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Emergency Undocking in Robotic Surgery: A Simulation Curriculum

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Published on: May 20, 2018

Improving knowledge and confidence in foundation doctors during specialty changeover.

Madhav Sanatkumar Dave¹, Shahd Mobarak¹, Harry V M Spiers¹

¹Department of Hepatobiliary and General Surgery, Manchester Royal Infirmary, Manchester University NHS Foundation Trust, Oxford M13 9WL, UK.

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care

|July 17, 2020

Summary

Structured induction programs significantly improve junior doctors' knowledge and confidence in managing complex surgical patients. This essential training enhances patient care and can be adapted for other healthcare professionals.

Keywords:

education general surgery induction quality improvement

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Area of Science:

Medical Education
Surgical Training
Hepatopancreatobiliary Surgery

Background:

Foundation year junior doctors face challenges managing complex patients due to frequent rotations and inadequate induction.
Hepato-pancreatico-biliary (HPB) surgery is a complex specialty where junior doctors often lack sufficient training and confidence.

Purpose of the Study:

To develop and evaluate a structured induction program for junior doctors rotating into HPB surgery.
To assess the program's impact on junior doctors' knowledge and confidence in managing HPB patients.

Main Methods:

Utilized Plan Do Study Act methodology and driver diagrams for program development.
Created a learning resource booklet and delivered a 1-hour teaching session.
Employed pre- and post-session questionnaires and statistical analysis for evaluation.

Main Results:

The structured induction program led to significant improvements in junior doctors' knowledge.
A statistically significant increase in confidence was observed among participating doctors.
The intervention demonstrated a positive and measurable impact on clinical preparedness.

Conclusions:

Clinical induction programs are crucial for enhancing junior doctors' competence and confidence.
Such programs are valuable and necessary for specialized surgical fields like HPB surgery.
Interventions can be extended to allied health professionals and incorporate technology-enhanced learning.