The Dark Years
Shining a Light on
Prevocational Surgical
Training IN NSW.
Dr Richard Atkinson – Surgical SRMO
CSTC Trainee Subcommittee
Surgical Skills Training Network
1
Introduction
 Rationale
 Surgical
 Clinical

Skills Training Network
Surgical Training Council (CSTC)
Trainee subcommitee
 Aims
 Results
 Where
to from here…
Surgical Skills Training Network
2
3
Surgical Skills Training Network
4
Med Student
Surgical Skills Training Network
5
PGY 1,2
Surgical Skills Training Network
6
Registrar
Surgical Skills Training Network
7
Fellow
Surgical Skills Training Network
8
Surgical Skills Training Network
9
The Dark Years
Surgical Skills Training Network
10
Where are the Dark Years??
Medical
Student
PGY1
PGY2
Vocational
(registrar)
training
Surgical Skills Training Network
Vocation
(Consultant)
Surgical Skills Training Network - NSW
6
Networks across NSW
 Metropolitan
and rural hospitals within each Network
 Rotations
available in General Surgery and Surgical
Sub-specialities
 Differing


levels of responsibility:
SRMO
Registrar
 Coordinated
and delivered through a partnership
between NSW CETI and the surgical networks.
Surgical Skills Training Network
11
Clinical Surgical Training Council - Trainee
Subcommitee
 NSW


CSTC – Division of CETI
Clinicians and Administration
Co-ordination and implementation of prevocational
surgical education and training within NSW
 Trainee



Subcommittee – JMO voice
Specific requirements for prevocational surgical trainees
Concerns and opinions regarding prevocational training
voiced directly to the NSW CSTC
PGY 1, 2, 3 +
Surgical Skills Training Network
12
Prevocational surgical training - Survey
 Aims





to assess:
Seniority and type of roles
Education and training opportunities
Most valuable aspects of training
Relevance of current training
Success
Surgical Skills Training Network
13
14
Demographics
 PGY1
–5
 HNE
 PGY2
–5
 Sydney
 SRMO
– 17
 Unaccredited
 SET
– 14
South West – 7
 Northern
Trainees – 6
1&2–4
 Sydney
–6
West – 1
 East/Great
 Southern
Total Responses - 37
Surgical Skills Training Network
Southern – 7
–2
Working at a senior level (registrar)
Surgical Skills Training Network
15
What roles were undertaken by the trainee
Surgical Skills Training Network
16
Was there a more junior JMO on the team?
Surgical Skills Training Network
17
Education and Training Opportunities
 Who
co-ordinated teaching?
 Have
you attended Network teaching?
 Access
 Who
to local clinical skills training facilities?
do you feel is responsible for your training?
Surgical Skills Training Network
18
Co-ordination of teaching
Surgical Skills Training Network
19
20
Attendance
Surgical Skills Training Network
Access to Local Skills Training Facilities
Surgical Skills Training Network
21
22
Who should be responsible?
??
Surgical Skills Training Network
Who should be responsible?
Surgical Skills Training Network
23
Relevance/Satisfaction of current training
“the way the current interviews are structured, actual registrar
experience or surgical prowess is of no benefit”
Surgical Skills Training Network
24
Adequacy of access to SET referees?
Surgical Skills Training Network
25
26
Success
Surgical Skills Training Network
Most valued aspects of surgical training?
Surgical Skills Training Network
27
Most valued aspects of surgical training?
 Comments:

“I felt I learnt more with increased responsibility than
anything else”

“well supervised and supported senior roles”

“mentorship”

“supervised operating”
Surgical Skills Training Network
28
29
Discussion
 Surgical
skills education is important and is valued
by all levels of prevocational trainees
 Increased
seniority
 Increased
capacity
 Where
to from here…..
Surgical Skills Training Network
30
The Dark Years
Surgical Skills Training Network
31
Consultant
Surgical Fellow
SET Trainee
Unaccredited
Trainee
Surgical SRMO
PGY 2
PGY 1
Surgical Skills Training Network
32
Thank you
Surgical Skills Training Network