1. Ian Eardley

2.  A large number of non training “Fellowship” posts have been available for several years (Pre and post CCT)  The DOH funded 70 Post CCT Fellowship posts in 2007 to release training numbers to deal with the ST3 bulge associated with MMC  Several specialties have Deanery funded interface posts eg Hand Fellowships (Pre CCT)

3.  Several surgical specialty curricula produce “generalists” without (many) subspecialist skills  Fellowship training (with acquisition of subspecialist skills) is increasingly a requirement for consultant posts in several specialties  Fellowship training is currently unregulated

4.  In 2009, RCS Council agreed proposals to develop a National Surgical Fellowship scheme  In 2010, a cross specialty group was established (including representatives of the Specialty Associations) to oversee the institution of this programme  In 2011, RCS Council approved proposals for quality assurance of Fellowship posts

5.  Develop a register of Fellowship posts  Develop quality assurance processes for these posts  Develop processes for trainee assessment  Manpower planning  Lobby for central funding

6. 1. Employing Trust applies to RCS England 2. QA Department coordinates assessment of the post by SAC and Specialty Association 3. If successful, approval given, subject to review for a period of up to 5 years 4. Annual review via online trainee evaluation and logbooks

7.  Provides a structured educational experience prior to or immediately after CCT  Is designed to deliver the requirements of a subspecialty which is not readily available within CCT training  Has an established curriculum  Does not impinge on the training of pre-CCT trainees  Allied to workforce opportunities in the specialty

8.  Senior Trainees (OOPT)  CCT holders wishing to obtain additional expertise  Newly appointed consultants wishing to obtain additional skills  Existing Consultants wishing to learn new skills

9.  Advertise the post with the College Eagle motif and strap line;  “This fellowship post has been approved by the Royal College of Surgeons and the …… specialty association”  Listing on the College website

10.  Develop a register of such posts  Develop quality assurance processes (Launch 2012)  Develop processes for trainee assessment  Manpower planning  Lobby for central funding For further information contact: Anna Yerokhinaayerokhina@rcseng.ac.ukayerokhina@rcseng.ac.uk Ian Eardley ian.eardley@btinternet.comian.eardley@btinternet.com