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Whose operation is it anyway? Consensus for surgical supervision code use
Full text linkCC BY 4.0 - https://creativecommons.org/licenses/by/4.0/INTRODUCTION
Operative numbers are critical for training programme applications, the annual review of competence progression and the Certificate of Completion of Training. This study sought to determine whether there is a consensus among surgeons for supervision codes being applied to general surgical operations.
METHODS
A survey including ten vignettes (representing common surgical procedures) was distributed to doctors who use the surgical e-logbook. Participants were asked to indicate for each vignette whether they would code the operation as ‘assisted’ (A) or ‘supervised with trainer scrubbed’ (STS).
RESULTS
A total of 261 responses were received from doctors across all grades. For an appendicectomy vignette describing involvement at each key step but no dissection, 58% of respondents coded it as A and 42% as STS. For a laparoscopic cholecystectomy vignette that described dissecting the gallbladder off the liver and closing the ports, 61% coded it as A and 39% as STS. Consultants were more likely to record a vignette as STS (59% vs 49%, p<0.001), as were male surgeons (53% vs 47%, p=0.004). Only 20% of respondents agreed with the statement “I find it easy to understand what supervision code I should record in my logbook”.
CONCLUSIONS
This study reveals that there is little consensus on supervision codes for general surgical operations and considerable ambiguity in the system. The description of the codes on the e-logbook is not fit for purpose and guidance from the Intercollegiate Surgical Curriculum Programme is minimal. Clearer guidelines are required to enable surgeons in training to apply coding consistently to ensure validity in the use of indicative numbers for applications and as a marker of progress in training
Developing a research skilled workforce in the south west: nurturing capacity
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Disparities in Complication Rates Among Ethnic Minorities Undergoing Bariatric Surgery in the UK.
No full textBackground: Ethnicity may play a significant role in determining surgical outcomes. This study examines the disease profiles across ethnic groups and investigates whether ethnicity influences the risk of complications following bariatric surgery.
Methods: Data from the United Kingdom's National Bariatric Surgery Registry (NBSR) were analysed, encompassing all adult patients undergoing bariatric procedures. Comparative analyses were performed, and a multivariable regression model was developed to identify factors associated with postoperative complications.
Results: A total of 77,710 (78.8% female) patients were included in the analysis, with a median age of 46 (IQR 37-55) years. Most patients were Caucasian (91.6%), followed by Asian (4.1%), Afro-Caribbean (2.5%), and African (1.7%) groups. Afro-Caribbean patients had the highest median BMI (44.5 kg/m2) and the highest prevalence of hypertension (43.2%), while Asian patients were younger (median age 41 years) and had a higher prevalence of diabetes mellitus (29.1%). African and Afro-Caribbean patients were less likely to self-fund their procedures (14.9% and 10.6%, respectively) compared to Caucasians (25.9%). Complication rates were the highest among Afro-Caribbean patients (5.8 vs 4.8%, p < 0.001) compared to Caucasians. Multivariable regression analysis identified ethnicity as an independent predictor of postoperative complications, with Afro-Caribbean (OR 1.47, 95% CI 1.22-1.87, p < 0.001) and African (OR 1.34, 95% CI 1.05-1.70, p = 0.019) patients demonstrating significantly increased risks.
Conclusions: This registry analysis identified ethnic disparities in disease profiles and postoperative outcomes among bariatric surgery patients in the UK, underscoring the need for targeted health policies to improve outcomes in these vulnerable populations.
Keywords: Bariatric Surgery; Ethnicity; Health Disparities / Healthcare Inequalities; National Bariatric Surgery Registry (NBSR); Obesity; Surgical Outcomes / Postoperative Complications
The use of oral Vitamin B12 in bariatric surgery patients post sleeve gastrectomy and roux en y gastric bypass (evidence summary)
No full textThis is an evidence summary produced by the Somerset NHS Foundation Trust Knowledge and Library Service
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Long Covid bulletin July 2025 (current awareness bulletin)
No full textThis is a bulletin produced by the Somerset NHS Foundation Trust Knowledge and Library Service. It is intended to provide a range of the most up-to-date resources, including recently published guidelines and research articles, news and policy items at the time of the production. Please note, you may not get access to full-text articles or links may be disabled
Risk stratification and management of cardiac toxicity following radiotherapy (evidence summary)
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Disclaimer: We will endeavour to use the best, most appropriate and most recent sources available to ensure that the information supplied is accurate, up-to-date and evidence-based. It is the responsibility of the requestor to determine the accuracy, validity and interpretation of the search results. No responsibility can be taken by the library for any action taken on the basis of this information. New evidence may have been published since the date this evidence summary was created
Call for concern (evidence summary)
No full textThis is an evidence summary produced by the Somerset NHS Foundation Trust Knowledge and Library Service
Disclaimer: We will endeavour to use the best, most appropriate and most recent sources available to ensure that the information supplied is accurate, up-to-date and evidence-based. It is the responsibility of the requestor to determine the accuracy, validity and interpretation of the search results. No responsibility can be taken by the library for any action taken on the basis of this information. New evidence may have been published since the date this evidence summary was created
Supporting colleagues who are being treated for cancer (evidence summary)
No full textThis is an evidence summary produced by the Somerset NHS Foundation Trust Knowledge and Library Service
Disclaimer: We will endeavour to use the best, most appropriate and most recent sources available to ensure that the information supplied is accurate, up-to-date and evidence-based. It is the responsibility of the requestor to determine the accuracy, validity and interpretation of the search results. No responsibility can be taken by the library for any action taken on the basis of this information. New evidence may have been published since the date this evidence summary was created
Group therapy to address perfectionism for eating disorders patients (evidence summary)
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Disclaimer: We will endeavour to use the best, most appropriate and most recent sources available to ensure that the information supplied is accurate, up-to-date and evidence-based. It is the responsibility of the requestor to determine the accuracy, validity and interpretation of the search results. No responsibility can be taken by the library for any action taken on the basis of this information. New evidence may have been published since the date this evidence summary was create
History of hospital passports (evidence summary)
No full textThis is an evidence summary produced by the Somerset NHS Foundation Trust Knowledge and Library Service
Disclaimer: We will endeavour to use the best, most appropriate and most recent sources available to ensure that the information supplied is accurate, up-to-date and evidence-based. It is the responsibility of the requestor to determine the accuracy, validity and interpretation of the search results. No responsibility can be taken by the library for any action taken on the basis of this information. New evidence may have been published since the date this evidence summary was created