Early years postgraduate surgical training programmes in the UK are failing to meet national quality standards: An analysis from the ASiT/BOTA Lost Tribe prospective cohort study of 2,569 surgical trainees

Abstract

Only four early years postgraduate surgical training posts in the UK meet nationally approved minimum quality standards. Specific recommendations are made to improve training in this cohort and to bolster recruitment and retention into Higher Surgical Training.

Scratching beneath the surface: How organisational culture influences curricular reform

“…However, although empirical studies evaluating change/curricular reform in medical education often invoke culture to explain their observations, [27][28][29] these studies have been criticised for insufficiently acknowledging faculty traditions and values. 9 Others suggest that medical education scholars have overlooked theory-informed approaches to demystify the word 'culture'.…”

Summative Supervisor Reporting: A Quality Performance Perspective

“…Core Surgical Training has come under increased scrutiny in recent years; trainee satisfaction has been low, with infrequent operative training identified as one of the most significant concerns. 25 In addition this cohort of trainees appears to be particularly susceptible to stress and burnout, of likely multifactorial aetiology. 26 It is in response to such concerns that the Improving Surgical Training pilot has been initiated.…”

Supporting laparoscopic general surgery training with digital technology: The United Kingdom and Ireland paradigm

“…Enhancing surgical experience in early training, could have a positive effect on the recruitment and retention of doctors into higher surgical training and increase the rate of skill acquisition in senior trainees [14]. Training issues and potential digital solutions are summarised in Table 2 and a surgical training timeline is proposed for using these digital solutions in Fig.…”

“…In 2017 a survey of 902 core surgical 0.3% of respondents' posts adhered to all JCST generic quality indicators [9]. In general surgery, a 18.9% adherence was reported to the quality indicators; "Attend three supervised operating sessions (one of which should be an emergency session)" and "two supervised outpatient clinics each week" [14]. Failure to achieve quality indicators may put trainees who continue to higher surgical training in an inferior position to their peers by training inequality.…”