Advertisement

Irish Journal of Medical Science

, Volume 182, Issue 2, pp 255–259 | Cite as

Bench and Bedside? Surgeons’ views on the role of research in surgical training

  • H. M. Mohan
  • J. M. O’Riordan
  • D. Collins
  • D. B. O’Connor
  • O. Traynor
  • D. C. Winter
Original Article
  • 117 Downloads

Abstract

Aims

Internationally, surgical training is facing the challenge of balancing research and clinical experience in the context of reduced working hours. This study aimed to investigate trainees and trainers’ views on surgeons participating in full-time research during surgical training.

Methods

An anonymous voluntary survey was conducted of surgical trainers and trainees in two training systems. To examine surgeons’ views across two different training schemes, surgeons were surveyed in Ireland (Royal College of Surgeons in Ireland) and in a Canadian centre (University of Toronto) between January 2009 and September 2010 (n = 397 respondents).

Results

The majority of respondents felt that time spent in research by trainees was important for surgery as a specialty, while 65 % felt that research was important for surgical trainees (trainers 79 %, trainees 60 %, p = 0.001). A higher proportion of Canadian surgeons reported that they enjoyed their time spent in research, compared to Irish surgeons (84 vs. 66 %, p = 0.05). Financial worries and loss of clinical time were common demotivating factors. Full-time research was more popular than part-time options to obtain a post-graduate degree.

Conclusions

Most agree that research remains an important component of surgical training. However, there are significant differences in opinion among surgeons in different countries on the precise role and structure of research in surgical training.

Keywords

Research Surgical training Surgical education Medical education Surgical research Postgraduate surgical research 

Notes

Acknowledgments

The Authors wish to acknowledge the contribution of Ms. Jane Cunningham, National Surgical Training Centre, RCSI, Dublin 2, Ireland and Dr. Ronald Levine and Mr. Robert Gardin, University of Toronto, Canada for assisting in distribution of the survey.

Conflict of interest

The Authors declare no conflict of interest.

References

  1. 1.
    Toledo-Pereyra LH (2010) Birth of scientific surgery. John Hunter versus Joseph Lister as the father or founder of scientific surgery. J Invest Surg 23:6–11PubMedCrossRefGoogle Scholar
  2. 2.
    Giles JA (2010) Surgical training and the European working time directive: the role of informal workplace learning. Int J Surg 8:179–180PubMedCrossRefGoogle Scholar
  3. 3.
    Jack MC, Kenkare SB, Saville BR et al (2010) Improving education under work-hour restrictions: comparing learning and teaching preferences of faculty, residents, and students. J Surg Educ 67:290–296PubMedCrossRefGoogle Scholar
  4. 4.
    Roche-Nagle G (2004) The European working time directive: a survey of surgical specialist registrars. Ir Med J 97:175–178PubMedGoogle Scholar
  5. 5.
    Chen J, Fiskus W, Eaton K et al (2009) Cotreatment with BCL-2 antagonist sensitizes cutaneous T-cell lymphoma to lethal action of HDAC7-Nur77-based mechanism. Blood 113:4038–4048PubMedCrossRefGoogle Scholar
  6. 6.
    Derham C, Vohra RS, Homer-Vanniasinkam S (2009) Academia and MMC: uncomfortable bed-fellows? Surgeon 7:4–5PubMedCrossRefGoogle Scholar
  7. 7.
    Dunn JC, Lai EC, Brooks CM, Stabile BE, Fonkalsrud EW (1998) The outcome of research training during surgical residency. J Pediatr Surg 33:362–364PubMedCrossRefGoogle Scholar
  8. 8.
    Fisher C, Baker MK (2010) Improving participation and quality of clinical research in a university-based general surgery residency program. Am Surg 76:741–742PubMedGoogle Scholar
  9. 9.
    Society for Academic and Research Surgery (SARS) (2009) The place of research and other educational experience in UK surgical training:guidance for surgical trainees. pp 1–15Google Scholar
  10. 10.
    Robertson CM, Klingensmith ME, Coopersmith CM (2007) Long-term outcomes of performing a postdoctoral research fellowship during general surgery residency. Ann Surg 245:516–523PubMedCrossRefGoogle Scholar
  11. 11.
    Segal LS, Black KP, Schwentker EP, Pellegrini VD (2006) An elective research year in orthopaedic residency: how does one measure its outcome and define its success? Clin Orthop Relat Res 449:89–94PubMedGoogle Scholar
  12. 12.
    Englesbe MJ, Sung RS, Segev DL (2011) Young transplant surgeons and NIH funding. Am J Transplant 11(2):245–252Google Scholar

Copyright information

© Royal Academy of Medicine in Ireland 2012

Authors and Affiliations

  • H. M. Mohan
    • 1
  • J. M. O’Riordan
    • 3
  • D. Collins
    • 1
  • D. B. O’Connor
    • 1
  • O. Traynor
    • 1
    • 2
  • D. C. Winter
    • 1
  1. 1.Department of SurgeryiCORE (Institute for Clinical Outcomes in Research and Education), St. Vincent’s University HospitalDublin 4Ireland
  2. 2.National Surgical Training CentreRoyal College of Surgeons in IrelandDublin 1Ireland
  3. 3.Department of SurgeryUniversity of TorontoTorontoCanada

Personalised recommendations