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Trainee as trainer in paediatric laparoscopic appendicectomy.

L Henderson1, N Patwardhan1, H Dagash1

  • 1Leicester Royal Infirmary, UK.

Annals of the Royal College of Surgeons of England
|May 24, 2024
PubMed
Summary
This summary is machine-generated.

Trainees acting as trainers in laparoscopic appendicectomy cases is safe and effective. This study found comparable outcomes to traditional training, supporting its use in paediatric surgery.

Keywords:
AppendicectomyLaparoscopic surgeryTeachingTraining

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Area of Science:

  • Surgical Education
  • Paediatric Surgery
  • Laparoscopic Procedures

Background:

  • Intraoperative teaching is crucial in surgery.
  • Limited literature exists on trainees functioning as trainers.
  • This study focuses on paediatric laparoscopic appendicectomy cases.

Purpose of the Study:

  • To characterize cases where surgical trainees act as trainers.
  • To evaluate the safety and outcomes of this training model.

Main Methods:

  • Retrospective review of 256 laparoscopic appendicectomies (2015-2017).
  • Categorization of trainees: Core Trainees (CT), Junior Registrars (JR), Senior Registrars (SR).
  • Analysis of trainee-as-trainer (TT) cases, including complexity, timing, and duration.

Main Results:

  • 53 (20.7%) cases were trainee-as-trainer (TT).
  • No statistically significant difference in complications (negative appendicectomies, conversions, readmissions, reoperations) between TT and non-TT cases.
  • TT cases predominantly occurred during working hours (88.7%) and weekdays (94.3%).

Conclusions:

  • Laparoscopic appendicectomy serves as a suitable model for trainee-led surgical training.
  • Careful case selection (simple cases during daylight hours) is key.
  • This training method demonstrates patient safety comparable to published literature.