scholarly journals Surgical Outpatient Study: characterizing the educational experience of outpatient clinics for surgical trainees

2020 ◽  
Vol 90 (11) ◽  
pp. 2166-2167
Author(s):  
Su Kah Goh ◽  
Nagendra N. Dudi‐Venkata ◽  
Bob Zhou ◽  
Daniel Ng ◽  
David S. Liu ◽  
...  
Keyword(s):  
Educational Experience ◽  
Outpatient Clinics ◽  
Surgical Trainees ◽  
Outpatient Study

scholarly journals Impact of the COVID-19 pandemic on core surgical training

2020 ◽  
Vol 65 (4) ◽  
pp. 133-137 ◽  
Author(s):  
Khurram Shahzad Khan ◽  
Rona Keay ◽  
Morag McLellan ◽  
Sajid Mahmud
Keyword(s):  
Surgical Training ◽  
Teaching Hospital ◽  
General Surgery ◽  
Negative Impact ◽  
Outpatient Clinics ◽  
Box Trainer ◽  
Surgical Trainees ◽  
Long Term Impact ◽  
The Impact

Background and aims COVID-19 pandemic has caused significant disruption in training which is even more pronounced in the surgical specialties. We aim to assess the impact of COVID-19 pandemic on core surgical training. Methods All core surgical and improving surgical trainees in West of Scotland region were invited to participate in an online voluntary anonymous survey via SurveyMonkey. Results 28 of 44 (63.6%) trainees responded, 15 (53.6%) were CT1/ST1. 14 (50.0%) working in teaching hospital and 15 (53.6%) working in general surgery. 20 (71.4%) felt that due to the pandemic they have less opportunity to operate as the primary surgeon. 21 (75.0%) have not attended any outpatient clinics. 8 (28.6%) did not have any form of access to the laparoscopic box-trainer. 20 (71.4%) felt their level of confidence in preforming surgical skills has been negatively impacted. 18 (64.3%) found it difficult to demonstrate progress in portfolio. 21 (75.0%) trainees have not attended any teaching. 10 (35.7%) trainees have been off-sick. 8 (28.6%) trainees have felt slightly or significantly more stressed. Conclusion COVID-19 pandemic has an unprecedented negative impact on all aspects of core surgical training. The long term impact on the current cohort of trainees is yet to be seen.

scholarly journals Comparison among TonoVet, TonoVet Plus, Tono-Pen Avia Vet, and Kowa HA-2 portable tonometers for measuring intraocular pressure in dogs

2021 ◽  
pp. 2444-2451
Author(s):  
João Victor Goulart Consoni Passareli ◽  
Felipe Franco Nascimento ◽  
Giovana José Garcia Estanho ◽  
Claudia Lizandra Ricci ◽  
Glaucia Prada Kanashiro ◽  
...  
Keyword(s):  
Intraocular Pressure ◽  
Correlation Coefficient ◽  
Strong Correlation ◽  
Outpatient Clinics ◽  
Excellent Correlation ◽  
Postmortem Study ◽  
Iop Measurement ◽  
Outpatient Study ◽  
Healthy Eyes

Background and Aim: Tonometers are an important instrument for measuring intraocular pressure (IOP) in the diagnosis of glaucoma or uveitis. This study aimed to compare the accuracy of the main types of tonometers with different IOP measurement methodologies in dogs: TonoVet and TonoVet Plus (rebound), Tono-Pen Avia Vet (applanation), and Kowa HA-2 (Goldmann applanation). Materials and Methods: IOP was measured in 152 eyes of 76 dogs. A postmortem study was performed by comparing manometry and tonometry values and calculating the correlation coefficient (r2), in vivo real IOP (manometry) among the tonometers was compared, and an outpatient study was conducted with healthy eyes and eyes with signs of glaucoma and uveitis. Results: In the postmortem study, the values of r2 in descending order were Kowa (0.989), TonoVet Plus (0.984), TonoVet (0.981), and Tono-Pen Avia Vet (0.847). The IOP values in mmHg in the in vivo study were as follows: Aneroid manometer (16.8±2.5.7), TonoVet (18.1±2.9), TonoVet Plus (20.6±2.3), Tono-Pen Avia Vet (17.1±2.5), and Kowa (16.1±1.7); in outpatient clinics: TonoVet (16.8±3.8), TonoVet Plus (19.2±2.9), Tono-Pen Avia Vet (16.2±2.4), and Kowa (15.0±1.3); glaucoma: TonoVet (30.2±3.5), TonoVet Plus (35.0±6.1), Tono-Pen Avia Vet (29.5±4.2), and Kowa (23.9±5.0); and uveitis: TonoVet (14.2±1.4), TonoVet Plus (17.6±1.9), Tono-Pen Avia Vet (13.7±2.1), and Kowa (12.6±1.7). Conclusion: There was a strong correlation between IOP values and manometry in all the tonometers. The highest values were obtained with TonoVet Plus and the lowest with Kowa HA-2. All tonometers accurately measured IOP in dogs, including the latest TonoVet Plus, which showed an excellent correlation coefficient.

Improving Core Surgical Training in Plastic Surgery

2012 ◽  
Vol 94 (9) ◽  
pp. 304-306
Author(s):  
O Gilleard ◽  
N Segaren ◽  
D Markeson ◽  
R Uppal ◽  
Y Tavsanoglu ◽  
...  
Keyword(s):  
Plastic Surgery ◽  
Surgical Training ◽  
Outpatient Clinic ◽  
Service Provision ◽  
Operating Theatre ◽  
Outpatient Clinics ◽  
Medical Careers ◽  
Surgical Trainees ◽  
European Working

Since the introduction of the European Working Time Regulations (EWTR) and Modernising Medical Careers (MMC), concerns have been raised regarding the quality of early surgical training. Recurring issues include the lack of time spent in the operating theatre and outpatient clinic with increased time spent on service provision. As a means of restoring the quality of early surgical training, the Joint Committee on Surgical Training (JCST) has devised a set of SMART (specific, measurable, attainable, relevant, time-framed) standards to be met by core surgical trainees (CSTs). These include the following scheduled weekly activities: four half-day sessions (18 hours) supervised in the operating theatre, one half-day session (4.5 hours) in supervised outpatient clinics and two hours of structured teaching.

scholarly journals Virtual consultations: delivering outpatient clinics in paediatric surgery during the COVID-19 pandemic

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
A. M. Charnell ◽  
E. Hannon ◽  
D. Burke ◽  
M. R. Iredale ◽  
J. R. Sutcliffe
Keyword(s):  
Strong Support ◽  
Service Evaluation ◽  
Outpatient Clinics ◽  
Paediatric Surgery ◽  
Surgical Team ◽  
Information Sheet ◽  
Face To Face ◽  
Surgical Trainees ◽  
The Uk

Abstract Background The COVID-19 pandemic has resulted in many changes to clinical practice, including the introduction of remote clinics. Those familiar with remote clinics have reported benefits to their use, such as patient satisfaction and cost benefits; however, ongoing challenges exist, including delivering optimal patient-centred care. As a tertiary paediatric surgery unit in the UK, completing remote clinics was a new experience for most of our surgical team. We completed a service evaluation early into the COVID-19 pandemic aiming to define and address issues when delivering remote clinics in paediatric surgery. Remote clinics were observed (telephone and video), with follow-up calls to families following the consultations. Results Eight paediatric surgeons were observed during their remote clinics (telephone n = 6, video n = 2). Surgeons new to remote clinics felt their consultations took longer and were reluctant to discharge patients. The calls did not always occur at the appointed time, causing some upset by parents. Prescription provision and outpatient investigations led to some uncertainty within the surgical team. Families (n = 11) were called following their child’s appointment to determine how our remote clinics could be optimised. The parents all liked remote clinics, either as an intermediate until a face-to-face consultation or for continued care if appropriate. Our findings, combined by discussions with relevant managers and departments, led to the introduction of recommendations for the surgical team. An information sheet was introduced for the families attending remote clinics, which encouraged them to take notes before and during their consultations. Conclusions There must be strong support from management and appropriate departments for successful integration of remote clinics. Surgical trainees and their training should be considered when implementing remote clinics. Our learning from the pandemic may support those considering integrating remote clinics in the future.

The Long Road: Catholic Schools and Catholic social integration since 1918 (Cardinal Winning Lecture, 2017)

2019 ◽  
Vol 28 (1) ◽  
pp. 63-73
Author(s):  
T. M. Devine
Keyword(s):  
Teacher Education ◽  
Twentieth Century ◽  
Social Integration ◽  
Spiritual Formation ◽  
Economic History ◽  
Catholic Schools ◽  
Educational Experience ◽  
Social Division ◽  
Mainstream Society ◽  
Catholic Schooling

Critics, past and present, of state-funded denominational education in Scotland after 1918 have often asserted that the system has promoted social division, separateness and even fostered sectarianism. This lecture – the Cardinal Winning Lecture, 2017, delivered to the St Andrew's Foundation for Catholic Teacher Education, University of Glasgow – disagrees with these views. Instead, the presentation argues that Catholic schooling, in addition to its recognised importance in Christian spiritual formation, has been a crucial influence promoting the integration of a formerly disadvantaged and marginalised community into modern Scotland. ‘Integration’ is defined for this purpose as the process of incorporation into mainstream society as equal citizens. The lecture considers the long and rocky road to this achievement by setting the educational experience within the broader context of Scottish religious, social, political and economic history in the twentieth century.

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