93 South Africa vs UK: Comparison of a trainee paediatric surgon's logbook
Sonia Basson1,2, Jerome Loveland1, Alp Numanoglu2
1Chris Hani Baragwanath Hospital, Johannesburg, South Africa. 2Red Cross War Memorial Children's Hospital, Cape Town, South Africa

Abstract
Aim of Study:
To compare a trainee's surgical logbook whilst working as a senior paediatric surgery trainee in the UK and as a senior clinical fellow in South Africa during an out-of programme experience (OOPE).

Methods:
Surgical procedures were recorded on eLogbook, the Pan-Surgical Electronic Logbook for the United Kingdom & Ireland, and collated as speciality advisory committee (SAC) Indicative Groups Reports.  Data collected included: name of procedures, age of patients, number of procedures and level of supervision. Data was reviewed from the last six months working in a UK hospital (October 2017-March 2018) and compared to data from the last six months working in South Africa up to January 2018. Data was analysed using Microsoft Excel.

Results:
UK TOTAL A STS STU P T
Total Neonatal 17 3 8 1 4 1
Total Paediatrics 70 7 47 5 9 2
TOTAL 87 10 55 6 13 3

SA TOTAL A STS STU P T
Total Neonatal 44 11 13 6 13 1
Total Paediatrics 99 32 27 4 29 7
TOTAL 143 43 40 10 42 8
A-assisting, STS- supervisor scrubbed, STU- supervisor in theatre but unscrubbed, P-performed, T- training a junior trainee

Conclusion:
40% more operations were performed working as a senior clinical fellow in paediatric surgery in South Africa, than working as a trainee in the UK. Approximately 40% of these procedures were performed without the supervisor scrubbing in. Paediatric surgery trainees in the UK should consider spending time training abroad to broaden and enhance their surgical experience and logbook.

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