The dark years
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The Dark Years. Shining a Light on Prevocational Surgical Training IN NSW. Dr Richard Atkinson – Surgical SRMO CSTC Trainee Subcommittee. Introduction. Rationale Surgical Skills Training Network Clinical Surgical Training Council (CSTC) Trainee subcommitee Aims Results

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The Dark Years

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The dark years

The Dark Years

Shining a Light on Prevocational Surgical Training IN NSW.

Dr Richard Atkinson – Surgical SRMO

CSTC Trainee Subcommittee


Introduction

Introduction

  • Rationale

  • Surgical Skills Training Network

  • Clinical Surgical Training Council (CSTC)

    • Trainee subcommitee

  • Aims

  • Results

  • Where to from here…


The dark years

Med Student


The dark years

PGY 1,2


The dark years

Registrar


The dark years

Fellow


The dark years

Consultant’s City


The dark years

The Dark Years


Where are the dark years

Where are the Dark Years??

Medical Student

PGY1 PGY2

Vocational (registrar) training

Vocation

(Consultant)


Surgical skills training network nsw

Surgical 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.


Clinical surgical training council trainee subcommitee

Clinical 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 +


Prevocational surgical training survey

Prevocational 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


Demographics

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


Working at a senior level registrar

Working at a senior level (registrar)


What roles were undertaken by the trainee

What roles were undertaken by the trainee


Was there a more junior jmo on the team

Was there a more junior JMO on the team?


Education and training opportunities

Education 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?


Co ordination of teaching

Co-ordination of teaching


Attendance

Attendance


Access to local skills training facilities

Access to Local Skills Training Facilities


Who should be responsible

Who should be responsible?

??


Who should be responsible1

Who should be responsible?


Relevance satisfaction of current training

Relevance/Satisfaction of current training

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


Adequacy of access to set referees

Adequacy of access to SET referees?


Success

Success


Most valued aspects of surgical training

Most valued aspects of surgical training?


Most valued aspects of surgical training1

Most 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”


Discussion

Discussion

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

  • Increased seniority

  • Increased capacity

  • Where to from here…..


The dark years

The Dark Years


The dark years

Consultant

Surgical Fellow

SET Trainee

Unaccredited

Trainee

Surgical SRMO

PGY 2

PGY 1


The dark years

Thank you


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