The role of medical technology in surgical innovation

Bolton, WS; Ng, Soon; Kinch, Jill; Glasbey, James C; Me, Stewart; Wr, Kitchen; Lam, Alan; Cummins, Gerard; Knight,; Pr, Culmer; Dg, Jayne

doi:10.1308/rcsbull.tb2019.24

Cited by 7 publications

(5 citation statements)

References 5 publications

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“…Despite these seminal reports and technological advances, few training solutions have achieved widespread adoption in surgical training programmes, not only in the use of technologies in practice and curriculum delivery but also in the trainee acquirement of innovation proficiencies and digital literacy. 12 These skills are vital if we are to adopt beneficial advances and work across disciplines to realise the NHS Long Term Plan. 13 The recent pandemic has highlighted shortcomings in our surgical training programmes, and shone a harsh light on inefficiencies and barriers that both trainees and trainers face in achieving excellence.…”

Section: Executive Summarymentioning

confidence: 99%

Future of Surgery: Technology Enhanced Surgical Training: Report of the FOS:TEST Commission

Adebayo¹,

Aldoori²,

Allum³

et al. 2022

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Over the past 50 years the capability of technology to improve surgical care has been realised and while surgical trainees and trainers strive to deliver care and train; the technological ‘solutions’ market continues to expand. However, there remains no coordinated process to assess these technologies. The FOS:TEST Report aimed to (1) define the current, unmet needs in surgical training, (2) assess the current evidence-base of technologies that may be beneficial to training and map these onto both the patient and trainee pathway and (3) make recommendations on the development, assessment, and adoption of novel surgical technologies. The FOS:TEST Commission was formed by the Association of Surgeons in Training (ASiT), The Royal College of Surgeons of England (RCS England) Robotics and Digital Surgery Group and representatives from all trainee specialty associations. Two national datasets provided by Health Education England were used to identify unmet surgical training needs through qualitative analysis against pre-defined coding frameworks. These unmet needs were prioritised at two virtual consensus hackathons and mapped to the patient and trainee pathway and the capabilities in practice (CiPs) framework. The commission received more than 120 evidence submissions from surgeons in training, consultant surgeons and training leaders. Following peer review, 32 were selected that covered a range of innovations. Contributors also highlighted several important key considerations, including the changing pedagogy of surgical training, the ethics and challenges of big data and machine learning, sustainability, and health economics. This summates to 7 Key Recommendations and 51 concluding statements. The FOS:TEST Commission was borne out of what is a pivotal point in the digital transformation of surgical training. Academic expertise and collaboration will be required to evaluate efficacy of any novel training solution. However, this must be coupled with pragmatic assessments of feasibility and cost to ensure that any intervention is scalable for national implementation. Currently, there is no replacement for hands-on operating. However, for future UK and ROI surgeons to stay relevant in a global market, our training methods must adapt. The Future of Surgery: Technology Enhanced Surgical Training Report provides a blueprint for how this can be achieved.

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Section: Executive Summarymentioning

confidence: 99%

Future of Surgery: Technology Enhanced Surgical Training: Report of the FOS:TEST Commission

Adebayo¹,

Aldoori²,

Allum³

et al. 2022

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“…10 This will evaluate the available varying technologies and their suitability for surgical training while establishing a rapid assessment pathway from unmet need through to introduction of novel technologies. 10,11 From a trainee perspective, being able to test, approve and have universal access to technological training solutions within a training programme will minimize variations in access that currently exists.…”

Section: Technologymentioning

confidence: 99%

Current challenges in surgical training – the trainee's perspective

Keates¹,

Burke²,

Giwa³

2021

Surgery (Oxford)

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Though a rewarding career path, the journey of surgical training is not without many challenges. Balancing service provision with training while dealing with the personal and professional devastating effects of a global pandemic has taken its toll on the trainee workforce. In this article, we will discuss the results of the findings of surveys including COVID-STAR, GMC surveys and generated consensus, the Kennedy Report on Equality, Diversity and Inclusion and the implications for surgical training.

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“…These each deliver an annual educational workshop series called the Innovation Programme, together with a portfolio of research studies, summer internships with industry, and a number of hackathons for a range of unmet healthcare needs. [5][6][7] In March 2020, a group of students and early career professionals from the MedTech Foundation recognised an opportunity to contribute to the COVID-19 response. 8 Due to the social distancing measures, running a hackathon via the traditional format was not possible and alternative methods to deliver a virtual hackathon were explored.…”

Section: Medtech Foundationmentioning

confidence: 99%