Postgraduate Surgical Training in the UK: the Trainees’ Perspective

Abstract

Over the last 20 years, surgical training in the United Kingdom (UK) has changed dramatically. There have been considerable efforts towards creating a programme that delivers the highest standard of training while maintaining patient safety. However, the journey to improve the quality of training has faced several hurdles and challenges. Recruitment processes, junior doctor contracts, flexible working hours and equality and diversity have all been under the spotlight in recent times. These issues, alongside the extended surgical team and the increasingly recognised importance of trainee wellbeing, mean that postgraduate surgical training is extremely topical. Alongside this, as technology has evolved, this has been incorporated into all aspects of training, from recruitment to simulated training opportunities and postgraduate examinations. The coronavirus (COVID-19) pandemic has brought technology and simulation to the forefront in an attempt to compensate for reduced operative exposure and experience, and has transformed the way that we learn and work. In this article, we reflect on the UK surgical trainee experience and discuss areas of success as well as highlighting potential areas for improvement going forward.

“It’s making me think outside the box at times”: a qualitative study of dynamic capabilities in surgical training

“…After completing medical school in the UK, graduates undertake the generic, mandatory two-year Foundation Programme, then apply for specialty (residency) training (Rose & Aruparayil, 2021;Royal College of Surgeons of England, 2022). The first two years of surgical training, Core Surgical Training (CST) aims to deliver basic surgical skills and knowledge across the breadth of surgical specialties, thereby enabling trainees to make an informed sub-specialty career choice.…”