267 ‘Talking About Trauma’- Moving from Silence to Sharing with Surgical Trainees

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Abstract Aim As healthcare professionals we are exposed to emotionally and psychologically challenging cases. The nature of our work, combined with increasing system stressors contribute to a worrying national trend. Rates of burnout are rising, trainee wellbeing scores are the worst reported since the survey began, and retention is low. National provision of trauma support is variable, with little training around psychological safety and coping strategies. Method Over the last year, following agreement with the Southwest surgical training committee, ‘Dealing with difficult cases’ sessions have been delivered at surgical training events. These included sharing stories and experiences of Post Traumatic Stress Disorder, burnout, performance anxiety, the value of regular coaching and finding joy at work, all through a trauma-informed lens. Facilitated discussions explored the emotions, triggers and fears around our personal responses and signposting to support resources. Results All sessions received overwhelmingly positive feedback. Trainees and Consultants attending the session found it invaluable and relevant to their everyday practice. Four trainees have since been signposted to support services following the opportunity to share their experiences for the first time. Conclusions These sessions have identified an important gap in surgical training, which is vital for ensuring surgeons are capable not only of recognising the impact of trauma on themselves, but delivering trauma informed care to their patients, and supporting junior colleagues. It aligns with the general competencies’ framework and the new surgical curriculum. This is the first step in a necessary culture change within surgery and we are working to expand this training regionally.

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