The United Kingdom and Ireland Trauma &amp; Orthopaedic eLogbook—An evidence base for enhancing training

Jameson, Simon; Gupta, Sanjay; Lamb, Andrew; Sher, J. L.; Wallace, W. Angus; Reed, Mike

doi:10.1016/j.surge.2011.04.006

Cited by 7 publications

(4 citation statements)

References 14 publications

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“…10 The results of this investigation reveal that although there has been a significant increase in upper extremity trauma and pelvic trauma reported by residents over a 5-year period, a substantial variability in resident case volume in orthopedic trauma still exists. The variability that was observed between the 10 th percentile and 90 th percentile is the most concerning from a resident training standpoint.…”

Section: Discussionmentioning

confidence: 80%

Variability in trauma case volume in orthopedic surgery residents

et al. 2017

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Orthopedic trauma surgery is a critical component of resident education. Surgical case logs obtained from the Accreditation Council of Graduate Medical Students from 2009 to 2013 for orthopedic surgery residents were examined for variability between the 90th and 10th percentiles in regards to the volume of cases performed. There was an upward trend in the mean number of cases performed by senior residents from 484.4 in 2009 to 534.5 in 2013, representing a 10.3% increase. There was a statistically significant increase in the number of cases performed for humerus/elbow, forearm/wrist, and pelvis/hip during this period (P<0.05). Although the difference between the 10th and 90th percentile case volumes narrowed over the study period, the difference between these groups remained significant in 2013 (P=0.02). In 2013, all categories of trauma cases had a greater than 2.2-fold difference between the 10th and 90th percentile of residents for numbers of trauma cases performed. Although case volume is not the sole determinant of residency education and competency, evidence suggests that case volume plays a crucial role in surgeon confidence and efficiency in performing surgery. Further studies are needed to better understand the effect of this variability seen among residents performing orthopedic trauma surgery.

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Section: Discussionmentioning

confidence: 80%

Variability in trauma case volume in orthopedic surgery residents

et al. 2017

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“…El Reino Unido dispone de un registro electró nico centralizado en la web http://www.elogbook.org, accesible a diferentes especialidades quirú rgicas (online y a travé s de dispositivos mó viles), de uso obligado por los residentes desde 2003, y controlado por el Real Colegio de Cirujanos de Edimburgo [8][9][10] . A diferencia del LIRQ, el eLogbook registra operaciones completadas y no procedimientos, lo que es considerado un punto dé bil en los trabajos realizados acerca de eLogbook, sin embargo, sí que tienen cuidado en registrar el nivel de participació n (p.…”

Section: Discusió Nunclassified

“…Los datos registrados sirven para generar informes individuales o globales, los cuales se revisan y comentan 2 veces al añ o, del mismo modo que realizamos en nuestro servicio. Actualmente, má s de 22.000 cirujanos del Reino Unido, de diferentes especialidades quirú rgicas, usan el eLogbook y hay registradas má s de 10 millones de intervenciones quirú rgicas [8][9][10] .…”

Section: Discusió Nunclassified

Libro informático del residente de cirugía: Un paso adelante

et al. 2015

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“…Integration of electronic logbooks (eLogbooks) into surgical training curricula has enabled the production of large standardised and centralised datasets [11]. Whilst there have been a number of publications that have studied the use of eLogbooks for surgical training in high-income countries, few have studied their use in Sub-Saharan Africa or in other LMICs, and none have specifically looked at eLogbooks in the context of paediatric surgical trainees [11][12][13][14][15][16][17][18][19][20][21].…”

Section: Introductionmentioning

confidence: 99%

Analysing the Operative Experience of Paediatric Surgical Trainees in Sub‐Saharan Africa Using a Web‐Based Logbook

et al. 2020

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Background The expansion of local training programmes is crucial to address the shortages of specialist paediatric surgeons across Sub-Saharan Africa. This study assesses whether the current training programme for paediatric surgery at the College of Surgeons of East, Central and Southern Africa (COSECSA) is exposing trainees to adequate numbers and types of surgical procedures, as defined by local and international guidelines. Methods Using data from the COSECSA web-based logbook, we retrospectively analysed numbers and types of operations carried out by paediatric surgical trainees at each stage of training between 2015 and 2019, comparing results with indicative case numbers from regional (COSECSA) and international (Joint Commission on Surgical Training) guidelines. Results A total of 7,616 paediatric surgical operations were recorded by 15 trainees, at different stages of training, working across five countries in Sub-Saharan Africa. Each trainee recorded a median number of 456 operations (range 56–1111), with operative experience increasing between the first and final year of training. The most commonly recorded operation was inguinal hernia (n = 1051, 13.8%). Trainees performed the majority (n = 5607, 73.6%) of operations recorded in the eLogbook themselves, assisting in the remainder. Trainees exceeded both local and international recommended case numbers for general surgical procedures, with little exposure to sub-specialities. Conclusions Trainees obtain a wide experience in common and general paediatric surgical procedures, the number of which increases during training. Post-certification may be required for those who wish to sub-specialise. The data from the logbook are useful in identifying individuals who may require additional experience and centres which should be offering increased levels of supervised surgical exposure.

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The United Kingdom and Ireland Trauma & Orthopaedic eLogbook—An evidence base for enhancing training

Cited by 7 publications

References 14 publications

Variability in trauma case volume in orthopedic surgery residents

Variability in trauma case volume in orthopedic surgery residents

Libro informático del residente de cirugía: Un paso adelante

Analysing the Operative Experience of Paediatric Surgical Trainees in Sub‐Saharan Africa Using a Web‐Based Logbook

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