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At least 19 recordsLinked to original sources

Technical training in surgery: the trainee's view.

A questionnaire designed to investigate the technical training of general surgical trainees was distributed throughout Scotland. A total of 222 questionnaires were sent out and 179 (81 per cent) were returned. Of the responders, 38 per cent felt that the overall operative workload was too small and the majority thought that there was too little emphasis on supervised operating. Two-thirds of trainees were generally satisfied with the amount of unsupervised operating, although a substantial proportion (21 per cent) sometimes felt out of their depth when performing delegated emergency operations. Few had attended craft workshops or travelled to other centres, but of those who had, most considered both activities to be very useful. Photographic atlases and videos were not generally felt to be of great value by those who had used them. The majority of trainees did not believe that research activity had interfered excessively with their technical training.

Attitude of Health Personnel↗

International cooperation in neonatal screening: technical training course for newborn and infant screening.

We report the outline and results of our experience with a group training course of neonatal screening for health care professionals in developing countries. Sapporo City Institute of Public Health (SCIPH) has been offered a training course on neonatal screening once a year since 1991 under the Technical Training Program of the Japan International Cooperation Agency (JICA). The aims of this training course are to enhance the participants' technical knowledge and skills, and also to deepen their understanding of the principle of neonatal screening as well as the relevant diseases. Lectures and laboratory practice on phenylketonuria (PKU), congenital hypothyroidism (CH), congenital adrenal hyperplasia (CAH) and neuroblastoma are included in the 3-month program. After the completion of the training, participants are expected to play a major role in establishing and expanding neonatal screening system in each of their countries. We have received a total of 67 participants from 25 countries until March 1998: 58 pediatricians; 2 gynecologists; 6 biochemists; 1 administrative officer. After they returned to their countries, 11 engaged in neonatal screening and started PKU and CH screening in their institute, city or province in Argentina, Brazil, Mexico, Peru and Thailand. We believe that these results fulfilled our objectives. Also, for follow-up, SCIPH has been giving information and consultation to the participants on requests. This international cooperation network could also benefit our present network of the International Society Screening in the future.

Developing Countries↗

Performance and physiological responses to a 5-week synchronized swimming technical training programme in humans.

A synchronized swimming team routine (TR) is composed of figures of varying degrees of difficulty. Swimmers able to perform these figures separately underwent a 5-week technical training programme (TTP) to assemble a TR. Little is known about the physiological responses to this kind of TTP. A group of 13 trained synchronized swimmers [mean age 14 (SD 1) years] were tested before and after a 5-week TTP. The TR lasted 5 min, and 45% of that time was spent underwater. The swimmers' technique scores in the TR improved significantly from 4.5 (SD 1.9) before to 5.8 (SD 2.3) points after the TTP (P < 0.01), but their swimming performances, peak oxygen uptake (VO2peak), blood lactate concentration, and heart rate measured during a 400-m swim were lower after the TTP. The improvement in the technique scores correlated negatively with the change in VO2peak (r = -0.57; P < 0.05). The greater the improvement in the technique score, the greater the decrease in VO2peak. The overall synchronized swimming skill was assessed by the best score the swimmers obtained in four to six competitions over a season. This score was related to the 400-m swimming performance, VO2peak, maximal distance covered in apnoea, and the breath-hold time. The 5-week TTP therefore improved technical performance during the TR without improving physiological, swimming or apnoea performances. However, the physiological profile of each swimmer was linked to the synchronized swimming skill.

Adolescent↗

[Systematic planning of technical training in urologic surgery: methodologic trial].

OBJECTIVES: Trainee urologists must be helped and guided in order to acquire surgical techniques and professional skills. This methodological trial was designed to define the training objectives based on the needs formulated in terms of basic technical procedures. MATERIALS AND METHODS: Systematic planning based on the training cycle was used in this study. Training needs were identified by a questionnaire sent to 4 groups composed of a limited number (about twelve) of urologists, but representative of the various modes of urological practice in several regions of France. Data were acquired according to the Delphi method. RESULTS: A list of 10 operations to be mastered at the end of urology training was defined consensually based on the replies (79.2%) to the questionnaire. This list was used as the basis for the design of general and specific training objectives for each operation. These objectives were validated by the urologists consulted. Three examples of these objectives are presented. CONCLUSION: A clear determination of the surgical technique training needs and objectives could lead to standardization of the practical training of urology residents. This would subsequently need to be completed by determination of the methods of evaluation of achievement of these objectives for tutors and trainee urologists.

Education, Medical↗