General Surgery includes the sub-specialities of transplantation, hepatopancreatico-biliary, breast, endocrine, upper and lower gastrointestinal surgery. Vascular trainees who entered higher specialty training prior to August 2013 also follow the general surgery curriculum.
General Surgery includes both elective and a significant emergency component. There is an increasing adoption of minimal access surgery for both of them, particularly in upper and lower gastrointestinal surgery. The speciality has close links with diagnostic and interventional radiology, diagnostic and interventional gastroenterology and medical and clinical oncology.
The training programme provides a 6 year programme leading to a CCT. Training takes place at all trusts within Yorkshire and the Humber.
The training committee endeavours to provide a broad-based general training for the first two to three years, enabling the intermediate and some final competencies to be gained at an earlier stage. Training is usually, but not exclusively, in district general hospitals within Yorkshire and the Humber for ST3-4/5.
The final 3 years are usually spent in specialist units providing Level 3 training, allowing final competencies to be gained. Trainees are expected to evaluate and develop a sub-speciality interest during these appointments. The training committee facilitates appropriate placements to give the trainee access to this sub-speciality training, accepting that placements in some sub-specialities are limited.
All trainees have an Assigned Educational Supervisor (AES) for each placement, and training is delivered by the AES and Clinical Supervisors, Consultants in the institution. Progress through training is dependent on the satisfactory accretion of competencies, as defined by the ISCP and assessed at the Annual Review of Competency Progression. In addition, there is a bi-annual review of the trainee and the training conducted by the Training Committee.
There are active research programmes in many of the units in Yorkshire and the Humber and all trainees are expected to participate in audit and research in the course of their training