Surgical registrars’ exposure to trauma laparotomy: A retrospective study from a level 1 trauma centre in New Zealand
Introduction: The objective of this study was to review the experience of surgical registrars in performing trauma laparotomies at a level 1 trauma centre in New Zealand, and to benchmark this exposure against the current literature on the topic. Methods: A cohort study was conducted retrospectively...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-06-01
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| Series: | Surgery in Practice and Science |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666262022000353 |
| _version_ | 1818536010212966400 |
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| author | Jonathan Ko Victor Kong Janet Amey Damian Clarke Damien Ah Yen Grant Christey |
| author_facet | Jonathan Ko Victor Kong Janet Amey Damian Clarke Damien Ah Yen Grant Christey |
| author_sort | Jonathan Ko |
| collection | DOAJ |
| description | Introduction: The objective of this study was to review the experience of surgical registrars in performing trauma laparotomies at a level 1 trauma centre in New Zealand, and to benchmark this exposure against the current literature on the topic. Methods: A cohort study was conducted retrospectively at a level 1 trauma centre, Waikato Hospital, Hamilton, New Zealand. All patients (>15 years) who underwent a laparotomy for trauma between 2012 and 2020 were included. These patients were stratified by the study conductors retrospectively, according to each case's primary operator and compared the experience of each respective operator according to the time of day and by the mechanism of injury. Results: During the 9-year study period, a total of 204 trauma laparotomies were performed at Waikato Hospital. Of these 204 laparotomies, a consultant was present in 78% (160/204). In 27% of cases, a registrar was the primary operator with a consultant present (55/204), and in 22% of cases, the registrar was the primary operator with no consultant present (44/204). In 48%, a registrar assisted a consultant (98/204), and in 3%, a consultant performed the operation without a registrar assisting (7/204). Based on there being four registrars rotating through Waikato Hospital each 6-month cycle, this would imply that each registrar would be exposed to three trauma laparotomies each cycle. Conclusions: Despite significant institutional volumes, the exposure of individual New Zealand surgical registrars to trauma laparotomy is limited. In addition, most trauma laparotomies were performed by registrars as assistants rather than as primary operators. It is hoped that the newly launched Post Fellowship Education and Training (PFET) in trauma in Australasia will provide greater exposure to surgeons who will be managing trauma in the future. |
| first_indexed | 2024-12-11T18:32:28Z |
| format | Article |
| id | doaj.art-347f0b5dec1a4879ba9926f9987387d4 |
| institution | Directory Open Access Journal |
| issn | 2666-2620 |
| language | English |
| last_indexed | 2024-12-11T18:32:28Z |
| publishDate | 2022-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Surgery in Practice and Science |
| spelling | doaj.art-347f0b5dec1a4879ba9926f9987387d42022-12-22T00:54:53ZengElsevierSurgery in Practice and Science2666-26202022-06-019100091Surgical registrars’ exposure to trauma laparotomy: A retrospective study from a level 1 trauma centre in New ZealandJonathan Ko0Victor Kong1Janet Amey2Damian Clarke3Damien Ah Yen4Grant Christey5Department of Surgery, University of Auckland, Auckland, New Zealand; Department of Trauma, Waikato Hospital, Hamilton, New ZealandDepartment of Trauma, Waikato Hospital, Hamilton, New Zealand; Department of Surgery, University of the Witwatersrand, Johannesburg, South AfricaTe Manawa Taki (Midland) Trauma System, Hamilton, New ZealandDepartment of Surgery, University of the Witwatersrand, Johannesburg, South AfricaDepartment of Trauma, Waikato Hospital, Hamilton, New Zealand; Te Manawa Taki (Midland) Trauma System, Hamilton, New ZealandDepartment of Surgery, University of Auckland, Auckland, New Zealand; Department of Trauma, Waikato Hospital, Hamilton, New Zealand; Te Manawa Taki (Midland) Trauma System, Hamilton, New ZealandIntroduction: The objective of this study was to review the experience of surgical registrars in performing trauma laparotomies at a level 1 trauma centre in New Zealand, and to benchmark this exposure against the current literature on the topic. Methods: A cohort study was conducted retrospectively at a level 1 trauma centre, Waikato Hospital, Hamilton, New Zealand. All patients (>15 years) who underwent a laparotomy for trauma between 2012 and 2020 were included. These patients were stratified by the study conductors retrospectively, according to each case's primary operator and compared the experience of each respective operator according to the time of day and by the mechanism of injury. Results: During the 9-year study period, a total of 204 trauma laparotomies were performed at Waikato Hospital. Of these 204 laparotomies, a consultant was present in 78% (160/204). In 27% of cases, a registrar was the primary operator with a consultant present (55/204), and in 22% of cases, the registrar was the primary operator with no consultant present (44/204). In 48%, a registrar assisted a consultant (98/204), and in 3%, a consultant performed the operation without a registrar assisting (7/204). Based on there being four registrars rotating through Waikato Hospital each 6-month cycle, this would imply that each registrar would be exposed to three trauma laparotomies each cycle. Conclusions: Despite significant institutional volumes, the exposure of individual New Zealand surgical registrars to trauma laparotomy is limited. In addition, most trauma laparotomies were performed by registrars as assistants rather than as primary operators. It is hoped that the newly launched Post Fellowship Education and Training (PFET) in trauma in Australasia will provide greater exposure to surgeons who will be managing trauma in the future.http://www.sciencedirect.com/science/article/pii/S2666262022000353WoundsLaparotomyGeneral SurgeryNew ZealandResidencyEducation |
| spellingShingle | Jonathan Ko Victor Kong Janet Amey Damian Clarke Damien Ah Yen Grant Christey Surgical registrars’ exposure to trauma laparotomy: A retrospective study from a level 1 trauma centre in New Zealand Surgery in Practice and Science Wounds Laparotomy General Surgery New Zealand Residency Education |
| title | Surgical registrars’ exposure to trauma laparotomy: A retrospective study from a level 1 trauma centre in New Zealand |
| title_full | Surgical registrars’ exposure to trauma laparotomy: A retrospective study from a level 1 trauma centre in New Zealand |
| title_fullStr | Surgical registrars’ exposure to trauma laparotomy: A retrospective study from a level 1 trauma centre in New Zealand |
| title_full_unstemmed | Surgical registrars’ exposure to trauma laparotomy: A retrospective study from a level 1 trauma centre in New Zealand |
| title_short | Surgical registrars’ exposure to trauma laparotomy: A retrospective study from a level 1 trauma centre in New Zealand |
| title_sort | surgical registrars exposure to trauma laparotomy a retrospective study from a level 1 trauma centre in new zealand |
| topic | Wounds Laparotomy General Surgery New Zealand Residency Education |
| url | http://www.sciencedirect.com/science/article/pii/S2666262022000353 |
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