The Association of Surgeons in Training (ASiT) Consensus Statement on Major Trauma Training in the UK

TL;DR

This paper presents a consensus statement from UK surgical trainees on improving trauma surgery training through increased exposure and simulation methods.

Contribution

A novel consensus statement from trainees proposing specific reforms to trauma surgery training in the UK and ROI.

Findings

Increased exposure to trauma for medical students and early surgical trainees is widely supported.

Simulation methods and non-technical skills training are recommended for improvement.

Eleven key themes were identified and agreed upon by the ASiT Council.

Abstract

Since the establishment of the Major Trauma Networks in 2012, it is estimated that an extra 1,600 lives have been saved across England. Although the delivery of trauma care has improved significantly, the provision of trauma training has not and remains fragmented. The Association of Surgeons in Training (ASiT), an independent organisation run by trainees, is dedicated to excellence in surgical training within the United Kingdom (UK) and Republic of Ireland (ROI). The aim of this study was to develop a consensus statement representing the views of the ASiT on the future of trauma surgery training.

A modified nominal group technique was used in five stages: 1, scoping exercise; 2, virtual consultation; 3, nominal group consensus meeting; 4, virtual feedback from stakeholders; and 5, virtual confirmation by the ASiT Council. The design and reporting of the consensus followed best practice methodology for consensus research.

Overall, 62 participants gave 90 statements across stages 1–3. Eleven key themes were identified, all of which met the consensus of the ASiT Council. The key findings were widespread support for increased exposure to trauma for medical students and early surgical trainees as well as an increased use of simulation methods and improved focus on non-technical skills within trauma surgery.

This study sets out the position of the ASiT on the future of trauma surgery training and how training in major trauma surgery in the UK and ROI could be improved.

Figures