SP2.2.1Improving surgical training: core programme performance related to rotation theme, design, and trainee protocol engagement

Abstract Aims Core Surgical Training (CST) and Improving ST (IST) programmes are in flux their design controversial. This study aimed to evaluate the relative performance of a single Statutory Education Board’s (SEB) CST IST related rotation design, theme, protocol engagement. Methods Individual rotations numbering 181 were analysed prospectively over six-years (2014 2020). Primary outcome measures MRCS pass specialty National Number (NTN) appointment. Results Overall was 68.5% NTN appointment 39.2%. varied from zero 100% (median 40.0%). Conversion by theme ranged from: General surgery 35.6% (IST pilot) 87.5% (p = 0.004). Multivariable analysis revealed associated with: operative logbook caseload >464 (OR 3.02, p 0.068), scientific article publication 4.82, 0.006), universal ARCP Outcome 1 37.83, < 0.001), 55.54, 0.006). Conclusions Focused rotational allied enhanced management, engagement, with improved conversion higher surgical training.