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Updated: Mar 23, 2026
06:48
Emergency Undocking in Robotic Surgery: A Simulation Curriculum
Published on: May 20, 2018
10.4K
Improving core surgical training in a major trauma centre
Daniel L J Morris1, David J Bryson1, Ben J Ollivere2
1Specialty Registrar in Trauma and Orthopaedic Surgery Queen's Medical Centre, United Kingdom.
Injury
|April 3, 2016
Summary
Implementing a structured rota significantly enhances trauma and orthopaedic (T&O) surgical training in Major Trauma Centres (MTCs). Trainees performed more T&O procedures and completed more assessments, meeting quality indicators.
Area of Science:
- Medical Education
- Surgical Training
- Trauma Surgery
Background:
- Major Trauma Centres (MTCs) in England, established in 2012, face increasing case complexity.
- This complexity impacts the quality of trauma and orthopaedic (T&O) core surgical training.
Purpose of the Study:
- To evaluate if T&O core surgical training in MTCs aligns with Joint Committee on Surgical Training (JCST) quality indicators.
- Specifically assessing operative procedure performance and consultant supervision.
Main Methods:
- An audit assessed the impact of a weekly departmental core surgical trainee rota.
- Intercollegiate Surgical Curriculum Programme (ISCP) records were analyzed for 8 months pre- and post-rota.
- Outcome measures included leading T&O operative procedures and consultant-validated work-based assessments (WBAs).
Main Results:
- The rota significantly increased the mean number of T&O operative procedures led by trainees (20.2 to 34.0).
- Significant increases were noted in hip hemiarthroplasty procedures (0.3 to 2.4).
- The mean number of consultant-validated WBAs completed increased significantly (1.7 to 6.6).
Conclusions:
- A departmental core surgical trainee rota, using a problem-based model, significantly improves T&O core surgical training in MTCs.
- This structured approach enhances both practical experience and assessment completion for trainees.
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