The Bulletin of the Royal College of Surgeons of England最新文献_第3页

Volunteering as an Advisory Appointments Committee assessor 志愿担任咨询任命委员会评审员

The Bulletin of the Royal College of Surgeons of England Pub Date : 2024-07-01 DOI: 10.1308/rcsbull.2024.89

Ram Moorthy, Thomas Gale, James Yates

引用次数: 0

Married to a surgeon 嫁给外科医生

The Bulletin of the Royal College of Surgeons of England Pub Date : 2024-06-01 DOI: 10.1308/rcsbull.2024.78

C. Fleming, Anonymous

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Latex gloves, reason and balance 乳胶手套、理性和平衡

The Bulletin of the Royal College of Surgeons of England Pub Date : 2024-06-01 DOI: 10.1308/rcsbull.2024.77

R. Wheeler

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Labour vs Conservative plans for the NHS: how different are they really? 工党与保守党的国民医疗保健计划：它们到底有多大区别？

The Bulletin of the Royal College of Surgeons of England Pub Date : 2024-06-01 DOI: 10.1308/rcsbull.2024.69

A. Devaja

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Legal privilege for medical experts: a recent judgement 医学专家的法律特权：最近的一项判决

The Bulletin of the Royal College of Surgeons of England Pub Date : 2024-06-01 DOI: 10.1308/rcsbull.2024.72

NV Todd, JC Wright-Todd

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Trauma and orthopaedic higher specialty trainee operating during the COVID-19 pandemic 在 COVID-19 大流行期间进行手术的创伤和骨科高等专业实习生

The Bulletin of the Royal College of Surgeons of England Pub Date : 2024-06-01 DOI: 10.1308/rcsbull.2024.73

H. Akehurst, S Thomas

{"title":"Trauma and orthopaedic higher specialty trainee operating during the COVID-19 pandemic","authors":"H. Akehurst, S Thomas","doi":"10.1308/rcsbull.2024.73","DOIUrl":"https://doi.org/10.1308/rcsbull.2024.73","url":null,"abstract":"The COVID-19 pandemic has had a significant impact on training in trauma and orthopaedic surgery owing to redeployment and reductions in both trauma referrals and elective service provision. While trainee surveys have reported reduced operative experience during this period, the case deficit has not previously been quantified. An analysis was undertaken of surgical logbooks from trauma and orthopaedic registrars in the Severn Deanery. A predictive model of pre-COVID monthly cases was fitted using trainee grade, hospital, subspecialty, clinical commitment and time of the year. This model was used to predict expected monthly cases for trainees’ post-COVID rotations, which were compared with the cases actually performed. A similar analysis was undertaken to assess primary surgeon operating. A total of 28,998 cases performed by 34 registrars between 2015 and 2021 were analysed. The COVID-19 pandemic led to an immediate and profound reduction in trainee operating, which had not fully recovered by September 2021. The average deficit accumulated over the 18 months following the onset of the pandemic was 87 cases. The accumulated deficit in trainee operating corresponds to 3–4 months of work at 300 cases per year. Deficits were accrued unequally between hospitals and subspecialties, indicating that recovery efforts will need to be individualised according to trainee experience during the pandemic. Action is urgently required not only to restore operative training in trauma and orthopaedic surgery but also to compensate for the deficit during the current training cycle.","PeriodicalId":258157,"journal":{"name":"The Bulletin of the Royal College of Surgeons of England","volume":"88 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141230573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Emergency general surgery: a ‘state of the nation’ survey 急诊普通外科："国家状况 "调查

The Bulletin of the Royal College of Surgeons of England Pub Date : 2024-06-01 DOI: 10.1308/rcsbull.2024.75

A. Walsh, J. Olivier, O. Old

{"title":"Emergency general surgery: a ‘state of the nation’ survey","authors":"A. Walsh, J. Olivier, O. Old","doi":"10.1308/rcsbull.2024.75","DOIUrl":"https://doi.org/10.1308/rcsbull.2024.75","url":null,"abstract":"Many projects seek to improve emergency general surgery (EGS) care across England. However, no study to date has examined how EGS is currently organised or how this is evolving. The aim of this study was to determine the current status of EGS organisation in England, whether this correlates with measures of hospital activity and changes proposed in the future. Surveys were sent to all NHS trusts in England via freedom of information requests. Trusts were given eight weeks to reply. Trust characteristics were ascertained by asking their organisational structure as well as acute bed numbers, number of admissions under general surgery, number of cases submitted to the National Emergency Laparotomy Audit in 2021 and whether they planned to start an EGS service within the next five years. Organisational structures were categorised as: a) mixed general surgical take; b) daily allocation to a subspecialty; c) dedicated EGS consultants/service covering weekdays; d) dedicated EGS consultants/service covering weekdays and weekends; or e) other. A total of 101 organisations responded. There were 36 organisations in group A, 16 in group B, 10 in group C, 30 in group D and 5 in group E. Four organisations declined to supply information on organisational structure. No trust characteristic was significantly different between organisational structures. Two-fifths (41%) of the organisations reported having an EGS service in place (groups C and D). Almost a quarter (23%) of those without an EGS service reported plans to implement one within the next five years. Our results indicate a growing trend towards implementing EGS services in England, with over 50% of trusts expected to offer such a service in five years’ time. It is important to pursue a collaborative definition of best practice for EGS to ensure high quality care for patients.","PeriodicalId":258157,"journal":{"name":"The Bulletin of the Royal College of Surgeons of England","volume":"8 44","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141230832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Electric scooter and electric bike injuries 电动滑板车和电动自行车伤害

The Bulletin of the Royal College of Surgeons of England Pub Date : 2024-06-01 DOI: 10.1308/rcsbull.2024.71

G. Winter

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John Hunter’s Observations on Bees 约翰-亨特对蜜蜂的观察

The Bulletin of the Royal College of Surgeons of England Pub Date : 2024-06-01 DOI: 10.1308/rcsbull.2024.76

Sarah Pearson

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An interview with BAOMS president Miss Daljit Dhariwal 采访 BAOMS 主席 Daljit Dhariwal 小姐

The Bulletin of the Royal College of Surgeons of England Pub Date : 2024-06-01 DOI: 10.1308/rcsbull.2024.70

M. Nortley

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