time for supervised simulator sessions and live surgical training. The provision of Consultant led emergency daytime lists could provide a unique training opportunity in the management of ectopic pregnancies and ovarian cysts. Designated teaching lists and individualised training programmes are other solutions.

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Section: Introductionmentioning

confidence: 99%

Laparoscopy training for obstetrics and gynaecology trainees? A pilot study in the Eastern Deanery, UK

Majmudar

Slack

2008

Gynecol Surg

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“…Our findings may in part be explained by a continuing reduction in hours of work and a related loss of ‘hands‐on’ training. A study in Wales of the surgical training of SpRs in obstetrics and gynaecology 16 indicated that many juniors get relatively little operating time and often operate unsupervised, especially in emergency theatres. Furthermore, very few trainees perform any major minimal‐access surgery (MAS).…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic management of ectopic pregnancy by trainees in Wales

Myerson

Pugh

2002

Gynaecol Endoscopy

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Objective To discover whether trainees in Wales are able to manage ectopic pregnancy using laparoscopic techniques, and to identify factors preventing trainees from acquiring and using these skills. Design Postal questionnaires. Setting Wales deanery of the Royal College of Obstetricians and Gynaecologists. Subjects All specialist registrars in obstetrics and gynaecology. Results Two surveys were completed. The initial survey in January 2000 had a response rate of 91% and found that 38% of trainees could independently manage an ectopic pregnancy laparoscopically. A more detailed survey in January 2002 with an 87% response rate found that 21% of trainees were able to manage an ectopic pregnancy laparoscopically. However, only 7% of specialist registrars in years 1–3 of training could do so. The main reasons why trainees could not manage ectopic pregnancies laparoscopically were lack of practical experience coupled with a lack of consultant supervision. Conclusions Over 2 years, there was a decrease in the number of trainees able to manage an ectopic pregnancy using laparoscopic techniques. This has important implications both for training and service provision.

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“…It makes several important points about the training of junior doctors in the laparoscopic management of tubal ectopic pregnancy. We were particularly interested in the paper because of our own work on the surgical training of specialist registrars (SpRs) in obstetrics and gynaecology in the Wales Deanery and our subsequent research specifically focused on the training of juniors in the laparoscopic management of ectopic pregnancy 2 …”

Section: Dear Sirmentioning

confidence: 99%

“…Additionally, some trainees (8% in 2004) added comments, reporting that they simply managed too few ectopic pregnancies to attain competence. The lack of sufficient hands‐on experience to master the technique is, presumably, exacerbated by the fact that 69% of trainees do, on average, fewer than one complex MAS procedure a week 2 …”

Section: Dear Sirmentioning

confidence: 99%