Laparoscopic colorectal training exposure across Europe: P042

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Aim:The traditional British apprenticeship model of training has been eroded by changes in working patterns. Laparoscopic surgery is a relatively new field, hence many consultant surgeons are still on their learning curve. Thispresents aproblem in training registrars and ensuring adequate exposure to laparoscopic techniques. We examined exposure of trainees to laparoscopic surgery and the availability of fellowships and ongoing consultant training across Europe.Method:Questionnaires sent to a senior consultant representative with an interest in laparoscopic training in 22 European countries.Results:Representatives from 12 countries responded. The percentage of resections completed laparoscopically ranged from 2 to 60%, mean 21%. The percentage of trainees exposed to laparoscopic teaching during their trainingprogramme was 28%. Four countries offer fellowships, the number of posts available ranging from 1 to 18. Six countriesprovide consultant training opportunities.Conclusion:Exposure of trainees to laparoscopic colorectal resections is inadequate. This may be due to low numbers of resections performed laparoscopically in some centres, consultants themselves being on a learning curve and lack ofprovision for laparoscopic training during rotations. Whilst fellowships and post CCT training help address theproblem, we suggest that targeted laparoscopic training is of utmost importance.

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