A Holistic Approach to Enhance FRCS General Surgery Examination Training Using Adult Learning Model: A Non-Profit Initiative  

作　　者：Rahul Winayak Sanjay V. Joshi Goran Ahmed Anne O’Neill Ishy Gurung Muhammad Nadeem Muhammed Alwahid Sudeendra Doddi Manas Kumar Dube Ahmad Mirza Rishabha D. Sharma Rahul Winayak;Sanjay V. Joshi;Goran Ahmed;Anne O’Neill;Ishy Gurung;Muhammad Nadeem;Muhammed Alwahid;Sudeendra Doddi;Manas Kumar Dube;Ahmad Mirza;Rishabha D. Sharma(Bristol Medical School, University of Bristol, Bristol, UK;Medway Maritime Hospital, Gillingham, Kent, UK;Frimley Park Hospital, Portsmouth Road, Camberley, UK;University Hospitals Plymouth NHS Trust, Plymouth, UK;Northern Devon Healthcare NHS Trust, Barnstaple, UK;Yeovil District Hospital NHS Foundation Trust, Yeovil, UK;Inverclyde Royal Hospital, Greenock, Scotland, UK;Princes Royal University Hospital, Orpington, UK;Sherwood Forest Hospitals NHS Foundation Trust, Mansfield, UK;Augusta University Medical Center, Augusta, GA, USA)

机构地区：[1]Bristol Medical School, University of Bristol, Bristol, UK [2]Medway Maritime Hospital, Gillingham, Kent, UK [3]Frimley Park Hospital, Portsmouth Road, Camberley, UK [4]University Hospitals Plymouth NHS Trust, Plymouth, UK [5]Northern Devon Healthcare NHS Trust, Barnstaple, UK [6]Yeovil District Hospital NHS Foundation Trust, Yeovil, UK [7]Inverclyde Royal Hospital, Greenock, Scotland, UK [8]Princes Royal University Hospital, Orpington, UK [9]Sherwood Forest Hospitals NHS Foundation Trust, Mansfield, UK [10]Augusta University Medical Center, Augusta, GA, USA

出　　处：《Surgical Science》2023年第8期565-574,共10页外科学（英文）

摘　　要：Objectives: To evaluate the impact of adult learning and simulation-based learning (SBL) on surgical trainees’ learning experiences and Fellowship of the Royal College of Surgeons (FRCS) Section 2 General Surgery examination pass rate. Methods: This was a cross-sequential study involving 148 surgical candidates (72 UK trainees, 75 non-UK trainees) who had attended our revision course (Phoenix FRCS Course) from June 2017 until 2023. Each course comprised a two-day weekend preparation with dedicated sections for clinical, viva, and academic reading, incorporating SBL as its key learning style. We maintained a prospective database of candidate and course details, examination results, and feedback since the course inception. Results: We found that 97% of candidates passed the FRCS examination after their first attempt. The course was attended once by 89% of candidates, and only 3 of the 148 candidates exhausted all four attempts at the examination. Candidate feedback for the course and its style of learning was positive, with simulation-based table viva sessions and virtual clinical sessions proving the most popular learning sessions (95% and 80% of candidates attending courses run in December 2017, April 2018, and May 2021 rated them “Excellent” respectively). Conclusions: The course is centered around shared adult learning and mindfulness tools to encourage candidates to learn from each other and develop confidence and mastery in all domains of surgical practice. These methods have been shown to be effective in achieving high success rates in the Intercollegiate and International FRCS examinations for UK and overseas surgeons.Objectives: To evaluate the impact of adult learning and simulation-based learning (SBL) on surgical trainees’ learning experiences and Fellowship of the Royal College of Surgeons (FRCS) Section 2 General Surgery examination pass rate. Methods: This was a cross-sequential study involving 148 surgical candidates (72 UK trainees, 75 non-UK trainees) who had attended our revision course (Phoenix FRCS Course) from June 2017 until 2023. Each course comprised a two-day weekend preparation with dedicated sections for clinical, viva, and academic reading, incorporating SBL as its key learning style. We maintained a prospective database of candidate and course details, examination results, and feedback since the course inception. Results: We found that 97% of candidates passed the FRCS examination after their first attempt. The course was attended once by 89% of candidates, and only 3 of the 148 candidates exhausted all four attempts at the examination. Candidate feedback for the course and its style of learning was positive, with simulation-based table viva sessions and virtual clinical sessions proving the most popular learning sessions (95% and 80% of candidates attending courses run in December 2017, April 2018, and May 2021 rated them “Excellent” respectively). Conclusions: The course is centered around shared adult learning and mindfulness tools to encourage candidates to learn from each other and develop confidence and mastery in all domains of surgical practice. These methods have been shown to be effective in achieving high success rates in the Intercollegiate and International FRCS examinations for UK and overseas surgeons.

关 键 词：Simulation-Based Learning (SBL) Adult Learning Mindfulness Tools FRCS Examination INTERLEAVING 

分 类 号：H31[语言文字—英语]