Projects

 
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IMAGINE

IMAGINE is an international study of postoperative ileus and provision of management after surgery. It is being coordinated by EuroSurg with STORCC acting as a contributor.

It seeks to profile gastrointestinal recovery after colorectal surgery. The secondary outcome is to assess the role of NSAIDs in expediting GI recovery and their respective safety.

Resources

  • Trial and Protocol Summary (link)

  • Full Trial Protocol (link)

Worldwide locations of the contributing sites for the IMAGINE trial

Worldwide locations of the contributing sites for the IMAGINE trial


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BEACCHES

Many medical schools around the world run wilderness first responder training as part of experiential education. In 2018, the Central Coast Medical School (CCMS) will be launching BEACCHES (Beginning Education at Central Coast Hospitals) to provide first responder training that is specific to the Central Coast. This has been developed by CCMS in partnership with local surf life-saving organisations.

BEACCHES is a two-day intensive program where students will learn about critical medical and evacuation decisions and medical responses relevant to coastal or remote locations. Training and demonstrations will involve realistic scenarios with mock patients to challenge the students to integrate their learning. BEACCHES also provides opportunities for students to connect with their peers, support team, supervisors and the Central Coast locality.


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STITCCH
Surgical Trainee Initiated Teaching in Central Coast Hospitals

The STITCCH programme is a teaching initiative aimed at attracting junior doctors to the education of senior medical students. It seeks to identified incentives and barriers to teaching at a JMO level, and provided curriculum packs, mentorship and logistical support to help overcome these barriers. 

 

STITCCH is now entering its 3rd year with a total of ten curriculum packs available for its tutors and is also reproduced free of charge for use worldwide on its website.

STITCCH has held over fifty tutorials, has had its preliminary results presented at five conferences, and recently received an award for Excellence in Clinical Teaching by the University of Newcastle.

More information at www.stitcch.com


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Respiratory COmplications after abdomiNal surgery (RECON) trial

STARSurg Collaborative

STARSurg is an international collaborative network of students and surgical trainees, supported by consultant surgeons and anaesthetists. The group aims to engage collaborators with common research goals to deliver meaningful studies across multiple countries and the UK and Ireland.

Background

Post-operative pulmonary complications (PPCs) are a common complication of major abdominal surgery and associated with increased morbidity, mortality and length of hospital stay. Royal College of Anaesthetists (RCOA) and Enhanced Recovery After Surgery (ERAS) guidelines provide pre-, intra- and post-operative measures to reduce risk of PPCs.

Study aims

Primary: Explore the incidence of PPCs following major abdominal and incisional hernia surgery

Secondary: (1) Evaluate adherence to peri-operative measure to reduce risk of PPCs; (2) establish risk factors for development of PPCs

Outcome measures

Primary: Adherence to perioperative guidelines (RCOA, ERAS) for the prevention of PPCs


Key secondary: Incidence of PPCs within 7 days of surgery, defined using StEP definitions

Data collection

Data collected using an online web application (REDCap), widely used and secure data capture service.

Data analysis

Data will be pooled and analysed centrally and anonymously with no surgeon- or hospital- level analysis.

Mini-team structure

Mini-teams of 1 to 2 medical students and one junior doctor per speciality group per data collection period, at each participating centre will prospectively collect data. All mini-teams should be supervised by a consultant in surgery and/or anaesthesia or critical care. A hospital lead may be appointed in each hospital to hold overall responsibility for site registration and coordinating handover between teams.

Audit periods

Four consecutive 2-week periods from 21st Jan 2019 - 17th Mar 2019 (with additional 30-day follow-up)

Inclusion criteria

Consecutive adult patients undergoing major abdominal surgery across gastrointestinal, hepatopancreatobilary, urology, vascular, gynaecology and transplant surgery through an abdominal incision, including one or more of: (i) Visceral resection; (ii) Reversal of stoma; (iii) Open repair of abdominal aortic aneurysm or vascular bypass procedure; (iv) Anterior abdominal wall incisional hernia or parastomal hernia repair; (v) Transplant surgery. A full list of included procedures in available in the RECON Study Protocol. Any operative approach (open, laparoscopic, robotic) and indication is eligible.

Exclusion criteria

Abdominal surgery without resection; Caesarean sections; Groin and primary (not incisional) abdominal wall hernia repair; Return to theatre (each patient only eligible for inclusion once); Vascular surgery with a groin or limb incision only.


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PRAISE

Promoting Residents Active Involvement in Student Education

PRAISE was commenced in 2018 following the success of STITCCH.  This initiative aims to provide practical teaching for junior doctors in how to teach. 

Updates

More updates on Praise will be released in the near future.