Lost opportunity cost of surgical training in the Australian private sector

Aitken, R J

doi:10.1111/j.1445-2197.2011.05968.x

Cited by 14 publications

(11 citation statements)

References 27 publications

(53 reference statements)

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“…A possible path to advancing flexible training through a stand-alone model is through private hospital rotations, which are a focus of increasing interest in Australasia. 18 Private sector training imposes opportunity costs on surgeon and hospital income, 19 which could be partly offset by these positions being part-time, if quality operating exposure could be assured. Jobsharing in acute surgical units offers an opportunity to mitigate impacts on continuity of care, as scheduled handovers occur continuously during the 24-hour acute care model.…”

Section: Discussionmentioning

confidence: 99%

Supply and demand mismatch for flexible (part‐time) surgical training in Australasia

McDonald

Jeeves

Vasey

et al. 2013

Medical Journal of Australia

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Section: Discussionmentioning

confidence: 99%

Supply and demand mismatch for flexible (part‐time) surgical training in Australasia

McDonald

Jeeves

Vasey

et al. 2013

Medical Journal of Australia

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“…Eleven articles used frameworks for financial assessment. (20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30) The frameworks were applied in the context of either patient services (21,22,24,25,29) or non-clinical services (Pharmacy benefit management, (26) biobanks and clinical research support, (20,28) gene, radiation, and cell therapy (23,27)).…”

Section: Financial Assessmentmentioning

confidence: 99%

“…Data included quantitative analysis of financial data (revenue and cost) (25,26,29) or a combination of literature reviews and interviews. (23,24,30) The outcomes when using the frameworks were differentiation between reimbursement models (21,22,30) or determination of the financial viability of a service offering. (20,(23)(24)(25)(26)(27)(28)…”

Section: Financial Assessmentmentioning

confidence: 99%

Business model framework applications in health care: A systematic review

Fredriksson

Mazzocato

Rafiq

et al. 2017

Health Serv Manage Res

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It has proven to be a challenge for health care organizations to achieve the Triple Aim. In the business literature, business model frameworks have been used to understand how organizations are aligned to achieve their goals. We conducted a systematic literature review with an explanatory synthesis approach to understand how business model frameworks have been applied in health care. We found a large increase in applications of business model frameworks during the last decade. E-health was the most common context of application. We identified six applications of business model frameworks: business model description, financial assessment, classification based on pre-defined typologies, business model analysis, development, and evaluation. Our synthesis suggests that the choice of business model framework and constituent elements should be informed by the intent and context of application. We see a need for harmonization in the choice of elements in order to increase generalizability, simplify application, and help organizations realize the Triple Aim.

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“…Compounding this, some healthcare providers, concerned that the operating theatre is an extremely expensive learning environment, are seeking ‘non‐teaching’ operating lists. Operations performed by trainees and unsupervised junior consultants can take longer and therefore cost significantly more than those performed by consultants …”

Section: Driversmentioning

confidence: 99%

Acquiring surgical skills: the role of the Royal Australasian College of Surgeons

Perry

Oldfield

2013

ANZ Journal of Surgery

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Contemporary surgeons are expected to develop and maintain competence across a range of skills far broader than that demanded of last century's surgeons. This is increasingly difficult to achieve in a competitive clinical environment in which the effectiveness of the traditional apprenticeship model can be compromised. New training paradigms must be found to ensure that the quality of surgical training is maintained and enhanced. Acquiring technical skills in the operating theatre is expensive, but training using simulations in the skills laboratory is gaining credibility and validity as a means to augment the clinical experience and accelerate training. The emerging role of surgical skills courses extends to training in behaviour and attitude. At the same time, there is a rapidly growing demand for training courses in technical surgical skills, particularly from prevocational trainees aspiring to enter surgical training. This group has been neglected by the new Surgical Education and Training programme, and re-engagement with them is now a priority. Most skills courses rely on surgeons willing to teach pro bono, and paying tutors would impose a significant additional cost on surgical training. However, recruiting enough fellows to meet the demand for tutors remains a challenge. The Royal Australasian College of Surgeons is actively engaged in supporting and developing skills training courses and programmes to address the range of skills required for surgical competence.

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Lost opportunity cost of surgical training in the Australian private sector

Abstract: It is unlikely that surgeons or hospitals will be prepared to absorb these costs. There needs to be a public debate about the funding implications of surgical training in the private sector.

Cited by 14 publications

References 27 publications

Supply and demand mismatch for flexible (part‐time) surgical training in Australasia

Supply and demand mismatch for flexible (part‐time) surgical training in Australasia

Business model framework applications in health care: A systematic review

Acquiring surgical skills: the role of the Royal Australasian College of Surgeons

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