Royal College of Surgeons of Edinburgh gives consultant fellows feedback on their training activity

BMJ 1999; 319 doi: https://doi.org/10.1136/bmj.319.7204.258 (Published 24 July 1999) Cite this as: BMJ 1999;319:258
  1. D R Harper, Chairman, advisory committee on audit (DouglasHarper1{at}compuserve.com)
  1. Royal College of Surgeons of Edinburgh, Edinburgh EH8 9DW

    EDITOR—Aitken et al have brought to our attention the important topic of training in large bowel cancer surgery.1 In 1992 the Royal College of Surgeons of Edinburgh began an audit of surgical training, providing consultant fellows with feedback on their training activity. Consultants from all specialties were invited to take part, and an increasing number have done so since the audit was started.

    In colorectal surgery, in 1993 a total of 11% of resections (for malignant and non-malignant disease) were undertaken by trainees with the consultant assisting; this figure rose to 21% by the next year, although no further improvement was seen in the 1996 data (table). Consultants were present at 60% of colonic resections in 1993, 70% in 1994 and 73% in 1996. Figures for cholecystectomy were similar. In urology, vascular surgery, ophthalmology, and orthopaedics our data suggest that the figures for trainees operating under supervision might be even less satisfactory.

    Percentages of cases in which a trainee was supervised at operation by assisting consultant or senior registrar (and total numbers of operations)

    View this table:

    Hospitals with training posts should be obliged to collect, on a routine basis, reliable data that allow consultants to have information on their training role. Colleges should consider setting targets to ensure that surgical training is more focused.


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