Ileal schwannomas are extremely rare tumours. Very few cases have been previously reported. Most cases present with abdominal pain and gastrointestinal bleeding; intussusception is a rare presentation. Due to limitations in imaging modalities, arriving at a diagnosis preoperatively can be challenging. The only reliable method of diagnosis, and treatment, is resection of the tumour, followed by histological and immunohistochemical testing. This report details the rare case of intussusception as the presenting feature of an ileal schwannoma.
Aims
From the start of the coronavirus pandemic, it became clear that the traditional deanery teaching model for higher surgical trainees had to change. Face-to-face lectures and tutorials are not appropriate in light of UK government measures, social distancing and reduced non-essential travel. To replace deanery teaching days we established a once weekly programme of evening tutorials, delivered via Zoom by Consultant surgeons, covering a breadth of general surgical specialities. Each session was archived and a secure digital link provided for trainees to watch later if necessary. We conducted a survey of higher surgical trainees to assess response.
Methods
A 10-question web survey distributed to all general surgery trainees in West KSS. 24/38 trainees responded (response rate 63.2%).
Results
75% rated the teaching as very or extremely useful. Commute, personal responsibilities and late theatre/ clinic sessions were barriers to joining teaching live. 71% found it very or extremely enjoyable. 78% found it at least as good as traditional teaching days. 87% found it very or extremely relevant to their development as a surgeon. 42% would prefer the Zoom format was utilised for longer sessions, to further recreate the traditional teaching "day".
Conclusions
Feedback was broadly positive and the tutorials were well received, but probably need to run less frequently than once a week. Half day sessions could be considered. The teaching quality was rated overall better or at least as good as in-person teaching. There appears to be clear benefit in detailed, reflective surgical teaching delivered efficiently via Zoom.
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