The audit of orthopaedic trainee teaching improves supervision rates

Inefficiency in surgical training has been identified as a result of low ra tes of supervision, with direct teaching of operating by consultants occurr ing in less than 20% of cases in papers dealing with general surgery and ca rdiac surgery training. The introduction of an audit system in an orthopaed ic training programme was associated with an improvement of teaching from a n already high 30% to 40% of ceases. A logbook programme was introduced whi ch allows easy analysis of the distribution of experience on an anatomical basis.