Do Independent Sector Treatment Centres (ISTC) impact on specialist registrar training in primary hip and knee arthroplasty?

The introduction of Modernising Medical Careers (MMC) is likely to reduce specialist registrar (SpR) operative experience during higher surgical training (HST). A further negative impact on training by local Independent Sector Treatment Centres (ISTCs) could reduce experience, and thus competence, i...

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Bibliographic Details
Published in:Annals of the Royal College of Surgeons of England 2008-09, Vol.90 (6), p.492-496
Main Authors: Clamp, Jonathan A, Baiju, Sr, Dean, Copas, David P, Hutchinson, James W, Rowles, John M
Format: Article
Language:English
Subjects:
Arthroplasty, Replacement, Hip - education
Arthroplasty, Replacement, Hip - statistics & numerical data
Arthroplasty, Replacement, Knee - education
Arthroplasty, Replacement, Knee - statistics & numerical data
Clinical Competence - standards
Cohort Studies
Consultants
Defects
Education, Medical, Graduate - organization & administration
England
Humans
Inservice Training
Joint surgery
Knee
Medical Staff, Hospital - education
Medical Staff, Hospital - standards
Morbidity
Orthopaedics
Patients
Retrospective Studies
Teaching - standards
Waiting Lists
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Summary:The introduction of Modernising Medical Careers (MMC) is likely to reduce specialist registrar (SpR) operative experience during higher surgical training (HST). A further negative impact on training by local Independent Sector Treatment Centres (ISTCs) could reduce experience, and thus competence, in primary joint arthroplasty at completion of higher surgical training. Retrospective case note and radiograph analysis of patients receiving primary hip and knee arthroplasty in a teaching hospital, before and after the establishment of a local ISTC. Patients and operative details were recorded from the selected case notes. Corresponding radiographs were assessed and the severity of the disease process assessed. Fewer primary hip and knee replacements were performed by SpRs in the time period after the establishment of an ISTC. ISTCs may adversely affect SpR training in primary joint arthroplasty.
ISSN:0035-8843
1478-7083
DOI:10.1308/003588408X301073