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Surgery residency in the UK? watch

    • Thread Starter

    Hi everyone !
    I am looking for surgery interns to talk to 🙂
    I am French, 25yo and I will graduate in medicine in France this year. My dream is to live and do my residency in the UK so I am looking for people who could tell me how residency is like. Work hours, salary, hierarchy, job offers after residency, specialization,...

    Thank you all !
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    • Community Assistant

    Community Assistant
    Graduate medical training in the UK is arranged roughly into three tiers - your foundation training, which all UK medical students must undergo, which lasts two years and during which students rotate through several different areas of medicine/surgery/etc, is the first. Following that you complete "core" training, which you must apply to through a competitive application process - for surgery is core surgical training and lasts two years normally and is fairly competitive unsurprisingly. Core surgical training is usually broad and pertains to general surgery with experiences in other surgical specialties but there are some "themed" CST posts which focus more on particular areas.

    Following this you then apply again for specialty training - this varies a bit, as there are some "run through" schemes where trainees enter into a specfic specialty (such as neurosurgery and trauma & orthopaedics typically) and "uncoupled" training where trainees begin in normally general surgery then reapply to higher specialty training in e.g. plastic surgery, cardiothoracic surgery etc. There are some pilot run-through schemes for those latter examples however, with I believe CT surgery being having at least one fairly well established run-through programme. There is also Urology and ENT as options, which have their own run-through formats.

    The key point is that in some specialties which have run-through training, subject to achieving the necessary progression targets, once you enter the training you are in it through the end (provided you aren't stricken from the register etc), whereas in those with uncoupled you have to "reapply" in the middle. The above is broadly true for UK trainees however I have no idea what extent it applies to IMGs. However as you can see, the system isn't particularly similar to the US format, particularly as you generally end up spending longer in "general" surgery (both in core surgical training and before entering e.g. plastic/CT surgery, and even for things such as NS and ENT), whereas in the US you normally begin direclty in specialty for those latter ones (and increasingly, in plastics) and spend much less time in GS for their equivalent "uncoupled" training. They also don't have the foundation training period - some still retain the "intern year" but that's disappearing to my knowledge.
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