Evidence map›Paper›PMID 16420692›Full record

ArticleBMC medical education2006

Changes in caseload and the potential impact on surgical training: a retrospective review of one hospital's experience.

Iain Varley, James Keir, Phillip Fagg

Abstract read
In one paragraph

Article in BMC medical education, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Need for simulation in laparoscopic colorectal surgery training.World journal of gastrointestinal surgery · 2015
    Review
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Iain VarleyDoncaster & Bassetlaw Foundation Hospitals NHS Trust, Doncaster Royal Infirmary, Doncaster, DN2 5LT. iainvarley@doctors.org.uk
James Keir
Phillip Fagg

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecent reforms to the training grades have provoked debate about both quality and quantity of training. The bulk of previous research into this area has been qualitative, and little is known about the quantity of training opportunities. This study aimed to determine if the number of elective operations available to trainees was stable.

methodsThe number of elective procedures carried out in each surgical specialty (General & Vascular Surgery, Urology, Orthopaedics, ENT) in a large district general hospital was analysed in 6 month periods and adjusted for the number of basic surgical trainees in each specialty. In order to allow comparison between specialties, results for each 6 month period were calculated as a percentage of those for the first period.

resultsThe number of elective operations available per trainee fell in 3 of the 4 specialties, with a rise in Orthopaedics. Overall, the number of operations available to each trainee was 56% of that less than a decade ago.

conclusionThe number of operations available in a conventional hospital setting is decreasing. Introduction of the Modernizing Medical Careers reforms must take account of this if they are to succeed in improving the quality of surgical training.

Indexed as

Competency-Based EducationHospitals, DistrictHospitals, GeneralAdultClinical CompetenceElective Surgical ProceduresHumansRetrospective StudiesSpecialties, SurgicalSurgical Procedures, OperativeUnited KingdomUtilization ReviewWorkload

Identifiers

PMID16420692
PMCPMC1379640

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.