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Related Experiment Videos

Training for minor surgery in general practice during preregistration surgical posts.

M Pringle1, J Hasler, P De Marco

  • 1Department of General Practice, Medical School, Queen's Medical Centre, Nottingham.

BMJ (Clinical Research Ed.)
|April 6, 1991
PubMed
Summary

Teaching minor surgery to surgical trainees is often insufficient, with limited structured curricula and less than four hours of weekly instruction. Increased teaching time significantly boosts trainee confidence in essential surgical skills.

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Area of Science:

  • Medical Education
  • Surgical Training
  • Continuing Professional Development

Background:

  • Preregistration house officers (PHOs) in surgery require foundational skills in minor surgical procedures.
  • Assessing the adequacy of current minor surgery training for PHOs is crucial for surgical competency.
  • Understanding the confidence levels of trainees and consultants regarding minor surgical skills is essential for curriculum development.

Purpose of the Study:

  • To evaluate the current practices and effectiveness of teaching minor surgery to preregistration house officers.
  • To assess the self-reported confidence of surgical trainees in performing minor surgical procedures.
  • To compare trainee confidence with consultant expectations regarding minor surgical skills.

Main Methods:

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  • A questionnaire survey was distributed to consultants and first-year general practice vocational trainees across three UK health authorities.
  • The survey collected data on time spent teaching minor surgery, teaching sources, and trainee confidence in 15 specific minor surgical procedures.
  • Data were analyzed from 137 consultants and 139 vocational trainees, representing a high response rate.

    • Main Results:

    • A significant majority of consultants (90) provided less than four hours of minor surgery teaching weekly, and only 14 had a formal curriculum.
    • Trainees reported receiving under two hours of teaching weekly, often from junior registrars rather than consultants.
    • While trainees' confidence exceeded consultant expectations, overall confidence levels in minor surgical skills remained low, correlating positively with increased teaching time.

    Conclusions:

    • The educational role of preregistration house officers in surgery is underutilized, particularly concerning the development of minor surgical skills.
    • There is a clear need for structured curricula and increased teaching hours to enhance PHOs' proficiency in minor surgery.
    • Improving minor surgery training for PHOs is vital for their professional development and patient care.