Emergency general surgeons, subspeciality surgeons and the future management of emergency surgery: results of a national survey
Aim This study aimed to survey consultants’ experience of working as or with emergency general surgery (EGS) surgeons and to investigate the role they fulfil in the management of general and subspeciality emergencies. Method An electronic survey, designed to capture both quantitative and qualitative...
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| Veröffentlicht in: | Colorectal disease 2019-03, Vol.21 (3), p.342-348 |
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| creator | Symons, N. R. A. McArthur, D. Miller, A. Verjee, A. Senapati, A. |
| description | Aim
This study aimed to survey consultants’ experience of working as or with emergency general surgery (EGS) surgeons and to investigate the role they fulfil in the management of general and subspeciality emergencies.
Method
An electronic survey, designed to capture both quantitative and qualitative data, was piloted and then circulated to members of the Association of Coloproctology of Great Britain and Ireland.
Results
Two hundred and forty‐two responses were received from 848 recipients (a 29% response rate) covering 104 of 135 (77%) acute NHS Trusts in England. EGS surgeons were in post in 43/141 (30%) hospitals overall and 12/24 (50%) of hospitals in London. Most respondents working in units with EGS surgeons found them to be advantageous (46/63, 73%). Consultants working with EGS surgeons were significantly more likely to support their use (49/63, 78%) than those without them (83/178, 47%) (χ2 = 16.9, P |
| doi_str_mv | 10.1111/codi.14474 |
| format | Article |
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This study aimed to survey consultants’ experience of working as or with emergency general surgery (EGS) surgeons and to investigate the role they fulfil in the management of general and subspeciality emergencies.
Method
An electronic survey, designed to capture both quantitative and qualitative data, was piloted and then circulated to members of the Association of Coloproctology of Great Britain and Ireland.
Results
Two hundred and forty‐two responses were received from 848 recipients (a 29% response rate) covering 104 of 135 (77%) acute NHS Trusts in England. EGS surgeons were in post in 43/141 (30%) hospitals overall and 12/24 (50%) of hospitals in London. Most respondents working in units with EGS surgeons found them to be advantageous (46/63, 73%). Consultants working with EGS surgeons were significantly more likely to support their use (49/63, 78%) than those without them (83/178, 47%) (χ2 = 16.9, P < 0.001). EGS surgeons were considered to improve the delivery of EGS (78%), create time for subspecialists (70%) and provide service (73%). However, there were concerns about the quality of surgery (43%), an insufficient standard of specialist care (54%) and compromise in the training of juniors (25%). Respondents commented on a lack of job structure with a high attrition rate (21%), the insufficient quality of applicants (18%) and that subspecialization and split on‐call was preferable (17%).
Conclusion
Respondents were supportive of the ability of EGS surgeons to relieve pressure on subspecialists; however, there were significant concerns about the sustainability and quality of the EGS surgeon role. Emergency colorectal resections should have the input of a surgeon who performs elective colorectal resections.</description><identifier>ISSN: 1462-8910</identifier><identifier>EISSN: 1463-1318</identifier><identifier>DOI: 10.1111/codi.14474</identifier><identifier>PMID: 30444316</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>colorectal surgery ; Consultants ; Emergency general surgery ; Emergency management ; Emergency preparedness ; Hospitals ; Polls & surveys ; Surgeons ; Surgery ; survey ; Sustainability ; workforce</subject><ispartof>Colorectal disease, 2019-03, Vol.21 (3), p.342-348</ispartof><rights>Colorectal Disease © 2018 The Association of Coloproctology of Great Britain and Ireland</rights><rights>Colorectal Disease © 2018 The Association of Coloproctology of Great Britain and Ireland.</rights><rights>Copyright © 2019 The Association of Coloproctology of Great Britain and Ireland</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3574-13d8e5ca740b98ea50a049c70a230510d90be1159c3fe6ca499ab4e3e6a701ac3</citedby><cites>FETCH-LOGICAL-c3574-13d8e5ca740b98ea50a049c70a230510d90be1159c3fe6ca499ab4e3e6a701ac3</cites><orcidid>0000-0002-8535-8903</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fcodi.14474$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fcodi.14474$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30444316$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Symons, N. R. A.</creatorcontrib><creatorcontrib>McArthur, D.</creatorcontrib><creatorcontrib>Miller, A.</creatorcontrib><creatorcontrib>Verjee, A.</creatorcontrib><creatorcontrib>Senapati, A.</creatorcontrib><title>Emergency general surgeons, subspeciality surgeons and the future management of emergency surgery: results of a national survey</title><title>Colorectal disease</title><addtitle>Colorectal Dis</addtitle><description>Aim
This study aimed to survey consultants’ experience of working as or with emergency general surgery (EGS) surgeons and to investigate the role they fulfil in the management of general and subspeciality emergencies.
Method
An electronic survey, designed to capture both quantitative and qualitative data, was piloted and then circulated to members of the Association of Coloproctology of Great Britain and Ireland.
Results
Two hundred and forty‐two responses were received from 848 recipients (a 29% response rate) covering 104 of 135 (77%) acute NHS Trusts in England. EGS surgeons were in post in 43/141 (30%) hospitals overall and 12/24 (50%) of hospitals in London. Most respondents working in units with EGS surgeons found them to be advantageous (46/63, 73%). Consultants working with EGS surgeons were significantly more likely to support their use (49/63, 78%) than those without them (83/178, 47%) (χ2 = 16.9, P < 0.001). EGS surgeons were considered to improve the delivery of EGS (78%), create time for subspecialists (70%) and provide service (73%). However, there were concerns about the quality of surgery (43%), an insufficient standard of specialist care (54%) and compromise in the training of juniors (25%). Respondents commented on a lack of job structure with a high attrition rate (21%), the insufficient quality of applicants (18%) and that subspecialization and split on‐call was preferable (17%).
Conclusion
Respondents were supportive of the ability of EGS surgeons to relieve pressure on subspecialists; however, there were significant concerns about the sustainability and quality of the EGS surgeon role. Emergency colorectal resections should have the input of a surgeon who performs elective colorectal resections.</description><subject>colorectal surgery</subject><subject>Consultants</subject><subject>Emergency general surgery</subject><subject>Emergency management</subject><subject>Emergency preparedness</subject><subject>Hospitals</subject><subject>Polls & surveys</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>survey</subject><subject>Sustainability</subject><subject>workforce</subject><issn>1462-8910</issn><issn>1463-1318</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNp9kUtLxDAQx4Morq-LH0ACXkSsZjbpy5usTxC86LlM06l26WNNGqUnv7rZre7Bgzkkw-THbxL-jB2COAe_LnRXVOegVKw22A6oSAYgIdlc1dMgSUFM2K61cyEgiiHZZhMplFISoh32ddOQeaVWD9zvZLDm1vlG19ozX-V2QbrCuuqHdZ9jW_D-jXjpemeIN9jiKzXU9rwrOa19K94Ml9yQdXVvl7fIW-yrrh3HfNCwz7ZKrC0d_Jx77OX25nl2Hzw-3T3Mrh4DLcNY-Q8VCYUaYyXyNCEMBQqV6ljgVIoQRJGKnADCVMuSIo0qTTFXJCnCWABqucdORu_CdO-ObJ81ldVU19hS52w2BRkCiDiMPXr8B513zvgne0pKmSolIPHU6Uhp01lrqMwWpmrQDBmIbBlLtowlW8Xi4aMfpcsbKtbobw4egBH4rGoa_lFls6frh1H6DYDPmYw</recordid><startdate>201903</startdate><enddate>201903</enddate><creator>Symons, N. R. A.</creator><creator>McArthur, D.</creator><creator>Miller, A.</creator><creator>Verjee, A.</creator><creator>Senapati, A.</creator><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TM</scope><scope>7TO</scope><scope>H94</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8535-8903</orcidid></search><sort><creationdate>201903</creationdate><title>Emergency general surgeons, subspeciality surgeons and the future management of emergency surgery: results of a national survey</title><author>Symons, N. R. A. ; McArthur, D. ; Miller, A. ; Verjee, A. ; Senapati, A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3574-13d8e5ca740b98ea50a049c70a230510d90be1159c3fe6ca499ab4e3e6a701ac3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>colorectal surgery</topic><topic>Consultants</topic><topic>Emergency general surgery</topic><topic>Emergency management</topic><topic>Emergency preparedness</topic><topic>Hospitals</topic><topic>Polls & surveys</topic><topic>Surgeons</topic><topic>Surgery</topic><topic>survey</topic><topic>Sustainability</topic><topic>workforce</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Symons, N. R. A.</creatorcontrib><creatorcontrib>McArthur, D.</creatorcontrib><creatorcontrib>Miller, A.</creatorcontrib><creatorcontrib>Verjee, A.</creatorcontrib><creatorcontrib>Senapati, A.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Colorectal disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Symons, N. R. A.</au><au>McArthur, D.</au><au>Miller, A.</au><au>Verjee, A.</au><au>Senapati, A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Emergency general surgeons, subspeciality surgeons and the future management of emergency surgery: results of a national survey</atitle><jtitle>Colorectal disease</jtitle><addtitle>Colorectal Dis</addtitle><date>2019-03</date><risdate>2019</risdate><volume>21</volume><issue>3</issue><spage>342</spage><epage>348</epage><pages>342-348</pages><issn>1462-8910</issn><eissn>1463-1318</eissn><abstract>Aim
This study aimed to survey consultants’ experience of working as or with emergency general surgery (EGS) surgeons and to investigate the role they fulfil in the management of general and subspeciality emergencies.
Method
An electronic survey, designed to capture both quantitative and qualitative data, was piloted and then circulated to members of the Association of Coloproctology of Great Britain and Ireland.
Results
Two hundred and forty‐two responses were received from 848 recipients (a 29% response rate) covering 104 of 135 (77%) acute NHS Trusts in England. EGS surgeons were in post in 43/141 (30%) hospitals overall and 12/24 (50%) of hospitals in London. Most respondents working in units with EGS surgeons found them to be advantageous (46/63, 73%). Consultants working with EGS surgeons were significantly more likely to support their use (49/63, 78%) than those without them (83/178, 47%) (χ2 = 16.9, P < 0.001). EGS surgeons were considered to improve the delivery of EGS (78%), create time for subspecialists (70%) and provide service (73%). However, there were concerns about the quality of surgery (43%), an insufficient standard of specialist care (54%) and compromise in the training of juniors (25%). Respondents commented on a lack of job structure with a high attrition rate (21%), the insufficient quality of applicants (18%) and that subspecialization and split on‐call was preferable (17%).
Conclusion
Respondents were supportive of the ability of EGS surgeons to relieve pressure on subspecialists; however, there were significant concerns about the sustainability and quality of the EGS surgeon role. Emergency colorectal resections should have the input of a surgeon who performs elective colorectal resections.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>30444316</pmid><doi>10.1111/codi.14474</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-8535-8903</orcidid></addata></record> |
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| source | Wiley Online Library Journals Frontfile Complete |
| subjects | colorectal surgery Consultants Emergency general surgery Emergency management Emergency preparedness Hospitals Polls & surveys Surgeons Surgery survey Sustainability workforce |
| title | Emergency general surgeons, subspeciality surgeons and the future management of emergency surgery: results of a national survey |
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