Judge overturns decision to strike consultant surgeon off medical register

THE CASUALTY DEPARTMENT. By T. G. Lowden, F.R.C.S., Consultant Surgeon Sunderland Royal Infirmary. 9Â½x6Â½ in. Pp. viii+278, with 134 figures. Index. 1955. Edinburgh and London: E. & S. Livingstone Ltd. Price 37s. 6d

Journal of Bone and Joint Surgery - British Volume ◽

10.1302/0301-620x.37b4.740 ◽

1955 ◽

Vol 37-B (4) ◽

pp. 740-740

Author(s):

J. C. Scott

Keyword(s):

Royal Infirmary ◽

Consultant Surgeon

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The Wittgenstein effect on consultant surgeon differential attainment

Bulletin of The Royal College of Surgeons of England ◽

10.1308/rcsbull.2021.42 ◽

2021 ◽

Vol 103 (2) ◽

pp. E12-E16

Author(s):

OP James ◽

DBT Robinson ◽

L Hopkins ◽

AGMT Powell ◽

C Brown ◽

...

Keyword(s):

Consultant Surgeon

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EP.TH.1043Outcomes of liver resections by trainee surgeons versus consultant surgeon – a single centre experience

British Journal of Surgery ◽

10.1093/bjs/znab309.103 ◽

2021 ◽

Vol 108 (Supplement_7) ◽

Author(s):

Umasankar Mathuram Thiyagarajan ◽

Alaa Al-Mohammad ◽

Stephanie Goh ◽

Siong-Seng Liau ◽

Emmanuel Huguet ◽

...

Keyword(s):

Liver Resection ◽

Hospital Readmission ◽

Operative Time ◽

Bile Leak ◽

Kidney Injury ◽

Consultant Surgeon ◽

Liver Resections ◽

Trainee Group ◽

Significant Difference ◽

Long Term Follow Up

Abstract Introduction Liver resection is a most effective treatment for patients with operable primary or secondary cancer deposits. The role of trainee as a lead surgeon versus consultant surgeon performing liver resections and its impact on surgical outcomes had never been reported. Methods and Materials This study was aimed to assess the liver resection outcomes including operative time, acute kidney injury (AKI), bile leak, sepsis, mortality and hospital readmission within 3 months. A total of 320 liver resections from Addenbookes Hospital at Cambridge between 2015 to 2017 were included in this study. All liver resections were performed under supervision of the consultant surgeon who is either scrubbed or unscrubbed in theatre. Trainee surgeons have performed 116 of 320 as lead surgeon and the consultant surgeons performed the remaining 204. Results The mean operative time was 413±129 versus 383±118 (P = 0.41) minutes in trainee surgeons and consultant surgeons respectively. The incidence of postoperative AKI were similar in between the groups (5/116 versus 11/204;P=0.79). Although the bile leak was numerically high in the trainee group, did not reach statistical difference (13/116 versus 12/204;P=0.12); similar results noted in the incidence of sepsis too (3/116 versus 4/204;P=070). Mortality, hospital readmission at 3 months were (1/204 versus 1/116;P=1) and (2/116 versus 4/204;P=1) respectively. No significant difference was observed. Conclusion Liver resections performed by the trainee surgeons under supervision appeared to be safe without increasing the operative time, morbidity, mortality and hospital readmission at 90 days. Further multicentre prospective study with long-term follow up is recommended.

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