Exploring Unexplained Gaps: Prospective Observational Cohort Study of Factors Influencing Core Surgical Training...

Area of Science:

• Surgical Education and Training
• Medical Workforce Development
• Postgraduate Medical Training Assessment

Background:

• Core Surgical Training (CST) is a prerequisite for National Training Numbers (NTN) application in the UK.
• Quantifying differential attainment in surgical training is crucial for understanding selection processes.

Purpose of the Study:

• To quantify differential attainment in UK surgical training.
• To identify factors associated with successful NTN selection directly from CST over a 10-year period (2014-2023).

Main Methods:

• Prospective data collection via Annual Review of Competency Progression (ARCP).
• Analysis of 397 residents within a single UK deanery.
• Primary outcome measure: NTN success.

Main Results:

• Overall NTN success rate was 38.8%.
• Key factors associated with NTN success included: MRCS exam pass, attending an induction bootcamp, higher operative logbook numbers, and participation in the Improved Surgical Training (IST) program.
• Independent predictors for NTN success were: ≥3 learned society communications, operative caseload ≥394, universal ARCP Outcome 1, induction bootcamp attendance, MRCS pass, and IST participation.

Conclusions:

• Differential attainment in securing NTNs is prevalent among surgical trainees.
• Engagement with the CST program, operative experience, and focus on non-operative technical skills are linked to successful NTN outcomes.
• Consistent ARCP Outcome 1 is a significant factor in achieving NTN success.