Khan Zaibun N, Shrestha Donna, Shugaba Abdulwarith, Lambert Joel E, Haslett Elizabeth, Afors Karolina, Bampouras Theodoros M, Subar Daren, Gaffney Christopher, Clark T Justin
Royal Lancaster Infirmary, Lancaster, UK.
Lancaster University, Lancaster, UK.
BMJ Open. 2025 Mar 29;15(3):e095777. doi: 10.1136/bmjopen-2024-095777.
To explore the views of obstetrics and gynaecology (O&G) and general surgery (GS) trainees and consultants on the laparoscopic skills considered necessary to achieve the certificate of completion of training (CCT) and identify any mismatch between consultants and trainees in their expectations of these skills.
A prospective nationwide cross-sectional study in the UK.
A national survey distributed through Health Education, England and national training bodies such as the Royal College of Obstetricians & Gynaecologists, British Society for Gynaecological Endoscopy and the Association of Surgeons of Great Britain and Ireland.
O&G and GS consultants and specialty trainees in O&G and GS. Specialty trainees below ST3 level and consultants performing open surgery or minor laparoscopic surgery only were excluded.
Trainees completed a 27-item questionnaire on their training characteristics, rated their confidence and perceived importance of 10 laparoscopic skills required for CCT using a 5-point Likert scale. Consultants answered a 36-item questionnaire on their demographic details, their views on the importance of the same 10 laparoscopic skills, their confidence and the standard of laparoscopic skills they observed among trainees approaching CCT.
345 participants responded to the questionnaire: 117 O&G trainees, 95 O&G consultants, 57 GS trainees and 76 GS consultants. O&G trainees and consultants expected similar laparoscopic skills required for CCT for all 10 skills (p>0.050), while GS consultants had higher expectations of GS trainees for use of endovascular devices (p<0.05), suturing (p<0.01) and staplers (p<0.05). Consultants in both specialties observed that trainees were performing significantly below the expected standards; p<0.010 (O&G) and p<0.001 (GS) for all 10 listed skills. O&G trainees reported lower confidence than GS trainees for all 10 laparoscopic skills, p<0.001.
This nationwide study showed that UK O&G trainees and consultants both agree on the skills required for CCT, but GS consultants had higher expectations than their trainees. Trainees in GS were more confident in their surgical skills than those in O&G. However, consultants in both specialities believed that trainees were not achieving the requisite laparoscopic skills required for CCT.
NCT05116332.
探讨妇产科（O&G）和普通外科（GS）的住院医师和顾问医师对于获得培训合格证书（CCT）所需的腹腔镜技能的看法，并确定顾问医师和住院医师在这些技能期望方面是否存在差异。
在英国进行的一项前瞻性全国横断面研究。
通过英格兰健康教育部门以及皇家妇产科医师学院、英国妇科内镜学会和大不列颠及爱尔兰外科医师协会等国家培训机构开展全国性调查。
妇产科和普通外科的顾问医师以及妇产科和普通外科的专科住院医师。排除低于ST3级别的专科住院医师以及仅进行开放手术或小型腹腔镜手术的顾问医师。
住院医师完成一份关于其培训特点的27项问卷，使用5点李克特量表对CCT所需的10项腹腔镜技能的信心和重要性进行评分。顾问医师回答一份36项问卷，内容包括他们的人口统计学细节、对相同10项腹腔镜技能重要性的看法、他们的信心以及他们观察到的接近CCT的住院医师的腹腔镜技能水平。
345名参与者回复了问卷：117名妇产科住院医师、95名妇产科顾问医师、57名普通外科住院医师和76名普通外科顾问医师。对于所有10项技能，妇产科住院医师和顾问医师对CCT所需的腹腔镜技能期望相似（p>0.050），而普通外科顾问医师对普通外科住院医师在血管内装置使用（p<0.05）、缝合（p<0.01）和吻合器使用（p<0.05）方面的期望更高。两个专科的顾问医师都观察到住院医师的表现明显低于预期标准；对于所有列出的10项技能，妇产科为p<0.010，普通外科为p<0.001。对于所有10项腹腔镜技能，妇产科住院医师报告的信心低于普通外科住院医师，p<0.001。
这项全国性研究表明，英国妇产科住院医师和顾问医师对CCT所需技能达成了共识，但普通外科顾问医师的期望高于其住院医师。普通外科住院医师对其手术技能比妇产科住院医师更有信心。然而，两个专科的顾问医师都认为住院医师未达到CCT所需的必要腹腔镜技能。
NCT05116332。
