Trainee as trainer in paediatric laparoscopic appendicectomy^.

IF 1.1 4区医学 Q3 SURGERY Annals of the Royal College of Surgeons of England Pub Date : 2024-05-24 DOI:10.1308/rcsann.2024.0032

L Henderson, N Patwardhan, H Dagash

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引用次数: 0

Abstract

Background: Intraoperative teaching is an essential surgical skill, but there is little literature regarding trainees acting as trainers; we characterised these cases in paediatric laparoscopic appendicectomy.

Methods: This is a retrospective review of casenotes over two years (2015-2017) in a single tertiary paediatric surgical centre in the UK. Operating were: paediatric surgery Core Trainees (CT) (postgraduate year (PGY)3-4), Junior Registrars (JR) (PGY5-6) and Senior Registrars (SR) (PGY7+); collectively described as trainees.

Results: A total of 53 (20.7%) of 256 appendicectomies were trainee as trainer (TT) cases; 22 cases (41.5%) were performed by a CT supervised by a Registrar, and 31 (58.4%) by a JR supervised by a SR. Among the cases, 17 (32.1%) were complex, 47 (88.7%) were in working hours (8am-5pm), and 50 (94.3%) took place Monday to Friday. Median (interquartile range) duration of surgery was 65 (52-77) minutes. In the first year, 60 (47%) appendicectomies were performed by JRs. JR 1 was TT in three cases (8.8%) and JR 2 in five cases (19.2%); in all cases, the learner was a CT. Overall, there were 26 (10.6%) negative appendicectomies, 8 (3%) conversions, 19 (7%) readmissions within 30 days of discharge and 3 (1.1%) required reoperation; there was no statistically significant difference in complications between TT and non-TT cases.

Conclusion: Laparoscopic appendicectomy is an excellent model for trainees to act as trainer; case selection included simple cases during daylight hours. Our outcomes are comparable with published literature, suggesting that this teaching method is safe for patients.

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在儿科腹腔镜阑尾切除术中担任培训员。

背景：术中教学是一项基本的外科技能，但有关受训者担任培训者的文献很少：术中教学是一项基本的外科技能，但有关受训者担任培训师的文献却很少；我们对小儿腹腔镜阑尾切除术中的这些病例进行了分析：这是一项对英国一家三级儿科外科中心两年来（2015-2017年）病例记录的回顾性研究。操作人员包括：儿外科核心受训人员（CT）（研究生年级（PGY）3-4）、初级注册医师（JR）（PGY5-6）和高级注册医师（SR）（PGY7+）；统称为受训人员：在256例阑尾切除术中，共有53例（20.7%）是由受训者担任培训师（TT）的病例；22例（41.5%）由注册医师指导的CT实施，31例（58.4%）由注册医师指导的JR实施。在这些病例中，17 例（32.1%）为复杂病例，47 例（88.7%）在工作时间（上午 8 时至下午 5 时）内进行，50 例（94.3%）在周一至周五进行。手术时间中位数（四分位数间距）为 65（52-77）分钟。第一年中，有 60 例（47%）阑尾切除手术由联合医务人员完成。JR 1 是 TT 的有 3 例（8.8%），JR 2 是 TT 的有 5 例（19.2%）；在所有病例中，学习者都是 CT。总体而言，有26例（10.6%）阑尾切除术结果为阴性，8例（3%）转为阳性，19例（7%）在出院后30天内再次入院，3例（1.1%）需要再次手术；TT和非TT病例的并发症差异无统计学意义：结论：腹腔镜阑尾切除术是一种很好的培训模式，可作为受训者的培训教材；病例选择包括白天的简单病例。我们的结果与已发表的文献相当，表明这种教学方法对患者是安全的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annals of the Royal College of Surgeons of England Medicine-Surgery

CiteScore

2.40

自引率

0.00%

发文量

316

期刊介绍： The Annals of The Royal College of Surgeons of England is the official scholarly research journal of the Royal College of Surgeons and is published eight times a year in January, February, March, April, May, July, September and November. The main aim of the journal is to publish high-quality, peer-reviewed papers that relate to all branches of surgery. The Annals also includes letters and comments, a regular technical section, controversial topics, CORESS feedback and book reviews. The editorial board is composed of experts from all the surgical specialties.