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Care of critically ill surgical patients (CCrISP) pose formidable challenges to even the most experienced surgeons. In reality, junior surgical staff is at the frontline of care provision in the emergency setting. With the advent of shortened and more focused surgical residency training, concerns have been raised about the standard of critical care management practised by the surgical trainees.1 Good surgical outcomes can only be achieved with attention to detail in all aspects of care provision. The available evidence suggests that postoperative adverse events may be much more frequent than reported.2 Evidence indicates that each patient has unique needs and hence a uniform perioperative pathway may not always be patient centred—sick patients need timely and appropriate evaluation and intervention to achieve good outcomes.3 Often, the first step to this is recognition that patient is unstable and it is not uncommon to have patients referred to the surgical intensive care, who have been critically ill for a prolonged period of time. This problem is usually compounded by the reluctance of trainees to seek help from senior colleagues, especially after office …
Contributors TYT, CLM and ACL are the CCriSP course co-directors in Singapore. TYT came up with the original idea and framework of the letter. ML and SLB drafted the initial versions and collected prelim data. VGS, CLM, ACL and TYT edited and approved the final version of the letter.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Not required.
Provenance and peer review Not commissioned; internally peer reviewed.
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