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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
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…








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





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?







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”





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

Consultant

Surgical Fellow

SET Trainee

Unaccredited

Trainee

Surgical SRMO

PGY 2

PGY 1