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Training in surgical outpatients

C Raine1, T J Crofts, J M Griffiths

  • 1Eastern General Hospital, Edinburgh.

Annals of the Royal College of Surgeons of England
|March 1, 1996
PubMed
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Outpatient training for surgical trainees was assessed. Clinic organization significantly impacts training episodes, with new patients generating more opportunities than follow-up cases, highlighting a need to improve surgical outpatient training.

Area of Science:

  • Medical Education
  • Surgical Training
  • Outpatient Care

Background:

  • Surgical trainees predominantly rotate through outpatient clinics.
  • Current outpatient clinic structures may not optimize training opportunities.
  • The impact of different clinic organizational models on training is not well understood.

Purpose of the Study:

  • To assess the impact of outpatient clinic organization on the training of surgical residents (Senior House Officers - SHOs).
  • To quantify training episodes (TEs) based on patient type (new vs. follow-up) and consultant's clinic structure.

Main Methods:

  • A prospective audit of 32 consecutive outpatient clinics was conducted.
  • Training episodes were defined as joint patient review or direct discussion between trainee and consultant.

Related Experiment Videos

  • Data collected included patient type, trainee involvement, and TE occurrence.

    • Main Results:

    • Out of 550 patients, trainees were involved in 254 (46%), but only 88 (16%) resulted in a training episode.
    • New patients generated significantly more TEs (28%) compared to follow-up patients (7%).
    • Consultant C, who saw a mix of new and follow-up patients, had the highest TE rate (57% for new, 6% for follow-up).

    Conclusions:

    • Outpatient training effectiveness is strongly influenced by clinic organization and patient mix.
    • Follow-up clinics, despite often involving complex cases, generate fewer training episodes.
    • There is a critical need to enhance the attention and structure given to surgical outpatient training.