Training structures in trauma and orthopaedic surgery

Gallagher, Kieran; Dawson-Bowling, Sebastian; Nawaz, Zuhair; Cottam, Howard; Miles, Jonathan; Manning, Paul A.; Briggs, Tim

doi:10.1136/bmj.c4791

Cited by 2 publications

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“…A recent survey of orthopaedic trainers in the United Kingdom indicated, however, that only 3% favoured run-through training that would commence directly after the Foundation Years. 34 However, it is also recognised that a large proportion of eventual surgical trainees make their career choice by the end of the first postgraduate year. 6 Therefore, an alternative is to change the generic nature of Foundation Training so that those with an early interest in a surgical career can select appropriate rotations, and show an aptitude for both the technical and non-technical skills required in craft specialties.…”

Section: Discussionmentioning

confidence: 99%

Identifying orthopaedic surgeons of the future

Alvand

Auplish

Khan

et al. 2011

The Journal of Bone and Joint Surgery. British volume

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The aim of this study was to investigate the effect of training on the arthroscopic performance of a group of medical students and to determine whether all students could be trained to competence. Thirty-three medical students with no previous experience of arthroscopy were randomised to a 'Trained' or an 'Untrained' cohort. They were required to carry out 30 episodes of two simulated arthroscopic tasks (one shoulder and one knee). The primary outcome variable was task success at each episode. Individuals achieved competence when their learning curve stabilised. The secondary outcome was technical dexterity, assessed objectively using a validated motion analysis system. Six subjects in the 'Untrained' cohort failed to achieve competence in the shoulder task, compared with one in the 'Trained' cohort. During the knee task, two subjects in each cohort failed to achieve competence. Based on the objective motion analysis parameters, the 'Trained' cohort performed better on the shoulder task (p < 0.05) but there was no significant difference for the knee task (p > 0.05). Although specific training improved the arthroscopic performance of novices, there were individuals who could not achieve competence despite focused training.These findings may have an impact on the selection process for trainees and influence individual career choices.

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Section: Discussionmentioning

confidence: 99%

Identifying orthopaedic surgeons of the future

Alvand

Auplish

Khan

et al. 2011

The Journal of Bone and Joint Surgery. British volume

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“…This pilot was short-lived and did not progress to meaningful evaluation, but the seed for its later re-emergence had been sown. The mixed-economy structure had attracted early criticism that uncoupled trainees would be unfairly disadvantaged, 56 but it was recognized that if the applicants with the best potential for progressing successfully through the training system could be appointed early, the concept had merits.…”

Section: To 2015: the Post-mmc ‘Shape-of-training’ Climatementioning

confidence: 99%

The dawn of a new competency-based training era

James

Gregory

2021

Bone & Joint Open

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The imminent introduction of the new Trauma & Orthopaedic (T&O) curriculum, and the implementation of the Improving Surgical Training initiative, reflect yet another paradigm shift in the recent history of trauma and orthopaedic training. The move to outcome-based training without time constraints is a radical departure from the traditional time-based structure and represents an exciting new training frontier. This paper summarizes the history of T&O training reform, explains the rationale for change, and reflects on lessons learnt from the past. Cite this article: Bone Jt Open 2021;2-3:181–190.

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Training structures in trauma and orthopaedic surgery

Cited by 2 publications

References 0 publications

Identifying orthopaedic surgeons of the future

Identifying orthopaedic surgeons of the future

The dawn of a new competency-based training era

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