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hineas_estel March 10 2016, 17:50:28 UTC
First of all, thank you so much for your comment :)

Second, you're right, I did mean CCT. I should probably have stated that more clearly, sorry. I know switching at that point makes no sense at all, but as you said, it's fanfic. Based on a medical show. And those aren't exactly known for their logical writing or accurate portrayal of just about anything to do with medicine. Which doesn't mean I can't try to make some sense of it.

By my estimation, the character in question would have finished medical school sometime around 1989/99, so he'd go the PRHO/SHO/SpR route. This complicates research somewhat, because, as you said, they don't formally exist anymore. I've gotten my hands on Matthew Stephenson's The Hands-on Guide to Surgical Training (2012), which lists ward rounds, operating, attending clinics, on-call duties, assessment of acute patients, and being the first point of referral for GPs or A&E as registrar duties these days. Do you happen to know if it was the same in the old system?

Also, do you have any insights on what on-call and being first point of referral entails in this case? I'm guessing the later has to do with emergency surgery as opposed to elective one? Would the SpR get called to A&E/Resus/what-have-you and then assess whether a patient would have to be referred or need immediate surgery?

And thanks for tip on looking at the curricula! The Guidelines for the award of a CCT in General Surgery mention ATLS provider/instructor certification and surgical airway management. And the FY guidelines mention airway adjuncts. So that actually answered a few questions :)

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