MyMedR

INTRODUCTION: The development of reporting guidelines over the past 20 years represents a major advance in scholarly publishing with recent evidence showing positive impacts. Whilst over 350 reporting guidelines exist, there are few that are specific to surgery. Here we describe the development of the STROCSS guideline (Strengthening the Reporting of Cohort Studies in Surgery).

METHODS AND ANALYSIS: We published our protocol apriori. Current guidelines for case series (PROCESS), cohort studies (STROBE) and randomised controlled trials (CONSORT) were analysed to compile a list of items which were used as baseline material for developing a suitable checklist for surgical cohort guidelines. These were then put forward in a Delphi consensus exercise to an expert panel of 74 surgeons and academics via Google Forms.

RESULTS: The Delphi exercise was completed by 62% (46/74) of the participants. All the items were passed in a single round to create a STROCSS guideline consisting of 17 items.

CONCLUSION: We present the STROCSS guideline for surgical cohort, cross-sectional and case-control studies consisting of a 17-item checklist. We hope its use will increase the transparency and reporting quality of such studies. This guideline is also suitable for cross-sectional and case control studies. We encourage authors, reviewers, journal editors and publishers to adopt these guidelines.

Matched MeSH terms: General Surgery*

Academic surgery in Asia

Yip CH

ANZ J Surg, 2008 May;78(5):345-6.

PMID: 18380727 DOI: 10.1111/j.1445-2197.2008.04471.x

Matched MeSH terms: General Surgery/education; General Surgery/organization & administration*; General Surgery/trends

Fulltext The state of African surgical research capacity: highlighting the current efforts, challenges, and recommendations - Editorial

Wireko AA, Ohenewaa Tenkorang P, Tope Adebusoye F, Mehta A, Cheng Ng J, Yaa Asieduwaa O, et al.

Int J Surg, 2023 Feb 01;109(2):91-93.

PMID: 36799813 DOI: 10.1097/JS9.0000000000000216

Matched MeSH terms: General Surgery

Injecting realism in surgical training-initial simulation experience with custom 3D models

Waran V, Narayanan V, Karuppiah R, Pancharatnam D, Chandran H, Raman R, et al.

J Surg Educ, 2014 Mar-Apr;71(2):193-7.

PMID: 24602709 DOI: 10.1016/j.jsurg.2013.08.010

The traditionally accepted form of training is direct supervision by an expert; however, modern trends in medicine have made this progressively more difficult to achieve. A 3-dimensional printer makes it possible to convert patients imaging data into accurate models, thus allowing the possibility to reproduce models with pathology. This enables a large number of trainees to be trained simultaneously using realistic models simulating actual neurosurgical procedures. The aim of this study was to assess the usefulness of these models in training surgeons to perform standard procedures that require complex techniques and equipment.

Matched MeSH terms: General Surgery/education*

Training surgeons to teach anatomy: an innovative approach

Azer SA

Med Educ, 2010 Nov;44(11):1128-9.

PMID: 20946493 DOI: 10.1111/j.1365-2923.2010.03836.x

Matched MeSH terms: General Surgery/education*

Laparoscopic appendicectomy: the ideal procedure for laparoscopic skill training for surgical registrars

Tata MD, Singh R, Bakar AA, Selvindoss P, P K, Gurunathan R

Asian J Surg, 2008 Apr;31(2):55-8.

PMID: 18490215

OBJECTIVE: Appendicectomy is a very common surgical procedure performed by registrars. It is mainly carried out by surgical registrars as an open procedure in many government hospitals. We aimed to evaluate laparoscopic appendicectomy as a laparoscopic training skill in a clinical setting for our registrars.

METHODS: A retrospective analysis of all attempted laparoscopic appendicectomies over 12 months by experienced surgeons and registrars was done. Factors evaluated were operating time, conversion rate, postoperative hospital stay, morbidity and mortality.

RESULTS: There was no statistically significant difference in operating time for surgeons and registrars (mean, 53 minutes vs. 60 minutes), conversion rate (10% vs. 11%). Mean hospital stay for patients operated on by surgeons was 3.1 days and 3.2 days for registrars. Morbidity was equal with both surgeons and registrars.

CONCLUSION: We conclude that laparoscopic appendicectomy is a safe laparoscopic training tool for registrars with basic laparoscopic knowledge who have had a proper apprenticeship, and can be done in a clinical setting.

Matched MeSH terms: General Surgery/education

Evolving a common surgical curriculum for ASEAN nations with a public health approach

Lum SK

ANZ J Surg, 2013 Mar;83(3):118-21.

PMID: 23320799 DOI: 10.1111/ans.12055

The Association of Southeast Asian Nations (ASEAN) Mutual Recognition Arrangement (MRA) on medical practitioners' agreement will become a reality in the year 2015. Doctors registered in one ASEAN country will be given reciprocal recognition in another country under this agreement. Rapid and excessive movement of human resources between countries in a short span of time is undesirable and can be destabilizing. The surgical fraternity in the ASEAN countries should plan for a common surgical curriculum, a common examination and an ASEAN Board of Surgery so that standards of future trainees in different countries are comparable. The curriculum should take into consideration the diversity of the countries in socio-economic development. Ideally, it should be based on a public health approach to bring affordable quality surgical care to the masses in an efficient and effective manner.

Matched MeSH terms: General Surgery/education*

Fulltext The surgical morbidity and mortality meeting as an educational tool

Abu-Zidan FM, Premadasa IG

Med J Malaysia, 2001 Dec;56(4):441-5.

PMID: 12014763

Purpose: This study aimed at evaluating the educational value of the morbidity mortality meeting and benefits obtained from it so as to implement changes that can improve it.
Methods: Surgeons (n=13) at a university hospital responded anonymously to a questionnaire which was structured to monitor the educational activity of the morbidity mortality meeting. They indicated their perceptions on a five-point scale (very poor, poor, fair, good and very good). Depending on the results of the first questionnaire, these changes were made: 1) Standardisation of the notice of the meeting 2) Organization of the meeting 3) Review of the literature on the specific problems encountered. The participants were not aware of the results of the first questionnaire. Nine weeks later, the same questionnaire was repeated (n=12). Mann Whitney test was used to compare the ratings of the two questionnaires.
Results: The attributes which showed significant improvement between the first and second questionnaires were a) organization (p=0.004; (median (range) 3 (2-5) compared with 5 (3-5)) b) knowledge is up-to-date (p<0.005; (median (range) 3 (2-4) compared with 4 (3-5)), c) discussion related to the problem (0.01; (median (range) 3 (1-4) compared with 4 (3-5)) and d) notice of the meeting (p< 0.026; (median (range) 3 (2-4) compared with 4 (2-5)),
Conclusions: This study showed that specific actions can improve the educational quality of the morbidity mortality meeting.

Matched MeSH terms: General Surgery/education*

Fulltext Use of contemporary live tele-video conferencing for continuing surgical training at the time of COVID-19 pandemic

Tan HCL, Tan JH, Sagap I

ANZ J Surg, 2020 07;90(7-8):1526.

PMID: 32535949 DOI: 10.1111/ans.16105

Matched MeSH terms: General Surgery/education*

Medicine in Malaysia. Shadows of transition

Nicks R

Med J Aust, 1983 Nov 26;2(11):578-9.

PMID: 6633393

Matched MeSH terms: General Surgery/education

Career choices of today's medical students: where does surgery rank?

Boyle E, Healy D, Hill AD, O'Connell PR, Kerin M, McHugh S, et al.

Ir J Med Sci, 2013 Sep;182(3):337-43.

PMID: 23242574 DOI: 10.1007/s11845-012-0882-x

INTRODUCTION: The national junior doctor recruitment crisis prompts an appraisal of medical student attitudes to different career pathways. The purpose of this study was to perform a national review of surgical career intentions of Irish final year medical students.

METHODS: Ethical and institutional approval was obtained at each study location. A questionnaire was designed and distributed to final year students. Domains assessed included demographics, career plans and reasons associated. Anonymised responses were collated and evaluated. Categorical data were compared with Fisher's exact test.

RESULTS: Responses were obtained from 342 students in four medical schools of whom 78.6% were undergraduates. Over half (53%) were Irish, with Malaysia, Canada and the USA the next most common countries of origin. Only 18% of students intended to pursue surgery, with 60% stating they did not plan to, and 22% undecided. Of those who plan not to pursue surgery, 28% were unsure about a speciality but the most common choices were medicine (39%), general practice (16%) and paediatrics (8%). Reasons for not picking a career in surgery included long hours and the unstructured career path. Suggestions to improve uptake included earlier and more practical exposure to surgery, improved teaching/training and reduction in working hours.

CONCLUSIONS: In this study 18% of final year medical students identified surgery as their chosen career pathway. Although lifestyle factors are significant in many students' decision, perceived quality and duration of surgical training were also relevant and are modifiable factors which, if improved could increase interest in surgery as a career.

Matched MeSH terms: General Surgery/education; General Surgery/statistics & numerical data*

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