Improving core surgical training in a major trauma centre
| Autor: | Ben J. Ollivere, David J. Bryson, Daniel L.J. Morris, D. P. Forward |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Educational measurement 030230 surgery 03 medical and health sciences 0302 clinical medicine Trauma Centers Fracture fixation medicine Humans Orthopedic Procedures 030212 general & internal medicine Quality Indicators Health Care General Environmental Science Dynamic hip screw Core (anatomy) Multiple Trauma business.industry Major trauma Problem-Based Learning medicine.disease Quality Improvement United Kingdom Orthopedics medicine.anatomical_structure Education Medical Graduate Orthopedic surgery Physical therapy General Earth and Planetary Sciences Clinical Competence Educational Measurement Ankle business Logbook |
| Zdroj: | Injury. 47:1202-1205 |
| ISSN: | 0020-1383 |
| DOI: | 10.1016/j.injury.2016.03.013 |
| Popis: | Introduction English Major Trauma Centres (MTCs) were established in April 2012. Increased case volume and complexity has influenced trauma and orthopaedic (T&O) core surgical training in these centres. Objectives To determine if T&O core surgical training in MTCs meets Joint Committee on Surgical Training (JCST) quality indicators including performance of T&O operative procedures and consultant supervised session attendance. Methods An audit cycle assessing the impact of a weekly departmental core surgical trainee rota. The rota included allocated timetabled sessions that optimised clinical and surgical learning opportunities. Intercollegiate Surgical Curriculum Programme (ISCP) records for T&O core surgical trainees at a single MTC were analysed for 8 months pre and post rota introduction. Outcome measures were electronic surgical logbook evidence of leading T&O operative procedures and consultant validated work-based assessments (WBAs). Results Nine core surgical trainees completed a 4 month MTC placement pre and post introduction of the core surgical trainee rota. Introduction of core surgical trainee rota significantly increased the mean number of T&O operative procedures led by a core surgical trainee during a 4 month MTC placement from 20.2 to 34.0 ( p The mean number of hip hemiarthroplasty procedures led by a core surgical trainee during a 4 month MTC placement was significantly increased (0.3 vs 2.4 [ p = 0.04]). Those of dynamic hip screw fixation (2.3 vs 3.6) and ankle fracture fixation (0.7 vs 1.6) were not. Introduction of a core surgical trainee rota significantly increased the mean number of consultant validated WBAs completed by a core surgical trainee during a 4 month MTC placement from 1.7 to 6.6 ( p Conclusions Introduction of a departmental core surgical trainee rota utilising a ‘problem-based’ model can significantly improve T&O core surgical training in MTCs. |
| Databáze: | OpenAIRE |
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