Surgical Skills Training Network

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The Dark Years

Shining a Light on Prevocational Surgical Training IN NSW.

Dr Richard Atkinson – Surgical SRMO

CSTC Trainee Subcommittee

Surgical Skills Training Network

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Introduction

Rationale

Surgical Skills Training Network

Clinical Surgical Training Council (CSTC) Trainee subcommitee

Aims

Results

Where to from here…

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Med Student

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PGY 1,2

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Registrar

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Fellow

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Consultant’s City

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The Dark Years

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Where are the Dark Years??

Medical Student

PGY1 PGY2

Vocational (registrar) training

Vocation(Consultant)

Surgical Skills Training Network

11Surgical Skills Training Network - NSW

6 Networks across NSW

Metropolitan and rural hospitals within each Network

Rotations available in General Surgery and Surgical Sub-specialities

Differing levels of responsibility: SRMO Registrar

Coordinated and delivered through a partnership between NSW CETI and the surgical networks.

Surgical Skills Training Network

12Clinical Surgical Training Council - Trainee Subcommitee

NSW CSTC – Division of CETI Clinicians and Administration Co-ordination and implementation of

prevocational surgical education and training within NSW

Trainee Subcommittee – JMO voice Specific requirements for prevocational surgical

trainees Concerns and opinions regarding prevocational

training voiced directly to the NSW CSTC PGY 1, 2, 3 +

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13Prevocational surgical training - Survey

Aims to assess: Seniority and type of roles Education and training opportunities Most valuable aspects of training Relevance of current training Success

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Demographics

PGY1 – 5

PGY2 – 5

SRMO – 17

Unaccredited Trainees – 6

SET 1 & 2 – 4

Total Responses - 37

HNE – 14

Sydney South West – 7

Northern – 6

Sydney West – 1

East/Great Southern – 7

Southern – 2

Surgical Skills Training Network

15Working at a senior level (registrar)

Surgical Skills Training Network

16What roles were undertaken by the trainee

Surgical Skills Training Network

17Was there a more junior JMO on the team?

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18Education and Training Opportunities

Who co-ordinated teaching?

Have you attended Network teaching?

Access to local clinical skills training facilities?

Who do you feel is responsible for your training?

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Co-ordination of teaching

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Attendance

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21Access to Local Skills Training Facilities

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Who should be responsible?

??

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Who should be responsible?

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24Relevance/Satisfaction of current training

“the way the current interviews are structured, actual registrar experience or surgical prowess is of no benefit”

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25Adequacy of access to SET referees?

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Success

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27Most valued aspects of surgical training?

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28Most valued aspects of surgical training?

Comments: “I felt I learnt more with increased responsibility

than anything else”

“well supervised and supported senior roles”

“mentorship”

“supervised operating”

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Discussion

Surgical skills education is important and is valued by all levels of prevocational trainees

Increased seniority

Increased capacity

Where to from here…..

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The Dark Years

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Surgical SRMO

Unaccredited Trainee

SET Trainee

Surgical FellowConsultant

PGY 2

PGY 1

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Thank you