A-293 TROMS (TRAINEE-REPORTED OUTCOME MEASURES): THE NEW FOCUS OF TRAINING IN ENDOCRINE SURGERY

Abstract

Abstract Background PROMs (Patient-Reported-Outcome-Measures) are an emerging method to assess healthcare quality. Similarly, we propose assessing trainee satisfaction using TROMs (Trainee-Reported-Outcome-Measure) questionnaires. With the aim to improve trainee implication and perception in Endocrine Surgery(ES) we conducted a prospective multicenter study. Methods The technique of thyroidectomy was split into 4 steps to be sequentially completed by the trainee. A specific TROMs survey was designed and distributed to evaluate trainee satisfaction before and after its implementation. Members of the Endocrine Section of the Spanish Association of Surgeons were invited to participate. Results Some 20 Spanish ES Units were involved (October/2021-March/2022), of which 17 trainees answered the poll. Most of them were in their 4th-5thyear of training, 65% were female and only 25% would choose ES as a subspecialty. Hemithyroidectomies performed as main surgeon ranged from 0 to 10 and only 60% felt they were capable of performing it unassisted. When training in a high-volume-unit, they performed a hemithyroidectomy 4 times more frequently. Initial global satisfaction was high in 70% of trainees. After implementation of the 4-step thyroidectomy, surgical items evaluated through TROMs showed improvement with increased number of surgeries performed per trainee as well as their perception of improving their surgical technique with slight increase in reported global satisfaction. Conclusion Teaching in ES may be improved by standardised steps and TROMS may well become a valuable tool to assess teaching satisfaction of surgical trainees.