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Day case surgery training for surgical trainees: a disappearing act?

S Gopakumar1, B Kumar, J Ahmed

  • 1Department of General Surgery, Scunthorpe General Hospital, Cliff Gardens, Scunthorpe, North Lincolnshire DN15 7BH, United Kingdom. sgkumar1@doctors.org.uk

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Modern surgical trainees receive insufficient day case surgery exposure, impacting vital training opportunities. Urgent reviews are needed to improve trainee involvement in this essential surgical modality.

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Area of Science:

  • Surgical Education
  • Day Case Surgery Training

Background:

  • Changes in surgical training, including Modernising Medical Careers, have raised concerns about operative experience.
  • The National Health Service (NHS) aims to increase day case surgery, highlighting the need to assess trainee exposure.

Purpose of the Study:

  • To evaluate the extent of day case surgery exposure for modern surgical trainees in the UK.
  • To understand trainees' perceptions of day case surgery training.

Main Methods:

  • An anonymous electronic questionnaire survey was distributed to 100 surgical trainees across various UK sub-specialties.
  • The survey comprised 16 questions focused on day case surgery exposure.

Main Results:

  • Most trainees recognize day case surgery as crucial for their training.
  • Less than one-third of trainees had formal day case surgery lists, and only 58% could consistently attend.
  • Reasons for non-attendance included rota issues and lack of senior encouragement, leading to 90% dissatisfaction with training.

Conclusions:

  • Modern surgical trainees have low and inconsistent exposure to day case surgery.
  • There is a critical need for a review to enhance trainee involvement in day case surgery training.