Trauma experience in the UK and Ireland: Analysis of orthopaedic training using the FHI eLogbook

Jameson, Simon; Lamb, Andrew; Wallace, W. Angus; Sher, J. L.; Marx, Clare; Reed, Mike

doi:10.1016/j.injury.2008.03.030

Cited by 21 publications

(15 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…For external fixation, however, a more graded increase in non-assistant role is seen with less experienced trainees performing fewer procedures than their senior colleagues. 26 This is in contrast to that seen within this study, where both groups follow a similar pattern. The operative status for external fixation reported in this study reflects trainees performing more procedures as lead surgeon role than for nailings.…”

Section: Training In the Practical Application Of Damage Control And contrasting

confidence: 99%

See 1 more Smart Citation

Training in the practical application of damage control and early total care operative philosophy – perceptions of UK orthopaedic specialist trainees

Eardley¹,

Taylor²,

Parker

2010

annals

View full text Add to dashboard Cite

INTRODUCTION Despite improvements in the outcome of individuals sustaining significant injury, the optimum management of fractures in traumatised patients remains an area of debate and publication. There is, however, a paucity of studies regarding the specifics of acquired experience and training of junior orthopaedic surgeons in the practical application of these skills. Our null hypothesis is that, despite alteration in surgical training, the perceived confidence and adequacy of training of UK orthopaedic specialist trainees in the application of damage control orthopaedics (DCO) and early total care (ETC) philosophy is unaffected. PATIENTS AND METHODS A web-based survey was sent to a sample of orthopaedic trainees. From 888 trainees, 222 responses were required to achieve a 5% error rate with 90% confidence. RESULTS A total of 232 responses were received. Trainees reported a high level of perceived confidence with both external fixation and intramedullary devices. Exposure to cases was sporadic although perceived training adequacy was high. A similar pattern was seen in perceived operative role with the majority of trainees expecting to be performing such operations, albeit under varying levels of supervision. In a more complicated case of spanning external fixation for a ‘floating knee, trainees reported a decreased level of perceived confidence and limited exposure. One-third of trainees reported never having been involved in such a case. In contrast to nationally collated logbook data, exposure to and perceived confidence in managing cases involving ETC and DCO were similar. CONCLUSIONS Despite changes in the training of junior orthopaedic surgeons, trainee-reported confidence and adequacy of training in the practical application of DCO and ETC was high. Exposure to cases overall was, however, seen to be limited and there was a suggestion of disparity between current operative experiences of trainees and that recorded in the national trainee logbook.

show abstract

Section: Training In the Practical Application Of Damage Control And contrasting

confidence: 99%

“…25 Findings from the e-logbook demonstrate that trainees are currently performing a third less external fixator applications than intramedullary nailings. 26 In this series, expected case-load for nailing is indeed higher, but not to the magnitude recorded in the logbook.…”

Section: Training In the Practical Application Of Damage Control And mentioning

confidence: 56%

Training in the practical application of damage control and early total care operative philosophy – perceptions of UK orthopaedic specialist trainees

Eardley¹,

Taylor²,

Parker

2010

annals

View full text Add to dashboard Cite

show abstract

“…The average third-year trainee performs only 13 extracapsular hip fracture fixations annually. 15 Given these concerns, it is encouraging to see that patients' exposure by junior surgeons to radiation in 2009-2010 compares well with that of the patients in the 1996-1997 study by Giannoudis et al -0.65 Gy cm 2 operating on two-and threepart fractures in the former, compared with 2.2 Gy cm 2 operating on two-part fractures in the latter. 3 We acknowledge that possible confounding factors between these studies (from two separate centres) include varied supervision levels of trainees, radiographer experience and C-arm performance.…”

Section: Radiation Exposure Versus Fracture Fragment Number Figurementioning

confidence: 89%

Radiation Exposure During Internal Fixation of Extracapsular Femoral Neck Fractures by Today's Trainees

Rushton

Srinivasan

2013

Bulletin

View full text Add to dashboard Cite

The use of intraoperative fluoroscopy screening is often crucial to the success of fracture fixation in orthopaedic trauma surgery. Given the possible link to carcinogenesis as well as other complications, limited exposure to and protection from radiation is mandated both for staff and patients. Governing bodies in several countries, including the UK, dictate that exposures be kept as low as reasonably practicable.

show abstract

“…The Royal College of Surgeons of Edinburgh (RCSEd) initially developed the Faculty of Health Informatics (FHI) eLogbook in collaboration with the British Orthopaedic Association, used by every trauma and orthopaedics trainee since 2003. 16 As of January 2006 it has been a Pan Speciality eLogbook in the UK and Ireland. 17 Trainees can record operations and CPD credits and the logbook is used by trainers to inform appraisals, for reports in support of future re-validation or re-certification.…”

Section: Effectivenessmentioning

confidence: 99%

“…21 We could find no studies which looked at trainees' opinions on these systems but the FHI logbook is currently being used by over 11,000 surgeons. The eLogbook Validation and Audit Committee (eVAC) and FHI 16,19 reported the FHI logbook to be a very effective tool for the appraisal of surgical trainees, trainers and deanery programmes.…”

Section: Effectivenessmentioning

confidence: 99%

A survey of Core Medical Trainees’ opinions on the ePortfolio record of educational activities: beneficial and cost-effective?

Johnson¹,

Cai²,

Riley³

et al. 2012

J R Coll Physicians Edinb

View full text Add to dashboard Cite

Trauma experience in the UK and Ireland: Analysis of orthopaedic training using the FHI eLogbook

Cited by 21 publications

References 4 publications

Training in the practical application of damage control and early total care operative philosophy – perceptions of UK orthopaedic specialist trainees

Training in the practical application of damage control and early total care operative philosophy – perceptions of UK orthopaedic specialist trainees

Radiation Exposure During Internal Fixation of Extracapsular Femoral Neck Fractures by Today's Trainees

A survey of Core Medical Trainees’ opinions on the ePortfolio record of educational activities: beneficial and cost-effective?

Contact Info

Product

Resources

About