{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,7,19]],"date-time":"2024-07-19T01:31:09Z","timestamp":1721352669079},"reference-count":30,"publisher":"Royal College of Surgeons of England","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["annals"],"published-print":{"date-parts":[[2022,6]]},"abstract":"Introduction<\/jats:title> There has been a marked reduction in surgical operative training opportunities during the COVID-19 pandemic. This may be improved by the establishment of \u2018cold\u2019 sites for NHS elective surgery. We investigated the training opportunities at a newly designated elective surgery cold site in the West Midlands, UK. <\/jats:p><\/jats:sec>Methods<\/jats:title> An observational retrospective study was undertaken to include all gastrointestinal and urological elective surgery at a single \u2018cold\u2019 site during the first peak of the COVID-19 pandemic. Patient demographics, details of surgery and data relating to surgical training such as primary surgeon and portfolio index procedure were collected. Factors affecting the likelihood of trainees being the primary surgeon were analysed using logistic regression models. <\/jats:p><\/jats:sec>Results<\/jats:title> There were 880 patients, with a median (interquartile range) age of 62 (48\u201374). Some 658 (74.8%) procedures were defined as \u2018index procedures\u2019 for specialty training year 4 (ST4) level: 409\/509 (80.4%) for urology, 155\/235 (66%) for colorectal and 94\/136 (69.1%) for upper gastrointestinal (GI). Only 253\/880 (28.8%) procedures were performed by a trainee as the primary surgeon: 201\/509 (39.4%) for urology, 21\/235 (8.9%) for colorectal and 31\/136 (22.8%) for upper GI. The likelihood of a trainee being the primary surgeon was reduced for major surgery (p<0.001) and for GI surgery when compared with urology (p<0.001). <\/jats:p><\/jats:sec>Conclusions<\/jats:title> Surgical training was facilitated at an elective surgery \u2018cold\u2019 site during the COVID-19 pandemic, but at lower levels than anticipated. Type of surgery influenced trainee participation. Surgical training should be incorporated into \u2018cold\u2019 site elective surgical services if trainees are to be prepared for the future. <\/jats:p><\/jats:sec>","DOI":"10.1308\/rcsann.2021.0223","type":"journal-article","created":{"date-parts":[[2022,5,31]],"date-time":"2022-05-31T23:00:42Z","timestamp":1654038042000},"page":"421-426","source":"Crossref","is-referenced-by-count":2,"title":["Surgical training during the COVID-19 pandemic at a designated \u2018cold\u2019 site: are we meeting the challenge?"],"prefix":"10.1308","volume":"104","author":[{"given":"M","family":"Hamid","sequence":"first","affiliation":[{"name":"University Hospitals Birmingham NHS Foundation Trust, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"DN","family":"Naumann","sequence":"additional","affiliation":[{"name":"University Hospitals Birmingham NHS Foundation Trust, UK"},{"name":"Institute of Inflammation and Ageing, University of Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H","family":"Digne-Malcolm","sequence":"additional","affiliation":[{"name":"University Hospitals Birmingham NHS Foundation Trust, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Kanwal","sequence":"additional","affiliation":[{"name":"University Hospitals Birmingham NHS Foundation Trust, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Puventhiranathan","sequence":"additional","affiliation":[{"name":"University Hospitals Birmingham NHS Foundation Trust, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L","family":"Phelan","sequence":"additional","affiliation":[{"name":"University Hospitals Birmingham NHS Foundation Trust, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Dilworth","sequence":"additional","affiliation":[{"name":"University Hospitals Birmingham NHS Foundation Trust, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"171","reference":[{"key":"C1","unstructured":"Royal College of Surgeons of England. COVID-19: Good practice for surgeons and surgical teams. https:\/\/www.rcseng.ac.uk\/standards-and-research\/standards-and-guidance\/good-practice-guides\/coronavirus\/covid-19-good-practice-for-surgeons-and-surgical-teams\/ (cited May 2021)."},{"key":"C2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.11652"},{"key":"C3","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n659"},{"key":"C4","unstructured":"Joint Committee of Surgical Training, Association of Surgeons in Training, British Orthopaedics Trainees\u2019 Association, Confederation of Postgraduate Schools of Surgery. Maximising training: making the most of every training opportunity. https:\/\/www.jcst.org\/key-documents\/ (cited May 2021)."},{"key":"C5","unstructured":"Royal College of Surgeons of England. New deal for surgery. https:\/\/www.rcseng.ac.uk\/-\/media\/7534\u2013rcs\u2013new-deal-for-surgery_aw3_web\u2013270521.pdf (cited June 2021)."},{"key":"C6","unstructured":"Association of Surgeons in Training, British Orthopaedics Trainee\u2019s Association. CST redeployment and impact on progression. https:\/\/www.asit.org\/news\/asit-bota-statement-cst-redeployment-and-impact-on-progression\/nwc11217 (cited May 2021)."},{"key":"C7","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2021.105903"},{"key":"C8","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.20.01933"},{"key":"C9","unstructured":"Plan NLT, White J. NHS long term plan. https:\/\/www.longtermplan.nhs.uk (cited May 2021)."},{"key":"C10","doi-asserted-by":"publisher","DOI":"10.1016\/j.amsu.2020.09.047"},{"key":"C11","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.11801"},{"key":"C12","unstructured":"Royal College of Surgeons of England. 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