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Surgical Skills Training Network
1
The Dark Years
Shining a Light on Prevocational Surgical Training IN NSW.
Dr Richard Atkinson – Surgical SRMO
CSTC Trainee Subcommittee
Surgical Skills Training Network
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Introduction
Rationale
Surgical Skills Training Network
Clinical Surgical Training Council (CSTC) Trainee subcommitee
Aims
Results
Where to from here…
Surgical Skills Training Network
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Surgical Skills Training Network
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Med Student
Surgical Skills Training Network
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PGY 1,2
Surgical Skills Training Network
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Registrar
Surgical Skills Training Network
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Fellow
Surgical Skills Training Network
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Consultant’s City
Surgical Skills Training Network
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The Dark Years
Surgical Skills Training Network
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Where are the Dark Years??
Medical Student
PGY1 PGY2
Vocational (registrar) training
Vocation(Consultant)
Surgical Skills Training Network
11Surgical Skills Training Network - NSW
6 Networks across NSW
Metropolitan and rural hospitals within each Network
Rotations available in General Surgery and Surgical Sub-specialities
Differing levels of responsibility: SRMO Registrar
Coordinated and delivered through a partnership between NSW CETI and the surgical networks.
Surgical Skills Training Network
12Clinical Surgical Training Council - Trainee Subcommitee
NSW CSTC – Division of CETI Clinicians and Administration Co-ordination and implementation of
prevocational surgical education and training within NSW
Trainee Subcommittee – JMO voice Specific requirements for prevocational surgical
trainees Concerns and opinions regarding prevocational
training voiced directly to the NSW CSTC PGY 1, 2, 3 +
Surgical Skills Training Network
13Prevocational surgical training - Survey
Aims to assess: Seniority and type of roles Education and training opportunities Most valuable aspects of training Relevance of current training Success
Surgical Skills Training Network
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Demographics
PGY1 – 5
PGY2 – 5
SRMO – 17
Unaccredited Trainees – 6
SET 1 & 2 – 4
Total Responses - 37
HNE – 14
Sydney South West – 7
Northern – 6
Sydney West – 1
East/Great Southern – 7
Southern – 2
Surgical Skills Training Network
15Working at a senior level (registrar)
Surgical Skills Training Network
16What roles were undertaken by the trainee
Surgical Skills Training Network
17Was there a more junior JMO on the team?
Surgical Skills Training Network
18Education and Training Opportunities
Who co-ordinated teaching?
Have you attended Network teaching?
Access to local clinical skills training facilities?
Who do you feel is responsible for your training?
Surgical Skills Training Network
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Co-ordination of teaching
Surgical Skills Training Network
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Attendance
Surgical Skills Training Network
21Access to Local Skills Training Facilities
Surgical Skills Training Network
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Who should be responsible?
??
Surgical Skills Training Network
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Who should be responsible?
Surgical Skills Training Network
24Relevance/Satisfaction of current training
“the way the current interviews are structured, actual registrar experience or surgical prowess is of no benefit”
Surgical Skills Training Network
25Adequacy of access to SET referees?
Surgical Skills Training Network
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Success
Surgical Skills Training Network
27Most valued aspects of surgical training?
Surgical Skills Training Network
28Most valued aspects of surgical training?
Comments: “I felt I learnt more with increased responsibility
than anything else”
“well supervised and supported senior roles”
“mentorship”
“supervised operating”
Surgical Skills Training Network
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Discussion
Surgical skills education is important and is valued by all levels of prevocational trainees
Increased seniority
Increased capacity
Where to from here…..
Surgical Skills Training Network
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The Dark Years
Surgical Skills Training Network
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Surgical SRMO
Unaccredited Trainee
SET Trainee
Surgical FellowConsultant
PGY 2
PGY 1
Surgical Skills Training Network
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Thank you
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