Use of the eLogbook in surgical training in the United Kingdom: A nationwide survey and consensus recommendations from the Association of Surgeons in Training

Beamish, A.J.; Johnston, Michael; Fitzgerald, J Edward; Humm, Gemma; Rabie, Mohamed; Ali, Oroog; Burke, Joshua; Clements, Joshua; Cubas, Vanessa; Fleming, Christina; Giwa, Lolade; Glasbey, James; Gokani, Vimal J.; Gonzi, Gianluca; Harries, Rhiannon; Hughes, Katie; Kane, Elizabeth; MacLeod, Kirsty; Manook, Miriam; Mohan, Helen; Nally, Deirdre; Pucher, Philip H.; Sahnan, Kapil; Shelton, Fenella; Srikandarajah, Nisaharan; Stovell, Matthew G; Thaventhiran, Anthony; Walker, Nathan; Wilkins, Alex

doi:10.1016/j.ijsu.2020.02.045

Cited by 13 publications

(19 citation statements)

References 12 publications

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“…Phillips et al (2015) surveyed surgical trainers only, 52 while Basu et al (2013) surveyed surgical residents, residents from medicine, paediatrics, general practice and emergency medicine, and trainers from both surgery and medicine 53 . Five studies included study participants from all surgical subspecialties 28,43,45,47,50 . Eleven studies recruited from General surgery, 4,34,35,37–42,46,52 six from orthopaedic surgery, 29–31,33,36,48 and four from otolaryngology 27,32,44,51 .…”

Section: Resultsmentioning

confidence: 99%

Assessing Operative Skill in the Competency-based Education Era

2021

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Introduction:Decisions regarding the operative competence of surgical residents in the United Kingdom and Ireland are informed by operative workplace-based assessments (WBAs) and operative number targets for index procedures. This review seeks to outline the validity evidence of these assessment methods.Methods:A review of the MEDLINE (Pubmed), EMBASE and Cochrane Library databases was undertaken in accordance with the Joanna Briggs Institute Protocol for Scoping Reviews (2020). Articles were included if they provided evidence of the validity of procedure-based assessments, direct observation of procedural skills, or indicative operative number targets. The educational impact of each article was evaluated using a modified Kirkpatrick model.Results:Twenty-eight articles outlining validity evidence of WBAs and operative number targets were synthesised by narrative review. Five studies documented users’ views on current assessment methods (Kirkpatrick level 1). Two articles recorded changes in attitudes towards current operative assessments (level 2a). Ten studies documented the ability of current assessments to record improvements in operative competence (level 2b). Ten studies measured a change in behaviour as a result of the introduction of these assessments (level 3). One article studied the ability of operative assessments to predict clinical outcomes (level 4b).Conclusions:Operative WBAs are reliable. Scores achieved correlate with both time spent in training and recorded operative experience. Trainers and residents have concerns regarding the subjectivity of these assessments and the opportunistic nature in which they are used. Operative number targets are not criterion-referenced, lack validity evidence, and may be set too low to ensure operative competence.

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Section: Resultsmentioning

confidence: 99%

Assessing Operative Skill in the Competency-based Education Era

2021

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“…The reduction in elective operating as a result of the COVID-19 pandemic has meant that trainees have been forced to look for other opportunities to maintain and develop technical skills [ 22 ]. In addition to this, there is growing evidence of the benefits of practicing surgical skills in a simulated setting prior to theatre.…”

Section: Technology-enhanced Surgical Trainingmentioning

confidence: 99%

Postgraduate Surgical Training in the UK: the Trainees’ Perspective

Rose

Aruparayil

2021

Indian J Surg

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Over the last 20 years, surgical training in the United Kingdom (UK) has changed dramatically. There have been considerable efforts towards creating a programme that delivers the highest standard of training while maintaining patient safety. However, the journey to improve the quality of training has faced several hurdles and challenges. Recruitment processes, junior doctor contracts, flexible working hours and equality and diversity have all been under the spotlight in recent times. These issues, alongside the extended surgical team and the increasingly recognised importance of trainee wellbeing, mean that postgraduate surgical training is extremely topical. Alongside this, as technology has evolved, this has been incorporated into all aspects of training, from recruitment to simulated training opportunities and postgraduate examinations. The coronavirus (COVID-19) pandemic has brought technology and simulation to the forefront in an attempt to compensate for reduced operative exposure and experience, and has transformed the way that we learn and work. In this article, we reflect on the UK surgical trainee experience and discuss areas of success as well as highlighting potential areas for improvement going forward.

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“…The advent of strict European Working Time Regulations brought a substantial reduction in the cumulative training time in UK surgical training programmes [1]. As a result, there was a clear need to upscale the learning potential of training experiences, and to objectively and transparently document the learning experiences of each surgical trainee.…”

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confidence: 99%

A commentary on: “Consensus recommendations on balancing educational opportunities and service provision in surgical training: Association of Surgeons in Training Delphi qualitative study”

Beamish

2020

International Journal of Surgery

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Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre-including this research content-immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

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Use of the eLogbook in surgical training in the United Kingdom: A nationwide survey and consensus recommendations from the Association of Surgeons in Training

Cited by 13 publications

References 12 publications

Assessing Operative Skill in the Competency-based Education Era

Assessing Operative Skill in the Competency-based Education Era

Postgraduate Surgical Training in the UK: the Trainees’ Perspective

A commentary on: “Consensus recommendations on balancing educational opportunities and service provision in surgical training: Association of Surgeons in Training Delphi qualitative study”

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