BACKGROUND: The general hospital can play an important role in training of higher surgical trainees (HSTs) in Ireland and abroad. Training opportunities in such a setting have not been closely analysed to date. AIMS: The aim of this study was to quantify operative exposure for HSTs over a 5-year period in a single institution. METHODS: Analysis of electronic training logbooks (over a 5-year period, 2007-2012) was performed for general surgery trainees on the higher surgical training programme in Ireland. The most commonly performed adult and paediatric procedures per trainee, per year were analysed. RESULTS: Standard general surgery operations such as herniae (average 58, range 32-86) and cholecystectomy (average 60, range 49-72) ranked highly in each logbook. The most frequently performed emergency operations were appendicectomy (average 45, range 33-53) and laparotomy for acute abdomen (average 48, range 10-79). Paediatric surgical experience included appendicectomy, circumcision, orchidopexy and hernia/hydrocoele repair. Overall, the procedure most commonly performed in the adult setting was endoscopy, with each trainee recording an average of 116 (range 98-132) oesophagogastroduodenoscopies and 284 (range 227-354) colonoscopies. CONCLUSIONS: General hospitals continue to play a major role in the training of higher surgical trainees. Analysis of the electronic logbooks over a 5-year period reveals the high volume of procedures available to trainees in a non-specialist centre. Such training opportunities are invaluable in the context of changing work practices and limited resources.
BACKGROUND: The general hospital can play an important role in training of higher surgical trainees (HSTs) in Ireland and abroad. Training opportunities in such a setting have not been closely analysed to date. AIMS: The aim of this study was to quantify operative exposure for HSTs over a 5-year period in a single institution. METHODS: Analysis of electronic training logbooks (over a 5-year period, 2007-2012) was performed for general surgery trainees on the higher surgical training programme in Ireland. The most commonly performed adult and paediatric procedures per trainee, per year were analysed. RESULTS: Standard general surgery operations such as herniae (average 58, range 32-86) and cholecystectomy (average 60, range 49-72) ranked highly in each logbook. The most frequently performed emergency operations were appendicectomy (average 45, range 33-53) and laparotomy for acute abdomen (average 48, range 10-79). Paediatric surgical experience included appendicectomy, circumcision, orchidopexy and hernia/hydrocoele repair. Overall, the procedure most commonly performed in the adult setting was endoscopy, with each trainee recording an average of 116 (range 98-132) oesophagogastroduodenoscopies and 284 (range 227-354) colonoscopies. CONCLUSIONS: General hospitals continue to play a major role in the training of higher surgical trainees. Analysis of the electronic logbooks over a 5-year period reveals the high volume of procedures available to trainees in a non-specialist centre. Such training opportunities are invaluable in the context of changing work practices and limited resources.
Authors: Adrianne Seiler; Paul Visintainer; Richard Brzostek; Michael Ehresman; Evan Benjamin; Winthrop Whitcomb; Michael B Rothberg Journal: J Hosp Med Date: 2011-10-31 Impact factor: 2.960
Authors: Andrew D Auerbach; Robert M Wachter; H Quinny Cheng; Judith Maselli; Michael McDermott; Eric Vittinghoff; Mitchel S Berger Journal: Arch Intern Med Date: 2010-12-13
Authors: G J Nason; F O'Kelly; M J Burke; A Aslam; M E Kelly; C M Akram; S K Giri; H D Flood Journal: Ir J Med Sci Date: 2014-06-07 Impact factor: 1.568