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Related Experiment Videos

Training for minor surgery in general practice: is it adequate?

A M Thompson1, K G Park, D R Kelly

  • 1Department of Surgery, Raigmore Hospital, Inverness, UK.

Journal of the Royal College of Surgeons of Edinburgh
|April 1, 1997
PubMed
Summary

Most general practitioners (GPs) in the Scottish Highlands received minor surgery training, but many found it inadequate. Improved training, potentially using skin simulators for teaching and assessment, is desired by GPs.

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Area of Science:

  • Medical Education
  • Surgical Training
  • General Practice

Background:

  • Minor surgery is a key skill for general practitioners (GPs).
  • Assessing the adequacy of surgical training and practice in primary care is crucial for patient safety.
  • Previous studies highlight variations in surgical skills among GPs.

Purpose of the Study:

  • To evaluate the current state of minor surgery training and practice among general practitioners in the Scottish Highlands and Western Isles.
  • To identify perceived deficiencies in surgical training and explore preferences for future training and assessment methods.

Main Methods:

  • A postal questionnaire was distributed to all general practitioners in the Scottish Highlands and Western Isles in 1992.
  • The survey collected data on surgical training received, perceived adequacy, types of operations performed, and desired training/assessment methods.

Related Experiment Videos

  • Statistical analysis, including Chi-square tests, was used to analyze the data.
  • Main Results:

    • 70% of GPs responded, with 74% reporting some minor surgery training, though 43% deemed it inadequate.
    • GPs expressed lower confidence in excising facial lesions compared to trunk lesions (P < 0.001).
    • 86% of GPs desired further training, preferring patient-based (62%) or skin simulator-based (36%) instruction and assessment.

    Conclusions:

    • Despite receiving training, a significant proportion of GPs perceive their minor surgery skills as inadequate.
    • There is a clear demand for enhanced surgical skills training and standardized assessment methods for GPs.
    • Realistic skin simulators show promise as a tool for both teaching and assessing surgical competence in minor procedures.