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IST Summary from ASiT

IST Summary from ASiT. Mr. Archik Das MBChB, BMedSci (Hons), PGCert Surgery, MRCS IST Representative for ASiT Council ST1 General Surgery (IST) – King George Hospital, Londo n. Contents. IST – expectations of the trainee Personal experiences of IST

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IST Summary from ASiT

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  1. IST Summary from ASiT Mr. Archik Das MBChB, BMedSci (Hons), PGCert Surgery, MRCS IST Representative for ASiT Council ST1 General Surgery (IST) – King George Hospital, London

  2. Contents • IST – expectations of the trainee • Personal experiences of IST • What ASiT have done so far: meet & greet and survey findings • Key trainee concerns for the future of IST • Take Home Messages

  3. IST – expectations of the trainee 1- More emphasis on training to become a surgeon • Allow more time in activities beneficial for training (theatre, clinic, MDT) and a better balance between training and service 2 - Well Organised • Due to multiple commitments, surgery needs to be meticulously organised 3 - Investment in the trainee • Trainee needs an investment of time and effort • Promoting apprenticeship model of surgery. 4 - Run-through training in the same region • Provides geographical stability, confidence, security and peace of mind to the trainee • More focus and emphasis on general surgery from day 1 • Facilitates planning of the future: house, relationships, social life etc

  4. Personal Experiences of IST • Work in a DGH • 1 in 8 on call rota • 3 IST trainees, 4 staff grade doctors, 1 FY2 trainee • Daily ward rounds, 1 x MDT per week • Attend 5-7 theatre sessions per week (mixture of elective/emergency) • 2 clinics per week (protected teaching) • Highly satisfying and enjoyable job due to my supervisor (Mr Aman Bhargava) and training opportunities available

  5. ASiT Meet and Greet • Multiple regional meet and greet sessions hosted by regional ASiT Representatives to discuss IST and impact on other trainees • Funded by ASiT • Gathered detailed feedback from IST trainees in the early stages of their training

  6. IST Trainee WhatsApp Group • 24 members so far • Discuss day to day issues/concerns/positive feedback of IST • Interested in joining? Please get in touch! • archik.das@nhs.net

  7. ASiT Survey – key findings 50% 50%

  8. 5% 20% 10% 20% 5% 30% 10%

  9. 47% 53% Examples: too much time scheduled to cover the ward, heavy on call commitments, only allowed to take annual leave when scheduled for theatre

  10. 74% 10% 16%

  11. 26% 32% 21% 21%

  12. 42% 53% 5%

  13. 11% 89%

  14. 5% 95%

  15. 5% 11% 42% 21% 21%

  16. 68% 32%

  17. 42% 32% 26%

  18. Key Concerns expressed by IST trainees • ST3 Benchmarking – when/ where/how?Is it fair? • How will IST adapt for higher surgical training? • How to switch careers? • 60% training heavily sheared by ward/on call commitments • Any real change from core surgical training in previous years? “Shiny new label”? • IST while highly satisfying, is not yet what is says on the tin • High expectations not always being met • Short of realistic, measurable and achievable goals.

  19. Take Home Messages… • IST needs good supervisors • Not only about having exposure to training, but also the quality of training • Uncertainty for ST3 benchmarking/absence of training number protection is causing major concern amongst trainees • Important to continue monitoring the pilot and act on feedback

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