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SP1.2.5 A Prospective Evaluation of Out of Hours Operations: Informing ENT Training Bootcamps


 
 
 All trainees are invited to attend national trainee bootcamps upon commencing ENT speciality training. This induction course uses simulations to teach technical and non-technical skills and includes teaching on various emergency procedures. We aimed to prospectively record which procedures are being performed out of hours by ENT trainees to inform training programmes.
 
 
 
 We recorded all operations out of hours performed by ENT speciality trainees in Kent Surrey and Sussex over 6 months. In January - February 2020 and August - November 2021 trainees completed data sheets detailing operations they were involved in that took place between 18:00 and 08:00 on weekdays or on weekends. Responses were analysed using Excel.
 
 
 
 Trainee response rate was 92%. In total 89 operations were performed out of hours. The speciality trainee was the most senior surgeon present in 58% of these cases (n=52). 27 different operations were performed. 5 procedures made up 53% of all operations performed: Oesophagoscopy and removal of foreign body (n=23); Tracheostomy (n=10); Removal of foreign body from nose (n=8); Drainage of neck abscess (n=6); and SPA ligation (n=5).
 
 
 
 To our knowledge, this is the first study to investigate the frequency of ENT procedures performed out of hours by trainees. Our findings can be used to plan and prioritise teaching of procedural skills in national trainee bootcamps. Oesophagoscopy and removal of foreign body was the most commonly performed out of hours procedure and along with other emergency procedures it should be prioritised in training camps.
