naa a22 4500 510741215 CHVBK 20180411083028.0 cr unu---uuuuu 180411e20131201xx s 000 0 eng 10.1007/s11845-013-0932-z doi (NATIONALLICENCE)springer-10.1007/s11845-013-0932-z Higher surgical training opportunities in the general hospital setting; getting the balance right [Elektronische Daten] [I. Robertson, O. Traynor, W. Khan, R. Waldron, K. Barry] Background: The general hospital can play an important role in training of higher surgical trainees (HSTs) in Ireland and abroad. Training opportunities in such a setting have not been closely analysed to date. Aims: The aim of this study was to quantify operative exposure for HSTs over a 5-year period in a single institution. Methods: Analysis of electronic training logbooks (over a 5-year period, 2007-2012) was performed for general surgery trainees on the higher surgical training programme in Ireland. The most commonly performed adult and paediatric procedures per trainee, per year were analysed. Results: Standard general surgery operations such as herniae (average 58, range 32-86) and cholecystectomy (average 60, range 49-72) ranked highly in each logbook. The most frequently performed emergency operations were appendicectomy (average 45, range 33-53) and laparotomy for acute abdomen (average 48, range 10-79). Paediatric surgical experience included appendicectomy, circumcision, orchidopexy and hernia/hydrocoele repair. Overall, the procedure most commonly performed in the adult setting was endoscopy, with each trainee recording an average of 116 (range 98-132) oesophagogastroduodenoscopies and 284 (range 227-354) colonoscopies. Conclusions: General hospitals continue to play a major role in the training of higher surgical trainees. Analysis of the electronic logbooks over a 5-year period reveals the high volume of procedures available to trainees in a non-specialist centre. Such training opportunities are invaluable in the context of changing work practices and limited resources. Royal Academy of Medicine in Ireland, 2013 Higher surgical training nationallicence eLogbook nationallicence General hospital nationallicence Operative exposure nationallicence Consultant supervision nationallicence Emergency surgery nationallicence Robertson I. Department of Surgery, Mayo General Hospital, Castlebar, Co Mayo, Ireland aut Traynor O. National Surgical Training Centre, Royal College of Surgeons in Ireland, 123 St. Stephen's Green, Dublin 2, Ireland aut Khan W. Department of Surgery, Mayo General Hospital, Castlebar, Co Mayo, Ireland aut Waldron R. Department of Surgery, Mayo General Hospital, Castlebar, Co Mayo, Ireland aut Barry K. Department of Surgery, Mayo General Hospital, Castlebar, Co Mayo, Ireland aut Irish Journal of Medical Science Springer London 182/4(2013-12-01), 589-593 0021-1265 182:4<589 2013 182 11845 https://doi.org/10.1007/s11845-013-0932-z text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11845-013-0932-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Robertson I. Department of Surgery, Mayo General Hospital, Castlebar, Co Mayo, Ireland aut NATIONALLICENCE 700 1- Traynor O. National Surgical Training Centre, Royal College of Surgeons in Ireland, 123 St. Stephen's Green, Dublin 2, Ireland aut NATIONALLICENCE 700 1- Khan W. Department of Surgery, Mayo General Hospital, Castlebar, Co Mayo, Ireland aut NATIONALLICENCE 700 1- Waldron R. Department of Surgery, Mayo General Hospital, Castlebar, Co Mayo, Ireland aut NATIONALLICENCE 700 1- Barry K. Department of Surgery, Mayo General Hospital, Castlebar, Co Mayo, Ireland aut NATIONALLICENCE 773 0- Irish Journal of Medical Science Springer London 182/4(2013-12-01), 589-593 0021-1265 182:4<589 2013 182 11845 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer