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Surgical Training
The training of a surgeon is a complex
process requiring the acquisition of
knowledge, skills and behaviours
involving both clinical-based settings,
as well as structured learning and
assessment interventions here at RCSI.
The process is further complicated
by the complex relationship between
training and service delivery.
Implementation of RCSI's innovative
new Surgical Training Pathway
programme is a signal of the
College's intent to ensure it is ready
to confront the challenges presented
by a convergence of powerful change
drivers in healthcare globally, all of
which will have a fundamental impact
on training.
Surgical Training Pathway
guided by its ongoing commitment
to provide leadership in surgical
training, the College has in the past
12 months completed the first full
academic year of the new Surgical
Training Pathway. The new pathway,
both radical and necessary in the
opinion of the College, was envisioned
and shaped by RCSI, in collaboration
with the Irish Surgical Postgraduate
Training Committee and all the surgical
specialties. The planning phase also
benefited greatly from input from the
office of HSE's Medical and Educational
Training unit and the Medical Council.
The scope of change under the new
pathway is a comprehensive one,
including: trainee selection; content
and duration of training; trainee
numbers, assessment and progression;
quality assurance; and, trainee
engagement, communication and
support. The new programme allows
for a continuum of training over eight
years: ST1 - ST8. ST1 and ST2 are core
years with competitive progression to
ST3 - 8 (Specialist Training) based on
progression and competence criteria.
These changes are designed to:

enable the completion of surgical
training to Certificate of Completion of
Specialist Training within a continuous
eight-year structured programme;
enhance the consistency of training;

ensure that our programmes remain
tailored to the future needs of our
health service; and,

continue to attract the brightest and
best medical graduates to a career
in surgery.
Initial feedback after the first year of
the new pathway is encouraging. Of
the initial intake of trainees (in 2013),
90 per cent have been accommodated
with their first choice of specialty for the
second year of their training programme.
Looking ahead to the July 2014 intake, 56
candidates were successful at interview
in February 2014. All the indications are
that the new programme is achieving
a greater alignment between numbers
starting core training and numbers
that go on to Specialist Training. As
with all aspects of implementation
of the programme, trainee numbers,
assessment and progress are continually
monitored to identify opportunities for
surgical training in ireland enjoys a
global reputation based upon a proud
tradition of producing generations of
leaders in surgery around the world. in
another year of change and development
from July 2013 to June 2014, rcsi has
continued to encourage and nurture
that leadership role by supporting our
surgical leaders of the future through
our new surgical training pathway and
supporting surgeons in practice through
continuing professional development
and developing our `fellowship' and
collegiate support and engagement.
Mr Eunan Friel,
Managing Director, Surgical Affairs
Pictured at the National Surgical Skills Competition Final at RCSI are Mr Ehab Mansour, lecturer
in post graduate surgical training, RCSI (centre) with finalists Robert Fleck and Eilis Fitzgerald.