{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T06:07:03Z","timestamp":1775023623640,"version":"3.50.1"},"reference-count":10,"publisher":"Royal College of Surgeons of England","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["annals"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p> Testicular torsion treatment rests on the horns of a dilemma, with widespread national variation in whether the responsible surgical specialty is general surgery or urology, even in hospitals with both general surgery and urology emergency service assets. This study aimed to quantify higher surgical trainee operative experience and confidence in managing suspected testicular torsion in a single UK deanery (Wales). <\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p> Anonymised logbook data were obtained via the Intercollegiate Surgical Curriculum Programme version 10 using the head of school report function for all general surgery (n=53) and urology (n=15) higher surgical trainees, which were combined with the distribution of an electronic self-administered questionnaire. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> Median operative scrotal explorations recorded for all general surgery higher surgical trainees and senior general surgery higher surgical trainees (ST7+) was 7 (range 1\u201322) and 10 (range 1\u201322), compared with 21 (range 9\u201364, p=0.00104) and 24 (19\u201364, p&lt;0.001) for urology higher surgical trainees. The questionnaire response rate was 64.6% (general surgery 31\/50, urology 11\/15). Confidence levels in assessing adult and paediatric patients were lower in general surgery when compared with urology higher surgical trainees: median adult confidence rate 7\/10 compared with 9\/10, and paediatric confidence rate 7\/10 compared with 8\/10 (p&lt;0.001 and p=0.053, respectively). All higher surgical trainees preferred urology as the accountable hospital specialty when both assets were available. <\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and conclusion<\/jats:title><jats:p> General surgery higher surgical trainees receive less than 50% of the operative exposure of urology higher surgical trainees in emergency scrotal surgery, which has important implications for curriculum competence development and patient safety. <\/jats:p><\/jats:sec>","DOI":"10.1308\/rcsann.2019.0150","type":"journal-article","created":{"date-parts":[[2019,11,22]],"date-time":"2019-11-22T14:01:28Z","timestamp":1574431288000},"page":"49-53","source":"Crossref","is-referenced-by-count":6,"title":["Testicular torsion treatment: the horns of a dilemma?"],"prefix":"10.1308","volume":"102","author":[{"given":"S","family":"Lewis","sequence":"first","affiliation":[{"name":"School of Surgery, Health Education and Improvement Wales"},{"name":"Joint first authors"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L","family":"Hopkins","sequence":"additional","affiliation":[{"name":"School of Surgery, Health Education and Improvement Wales"},{"name":"Joint first authors"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T","family":"Evans","sequence":"additional","affiliation":[{"name":"School of Surgery, Health Education and Improvement Wales"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W","family":"Lewis","sequence":"additional","affiliation":[{"name":"School of Surgery, Health Education and Improvement Wales"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Harries","sequence":"additional","affiliation":[{"name":"School of Surgery, Health Education and Improvement Wales"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"171","reference":[{"key":"bib1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-410x.1999.00265.x"},{"key":"bib3","volume-title":"The Intercollegiate Surgical Curriculum: General Surgery from October 2013 Including Simulation (updated 2015, 2016 and 2018)","author":"General Medical Council"},{"key":"bib5","doi-asserted-by":"publisher","DOI":"10.1308\/003588410X12771863937007"},{"key":"bib6","volume-title":"Response to RCS Standards for Non-Specialist Emergency Surgical Care of Children 2015 Consultation Document","author":"Mohan H","year":"2015"},{"key":"bib7","doi-asserted-by":"publisher","DOI":"10.1308\/003588413X13511609956372"},{"key":"bib8","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.6.3.e34"},{"issue":"1","key":"bib9","first-page":"43","volume":"19","author":"Bartlett JE","year":"2001","journal-title":"Inform Technol Learn Perform J"},{"key":"bib12","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.10584"},{"key":"bib13","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2011.10130.x"},{"key":"bib14","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsurg.2019.04.005"}],"container-title":["The Annals of The Royal College of Surgeons of England"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/pdf\/10.1308\/rcsann.2019.0150","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,15]],"date-time":"2023-05-15T10:45:12Z","timestamp":1684147512000},"score":1,"resource":{"primary":{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/10.1308\/rcsann.2019.0150"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,1]]}},"alternative-id":["10.1308\/rcsann.2019.0150"],"URL":"https:\/\/doi.org\/10.1308\/rcsann.2019.0150","relation":{},"ISSN":["0035-8843","1478-7083"],"issn-type":[{"value":"0035-8843","type":"print"},{"value":"1478-7083","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1]]}}}