The Five Tier Surgical Career. JASGBI 37 September 2012

David A Rew, Consultant Surgeon
Southampton University Hospitals

Introduction
The long established general surgical career model in the UK is crumbling. Training times for surgeons have been seriously curtailed, with loss of depth, and breadth, of experience on reaching consultant status. The emerging NHS service configuration, of district general hospitals feeding into specialist surgical centres, produces a requirement for a large number of generalist surgeons to service local routine and emergency workload, and a smaller number of specialist surgeons for complex elective caseload.

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