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Emergency Undocking in Robotic Surgery: A Simulation Curriculum
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Modular emergency general surgery training: A pilot study of a novel programme.

R J Egan1, T Abdelrahman1, S Tate1

  • 1Wales Deanery, Neuadd Meirionnydd , Cardiff , UK.

Annals of the Royal College of Surgeons of England
|June 9, 2016
PubMed
Summary

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Emergency general surgery (EGS) training modules significantly increased specialist registrars' (StRs) operative experience and validated assessments. These focused modules are crucial for enhancing surgical training outcomes.

Area of Science:

  • Surgical Education
  • Emergency Medicine
  • Surgical Training

Background:

  • Consensus guidance recommends mandatory emergency general surgery (EGS) training modules for specialist registrars (StRs).
  • The impact of these EGS modules on registrar training requires evaluation.

Purpose of the Study:

  • To evaluate the impact of a focused 4-week EGS module on StRs' surgical training.
  • To assess the number of emergency operations and Procedure Based Assessments (PBAs) performed during the module and the training year.

Main Methods:

  • Eleven StRs participated in a 4-week EGS module alongside standard on-call duties.
  • Data collected included indicative emergency operations and validated PBAs performed.
  • Outcomes were compared between the EGS module period and the entire training year.
Keywords:
Emergency laparotomyEmergency surgerySurgical trainingWork-based assessments

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Main Results:

  • StRs performed a median of 11 laparotomies during the EGS module, contributing over one-third of total emergency laparotomy experience.
  • Significantly more PBAs for laparotomy and colectomy were completed during EGS modules compared to on-call duties (32% vs 14% and 48% vs 22%, respectively).
  • No significant differences in outcomes were observed between junior and senior StRs.

Conclusions:

  • Focused EGS modules substantially enhance specialist registrar training in emergency surgery.
  • These modules provide a significant portion of essential emergency surgical experience and assessment opportunities.
  • The findings offer a baseline for future modular EGS training program development.