ANZ Journal of Surgery | 2021
Abstract Journal Trainees Association
Abstract
Journal Trainees Association TA001P EVALUATING THE ROLE OF A NON-ACUTE ‘SURGICAL LIAISON’ DURING COVID-19 – A SYSTEMATIC REVIEW STEPHEN TOLMAY, JAMIE-LEE RAHIRI AND JONATHON KOEA WaitemataDistrict Health Board/University of Auckland, Auckland, New Zealand Introduction: COVID-19 has provided an impetus to ‘expose the cracks’ in a health system already operating over capacity. In March 2019, the New Zealand (NZ) Government instituted a four-level alert system. The rapid dissolution of non-urgent surgical services was mandated by the Ministry of Health to minimize patient and staff exposure to COVID-19. The primary health care sector was under pressure to support more patients diverted back into their care from the hospital. Results: Nineteen studies were included in this review from an initial 3028 studies. The majority of studies appraised liaison roles within orthopaedics and were mostly led by nurse specialists. Three key concepts were identified: (i) establishing appropriate communication channels between GPs and specialists (virtual or teleclinic); (ii) identifying key personnel tailored to the setting (urban versus rural) and expertise (nurse-led versus specialist); and (iii) developing safe, knowledgeable and reflexive information systems in service delivery to patients and colleagues. Conclusion: Existing non-acute surgical liaison services are feasible and can be remodelled and applied in NZ. We present an initial framework for such a role. TA002P THE TASMAN COLLABORATIVE: PROGRESS AND GROWTH OF A STUDENT-LED AUDIT AND RESEARCH COLLABORATION IN ANZ WILLIAM XU, LAURE TAHER MANSOUR AND KYLE RAUBENHEIMER TASMAN collaborative Introduction: Collaborative networks in surgery have rapidly developed over the past decade. The Trials and Audit in Surgery by Medical students in Australia and New Zealand (TASMAN) network was founded in 2019 to both facilitate and lead large-scale, high-quality collaborative projects. Methods: TASMAN seeks to improve the academic literacy of surgically included students and pre-set trainees while delivering high-quality research. TASMAN is a student and trainee-led organization operating under mentorship from the RACS Clinical Trials Network (CTANZ). In collaboration with international collaborative groups, TASMAN develops and carries out at least one major project each year. Outcomes: Over the past 2 years, TASMAN has grown to a network upwards of 750 students across Australia and NZ. The committee has directly contributed to three publications within the Lancet, MJA, and ANZ Journal of Surgery, and given two verbal and two poster presentations at national conferences. Members of TASMAN have been involved in the following projects: IMAGINE (Ileus Management International, 2018), GlobalSurg 3 (2019), RECON (Respiratory Complications after Major Abdominal Surgery, 2019), COMPASS (Management of COMPlicAted intra-abdominal collectionS after colorectal Surgery, 2020), CHOLECOVID (2020) and COVIDSurg Week (2020). A committee team of 33 members will be responsible for the development of the collaborative network and the creation, dissemination and facilitation of projects and education resources in 2021. Conclusions: Student-led collaborative networks in Australia and NZ have contributed meaningfully to surgical research. The growth of TASMAN offers increased opportunity for local students and trainees to grow academically. Editorial material and organization © 2021 Royal Australasian College of Surgeons. Copyright of individual abstracts remains with the authors. ANZ J. Surg. 2021; 91 (S1) 238