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View article: Current Approaches to Diagnosis and Management of Acute Mesenteric Ischaemia: A Scoping Review
Current Approaches to Diagnosis and Management of Acute Mesenteric Ischaemia: A Scoping Review Open
Background: Acute mesenteric ischaemia (AMI) is a life-threatening condition with mortality exceeding 50%. This scoping review evaluates current diagnostic and management strategies, comparing endovascular and open surgical approaches. Sum…
View article: Assessing current handover practices in surgery: A survey of non-consultant hospital doctors in Ireland
Assessing current handover practices in surgery: A survey of non-consultant hospital doctors in Ireland Open
Surgical NCHDs working in Irish hospitals reported poor compliance with international best practice for handover and identified potential harms. Process standardisation, appropriate staff training, and the provision of necessary handover-r…
View article: Performance in Irish Selection and Future Performance in Surgical Training
Performance in Irish Selection and Future Performance in Surgical Training Open
Importance Selection processes for surgical training should aim to identify candidates who will become competent independent practitioners and should aspire to high standards of reliability and validity. Objective To determine the associat…
View article: Sex-related differences in oncologic outcomes, operative complications and health-related quality of life after curative-intent oesophageal cancer treatment: multicentre retrospective analysis
Sex-related differences in oncologic outcomes, operative complications and health-related quality of life after curative-intent oesophageal cancer treatment: multicentre retrospective analysis Open
Background Oesophageal cancer, in particular adenocarcinoma, has a strong male predominance. However, the impact of patient sex on operative and oncologic outcomes and recovery of health-related quality of life is poorly documented, and wa…
View article: Why do residents fail simulation-based assessments of operative competence? A qualitative analysis
Why do residents fail simulation-based assessments of operative competence? A qualitative analysis Open
This qualitative study explored factors influencing the scoring decisions of raters in a simulation-based assessment of operative competence, by analysing feedback provided to trainees receiving ‘borderline’ or ‘not competent’ global score…
View article: SP11.16 Development and Validation of a Novel Simulation-Based Assessment of Operative Skill for Higher Specialist Trainees in General Surgery
SP11.16 Development and Validation of a Novel Simulation-Based Assessment of Operative Skill for Higher Specialist Trainees in General Surgery Open
Introduction Simulation is an established training modality, though its use in high-stakes assessment is under-explored. This study sought to develop and validate a novel assessment of operative competence for higher specialist trainees in…
View article: SP11.17 The predictive paradigm: examining the validity of a national selection process in surgical training
SP11.17 The predictive paradigm: examining the validity of a national selection process in surgical training Open
Introduction Selection processes should conform to a ‘predictive paradigm’, identifying candidates who will become competent professionals. This study investigates the ability of a centralised, multi-modal national selection process to pre…
View article: Post-pneumonectomy syndrome: a systematic review of the current evidence and treatment options
Post-pneumonectomy syndrome: a systematic review of the current evidence and treatment options Open
Objectives Post-pneumonectomy syndrome (PPS) is rare and predominantly characterised by dynamic airway obstruction due to mediastinal rotation at any time point following pneumonectomy. The objective of this systematic review was to identi…
View article: Characterizing individual trainee learning curves in surgical training: Challenges and opportunities
Characterizing individual trainee learning curves in surgical training: Challenges and opportunities Open
The surgical learning curve is an observable and measurable phenomenon. In the era of competency-based approaches to surgical training, monitoring the trajectory of individual trainee competence attainment could represent a meaningful meth…
View article: Defining operative experience targets in surgical training: A systematic review
Defining operative experience targets in surgical training: A systematic review Open
Many studies have recorded competent trainee performance in key index procedures after reaching experience threshold numbers in excess of currently mandated targets across jurisdictions. The evidence relating current operative experience t…
View article: 772 Perspectives on Simulation as an Assessment Tool in Surgical Training: A Qualitative Study of Key Stakeholders
772 Perspectives on Simulation as an Assessment Tool in Surgical Training: A Qualitative Study of Key Stakeholders Open
Aim The perspectives of the wider surgical community toward simulation-based assessment (SBA) in training is a gap in the literature. This study aims to generate a conceptual framework regarding the acceptable use of SBA in surgical traini…
View article: 774 Operative Experience Targets in General Surgery Training: A Systematic Review
774 Operative Experience Targets in General Surgery Training: A Systematic Review Open
Aim Operative experience targets are well established as a proxy measure for operative competence in surgical training across jurisdictions. The aim of this study was to examine the validity evidence of operative experience targets in surg…
View article: Future of Surgery: Technology Enhanced Surgical Training: Report of the FOS:TEST Commission
Future of Surgery: Technology Enhanced Surgical Training: Report of the FOS:TEST Commission Open
Over the past 50 years the capability of technology to improve surgical care has been realised and while surgical trainees and trainers strive to deliver care and train; the technological ‘solutions’ market continues to expand. However, th…
View article: WE3.9 Operative competence should be assessed on a procedure-specific basis: analysis of submitted Supervised Structured Assessments of Operative Performance (SSAOPs) by Core Surgical Trainees in Ireland using Generalisability Theory
WE3.9 Operative competence should be assessed on a procedure-specific basis: analysis of submitted Supervised Structured Assessments of Operative Performance (SSAOPs) by Core Surgical Trainees in Ireland using Generalisability Theory Open
Introduction Competency-based training programmes require reliable summative assessment methods. The aim of this study is to assess the reliability of the Supervised Structured Assessment of Operative Performance (SSAOP) tool in determinin…
View article: AB057. SOH22ABS070. Operative experience targets in general surgery training: a systematic review
AB057. SOH22ABS070. Operative experience targets in general surgery training: a systematic review Open
Background: Operative experience targets are well established as a proxy measure for operative competence in surgical training across jurisdictions. The aim of this study was to examine the validity evidence of operative experience targets…
View article: Perspectives on simulation-based assessment of operative skill in surgical training
Perspectives on simulation-based assessment of operative skill in surgical training Open
The perspectives of the wider surgical community toward simulation-based assessment (SBA) in training is a gap in the literature. This study aims to explore the factors associated with the acceptable use of SBA in surgical training, throug…
View article: Surgical Management of Hidradenitis Suppurativa: A Narrative Review.
Surgical Management of Hidradenitis Suppurativa: A Narrative Review. Open
The success of surgical management is dependent on multiple factors. Thus far, the precise role of surgery in elective treatment of refractory HS requires further analysis and reporting of outcomes.
View article: How do Trainers and Trainees use Formative Workplace-based Assessments of Operative Competence to Deliver and Receive Structured Feedback?
How do Trainers and Trainees use Formative Workplace-based Assessments of Operative Competence to Deliver and Receive Structured Feedback? Open
Trainees do not submit more than the required number of operative workplace-based assessments. Assessments are submitted at the end of the trainee's rotation, limiting their formative value. The quality of written feedback is poor and coul…
View article: Perceptions and experiences of simulation-based assessment of technical skill in surgery: A scoping review
Perceptions and experiences of simulation-based assessment of technical skill in surgery: A scoping review Open
There is broadly positive agreement amongst residents and surgical trainers in the published literature regarding the validity of simulation-based assessment. Perceptions of the broader application and implications of simulation-based skil…
View article: AB037. SOH21AS008. Outcomes of revascularisation for acute limb ischaemia in patients with underlying malignancy: a systematic review
AB037. SOH21AS008. Outcomes of revascularisation for acute limb ischaemia in patients with underlying malignancy: a systematic review Open
Background: Rates of acute limb ischaemia (ALI) are higher in patients with malignancy. Despite this, there remains uncertainty with regards to the most appropriate management for patients with cancer presenting with ALI due to previously …
View article: AB027. SOH21AS082. Patterns in presentation and management of emergency general and vascular surgical patients during the COVID-19 pandemic
AB027. SOH21AS082. Patterns in presentation and management of emergency general and vascular surgical patients during the COVID-19 pandemic Open
Background: The global COVID-19 pandemic has impacted upon the delivery of surgical services worldwide. This study investigated the impact of the pandemic on emergency general and vascular surgical activity at a tertiary level academic tea…
View article: Hybrid covered endovascular reconstruction of the aortic bifurcation (CERAB) procedure is preferable to aortobifemoral bypass for limb-threatening aortoiliac occlusive disease during the COVID-19 crisis
Hybrid covered endovascular reconstruction of the aortic bifurcation (CERAB) procedure is preferable to aortobifemoral bypass for limb-threatening aortoiliac occlusive disease during the COVID-19 crisis Open
The COVID-19 pandemic is disrupting the provision of acute vascular surgery across the globe. Limited evidence of the impact of nosocomial infection on patient outcomes as well as concerns about critical care capacity will likely have an i…