How do our volunteers help uphold the highest standards when appointing surgical consultants?
在任命外科顾问时，我们的志愿者如何帮助坚持最高标准？
{"title":"Volunteering as an Advisory Appointments Committee assessor","authors":"Ram Moorthy, Thomas Gale, James Yates","doi":"10.1308/rcsbull.2024.89","DOIUrl":"https://doi.org/10.1308/rcsbull.2024.89","url":null,"abstract":"How do our volunteers help uphold the highest standards when appointing surgical consultants?","PeriodicalId":258157,"journal":{"name":"The Bulletin of the Royal College of Surgeons of England","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141705680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Married to a surgeon","authors":"C. Fleming, Anonymous","doi":"10.1308/rcsbull.2024.78","DOIUrl":"https://doi.org/10.1308/rcsbull.2024.78","url":null,"abstract":"","PeriodicalId":258157,"journal":{"name":"The Bulletin of the Royal College of Surgeons of England","volume":"62 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141231585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Is it reasonable to use latex equipment in surgery if there is a risk to patients?
如果对患者有风险，在手术中使用乳胶设备是否合理？
{"title":"Latex gloves, reason and balance","authors":"R. Wheeler","doi":"10.1308/rcsbull.2024.77","DOIUrl":"https://doi.org/10.1308/rcsbull.2024.77","url":null,"abstract":"Is it reasonable to use latex equipment in surgery if there is a risk to patients?","PeriodicalId":258157,"journal":{"name":"The Bulletin of the Royal College of Surgeons of England","volume":"3 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141230650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
With a general election on the horizon, we take a look at how the party plans for healthcare will differ for the Labour and Conservative parties.
大选在即，我们来看看工党和保守党在医疗保健方面的政党计划有何不同。
{"title":"Labour vs Conservative plans for the NHS: how different are they really?","authors":"A. Devaja","doi":"10.1308/rcsbull.2024.69","DOIUrl":"https://doi.org/10.1308/rcsbull.2024.69","url":null,"abstract":"With a general election on the horizon, we take a look at how the party plans for healthcare will differ for the Labour and Conservative parties.","PeriodicalId":258157,"journal":{"name":"The Bulletin of the Royal College of Surgeons of England","volume":"29 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141232848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
How medical expert matters should be handled during legal proceedings – and the hidden pitfalls.
在法律诉讼中应如何处理医学专家事宜--以及隐藏的陷阱。
{"title":"Legal privilege for medical experts: a recent judgement","authors":"NV Todd, JC Wright-Todd","doi":"10.1308/rcsbull.2024.72","DOIUrl":"https://doi.org/10.1308/rcsbull.2024.72","url":null,"abstract":"How medical expert matters should be handled during legal proceedings – and the hidden pitfalls.","PeriodicalId":258157,"journal":{"name":"The Bulletin of the Royal College of Surgeons of England","volume":"38 30","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141232890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The COVID-19 pandemic has had a significant impact on training in trauma and orthopaedic surgery owing to redeployment and reductions in both trauma referrals and elective service provision. While trainee surveys have reported reduced operative experience during this period, the case deficit has not previously been quantified. An analysis was undertaken of surgical logbooks from trauma and orthopaedic registrars in the Severn Deanery. A predictive model of pre-COVID monthly cases was fitted using trainee grade, hospital, subspecialty, clinical commitment and time of the year. This model was used to predict expected monthly cases for trainees’ post-COVID rotations, which were compared with the cases actually performed. A similar analysis was undertaken to assess primary surgeon operating. A total of 28,998 cases performed by 34 registrars between 2015 and 2021 were analysed. The COVID-19 pandemic led to an immediate and profound reduction in trainee operating, which had not fully recovered by September 2021. The average deficit accumulated over the 18 months following the onset of the pandemic was 87 cases. The accumulated deficit in trainee operating corresponds to 3–4 months of work at 300 cases per year. Deficits were accrued unequally between hospitals and subspecialties, indicating that recovery efforts will need to be individualised according to trainee experience during the pandemic. Action is urgently required not only to restore operative training in trauma and orthopaedic surgery but also to compensate for the deficit during the current training cycle.
{"title":"Trauma and orthopaedic higher specialty trainee operating during the COVID-19 pandemic","authors":"H. Akehurst, S Thomas","doi":"10.1308/rcsbull.2024.73","DOIUrl":"https://doi.org/10.1308/rcsbull.2024.73","url":null,"abstract":"The COVID-19 pandemic has had a significant impact on training in trauma and orthopaedic surgery owing to redeployment and reductions in both trauma referrals and elective service provision. While trainee surveys have reported reduced operative experience during this period, the case deficit has not previously been quantified. An analysis was undertaken of surgical logbooks from trauma and orthopaedic registrars in the Severn Deanery. A predictive model of pre-COVID monthly cases was fitted using trainee grade, hospital, subspecialty, clinical commitment and time of the year. This model was used to predict expected monthly cases for trainees’ post-COVID rotations, which were compared with the cases actually performed. A similar analysis was undertaken to assess primary surgeon operating. A total of 28,998 cases performed by 34 registrars between 2015 and 2021 were analysed. The COVID-19 pandemic led to an immediate and profound reduction in trainee operating, which had not fully recovered by September 2021. The average deficit accumulated over the 18 months following the onset of the pandemic was 87 cases. The accumulated deficit in trainee operating corresponds to 3–4 months of work at 300 cases per year. Deficits were accrued unequally between hospitals and subspecialties, indicating that recovery efforts will need to be individualised according to trainee experience during the pandemic. Action is urgently required not only to restore operative training in trauma and orthopaedic surgery but also to compensate for the deficit during the current training cycle.","PeriodicalId":258157,"journal":{"name":"The Bulletin of the Royal College of Surgeons of England","volume":"88 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141230573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Many projects seek to improve emergency general surgery (EGS) care across England. However, no study to date has examined how EGS is currently organised or how this is evolving. The aim of this study was to determine the current status of EGS organisation in England, whether this correlates with measures of hospital activity and changes proposed in the future. Surveys were sent to all NHS trusts in England via freedom of information requests. Trusts were given eight weeks to reply. Trust characteristics were ascertained by asking their organisational structure as well as acute bed numbers, number of admissions under general surgery, number of cases submitted to the National Emergency Laparotomy Audit in 2021 and whether they planned to start an EGS service within the next five years. Organisational structures were categorised as: a) mixed general surgical take; b) daily allocation to a subspecialty; c) dedicated EGS consultants/service covering weekdays; d) dedicated EGS consultants/service covering weekdays and weekends; or e) other. A total of 101 organisations responded. There were 36 organisations in group A, 16 in group B, 10 in group C, 30 in group D and 5 in group E. Four organisations declined to supply information on organisational structure. No trust characteristic was significantly different between organisational structures. Two-fifths (41%) of the organisations reported having an EGS service in place (groups C and D). Almost a quarter (23%) of those without an EGS service reported plans to implement one within the next five years. Our results indicate a growing trend towards implementing EGS services in England, with over 50% of trusts expected to offer such a service in five years’ time. It is important to pursue a collaborative definition of best practice for EGS to ensure high quality care for patients.
{"title":"Emergency general surgery: a ‘state of the nation’ survey","authors":"A. Walsh, J. Olivier, O. Old","doi":"10.1308/rcsbull.2024.75","DOIUrl":"https://doi.org/10.1308/rcsbull.2024.75","url":null,"abstract":"Many projects seek to improve emergency general surgery (EGS) care across England. However, no study to date has examined how EGS is currently organised or how this is evolving. The aim of this study was to determine the current status of EGS organisation in England, whether this correlates with measures of hospital activity and changes proposed in the future. Surveys were sent to all NHS trusts in England via freedom of information requests. Trusts were given eight weeks to reply. Trust characteristics were ascertained by asking their organisational structure as well as acute bed numbers, number of admissions under general surgery, number of cases submitted to the National Emergency Laparotomy Audit in 2021 and whether they planned to start an EGS service within the next five years. Organisational structures were categorised as: a) mixed general surgical take; b) daily allocation to a subspecialty; c) dedicated EGS consultants/service covering weekdays; d) dedicated EGS consultants/service covering weekdays and weekends; or e) other. A total of 101 organisations responded. There were 36 organisations in group A, 16 in group B, 10 in group C, 30 in group D and 5 in group E. Four organisations declined to supply information on organisational structure. No trust characteristic was significantly different between organisational structures. Two-fifths (41%) of the organisations reported having an EGS service in place (groups C and D). Almost a quarter (23%) of those without an EGS service reported plans to implement one within the next five years. Our results indicate a growing trend towards implementing EGS services in England, with over 50% of trusts expected to offer such a service in five years’ time. It is important to pursue a collaborative definition of best practice for EGS to ensure high quality care for patients.","PeriodicalId":258157,"journal":{"name":"The Bulletin of the Royal College of Surgeons of England","volume":"8 44","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141230832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Electric scooter and electric bike injuries","authors":"G. Winter","doi":"10.1308/rcsbull.2024.71","DOIUrl":"https://doi.org/10.1308/rcsbull.2024.71","url":null,"abstract":"","PeriodicalId":258157,"journal":{"name":"The Bulletin of the Royal College of Surgeons of England","volume":"60 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141231921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A look at John Hunter's research and observation of the anatomy of bees.
了解约翰-亨特对蜜蜂解剖结构的研究和观察。
{"title":"John Hunter’s Observations on Bees","authors":"Sarah Pearson","doi":"10.1308/rcsbull.2024.76","DOIUrl":"https://doi.org/10.1308/rcsbull.2024.76","url":null,"abstract":"A look at John Hunter's research and observation of the anatomy of bees.","PeriodicalId":258157,"journal":{"name":"The Bulletin of the Royal College of Surgeons of England","volume":"56 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141234765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Juggling parenthood, mentoring and a pioneering surgical career is not easy – Miss Daljit Dhariwal reflects on the challenges, joys and how it can be done.
{"title":"An interview with BAOMS president Miss Daljit Dhariwal","authors":"M. Nortley","doi":"10.1308/rcsbull.2024.70","DOIUrl":"https://doi.org/10.1308/rcsbull.2024.70","url":null,"abstract":"Juggling parenthood, mentoring and a pioneering surgical career is not easy – Miss Daljit Dhariwal reflects on the challenges, joys and how it can be done.","PeriodicalId":258157,"journal":{"name":"The Bulletin of the Royal College of Surgeons of England","volume":"41 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141231555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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