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Surgical training rotation design: effects of hospital type, rotation theme and duration
Background Entrants into UK surgical specialty training undertake a 2‐year programme of core surgical training, rotating through specialties for varying lengths of time, at different hospitals, to gain breadth of experience. This study aimed to assess whether these variables influenced core surgical...
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| Published in: | BJS open 2020-10, Vol.4 (5), p.970-976 |
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| creator | Robinson, D. B. T. Hopkins, L. James, O. P. Brown, C. Powell, A. G. M. T. Hemington‐Gorse, S. Abdelrahman, T. Lewis, W. G. Egan, R. J. |
| description | Background
Entrants into UK surgical specialty training undertake a 2‐year programme of core surgical training, rotating through specialties for varying lengths of time, at different hospitals, to gain breadth of experience. This study aimed to assess whether these variables influenced core surgical trainee (CST) work productivity.
Methods
Intercollegiate Surgical Curriculum Programme portfolios of consecutive CSTs between 2016 and 2019 were examined. Primary outcome measures were workplace‐based assessment (WBA) completion, operative experience and academic outputs (presentations to learned societies, publications and audits).
Results
A total of 344 rotations by 111 CSTs were included. Incremental increases in attainment were observed related to the duration of core surgical training rotation. The median number of consultant‐validated WBAs completed during core surgical training were 48 (range 0–189), 54 (10–120) and 75 (6–94) during rotations consisting of 4‐, 6‐ and 12‐month posts respectively (P |
| doi_str_mv | 10.1002/bjs5.50326 |
| format | article |
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Entrants into UK surgical specialty training undertake a 2‐year programme of core surgical training, rotating through specialties for varying lengths of time, at different hospitals, to gain breadth of experience. This study aimed to assess whether these variables influenced core surgical trainee (CST) work productivity.
Methods
Intercollegiate Surgical Curriculum Programme portfolios of consecutive CSTs between 2016 and 2019 were examined. Primary outcome measures were workplace‐based assessment (WBA) completion, operative experience and academic outputs (presentations to learned societies, publications and audits).
Results
A total of 344 rotations by 111 CSTs were included. Incremental increases in attainment were observed related to the duration of core surgical training rotation. The median number of consultant‐validated WBAs completed during core surgical training were 48 (range 0–189), 54 (10–120) and 75 (6–94) during rotations consisting of 4‐, 6‐ and 12‐month posts respectively (P < 0·001). Corresponding median operative caseloads (as primary surgeon) were 84 (range 3–357), 110 (44–394) and 134 (56–366) (P < 0·001) and presentations to learned societies 0 (0–12), 0 (0–14) and 1 (0–5) (P = 0·012) respectively. Hospital type and specialty training theme were unrelated to workplace productivity. Multivariable analysis identified length of hospital rotation as the only factor independently associated with total WBA count (P = 0·001), completion of audit (P = 0·015) and delivery of presentation (P = 0·001) targets.
Conclusion
Longer rotations with a single educational supervisor, in one training centre, are associated with better workplace productivity. Consideration should be given to this when reconfiguring training programmes within the arena of workforce planning.
Antecedentes
Los residentes de especialidades quirúrgicas del Reino Unido realizan un período troncal de formación quirúrgica de 2 años, en el que rotan por diversas especialidades durante periodos de tiempo variables y en diversos hospitales, a fin de conseguir una experiencia amplia. Este estudio tuvo como objetivo evaluar si estas variables influyeron en la productividad de los residentes durante el período troncal (core surgical trainee, CST).
Métodos
Se examinaron los inventarios de los programas del Intercollegiate Surgical Curriculum Programme (ISCP) de CST consecutivos entre 2016 y 2019. Las variables principales fueron la puntuación final del Workplace‐Based Assessment (WBA), y la actividad quirúrgica y académica (presentaciones a sociedades académicas, publicaciones y auditorías) realizadas.
Resultados
Se incluyeron 344 rotaciones de 111 CST. Se constataron mejores resultados en relación con la duración de la rotación de CST. La mediana (rango) de la puntuación de los supervisores en las WBA fue de 48 (0’189), 54 (10’120) y 75 (6’94) (P < 0,001) en las rotaciones a los 4, 6 y 12 meses, respectivamente. El número de intervenciones (como cirujano principal) fue de 84 (3’357), 110 (44’394) y 134 (56’366) (P < 0,001) y de presentaciones a sociedades científicas fue de 0 (0‐12), 0 (0‐ 14) y 1 (0‐5) (P = 0,012). No hubo relación entre el tipo de hospital o la especialidad y la productividad en el lugar de trabajo. El análisis multivariable identificó la duración de la rotación como único factor independientemente relacionado con la puntuación de la WBA (P = 0,001), la finalización de la auditoría (P = 0,015) y el número de presentaciones realizadas (P = 0,001).
Conclusión
Las rotaciones de periodos de tiempo largos con un solo supervisor y en un solo centro se asocian con una mejor productividad en el lugar de trabajo. Debería tenerse en cuenta este factor al reconfigurar los programas de capacitación desde el punto de vista laboral.
This study aimed to assess whether hospital status, rurality, duration of hospital rotations and specialty theme of core surgical training had an impact on workplace productivity.
Longer placements improve outcomes</description><identifier>ISSN: 2474-9842</identifier><identifier>EISSN: 2474-9842</identifier><identifier>DOI: 10.1002/bjs5.50326</identifier><identifier>PMID: 32706526</identifier><language>eng</language><publisher>Chichester, UK: John Wiley & Sons, Ltd</publisher><subject>Learned societies ; Original ; Productivity ; Rural areas ; Statistical analysis ; Surgery ; Teaching hospitals ; Training</subject><ispartof>BJS open, 2020-10, Vol.4 (5), p.970-976</ispartof><rights>2020 The Authors. BJS Open published by John Wiley & Sons Ltd on behalf of British Journal of Surgery Society</rights><rights>2020 The Authors. BJS Open published by John Wiley & Sons Ltd on behalf of British Journal of Surgery Society.</rights><rights>2020. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5816-efa4735ea5f7aa26425d0c5a6680a2559dd36b32ee886417667a4721b33e85d3</citedby><cites>FETCH-LOGICAL-c5816-efa4735ea5f7aa26425d0c5a6680a2559dd36b32ee886417667a4721b33e85d3</cites><orcidid>0000-0002-1986-1391 ; 0000-0003-1490-6287 ; 0000-0003-1218-9907 ; 0000-0001-8895-6717 ; 0000-0003-1087-744X ; 0000-0002-4404-1096 ; 0000-0001-6832-6080 ; 0000-0002-3740-8275</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2447505759/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2447505759?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,11562,25753,27924,27925,37012,37013,44590,46052,46476,53791,53793,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32706526$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Robinson, D. B. T.</creatorcontrib><creatorcontrib>Hopkins, L.</creatorcontrib><creatorcontrib>James, O. P.</creatorcontrib><creatorcontrib>Brown, C.</creatorcontrib><creatorcontrib>Powell, A. G. M. T.</creatorcontrib><creatorcontrib>Hemington‐Gorse, S.</creatorcontrib><creatorcontrib>Abdelrahman, T.</creatorcontrib><creatorcontrib>Lewis, W. G.</creatorcontrib><creatorcontrib>Egan, R. J.</creatorcontrib><title>Surgical training rotation design: effects of hospital type, rotation theme and duration</title><title>BJS open</title><addtitle>BJS Open</addtitle><description>Background
Entrants into UK surgical specialty training undertake a 2‐year programme of core surgical training, rotating through specialties for varying lengths of time, at different hospitals, to gain breadth of experience. This study aimed to assess whether these variables influenced core surgical trainee (CST) work productivity.
Methods
Intercollegiate Surgical Curriculum Programme portfolios of consecutive CSTs between 2016 and 2019 were examined. Primary outcome measures were workplace‐based assessment (WBA) completion, operative experience and academic outputs (presentations to learned societies, publications and audits).
Results
A total of 344 rotations by 111 CSTs were included. Incremental increases in attainment were observed related to the duration of core surgical training rotation. The median number of consultant‐validated WBAs completed during core surgical training were 48 (range 0–189), 54 (10–120) and 75 (6–94) during rotations consisting of 4‐, 6‐ and 12‐month posts respectively (P < 0·001). Corresponding median operative caseloads (as primary surgeon) were 84 (range 3–357), 110 (44–394) and 134 (56–366) (P < 0·001) and presentations to learned societies 0 (0–12), 0 (0–14) and 1 (0–5) (P = 0·012) respectively. Hospital type and specialty training theme were unrelated to workplace productivity. Multivariable analysis identified length of hospital rotation as the only factor independently associated with total WBA count (P = 0·001), completion of audit (P = 0·015) and delivery of presentation (P = 0·001) targets.
Conclusion
Longer rotations with a single educational supervisor, in one training centre, are associated with better workplace productivity. Consideration should be given to this when reconfiguring training programmes within the arena of workforce planning.
Antecedentes
Los residentes de especialidades quirúrgicas del Reino Unido realizan un período troncal de formación quirúrgica de 2 años, en el que rotan por diversas especialidades durante periodos de tiempo variables y en diversos hospitales, a fin de conseguir una experiencia amplia. Este estudio tuvo como objetivo evaluar si estas variables influyeron en la productividad de los residentes durante el período troncal (core surgical trainee, CST).
Métodos
Se examinaron los inventarios de los programas del Intercollegiate Surgical Curriculum Programme (ISCP) de CST consecutivos entre 2016 y 2019. Las variables principales fueron la puntuación final del Workplace‐Based Assessment (WBA), y la actividad quirúrgica y académica (presentaciones a sociedades académicas, publicaciones y auditorías) realizadas.
Resultados
Se incluyeron 344 rotaciones de 111 CST. Se constataron mejores resultados en relación con la duración de la rotación de CST. La mediana (rango) de la puntuación de los supervisores en las WBA fue de 48 (0’189), 54 (10’120) y 75 (6’94) (P < 0,001) en las rotaciones a los 4, 6 y 12 meses, respectivamente. El número de intervenciones (como cirujano principal) fue de 84 (3’357), 110 (44’394) y 134 (56’366) (P < 0,001) y de presentaciones a sociedades científicas fue de 0 (0‐12), 0 (0‐ 14) y 1 (0‐5) (P = 0,012). No hubo relación entre el tipo de hospital o la especialidad y la productividad en el lugar de trabajo. El análisis multivariable identificó la duración de la rotación como único factor independientemente relacionado con la puntuación de la WBA (P = 0,001), la finalización de la auditoría (P = 0,015) y el número de presentaciones realizadas (P = 0,001).
Conclusión
Las rotaciones de periodos de tiempo largos con un solo supervisor y en un solo centro se asocian con una mejor productividad en el lugar de trabajo. Debería tenerse en cuenta este factor al reconfigurar los programas de capacitación desde el punto de vista laboral.
This study aimed to assess whether hospital status, rurality, duration of hospital rotations and specialty theme of core surgical training had an impact on workplace productivity.
Longer placements improve outcomes</description><subject>Learned societies</subject><subject>Original</subject><subject>Productivity</subject><subject>Rural areas</subject><subject>Statistical analysis</subject><subject>Surgery</subject><subject>Teaching hospitals</subject><subject>Training</subject><issn>2474-9842</issn><issn>2474-9842</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNp9kc1u1DAUhS1ERau2Gx4ARWKDENPaN_4Li0pQ8dOqEot2wc5y4puMR5l4sBPQvD2eSSktC1a2jj9_urqHkJeMnjFK4bxeJXEmaAnyGTkCrvii0hyeP7ofktOUVpRSpoEpzl6QwxIUlQLkEfl-O8XON7Yvxmj94IeuiGG0ow9D4TD5bnhfYNtiM6YitMUypI0fd_R2g-_-ouMS11jYwRVuivvohBy0tk94en8ek7vPn-4uvy5uvn25uvxws2iEZnKBreWqFGhFq6wFyUE42ggrpaYWhKicK2VdAqLWkjMlpcofgNVliVq48phczVoX7Mpsol_buDXBerMPQuyMjaNvejSupcxxaaFiNW8cVLJCZrXgFCjkOLsuZtdmqtfoGhzyTvon0qcvg1-aLvw0SoAWTGbBm3tBDD8mTKNZ-9Rg39sBw5QMcFAlzS3wjL7-B12FKQ55U5niSlChRJWptzPVxJBSxPZhGEbNrn6zq9_s68_wq8fjP6B_ys4Am4Ffvsftf1Tm4_WtmKW_AeZkuSo</recordid><startdate>202010</startdate><enddate>202010</enddate><creator>Robinson, D. 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B. T. ; Hopkins, L. ; James, O. P. ; Brown, C. ; Powell, A. G. M. T. ; Hemington‐Gorse, S. ; Abdelrahman, T. ; Lewis, W. G. ; Egan, R. J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5816-efa4735ea5f7aa26425d0c5a6680a2559dd36b32ee886417667a4721b33e85d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Learned societies</topic><topic>Original</topic><topic>Productivity</topic><topic>Rural areas</topic><topic>Statistical analysis</topic><topic>Surgery</topic><topic>Teaching hospitals</topic><topic>Training</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Robinson, D. B. T.</creatorcontrib><creatorcontrib>Hopkins, L.</creatorcontrib><creatorcontrib>James, O. P.</creatorcontrib><creatorcontrib>Brown, C.</creatorcontrib><creatorcontrib>Powell, A. G. M. T.</creatorcontrib><creatorcontrib>Hemington‐Gorse, S.</creatorcontrib><creatorcontrib>Abdelrahman, T.</creatorcontrib><creatorcontrib>Lewis, W. G.</creatorcontrib><creatorcontrib>Egan, R. J.</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Wiley-Blackwell Free Backfiles(OpenAccess)</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>BJS open</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Robinson, D. B. T.</au><au>Hopkins, L.</au><au>James, O. P.</au><au>Brown, C.</au><au>Powell, A. G. M. T.</au><au>Hemington‐Gorse, S.</au><au>Abdelrahman, T.</au><au>Lewis, W. G.</au><au>Egan, R. J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical training rotation design: effects of hospital type, rotation theme and duration</atitle><jtitle>BJS open</jtitle><addtitle>BJS Open</addtitle><date>2020-10</date><risdate>2020</risdate><volume>4</volume><issue>5</issue><spage>970</spage><epage>976</epage><pages>970-976</pages><issn>2474-9842</issn><eissn>2474-9842</eissn><abstract>Background
Entrants into UK surgical specialty training undertake a 2‐year programme of core surgical training, rotating through specialties for varying lengths of time, at different hospitals, to gain breadth of experience. This study aimed to assess whether these variables influenced core surgical trainee (CST) work productivity.
Methods
Intercollegiate Surgical Curriculum Programme portfolios of consecutive CSTs between 2016 and 2019 were examined. Primary outcome measures were workplace‐based assessment (WBA) completion, operative experience and academic outputs (presentations to learned societies, publications and audits).
Results
A total of 344 rotations by 111 CSTs were included. Incremental increases in attainment were observed related to the duration of core surgical training rotation. The median number of consultant‐validated WBAs completed during core surgical training were 48 (range 0–189), 54 (10–120) and 75 (6–94) during rotations consisting of 4‐, 6‐ and 12‐month posts respectively (P < 0·001). Corresponding median operative caseloads (as primary surgeon) were 84 (range 3–357), 110 (44–394) and 134 (56–366) (P < 0·001) and presentations to learned societies 0 (0–12), 0 (0–14) and 1 (0–5) (P = 0·012) respectively. Hospital type and specialty training theme were unrelated to workplace productivity. Multivariable analysis identified length of hospital rotation as the only factor independently associated with total WBA count (P = 0·001), completion of audit (P = 0·015) and delivery of presentation (P = 0·001) targets.
Conclusion
Longer rotations with a single educational supervisor, in one training centre, are associated with better workplace productivity. Consideration should be given to this when reconfiguring training programmes within the arena of workforce planning.
Antecedentes
Los residentes de especialidades quirúrgicas del Reino Unido realizan un período troncal de formación quirúrgica de 2 años, en el que rotan por diversas especialidades durante periodos de tiempo variables y en diversos hospitales, a fin de conseguir una experiencia amplia. Este estudio tuvo como objetivo evaluar si estas variables influyeron en la productividad de los residentes durante el período troncal (core surgical trainee, CST).
Métodos
Se examinaron los inventarios de los programas del Intercollegiate Surgical Curriculum Programme (ISCP) de CST consecutivos entre 2016 y 2019. Las variables principales fueron la puntuación final del Workplace‐Based Assessment (WBA), y la actividad quirúrgica y académica (presentaciones a sociedades académicas, publicaciones y auditorías) realizadas.
Resultados
Se incluyeron 344 rotaciones de 111 CST. Se constataron mejores resultados en relación con la duración de la rotación de CST. La mediana (rango) de la puntuación de los supervisores en las WBA fue de 48 (0’189), 54 (10’120) y 75 (6’94) (P < 0,001) en las rotaciones a los 4, 6 y 12 meses, respectivamente. El número de intervenciones (como cirujano principal) fue de 84 (3’357), 110 (44’394) y 134 (56’366) (P < 0,001) y de presentaciones a sociedades científicas fue de 0 (0‐12), 0 (0‐ 14) y 1 (0‐5) (P = 0,012). No hubo relación entre el tipo de hospital o la especialidad y la productividad en el lugar de trabajo. El análisis multivariable identificó la duración de la rotación como único factor independientemente relacionado con la puntuación de la WBA (P = 0,001), la finalización de la auditoría (P = 0,015) y el número de presentaciones realizadas (P = 0,001).
Conclusión
Las rotaciones de periodos de tiempo largos con un solo supervisor y en un solo centro se asocian con una mejor productividad en el lugar de trabajo. Debería tenerse en cuenta este factor al reconfigurar los programas de capacitación desde el punto de vista laboral.
This study aimed to assess whether hospital status, rurality, duration of hospital rotations and specialty theme of core surgical training had an impact on workplace productivity.
Longer placements improve outcomes</abstract><cop>Chichester, UK</cop><pub>John Wiley & Sons, Ltd</pub><pmid>32706526</pmid><doi>10.1002/bjs5.50326</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-1986-1391</orcidid><orcidid>https://orcid.org/0000-0003-1490-6287</orcidid><orcidid>https://orcid.org/0000-0003-1218-9907</orcidid><orcidid>https://orcid.org/0000-0001-8895-6717</orcidid><orcidid>https://orcid.org/0000-0003-1087-744X</orcidid><orcidid>https://orcid.org/0000-0002-4404-1096</orcidid><orcidid>https://orcid.org/0000-0001-6832-6080</orcidid><orcidid>https://orcid.org/0000-0002-3740-8275</orcidid><oa>free_for_read</oa></addata></record> |
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| language | eng |
| recordid | cdi_doaj_primary_oai_doaj_org_article_df01d46a291b4cd2969e1a85402026a2 |
| source | Publicly Available Content Database (Proquest) (PQ_SDU_P3); PubMed Central Free; Wiley Online Library Open Access; Open Access: Oxford University Press Open Journals |
| subjects | Learned societies Original Productivity Rural areas Statistical analysis Surgery Teaching hospitals Training |
| title | Surgical training rotation design: effects of hospital type, rotation theme and duration |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-26T11%3A05%3A26IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Surgical%20training%20rotation%20design:%20effects%20of%20hospital%20type,%20rotation%20theme%20and%20duration&rft.jtitle=BJS%20open&rft.au=Robinson,%20D.%20B.%20T.&rft.date=2020-10&rft.volume=4&rft.issue=5&rft.spage=970&rft.epage=976&rft.pages=970-976&rft.issn=2474-9842&rft.eissn=2474-9842&rft_id=info:doi/10.1002/bjs5.50326&rft_dat=%3Cproquest_doaj_%3E2447505759%3C/proquest_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c5816-efa4735ea5f7aa26425d0c5a6680a2559dd36b32ee886417667a4721b33e85d3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2447505759&rft_id=info:pmid/32706526&rfr_iscdi=true |