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Core training and surgical opportunities: A UK-based analysis.

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Over one third of surgical trainees do not meet the annual procedure requirement. Age and training region significantly impact operative experience for junior surgical residents.

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Area of Science:

  • Surgical Education
  • Medical Training
  • Competency Assessment

Background:

  • COVID-19 pandemic, new curriculum, and work hour directives reduced surgical exposure for trainees.
  • Analysis of operative experience for Phase 1 trainees (CT1/ST1 vs. CT2/ST2) is crucial.
  • The Annual Review of Competence Progression (ARCP) sets a benchmark of 120 procedures yearly.

Purpose of the Study:

  • To analyze the operative experience of Phase 1 surgical trainees.
  • To assess adherence to the ARCP criterion of 120 procedures annually.
  • To identify factors influencing surgical case numbers in junior trainees.

Main Methods:

  • National survey conducted in October 2021.
  • Study endpoint: completion of >4 weekly procedures (equivalent to 120 cases/year).
  • Statistical analysis included Chi-square test and multivariate regression.

Main Results:

  • 205 trainees participated; 48.3% were CT1/ST1, 51.7% were CT2/ST2.
  • 39.4% of CT1/ST1 and 22.6% of CT2/ST2 performed <4 weekly procedures (P=0.01).
  • Older age and southern deaneries were factors for lower case numbers in CT1/ST1; northern regions showed better training for CT2/ST2.

Conclusions:

  • Over one-third of Phase 1 trainees do not meet the ARCP requirement of >120 procedures annually.
  • Age and geographic region of training are independent factors affecting logbook case numbers.
  • Ensuring adequate operative experience is vital for developing surgical competencies and patient outcomes.