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Ir J Med Sci. 2013 Dec;182(4):589-93. doi: 10.1007/s11845-013-0932-z. Epub 2013 Mar 14.

Higher surgical training opportunities in the general hospital setting; getting the balance right.

Author information

1
Department of Surgery, Mayo General Hospital, Castlebar, Co Mayo, Ireland, irobertson@me.com.

Abstract

BACKGROUND:

The general hospital can play an important role in training of higher surgical trainees (HSTs) in Ireland and abroad. Training opportunities in such a setting have not been closely analysed to date.

AIMS:

The aim of this study was to quantify operative exposure for HSTs over a 5-year period in a single institution.

METHODS:

Analysis of electronic training logbooks (over a 5-year period, 2007-2012) was performed for general surgery trainees on the higher surgical training programme in Ireland. The most commonly performed adult and paediatric procedures per trainee, per year were analysed.

RESULTS:

Standard general surgery operations such as herniae (average 58, range 32-86) and cholecystectomy (average 60, range 49-72) ranked highly in each logbook. The most frequently performed emergency operations were appendicectomy (average 45, range 33-53) and laparotomy for acute abdomen (average 48, range 10-79). Paediatric surgical experience included appendicectomy, circumcision, orchidopexy and hernia/hydrocoele repair. Overall, the procedure most commonly performed in the adult setting was endoscopy, with each trainee recording an average of 116 (range 98-132) oesophagogastroduodenoscopies and 284 (range 227-354) colonoscopies.

CONCLUSIONS:

General hospitals continue to play a major role in the training of higher surgical trainees. Analysis of the electronic logbooks over a 5-year period reveals the high volume of procedures available to trainees in a non-specialist centre. Such training opportunities are invaluable in the context of changing work practices and limited resources.

PMID:
23494706
DOI:
10.1007/s11845-013-0932-z
[Indexed for MEDLINE]
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