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RACS ASC 2024

Are our current Plastic and Reconstructive Surgery Curriculum recommendations for surgical supervision of Trainees fit for purpose across Australia and New Zealand?

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Institution: Department of Plastic and Reconstructive Surgery, Middlemore Hospital, Auckland, New Zealand - Auckland, Aotearoa New Zealand

The Australasian Plastic and Reconstructive Surgery (PRS) curriculum, which is utilised across both Australia and New Zealand, provides recommendations for the expected level of supervision for key surgical procedures throughout SET training. The opinions of New Zealand PRS Consultants and trainees about the expected level of supervision were presented at the NZAPS Meeting in 2023. At the request of the Chair of the Australian Board of Plastic and Reconstructive Surgery the survey was repeated for our Australian colleagues. Key surgical procedures across early, mid, and late SET training were selected from the current PRS Curriculum. Participants were asked their opinion on recommended supervision levels based on four supervision categories: direct guidance, monitoring and supervision, minimal or no supervision, or safe and competent for most situations. Opinions were then compared to recommendations outlined in the current PRS Curriculum. The survey was sent to current Australian PRS trainees, those who had completed training in the past two years, and all PRS Consultants involved in the supervision of trainees in public hospitals. We compare and analyse the opinions of current Plastic Surgeons and trainees across Australia and New Zealand around supervision levels for key procedures throughout training against each other and the suggested levels in the PRS Curriculum. The PRS Curriculum is currently undergoing review and the opinions of these stakeholders is very important in ensuring that the PRS Curriculum is ‘fit for purpose’ in guiding the training of Plastic and Reconstructive Surgeons across Australia and New Zealand, especially as Australia has transitioned to competency-based surgical training.

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Authors

Dr Nicola Peat - , Dr Richard Wong She - , Dr William Blake -