AMEE Berlin 2002 Programme

doctors providing different elements of the extensive
Birmingham community based curriculum. 185
questionnaires (concerning gender, ethnicity, languages
spoken) were distributed. 540 doctors from 163
practices responded (practice response rate 88%).
Ethnic and gender differences were clear across
different practice types. The 2001 Amendment to the
1976 UK Race Relations Act will mean for the first
time that providers of services to the public will have
Session 7E Postgraduate education
7E1 Exploring the views of Basic
Surgical Trainees on their training
programme and their future in
Surgery
Jeremy Brown*, Linda de Cossart and Charmian Wiltshire
Mersey Deanery, 1st Floor, Hamilton House, 24 Pall Mall,
Liverpool L3 6AL, UK
The aim of the study was to explore views of Basic
Surgical Trainees (Senior House Officers) on a training
scheme for Basic Surgical Training that complies with
college requirements. A quantitative study postal
questionnaire devised in liaison with UK Medical
Careers Research Group was distributed to 115 Mersey
Basic Surgical Trainees. Qualitative data were collected
from free-text responses. Questions focused on career
choices, views on the scheme, and assessment. 93
(81%) questionnaires were returned. 51 (54%) were
graduates from local university, 49 (52.7%) came
directly onto the Mersey BST scheme from PRHO
posts, 4 (4.3 %) had more than 1 year’s UK SHO
experience. 26 (27.9%) changed their surgical specialty
intention since medical school; factors influencing
change were: - PRHO/SHO experience; teachers;
departments. A young, parochial and inexperienced
cohort of trainees who have strong convictions were
identified. Many issues raised have one common
denominator: the strong influence of teachers on
trainees.
7E2 An assessment of the skills base
and attainments of Senior House
Officers on a regional Basic
Surgical Training Programme
Linda de Cossart, Charmian Wiltshire and Jeremy Brown*
Mersey Deanery, 1st Floor, Hamilton House, 24 Pall Mall,
Liverpool L3 6AL, UK
The aim of the study was to assess the skills base and
achievements of trainees on a Basic Surgical Training
Programme. All trainees on the 3-year Basic Surgical
Training Programme insituted in 1996/7 were given a
questionnaire designed to find out their aspirations and
opinions about the programme and design. The findings
related to the trainees’ logbook for the general surgical
operations of abscess drainage, appendisectomy,
inguinal hernia repair, upper and lower GI endoscopy,
varicose vein surgery and small bowel anastomosis. The
results were analysed by year of training and whether
Wednesday 5 September
- 4.65 -
to demonstrate they are working for equality rather than
merely avoiding discrimination. This audit, experience
with attempts to collaborate with secondary care
teachers plus our larger curriculum development project
stimulate a wider debate about whether, when
commissioning teaching practices, we should assess
other aspects of quality of service provision; and
whether, in the absence of an appropriate environment,
learning outcomes are achievable.
performed independently or supervised. 84 (73%) of
trainees returned analysable forms. Abscess drainage
and appendisectomy are acquired most often as the
three years progress but a few still do not achieve
independence by year three. The Profession should
insist on ‘Protected Operative Teaching’ for surgical
trainees.
7E3 Personal and Professional
Development Groups for Junior
Hospital Doctors
Alan Naftalin and Peter Bruggen
Newham General Hospital, 22 Mackeson Road, London NW3
2LT, UK
You were a junior doctor. In personal and professional
development groups at Newham General Hospital in
East London, UK, the valued experience was often
discovering that each was not alone. Others had
‘strange’ thoughts and feelings. The figure of a junior
doctor will be surrounded by radiating lines labelled:
blushing, feeling faint, losing 3D thought, frozen
memory, challenged by consultants, dreaming of
patients, psychosomatic symptoms, unable to stop eye
contact, erections, impulse to touch too much, being
told off, feeling embarrassed, needing to rescue the
deprived, fostering special relationships, scoring PR
and PV examinations, enjoying power, etc. Pens or
labels will be provided for participants to add ideas or
experiences. In the corners will be background to the
group, and references; details and email addresses of
both authors; invitation to mailing list or web site; and
invitation for suggestions.
7E4 The educational needs of doctors
with English as a second language
when consulting in General
Practice in the United Kingdom
Sylvia Chudley and John Skelton
West Midlands Dept of Postgraduate Education for General
Practice, 16 Ashmore Road, Cotteridge, Birmingham, B30 2HA,
UK
Results of the consulting skills component of the
national summative assessment procedure in the United
Kingdom, (assessment of videotaped consultations),
indicate that the failure rate is significantly higher in
those doctors who have had undergraduate medical