Surgical Skills Training Network 1 The Dark Years Shining a Light on Prevocational Surgical Training IN NSW. Dr Richard Atkinson – Surgical SRMO CSTC Trainee Subcommittee

Surgical Skills Training Network 2 Introduction Rationale Surgical Skills Training Network Clinical Surgical Training Council (CSTC) Trainee subcommitee Aims Results Where to from here…

Surgical Skills Training Network 3

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

9 The Dark Years

Surgical Skills Training Network 10 Where are the Dark Years?? Medical Student PGY1 PGY2 Vocational (registrar) training Vocation (Consultant )

Surgical Skills Training Network 11 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 12 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 13 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 14 Demographics PGY1 – 5 PGY2 – 5 SRMO – 17 Unaccredited Trainees – 6 SET 1 & 2 – 4 Total Responses - 37 HNE – 14 Sydney South West – 7 Northern – 6 Sydney West – 1 East/Great Southern – 7 Southern – 2

Surgical Skills Training Network 15 Working at a senior level (registrar)

Surgical Skills Training Network 16 What roles were undertaken by the trainee

Surgical Skills Training Network 17 Was there a more junior JMO on the team?

Surgical Skills Training Network 18 Education and Training Opportunities Who co-ordinated teaching? Have you attended Network teaching? Access to local clinical skills training facilities? Who do you feel is responsible for your training?

Surgical Skills Training Network 19 Co-ordination of teaching

Surgical Skills Training Network 20 Attendance

Surgical Skills Training Network 21 Access to Local Skills Training Facilities

Surgical Skills Training Network 22 Who should be responsible? ??

Surgical Skills Training Network 23 Who should be responsible?

Surgical Skills Training Network 24 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 25 Adequacy of access to SET referees?

Surgical Skills Training Network 26 Success

Surgical Skills Training Network 27 Most valued aspects of surgical training?

Surgical Skills Training Network 28 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 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 Surgical SRMO Unaccredited Trainee SET Trainee Surgical Fellow Consultant PGY 2 PGY 1

Surgical Skills Training Network 32 Thank you