Its quite perplexing that for as many of us are interested in surgical residency in the united kingdom, we never bothered to research.
herein lies a brief unbiased synopsis.nothing more, nothing less, for now.
Graduate medical training in the UK is arranged roughly into
three tiers - the foundation training, which all medical students must
undergo.
For Nigerian graduates, you enter and go to foundation year two, where foundation year 1 is just like the pre-registration housejob.
It generally lasts
two years and during which students rotate through several different areas of
medicine/surgery/etc.
Following that you
complete "core" training, which must be applied to through a
competitive application process - for surgery its "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.
Mirroring the Nigerian system, its just like junior residency where the residents rotates through different specialties, with emphasis on general surgery.
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) i.e they go into neurosurgery ab initio and
"uncoupled"
training where trainees begin in normally general surgery then reapply to
higher specialty training in e.g. plastic surgery, cardiothoracic surgery etc.
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 a tad different for IMGs, which would go into shortly.
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.
Source: quora.
More to come
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