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General Surgery (2016)

ELECTIVE GENERAL SURGERY
Lesions Of Skin And Subcutaneous Tissues
Abdominal Wall
Reticulo-endothelial System
Venous Thrombosis And Embolism
Genetic Aspects Of Surgical Disease
Oncology For Surgeons
Elective Hernia
Surgical Nutrition
Outpatient Skills
Laparoscopic Surgery
EMERGENCY GENERAL SURGERY
Superficial Sepsis Including Necrotising Infections
Peritonitis / Acute Abdomen (combined)
Acute Intestinal Obstruction
Acute Appendicitis
Strangulated Hernia
Acute Gynaecological Disease
Gastrointestinal Bleeding (see Also Acute Gastric Bleeding)
Complications Of Abdominal Surgery
Abdominal Pain In Childhood
Intussusception
Acute Groin Condition
Acute Dysphagia
Oesophageal Varices
Boerhaave's
Iatrogenic Oesophageal Perforation
Acute Gastric Dilation
Acute Gastric Haemorrhage
Acute Perforation
Acute Gastric Volvulus
Gallstone Disease
Acute Pancreatitis
Chronic Pancreatitis
Peri-anal Sepsis
Pilonidal Disease
Acute Painful Peri-anal Conditions
Acute Colonic Diverticulitis
Volvulus
Massive Lower GI Bleeding
Acute Colitis
Emergency Aneurysm Disease
Mesenteric Vascular Disease
Acute Limb Ischaemia
Trauma Principles
Abdomen And Thorax
Head And Neck
Extremity And Soft Tissue
Vascular Trauma
UPPER GI - OESOPHAGUS
Gastro-oesophageal Reflux Disease
Hiatus Hernia
Peptic Stricture
Achalasia
Motility Disorders
Iatrogenic Oesophageal Perforation
Boerhaave's
Carcinoma Of The Oesophagus
Oesophageal Varices
UPPER GI - STOMACH
Gastric Ulcer
Duodenal Ulcer
Gastric And Duodenal Polyps
Acute Perforation
Acute Upper GI Haemorrhage
Acute Gastric Dilation
Acute Gastric Volvulus
Gastric Carcinoma
GIST
Gastric Lymphoma
UPPER GI - BARIATRIC
Morbid Obesity
UPPER GI - PANCREATOBILIARY
Gallstone Disease
Acute Pancreatitis
Chronic Pancreatitis
Pancreatic Cancer / Periampullary Cancer
Cystic Tumours
Neuroendocrine Tumours
Intraductal Papillary Mucinous Neoplasms
Pancreatic Trauma
UPPER GI - LIVER
Liver Metastases
Primary Liver Cancer
Cholangiocarcinoma And Gallbladder Cancer
Benign And Cystic Tumours
Liver Trauma
LOWER GI – BENIGN ANORECTAL
Haemorrhoids
Anal Fissure
Abscess And Fistula
Hidradenitis Suppuritiva
Pilonidal Disease
Anal Stenosis
Pruritus Ani
Sexually Transmitted Disease
LOWER GI – BENIGN COLORECTAL
Vascular Malformations
Diverticular Disease
Volvulus
Rectal Bleeding
Massive Lower GI Bleeding
Endometriosis
Colon Trauma
Rectal Trauma
Anal Trauma
Foreign Bodies
LOWER GI – COLORECTAL NEOPLASIA
Colorectal Neoplasia
Rectal Cancer
Detection And Treatment Of Recurrent And Metachronous Colorectal Cancer
Miscellaneous Malignant Lesions
Anal Neoplasia
Presacral Lesions
LOWER GI – FUNCTIONAL DISORDERS
Faecal Incontinence
Rectal Prolapse
Solitary Rectal Ulcer
Constipation
Irritable Bowel Syndrome
Chronic Rectal Pain Syndrome
LOWER GI – INFLAMMATORY BOWEL DISEASE
Inflammatory Bowel Disease - General
Ulcerative Colitis
Crohns Disease
Ischaemic Colitis
Radiation Colitis
Infectious Colitis
Miscellaneous Colitides
LOWER GI – STOMAS
Stomas

Final I

The British Association of Endocrine and Thyroid Surgeons (BAETS), through the Royal College of Surgeons of Edinburgh, has produced a series of online case-based discussions covering endocrine surgery curriculum requirements for General Surgery trainees - this can be accessed here.

Users are able to set up a free RCSEd VLE account and access case-based discussions on: Management of adrenal swellings; Neck lumps; Parathyroid anatomy and physiology; FNA - the classification of thyroid nodules; Hypercalcaemia/hyperparathyroidism; Management of post thyroidectomy hypocalcaemia; Postoperative neck haematoma; Thyroid anatomy.

Structure of ST5/6 and ST7/8

Training in Elective and Emergency General Surgery will be continued throughout ST5/6 and ST7/8 for all trainees.

Those with an interest in Upper Gastrointestinal Surgery will complete one year each of Upper Gastrointestinal Surgery and of Colorectal Surgery during ST5 and ST6 followed by two years of Upper Gastrointestinal Surgery during ST7 and ST8.

Those with an interest in Colorectal Surgery will complete one year each of Upper Gastrointestinal Surgery and of Colorectal Surgery during ST5 and ST6 followed by two years of Colorectal Surgery during ST7 and ST8.

Those with an interest in Breast Surgery will complete one year of gastrointestinal surgery and three years of oncoplastic breast surgery.

Those with an interest in Transplant Surgery will complete one year of gastrointestinal surgery and three years of Transplant Surgery (elective and emergency). Emergency transplant training will need to be arranged alongside the on going training in Emergency General Surgery within the Working Time Regulations.

Trainees may also choose to gain competencies in one of the other areas of general surgery (thyroid, parathyroid, advanced endocrine, general surgery of childhood, advanced trauma surgery or remote and rural surgery).

By the end of the ST6:

    - All trainees will have the knowledge, clinical and technical skills of Elective General Surgery and of Emergency General Surgery as defined in the syllabus for ST6.

    - Trainees will have the knowledge, clinical and technical skills of Upper Gastrointestinal Surgery, Colorectal Surgery and of their chosen special interest(s) as defined in the syllabus for ST6.

By the end of the ST8:

    - All trainees will have the knowledge, clinical and technical skills of Elective General Surgery and of Emergency General Surgery as defined in the syllabus for ST8.

    - Trainees will have the knowledge, clinical and technical skills of their chosen special interest(s) as defined in the syllabus for ST8 and of the other components of general surgery as shown in Table 1.

CCT holders will be capable of working as a consultant within a multi-disciplinary team in Elective and Emergency General Surgery and in one of: Upper Gastrointestinal, Colorectal, Breast or Transplant Surgery. They may also have chosen to gain competencies to allow them to work as a consultant within a multi-disciplinary team in thyroid, parathyroid, advanced endocrine, general surgery of childhood, advanced trauma or remote and rural surgery.

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