Future of Surgery: Technology Enhanced Surgical Training: Report of the FOS:TEST Commission
Year: 2022
Type: report
Abstract: Over the past 50 years the capability of technology to improve surgical care has been realised and while surgical trainees and trainers strive to deliver care and train; the technological ‘solutions’ market continues to expand. However, there remains no coordinated process to assess these technologies. The FOS:TEST Report aimed to (1) define the current, unmet needs in surgical training, (2) assess the current evidence-base of technologies that may be beneficial to training and map these onto both the patient and trainee pathway and (3) make recommendations on the development, assessment, and adoption of novel surgical technologies. The FOS:TEST Commission was formed by the Association of Surgeons in Training (ASiT), The Royal College of Surgeons of England (RCS England) Robotics and Digital Surgery Group and representatives from all trainee specialty associations. Two national datasets provided by Health Education England were used to identify unmet surgical training needs through qualitative analysis against pre-defined coding frameworks. These unmet needs were prioritised at two virtual consensus hackathons and mapped to the patient and trainee pathway and the capabilities in practice (CiPs) framework. The commission received more than 120 evidence submissions from surgeons in training, consultant surgeons and training leaders. Following peer review, 32 were selected that covered a range of innovations. Contributors also highlighted several important key considerations, including the changing pedagogy of surgical training, the ethics and challenges of big data and machine learning, sustainability, and health economics. This summates to 7 Key Recommendations and 51 concluding statements. The FOS:TEST Commission was borne out of what is a pivotal point in the digital transformation of surgical training. Academic expertise and collaboration will be required to evaluate efficacy of any novel training solution. However, this must be coupled with pragmatic assessments of feasibility and cost to ensure that any intervention is scalable for national implementation. Currently, there is no replacement for hands-on operating. However, for future UK and ROI surgeons to stay relevant in a global market, our training methods must adapt. The Future of Surgery: Technology Enhanced Surgical Training Report provides a blueprint for how this can be achieved.
DOI: 10.1308/fos2.2022
Authors: Oliver Adebayo, Joanna Aldoori, William Allum, Noel Aruparayil, Abdul Badran, Jasmine Winter Beatty, Sanchita Bhatia, William Bolton, Lolade Giwa-Brown, Josh Burke, Harry J Carr, Yeonwoo Chae, Joshua Clements, Charlotte El-Sayed, William Foster, Tamara Gall, Manish George, Francesca Guest, Makinah Haq, John Hardie, Matthew Harris, Neil Harvey, Antonia Hoyle, Arif Hanafi Bin Jalal, Gnararaj Jesudian, Natasha Jiwa, Neeraj Kalra, Karan Kapur, Michal Kawka, Fawz Kazzazi, Natasha Keates, Oliver Kennion, Martin King, Angela Lam, Gedeon Lemma, Jun Wei Lim, Patrick Longman, Mark Mikhail, Walid Mohammed, Omar Nasher, Victoria Ngai, Michael Okocha, Anand Pandit, Victoria Pegna, Haroon Rehman, Conor Toale, Eleanor Walker, Jack Wellington, Catherine Wicks, Martin Birchall, Peter Brennan, Deena Harji, Ekpemi Irune, Gnananandan Janakan, David Jayne, Frank D McDermott, Paul McMenamin, Chris Munsch, Steve Payne, Mark Peter, Ricci Plastow, Hassiba Smail, Celia Theodoreli-Riga, Andrew Robson, Peter Culmer, Jacque Mallender, Richard Price
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: gold
OpenAlex ID: W4289946037