New technologies for future of surgery in Ireland: An RCSI working Group report 2024

Future of New Technologies In Ireland Working Group, Writing Group, Alice Moynihan, Debbie Killeen, Ronan Cahill, Ashokkumar Singaravelu, Steering Group, David Healy, Carmel Malone, Enda Mulvany, Fergal O'Brien, Paul Ridgway, Kieran Ryan, Contributors, Mary Barry, Donal Brennan, John Caird, Camilla Carroll, Calvin Coffey, Kevin Conlon, Mark Wilson
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Abstract

Introduction

Surgery is a cognitive discipline whose practitioners characteristically use technology during operations for patients. With accelerating technological innovation throughout society and healthcare, we sought to develop a shared position for Irish surgery via a commissioned work programme by the Royal College of Surgeons in Ireland.

Methods

Using Stanford design principles, representative clinical specialty and academic leads and higher trainee representatives across 15 specialties were surveyed regarding sentiments, perspectives and concerns regarding now and near future technology in clinical practice, career considerations and training/education. Selected participants proceeded to semi-structured interview as deeper dive including use-case exemplar development with narrative thematic analysis.

Results

New technologies matter to surgeons and surgical practice for patients as evidenced by the high level of engagement and rich perspectives provided. However there is concern, particularly among academic groups, that Irish Surgery could be better positioned for the opportunities inherent in new technologies and better prepared strategically regarding stakeholder (surgical units, healthcare institutions, universities and especially management, health service executive and government) alignment. Investment levels are felt to be insufficient to maximally leverage new technology effectively including training investment where new ways of learning are needed as technologies such as artificial intelligence and data and analytics become more important to surgical practice beyond the current prioritisation of robotics and biomaterials.

Conclusion

While there is high engagement, clear ambition and confidence with role of new technologies in the now and near future of Irish Surgery, there is opportunity to demonstrate leadership and synergise stake holders for better healthcare.
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爱尔兰未来手术的新技术:RCSI工作组报告2024。
导读:外科是一门认知学科,其从业人员在为患者进行手术时典型地使用技术。随着整个社会和医疗保健技术创新的加速,我们试图通过爱尔兰皇家外科医学院的委托工作计划,为爱尔兰外科发展一个共同的位置。方法:采用斯坦福大学的设计原则,对15个专业的代表性临床专业和学术领导以及高级实习生代表进行调查,调查内容包括对临床实践中现在和近期技术、职业考虑和培训/教育的看法、观点和关注。被选中的参与者继续进行半结构化访谈,包括用例范例开发和叙事主题分析。结果:新技术对外科医生和患者的手术实践很重要,高水平的参与和丰富的观点证明了这一点。然而,有一种担忧,特别是在学术团体中,爱尔兰外科可以更好地定位于新技术所固有的机会,并为利益相关者(外科单位、医疗机构、大学,特别是管理层、卫生服务行政人员和政府)的协调做好更好的战略准备。投资水平被认为不足以最大限度地有效利用新技术,包括培训投资,因为人工智能、数据和分析等技术对外科实践变得越来越重要,而不是目前优先考虑的机器人和生物材料。结论:虽然在爱尔兰外科的现在和不久的将来,新技术的作用有很高的参与度,明确的雄心和信心,但有机会展示领导力和协同利益相关者,以实现更好的医疗保健。
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来源期刊
CiteScore
4.40
自引率
0.00%
发文量
158
审稿时长
6-12 weeks
期刊介绍: Since its establishment in 2003, The Surgeon has established itself as one of the leading multidisciplinary surgical titles, both in print and online. The Surgeon is published for the worldwide surgical and dental communities. The goal of the Journal is to achieve wider national and international recognition, through a commitment to excellence in original research. In addition, both Colleges see the Journal as an important educational service, and consequently there is a particular focus on post-graduate development. Much of our educational role will continue to be achieved through publishing expanded review articles by leaders in their field. Articles in related areas to surgery and dentistry, such as healthcare management and education, are also welcomed. We aim to educate, entertain, give insight into new surgical techniques and technology, and provide a forum for debate and discussion.
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