Surgical training in the 48-h week: a novel simulation and educational tool. From amateur golfer to professional pilot

Papaspyros, Sotiris; Javangula, Kalyana; O’Regan, David

doi:10.1016/j.ejcts.2009.02.052

Cited by 17 publications

(7 citation statements)

References 25 publications

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“…Seventeen tools (50%) in 20 studies were used for the summative evaluation of training programs 23–25 27–29 31–33 50 52 53 59 61 62 64 66–69. Three tools (8.8%) were employed for the formative evaluation of trainees 30 34 70.…”

Section: Resultsmentioning

confidence: 99%

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Assessing the patient safety competencies of healthcare professionals: a systematic review

2011

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BackgroundPatient safety training of healthcare professionals is a new area of education. Assessment of the pertinent competencies should be a part of this education. This review aims to identify the available assessment tools for different patient safety domains and evaluate them according to Miller's four competency levels.MethodsThe authors searched PubMed, MEDLINE, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), Web of Science, psycINFO and the Education Resource Information Center (ERIC) from the start of each database to December 2010 for English-language articles that evaluated or described tools for the assessment of the safety competencies of individual medical and/or nursing professionals. Reports on the assessment of technical, clinical, medication and disclosure skills were excluded.ResultsThirty-four assessment tools in 48 studies were identified: 20 tools for medical professionals, nine tools for nursing professionals, and five tools for both medical and nursing professionals. Twenty of these tools assessed the two highest Miller levels (‘shows how’ and ‘does’) and four tools were directed at multiple levels. Most of the tools that aimed at the higher levels assessed the skills of working in teams (17 tools), risk management (15 tools), and communication (11 tools). Internal structure (reliability, 22 tools) and content validity (14 tools) when described were found to be moderate. Only a small number of tools addressed the relationship between the tool itself and (1) other assessments (concurrent, predictive validity, eight tools), and (2) educational outcomes (seven tools).ConclusionsThere are many tools designed to assess the safety competencies of healthcare professionals. However, a reliable and valid toolbox for summative testing that covers all patient safety domains at Miller's four competency levels cannot yet be constructed. Many tools, however, are useful for formative feedback.

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Section: Resultsmentioning

confidence: 99%

“…Of 19 tools which were used for the summative assessment, six evaluated both content and internal structure 25 38 39 43 46 59 62. Validity evidence for another five tools was not reported 27 50 64 66 69…”

Section: Resultsmentioning

confidence: 99%

Assessing the patient safety competencies of healthcare professionals: a systematic review

2011

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“…Much work has been invested into devising programmes, including postgraduate degrees, utilising such equipment[14] and the results have shown that the skills acquired through simulation training are transferable to the operating theatre[15,16]. Structured training for specific procedures using simulation equipment does shorten the learning curve for laparoscopic procedures on real patients[17,18], however, the availability of virtual reality training equipment will be limited in many units and therefore it is difficult to know how a teaching programme with simulation as its foundation will be possible for the majority of trainees in regions such as the West Midlands.…”

Section: Discussionmentioning

confidence: 99%

Is gynaecological surgical training a cause for concern? A questionnaire survey of trainees and trainers

Moss¹,

Bredaki²,

Jones

et al. 2011

BMC Med Educ

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AstractBackgroundConcerns have been raised as to whether the current postgraduate training programme for gynaecological surgery is being detrimentally affected by changes in working practices, in particular the European Working Time Directive (EWTD). The purpose of this study was to investigate the surgical activity of obstetrics and gynaecology trainees and to explore trainees' and trainers' opinions on the current barriers and potential solutions to surgical training.MethodsTwo questionnaire surveys were conducted, one to obstetrics and gynaecology trainees working within the West Midlands Deanery and a second to consultant gynaecologists in the West Midlands region.ResultsOne hundred and four trainees (64.3%) and 66 consultant gynaecologists (55.0%) responded. Sixty-six trainees (66.7%) reported attending up to one operating list per week. However, 28.1% reported attending up to one list every two weeks or less and 5 trainees stated that they had not attended a list at all over the preceding 8 weeks. Trainees working in a unit with less than 3999 deliveries attended significantly more theatre sessions compared to trainees in units with over 4000 deliveries (p = 0.007), as did senior trainees (p = 0.032) and trainees attached to consultants performing major gynaecological surgery (p = 0.022). In the previous 8 weeks, only 6 trainees reported performing a total abdominal hysterectomy independently, all were senior trainees (ST6 and above). In the trainers' survey, only two respondents (3.0%) agreed that the current program produces doctors competent in general gynaecological surgery by the end of training, compared to 48 (73.8%) respondents who disagreed.ConclusionsTrainees' concerns over a lack of surgical training appear to be justified. The main barriers to training are perceived to be a lack of team structure and a lack of theatre time.

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“…The rapid changes occurring in our specialty with the advent of new procedures with greater potential to contemplate the desires and needs described above, and also the dispute of these new treatment methods among professionals in other related areas, become them imperative to broaden the opportunities for qualification of our surgeons [7].…”

Section: Introductionmentioning

confidence: 99%

Hands on as Educational Process in Cardiovascular Surgery

Barbosa¹,

Brandão²,

Nina³

2014

Cardiac Surgery - A Commitment to Science, Technology and Creativity

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Surgical training in the 48-h week: a novel simulation and educational tool. From amateur golfer to professional pilot

Abstract: Ergonomics and crew resource management skills are essential for a safe operating environment. The PAR matrix may prove helpful in selection of trainees and revalidation of trainee surgeons as a competence and performance testing method, placed in the appropriate training curriculum.

Cited by 17 publications

References 25 publications

Assessing the patient safety competencies of healthcare professionals: a systematic review

Assessing the patient safety competencies of healthcare professionals: a systematic review

Is gynaecological surgical training a cause for concern? A questionnaire survey of trainees and trainers

Hands on as Educational Process in Cardiovascular Surgery

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