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

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Surgical Science 2023年第8期14卷 565-574页

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 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

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

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