HESW Severn Post-Graduate School of Surgery, Deanery House, Unit D-Vantage Business Park, Old Gloucester Road, Bristol, BS16 1GW, United Kingdom.
HESW Severn Post-Graduate School of Surgery, Deanery House, Unit D-Vantage Business Park, Old Gloucester Road, Bristol, BS16 1GW, United Kingdom.
Int J Surg. 2018 Sep;57:60-65. doi: 10.1016/j.ijsu.2018.03.083. Epub 2018 Apr 10.
The transition to surgical training can be a stressful time for trainees and is most evident during national handover periods where new graduates start and senior trainees rotate to new programmes. During this time, patient mortality can increase and Hospital efficiency reduces. This influence is compounded by the impact of working time directives. Intensive, simulation rich training programmes or "Boot Camps" have been postulated as a solution. This article highlights the development of a surgical boot camp for novice surgical trainees and the impact this can have on training.
A novel surgical boot camp was developed for all trainees within a surgical training region including nine acute NHS trusts. Participating cohort of trainees completed pre and post course questionnaires to assess technical and non-technical skills.
25 trainees attended and completed the pre and post boot camp questionnaire. Significant improvements were seen with technical skills (p = 0.0429), overall non-technical skills (p < 0.001) including leadership (p = 0.022), communication (p = 0.010), situational awareness (p = 0.022), patient handover (p = 0.003), ward round skills (p = 0.005) and outpatient skill (p = 0.002). Trainees reported significantly increased ability to assess and manage a critically unwell patient (p = 0.001) and a trauma patient (p = 0.001). 96% of trainees have utilised the skills they learnt on Boot Camp and all trainees would recommend it as an induction programme.
Surgical Boot Camps offer a timely chance to develop technical and non-technical skills whilst enhancing a trainee's confidence and knowledge and reduce the patient safety impact of the handover period.
对于受训者来说，从医学生到外科医生的转变过程可能会充满压力，而在交接期尤为明显，此时新毕业生开始工作，资深受训者则转到新的项目中。在此期间，患者死亡率可能会上升，医院效率也会降低。而工作时间指令的影响则加剧了这种情况。密集的、以模拟为基础的培训计划或“训练营”被认为是一种解决方案。本文介绍了一种针对新手外科受训者的外科训练营的发展，以及它对培训的影响。
为一个外科培训区域内的所有受训者（包括九个 NHS 急性信托机构）开发了一个新的外科训练营。参与培训的受训者在参加课程前后完成了问卷，以评估技术和非技术技能。
共有 25 名受训者参加并完成了训练营前后的问卷。技术技能有显著提高（p=0.0429），整体非技术技能（p<0.001）包括领导力（p=0.022）、沟通（p=0.010）、情景意识（p=0.022）、患者交接（p=0.003）、查房技能（p=0.005）和门诊技能（p=0.002）。受训者报告说，他们在评估和管理重症患者（p=0.001）和创伤患者（p=0.001）的能力方面有了显著提高。96%的受训者在训练营中使用了他们所学的技能，所有受训者都推荐将其作为入职培训计划。
外科训练营提供了一个及时的机会，可以在提高受训者信心和知识的同时，发展技术和非技术技能，并减少交接期间对患者安全的影响。
