Operating theatre related syncope in medical students: a cross sectional study

Area of Science:

• Medical Education
• Surgical Training
• Student Health

Background:

• Observing surgical procedures is vital for medical student development.
• Operating theatre syncope may negatively impact students' perception of surgery.
• This study investigates the prevalence, causes, and impact of syncope in medical students during surgical placements.

Purpose of the Study:

• To determine the frequency of operating theatre syncope among medical students.
• To identify common causes and contributing factors for syncope.
• To assess the impact of syncope on surgical career intentions and explore preventative measures.

Main Methods:

• A 20-item anonymous questionnaire was distributed to penultimate and final year medical students at a UK medical school.
• Data was collected via the University IT system and personal approach.
• Statistical analysis was performed using SPSS version 15.0.

Main Results:

• 12% of surveyed students (77/630) reported experiencing syncope or near-syncope in the operating theatre.
• A significant gender disparity was observed, with 88% of affected students being female.
• Common triggers included hot temperatures (79%), prolonged standing (73%), surgical masks (47%), and diathermy (23%).
• Preventative measures like pre-theatre hydration (61%) and leg movement (18%) were effective.

Conclusions:

• Operating theatre syncope is a common issue among medical students, influenced by specific environmental and personal factors.
• Syncope can deter students from pursuing surgical careers, necessitating targeted interventions.
• Recommendations include incorporating syncope education into surgical teaching prior to theatre experience.