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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. 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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  1. The Dark Years Shining a Light on Prevocational Surgical Training IN NSW. Dr Richard Atkinson – Surgical SRMO CSTC Trainee Subcommittee

  2. Introduction • Rationale • Surgical Skills Training Network • Clinical Surgical Training Council (CSTC) • Trainee subcommitee • Aims • Results • Where to from here…

  3. Med Student

  4. PGY 1,2

  5. Registrar

  6. Fellow

  7. Consultant’s City

  8. The Dark Years

  9. Where are the Dark Years?? Medical Student PGY1 PGY2 Vocational (registrar) training Vocation (Consultant)

  10. 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.

  11. 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 +

  12. 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

  13. 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

  14. Working at a senior level (registrar)

  15. What roles were undertaken by the trainee

  16. Was there a more junior JMO on the team?

  17. 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?

  18. Co-ordination of teaching

  19. Attendance

  20. Access to Local Skills Training Facilities

  21. Who should be responsible? ??

  22. Who should be responsible?

  23. Relevance/Satisfaction of current training “the way the current interviews are structured, actual registrar experience or surgical prowess is of no benefit”

  24. Adequacy of access to SET referees?

  25. Success

  26. Most valued aspects of surgical training?

  27. 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”

  28. Discussion • Surgical skills education is important and is valued by all levels of prevocational trainees • Increased seniority • Increased capacity • Where to from here…..

  29. The Dark Years

  30. Consultant Surgical Fellow SET Trainee Unaccredited Trainee Surgical SRMO PGY 2 PGY 1

  31. Thank you

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