ArticleAnnals of the Royal College of Surgeons of England2026
Operative experience in paediatric orthopaedics in UK trainees achieving a Certificate of Completion of Training in trauma and orthopaedic surgery: A descriptive analysis of national eLogbook data.
Article in Annals of the Royal College of Surgeons of England, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Competence over case count: rethinking paediatric orthopaedic training.Annals of the Royal College of Surgeons of England · 2026Article
- Response to letters from Ms Deepa Bose (SAC) & Mr Alexander Thomas Schade (BOTA).Annals of the Royal College of Surgeons of England · 2026Article
- Response to operative experience in paediatric orthopaedics in UK trainees achieving a Certificate of Completion of Training in trauma and orthopaedic surgery: a descriptive analysis of national e-logbook data.Annals of the Royal College of Surgeons of England · 2026Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe Trauma and Orthopaedic curriculum set by the Joint Committee on Surgical Training (JCST) requires that consultant orthopaedic surgeons must have sufficient experience managing children's orthopaedic conditions. In this study, our objective was to describe the paediatric operative exposure of United Kingdom (UK)-trained orthopaedic registrars who obtain a Certificate of Completion of Training (CCT).
methodsThis was a national retrospective cohort study of UK trainees obtaining a CCT between 1 January 2018 and 1 January 2024. ELogbook data for 884 trainees were obtained from the JCST, with 1,994,235 recorded operations. Descriptive analysis was performed on the operative data.
resultsOur results demonstrated that the median number of cases per trainee throughout training decreased each year across both adult and paediatric experience. The proportion of paediatric cases (age <17 years) within the trainees' logbooks remained constant at 11%. Trainees recorded a higher number of cases of paediatric trauma than elective cases, particularly surgery for forearm, wrist and supracondylar fractures. Trainees infrequently performed surgery for lower limb trauma, emergencies such as musculoskeletal infection and paediatric elective procedures.
conclusionsPaediatric orthopaedics is an integral part of orthopaedic training. Our results suggest that paediatric orthopaedic experience at CCT may not satisfy the requirements of the JCST curriculum. Future curriculum adjustments and additional training methods may be required to ensure trainees obtain the necessary experience to meet both the JCST standards and the demands of paediatric trauma care.
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