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      Utility of a webinar to educate trainees on UK core surgical training (CST) selection – A cross sectional study and future implications amidst the COVID-19 pandemic

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          Abstract

          Background

          The application process for Core Surgical Training (CST) in the United Kingdom (UK) is competitive and hence, careful preparation is required for trainees to obtain their posts of choice. There are multiple resources for preparation for selection including face-to-face courses and online question banks, however there is a paucity of webinars to educate trainees. With the cancellation of such courses due to social distancing restrictions caused by the Covid-19 pandemic, this cross-sectional study aims to evaluate the usefulness of a webinar to educate trainees on CST selection in the UK.

          Materials and methods

          A free online webinar was held on a single day by a second year core surgical trainee and was attended by 111 junior doctors. Beforehand, all attendees were invited to complete a survey on Google Forms (Google, USA) to ascertain their level of experience with webinars, obtain demographic information and elicit their level of knowledge about CST selection using a 1–5 Likert scale.

          Results

          Most attendees were in Foundation Year 2 (38.7%) and many had not previously attended a webinar as part of CST application preparation (93.7%). Over half of respondents (55.0%) preferred a webinar over a face-to-face tutorial, appreciating the flexibility, convenience and zero financial cost associated. Many candidates received minimal advice on CST application by their Foundation School (47.7%) and 50.5% of respondents rated their confidence on the application process at ‘3 out of 5.‘

          Conclusion

          Our study suggests webinars have been underused in preparation for CST applications. Traditional courses and advice from colleagues are more popular ways in which applicants prepare for selection. However, given the degree of uncertainty surrounding the return of face-to-face courses due to the Covid-19 pandemic, preparation for CST application may become increasingly reliant on online materials, which may result in an increased demand for high quality, engaging and informative webinars.

          Highlights

          • Core Surgical Training (CST) is the first step of a surgical career in the United Kingdom (UK).

          • Entry to the 24 month programme is competitive and there are numerous resources available to help prepare.

          • Webinars are currently underused in medical education but are seeing a rise in popularity due to the cancellation of face-to-face courses caused by the Covid-19 pandemic.

          • Prospective applicants favour the zero financial cost and the flexibility with which they can attend a webinar to prepare for CST applications.

          • Webinars should be considered as a regular means of preparation for CST applications, especially if face-to-face courses remain cancelled due to the Covid-19 pandemic and rules on social distancing.

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          Most cited references27

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          Is Open Access

          Advantages, Limitations and Recommendations for online learning during COVID-19 pandemic era

          Objective: During COVID-19 pandemic, the institutions in Pakistan have started online learning. This study explores the perception of teachers and students regarding its advantages, limitations and recommendations. Methods: This qualitative case study was conducted from March to April 2020. Using maximum variation sampling, 12 faculty members and 12 students from University College of Medicine and University College of Dentistry, Lahore were invited to participate. Four focus group interviews, two each with the faculty and students of medicine and dentistry were carried out. Data were transcribed verbatim and thematically analyzed using Atlas Ti. Results: The advantages included remote learning, comfort, accessibility, while the limitations involved inefficiency and difficulty in maintaining academic integrity. The recommendations were to train faculty on using online modalities and developing lesson plan with reduced cognitive load and increased interactivities. Conclusion: The current study supports the use of online learning in medical and dental institutes, considering its various advantages. Online learning modalities encourage student-centered learning and they are easily manageable during this lockdown situation.
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            Using Technology to Meet the Challenges of Medical Education.

            Medical education is rapidly changing, influenced by many factors including the changing health care environment, the changing role of the physician, altered societal expectations, rapidly changing medical science, and the diversity of pedagogical techniques. Changes in societal expectations put patient safety in the forefront, and raises the ethical issues of learning interactions and procedures on live patients, with the long-standing teaching method of "see one, do one, teach one" no longer acceptable. The educational goals of using technology in medical education include facilitating basic knowledge acquisition, improving decision making, enhancement of perceptual variation, improving skill coordination, practicing for rare or critical events, learning team training, and improving psychomotor skills. Different technologies can address these goals. Technologies such as podcasts and videos with flipped classrooms, mobile devices with apps, video games, simulations (part-time trainers, integrated simulators, virtual reality), and wearable devices (google glass) are some of the techniques available to address the changing educational environment. This article presents how the use of technologies can provide the infrastructure and basis for addressing many of the challenges in providing medical education for the future.
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              Factors influencing US medical students' decision to pursue surgery.

              Interest and applications to surgery have steadily decreased over recent years in the United States. The goal of this review is to collect the current literature regarding US medical students' experience in surgery and factors influencing their intention to pursue surgery as a career. We hypothesize that multiple factors influence US medical students' career choice in surgery.
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                Author and article information

                Journal
                Ann Med Surg (Lond)
                Ann Med Surg (Lond)
                Annals of Medicine and Surgery
                Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd.
                2049-0801
                9 September 2020
                9 September 2020
                Affiliations
                [a ]Core Surgical Trainee Year 2, Department of General Surgery, Buckinghamshire Healthcare NHS Trust, United Kingdom
                [b ]Core Surgical Trainee Year 1, Department of General Surgery, University Hospital Coventry and Warwickshire NHS Trust, United Kingdom
                [c ]Kellogg College, University of Oxford, United Kingdom
                [d ]Department of Surgery and Cancer, Imperial College London, United Kingdom
                Author notes
                []Corresponding author. , 16 Lowswood Close, Northwood, Middlesex, HA6 2XE, United Kingdom.
                [1]

                Joint first authors.

                Article
                S2049-0801(20)30311-3
                10.1016/j.amsu.2020.08.054
                7480771
                961ba59b-9593-465d-bd10-6acbb7516809
                © 2020 Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd.

                Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

                History
                : 13 August 2020
                : 28 August 2020
                : 30 August 2020
                Categories
                Cross-sectional Study

                webinar,education,surgical training,covid-19,technology
                webinar, education, surgical training, covid-19, technology

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