The surgeon and his tools-the case for a focused orthopaedic theatre induction programme
<p>Abstract</p> <p>Background</p> <p>Induction programme for trainee doctors in the UK generally do not focus on the surgical aspects of their jobs. In this context we decided to conduct a telephonic survey among the hospitals belonging to three orthopaedic training reg...
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2008-10-01
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| Series: | BMC Research Notes |
| Online Access: | http://www.biomedcentral.com/1756-0500/1/104 |
| _version_ | 1818758436796497920 |
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| author | Wong Shaun KS Oakley J Kumar AJ Shyam Philips Steve J |
| author_facet | Wong Shaun KS Oakley J Kumar AJ Shyam Philips Steve J |
| author_sort | Wong Shaun KS |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Induction programme for trainee doctors in the UK generally do not focus on the surgical aspects of their jobs. In this context we decided to conduct a telephonic survey among the hospitals belonging to three orthopaedic training regions in the UK from the point of view of the diversity of instrumentations and implants used for index procedures.</p> <p>Results</p> <p>We chose four index trauma & orthopaedic procedures (Total hip replacement, total knee replacement, intramedullary nailing and external fixator systems for long bone fractures). A telephonic survey was done in six NHS trust hospitals which were part of an orthopaedic training rotation (2 from England, 2 from Wales and 2 from Scotland). In total there were 39 different instrumentation systems for these 4 index procedures in the 6 trusts (see table <tblr tid="T1">1</tblr>). These comprise 12 Total hip replacement (THR) systems, 14 total knee replacement (TKR) systems, 9 intra-medullary nailing systems, and 4 external fixator systems. The number of different systems for each trust ranged from 7 to 19. There is a vast array of implants and instrumentation systems in each trust, as highlighted by our survey. The surgical tools are not the same in each hospitals. This situation is more complicated when trainees move to new hospitals as part of training rotations.</p> <tbl id="T1"> <title> <p>Table 1</p> </title> <caption> <p>Number of implants/instrumentations used in each of the 6 UK trusts (3 training regions).</p> </caption> <tblbdy cols="7"> <r> <c ca="left"> <p>IMPLANT</p> </c> <c ca="center"> <p>E1</p> </c> <c ca="center"> <p>E2</p> </c> <c ca="center"> <p>W1</p> </c> <c ca="center"> <p>W2</p> </c> <c ca="center"> <p>S1</p> </c> <c ca="center"> <p>S2</p> </c> </r> <r> <c cspan="7"> <hr/> </c> </r> <r> <c ca="left"> <p><it>Total Knee Replacement</it></p> </c> <c ca="center"> <p>4</p> </c> <c ca="center"> <p>5</p> </c> <c ca="center"> <p>2</p> </c> <c ca="center"> <p>4</p> </c> <c ca="center"> <p>3</p> </c> <c ca="center"> <p>2</p> </c> </r> <r> <c ca="left"> <p><it>Total Hip Replacement</it></p> </c> <c ca="center"> <p>3</p> </c> <c ca="center"> <p>4</p> </c> <c ca="center"> <p>3</p> </c> <c ca="center"> <p>6</p> </c> <c ca="center"> <p>3</p> </c> <c ca="center"> <p>3</p> </c> </r> <r> <c ca="left"> <p><it>Intramnedullary nailing</it></p> </c> <c ca="center"> <p>2</p> </c> <c ca="center"> <p>1</p> </c> <c ca="center"> <p>1</p> </c> <c ca="center"> <p>6</p> </c> <c ca="center"> <p>2</p> </c> <c ca="center"> <p>3</p> </c> </r> <r> <c ca="left"> <p><it>External fixators</it></p> </c> <c ca="center"> <p>2</p> </c> <c ca="center"> <p>3</p> </c> <c ca="center"> <p>2</p> </c> <c ca="center"> <p>2</p> </c> <c ca="center"> <p>1</p> </c> <c ca="center"> <p>1</p> </c> </r> <r> <c cspan="7"> <hr/> </c> </r> <r> <c ca="left"> <p><it>TOTAL</it></p> </c> <c ca="center"> <p>11</p> </c> <c ca="center"> <p>13</p> </c> <c ca="center"> <p>8</p> </c> <c ca="center"> <p>18</p> </c> <c ca="center"> <p>9</p> </c> <c ca="center"> <p>9</p> </c> </r> </tblbdy> <tblfn> <p>E = England, W = Wales, S = Scotland</p> </tblfn> </tbl> <p>Conclusion</p> <p>In view of this we feel that more focused theatre based induction programmes for higher surgical trainees is advocated in each hospital trust so trainees can familiarise themselves with the tools available to them. This could include discussion with the consultants and senior theatre staff along with representatives from the companies supplying the implants and instrumentation systems.</p> |
| first_indexed | 2024-12-18T06:26:48Z |
| format | Article |
| id | doaj.art-f519193da1624941962dbd7884f3df2b |
| institution | Directory Open Access Journal |
| issn | 1756-0500 |
| language | English |
| last_indexed | 2024-12-18T06:26:48Z |
| publishDate | 2008-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Research Notes |
| spelling | doaj.art-f519193da1624941962dbd7884f3df2b2022-12-21T21:18:00ZengBMCBMC Research Notes1756-05002008-10-011110410.1186/1756-0500-1-104The surgeon and his tools-the case for a focused orthopaedic theatre induction programmeWong Shaun KSOakley JKumar AJ ShyamPhilips Steve J<p>Abstract</p> <p>Background</p> <p>Induction programme for trainee doctors in the UK generally do not focus on the surgical aspects of their jobs. In this context we decided to conduct a telephonic survey among the hospitals belonging to three orthopaedic training regions in the UK from the point of view of the diversity of instrumentations and implants used for index procedures.</p> <p>Results</p> <p>We chose four index trauma & orthopaedic procedures (Total hip replacement, total knee replacement, intramedullary nailing and external fixator systems for long bone fractures). A telephonic survey was done in six NHS trust hospitals which were part of an orthopaedic training rotation (2 from England, 2 from Wales and 2 from Scotland). In total there were 39 different instrumentation systems for these 4 index procedures in the 6 trusts (see table <tblr tid="T1">1</tblr>). These comprise 12 Total hip replacement (THR) systems, 14 total knee replacement (TKR) systems, 9 intra-medullary nailing systems, and 4 external fixator systems. The number of different systems for each trust ranged from 7 to 19. There is a vast array of implants and instrumentation systems in each trust, as highlighted by our survey. The surgical tools are not the same in each hospitals. This situation is more complicated when trainees move to new hospitals as part of training rotations.</p> <tbl id="T1"> <title> <p>Table 1</p> </title> <caption> <p>Number of implants/instrumentations used in each of the 6 UK trusts (3 training regions).</p> </caption> <tblbdy cols="7"> <r> <c ca="left"> <p>IMPLANT</p> </c> <c ca="center"> <p>E1</p> </c> <c ca="center"> <p>E2</p> </c> <c ca="center"> <p>W1</p> </c> <c ca="center"> <p>W2</p> </c> <c ca="center"> <p>S1</p> </c> <c ca="center"> <p>S2</p> </c> </r> <r> <c cspan="7"> <hr/> </c> </r> <r> <c ca="left"> <p><it>Total Knee Replacement</it></p> </c> <c ca="center"> <p>4</p> </c> <c ca="center"> <p>5</p> </c> <c ca="center"> <p>2</p> </c> <c ca="center"> <p>4</p> </c> <c ca="center"> <p>3</p> </c> <c ca="center"> <p>2</p> </c> </r> <r> <c ca="left"> <p><it>Total Hip Replacement</it></p> </c> <c ca="center"> <p>3</p> </c> <c ca="center"> <p>4</p> </c> <c ca="center"> <p>3</p> </c> <c ca="center"> <p>6</p> </c> <c ca="center"> <p>3</p> </c> <c ca="center"> <p>3</p> </c> </r> <r> <c ca="left"> <p><it>Intramnedullary nailing</it></p> </c> <c ca="center"> <p>2</p> </c> <c ca="center"> <p>1</p> </c> <c ca="center"> <p>1</p> </c> <c ca="center"> <p>6</p> </c> <c ca="center"> <p>2</p> </c> <c ca="center"> <p>3</p> </c> </r> <r> <c ca="left"> <p><it>External fixators</it></p> </c> <c ca="center"> <p>2</p> </c> <c ca="center"> <p>3</p> </c> <c ca="center"> <p>2</p> </c> <c ca="center"> <p>2</p> </c> <c ca="center"> <p>1</p> </c> <c ca="center"> <p>1</p> </c> </r> <r> <c cspan="7"> <hr/> </c> </r> <r> <c ca="left"> <p><it>TOTAL</it></p> </c> <c ca="center"> <p>11</p> </c> <c ca="center"> <p>13</p> </c> <c ca="center"> <p>8</p> </c> <c ca="center"> <p>18</p> </c> <c ca="center"> <p>9</p> </c> <c ca="center"> <p>9</p> </c> </r> </tblbdy> <tblfn> <p>E = England, W = Wales, S = Scotland</p> </tblfn> </tbl> <p>Conclusion</p> <p>In view of this we feel that more focused theatre based induction programmes for higher surgical trainees is advocated in each hospital trust so trainees can familiarise themselves with the tools available to them. This could include discussion with the consultants and senior theatre staff along with representatives from the companies supplying the implants and instrumentation systems.</p>http://www.biomedcentral.com/1756-0500/1/104 |
| spellingShingle | Wong Shaun KS Oakley J Kumar AJ Shyam Philips Steve J The surgeon and his tools-the case for a focused orthopaedic theatre induction programme BMC Research Notes |
| title | The surgeon and his tools-the case for a focused orthopaedic theatre induction programme |
| title_full | The surgeon and his tools-the case for a focused orthopaedic theatre induction programme |
| title_fullStr | The surgeon and his tools-the case for a focused orthopaedic theatre induction programme |
| title_full_unstemmed | The surgeon and his tools-the case for a focused orthopaedic theatre induction programme |
| title_short | The surgeon and his tools-the case for a focused orthopaedic theatre induction programme |
| title_sort | surgeon and his tools the case for a focused orthopaedic theatre induction programme |
| url | http://www.biomedcentral.com/1756-0500/1/104 |
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