East meets West: Challenges faced by our surgeons moving overseas as mentee
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CORRESPONDENCE
East meets West: Challenges faced by our surgeons moving overseas as mentee Kaushalendra Rathore 1,2 Received: 12 September 2020 / Revised: 21 September 2020 / Accepted: 25 September 2020 # Indian Association of Cardiovascular-Thoracic Surgeons 2020
Dear Editor, Historically, Indian cardiothoracic surgeons had been well engaged with the West and have unceasingly incorporated changes in their clinical practise as and when required. This mature relationship is thriving, and young Indian cardiothoracic surgeons are still migrating overseas to gain further experience (residency and fellowships) to improve their surgical skill set and eventually enhance their employability. They often face challenges on the surgical to non-surgical fronts while they start training in those units.
Similarly, a 6-year training programme in India, including various surgical specialities, will give Indian trained surgeons better and equal career opportunities. Major advantages of standardization of the training are rotation of the registrar between different units will provide them opportunity to train with different supervisors, developing nontechnical skills and easy authentication of their declared credentials.
Non-technical skills Duration of the training Duration of the Cardiothoracic Surgery (CTS) training in the western countries ranges from 6 to 8 years [1]. CTS is getting sub-specialized at very fast pace and learning all these facets of surgery is humanly not possible in 3 years duration. In India, centres affiliated to the Diplomate of National Board (DNB) are running single 6-year Integrated Pathway (IP) courses in the Cardiothoracic Surgery (CTS) but tenure of Master of Chirurgic (MCh) course is still ranging from 2 to 3 years. In the best interest of our training programmes, it should be set to 6 years duration in all universities in the country. Antonoff et al. have reported that it is preferable to expose registrars to all major surgical specialities like cardiac, thoracic, vascular and general surgery and should avoid early subspecialization [1]. This broad experience not only improves their surgical and clinical skills but also helps them to perform better in the fellowship examinations. * Kaushalendra Rathore [email protected] 1
Department of Cardiothoracic Surgery, Sir Charles Gairdner Hospital, Nedlands, WA 6009, Australia
2
Sir Charles Gairdner Hospital, Perth, WA 6009, Australia
The Non-Technical Skills for Surgeons (NOTSS) programme includes nine competencies and trainees are regularly assessed on these parameters (Collaboration and Teamwork, Communication, Health Advocacy, Judgement-Decisionmaking, Management and Leadership, Medical Expertise, Professionalism, Scholarship and Teaching, and Technical Expertise) [2]. These countries run regular workshops and courses (operating with respect) to endorse these values during formative years of the training. For example, bases of assessment in the Australian training are interview performance (45%), referee reports (35%) and curri
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