geoscience.net logo
+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Maintaining standards in surgical training: how effective is the accreditation by the Specialist Advisory Committee in the United Kingdom?


, : Maintaining standards in surgical training: how effective is the accreditation by the Specialist Advisory Committee in the United Kingdom?. Journal of Bone and Joint Surgery. British Volume 88(1): 111-115

In order to assess the efficacy of inspection and accreditation by the Specialist Advisory Committee for higher surgical training in orthopaedic surgery and trauma, seven training regions with 109 hospitals and 433 Specialist Registrars were studied over a period of two years. There were initial deficiencies in a mean of 14.8% of required standards (10.3% to 19.2%). This improved following completion of the inspection, with a mean residual deficiency in 8.9% (6.5% to 12.7%.) Overall, 84% of standards were checked, 68% of the units improved and training was withdrawn in 4%. Most units (97%) were deficient on initial assessment. Moderately good rectification was achieved but the process of follow-up and collection of data require improvement. There is an imbalance between the setting of standards and their implementation. Any major revision of the process of accreditation by the new Post-graduate Medical Education and Training Board should recognise the importance of assessment of training by direct inspection on site, of the relationship between service and training, and the advantage of defining mandatory and developmental standards.

US$19.90

PMID: 16365132

DOI: 10.1302/0301-620X.88B1.17158


Other references

Johnston, W.S.; Mendelson, Y., 2007: Extracting breathing rate information from a wearable reflectance pulse oximeter sensor. The integration of multiple vital physiological measurements could help combat medics and field commanders to better predict a soldier's health condition and enhance their ability to perform remote triage procedures. In this paper we demonstr...

Mayne, C.C.; Hudspith, M.J.; Munglani, R., 1996: Epidural morphine and postherpetic neuralgia. Anaesthesia 51(12): 1190-1190

Cogo, A.; Fasano, V.; Diano, P.L.; Ferrari, M., 1994: Maximal inspiratory pressure at high altitude in healthy lowlanders. European Respiratory Journal 7(SUPPL 18): 285S

Landes Michael; Ritter J.R.R.; Readman P.W., 2007: Proto-Iceland plume caused thinning of Irish lithosphere. The lithosphere-asthenosphere boundary (LAB) separates the rigid lithospheric plates from the hot convective mantle. In the region of the North Atlantic this boundary is widely influenced by the spreading head of the proto-Iceland plume [P. Kumar...

Kukla, P.; Baranchuk, A.; Jastrzębski, M.; Bryniarski, L.; Baranowski, Rł., 2014: Giant drug-induced QT prolongation > 800 ms with alternans of terminal portion of T wave and J wave in a normothermic patient. We describe a case of an 85-year-old woman admitted to hospital because of syncope with palpitations. The patient had mistakenly taken sotalol 120 mg/d together with carvedilol 6.25 mg/d. On hospital admission, ECG showed sinus bradycardia 52 bpm...

Morgan, S.M.; Tilley, S.; Perera, S.; Ellis, M.J.; Kanczler, J.; Chaudhuri, J.B.; Oreffo, R.O.C., 2007: Expansion of human bone marrow stromal cells on poly-(DL-lactide-co-glycolide) (PDL LGA) hollow fibres designed for use in skeletal tissue engineering. Strategies to expand human bone marrow stromal cells (HBMSC) for bone tissue engineering are a key to revolutionising the processes involved in three-dimensional skeletal tissue reconstruction. To facilitate this process we believe the use of biod...

Evans, R.M., 1989: Molecular characterization of the glucocorticoid receptor. Recent Progress in Hormone Research 45: 1-22; Discussion 22-7

Vasilev, I., 1971: On the inspection of grape produ. Lozarstvo i vinarstvo: 20 (6) 36-40

Castinetti, Fédéric.; Kroiss, A.; Kumar, R.; Pacak, K.; Taieb, D., 2016: 15 YEARS OF PARAGANGLIOMA: Imaging and imaging-based treatment of pheochromocytoma and paraganglioma. Although anatomic imaging to assess the precise localization of pheochromocytomas/paragangliomas (PHEOs/PGLs) is unavoidable before any surgical intervention on these tumors, functional imaging is becoming an inseparable portion of the imaging alg...

Agusti Montolio, S.; Molina López, R.; Cray, C.; Lavín González, S.; Nicolás Francisco, O.; Marco Sánchez, I.; Casas-Díaz, E.; Cuenca Valera, R., 2017: Hematologic reference intervals and age effect in European Strigiformes. The clinical importance of hematologic testing in avian veterinary medicine is reflected in the increasing number of studies for the establishment of hematologic RIs of Strigiformes and other species. Age is an important physiologic factor in bird...