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BASIC SURGICAL TRAINING
Entry
for Basic Surgical Training
Basic Surgical training occupies of no less than two years after internship. In this
period, basic trainees must register with one of the four Surgical Colleges of Hong Kong
and the Hong Kong Intercollegiate Board of Surgical Colleges (HKICBSC). HKICBSC composes
of the College of Surgeons of Hong Kong, the Hong Kong College of Emergency Medicine, the
Hong Kong College of Orthopaedic Surgeons and the Hong Kong College of
Otorhinolaryngologists. Basic training is under the auspices of the HKICBSC. A register of
Basic Surgical Trainees is maintained at the College of Surgeons of Hong Kong.
Basic trainees can have a choice to enter into the Hong Kong/Edinburgh system, the Hong
Kong/Australasian system or the Hong Kong/Edinburgh/Australasian system. As the training
requirements for the different systems vary slightly, trainees may have to spend more than
two years in their basic training if they enter into the Hong Kong/Edinburgh/Australasian
system. No matter which system the trainee elects to enter, he/she has to pre-register
with the HKICBSC. Registration, which includes an annual fee, is applicable to basic
trainees until they complete the training and pass the examinations.
Overseas training without prior approval in writing from the Chairman of the Accreditation
Committee HKICBSC before the date of registration and commencement of the local training
programme will not be recognized by the HKICBSC.
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Training Requirements
Supervision
of Basic Surgical Training
On entering Basic Surgical Training, trainees must maintain a logbook for their operative
experience until the completion of their training. The Hong Kong Intercollegiate Board has
adopted the following audit system in order to take a close interest in the overall
training and assessment of basic surgical trainees.

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In-training
Evaluation
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Individual trainee's
Logbook should be reviewed regularly by his/her
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Mentor at 3-month
interval
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Supervisor at 6-month
interval
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On completion of every
3-months training period, an interim face to face assessment between the mentor and the
trainee should be carried out to thrash out any problems. During this interim debriefing
assessment process, if serious deficiencies are evident, the mentor has to report in
writing to the Chairman of the Accreditation Committee of the HKICBSC. The trainee should
be advised what measures are required to reverse these deficiencies.
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On completion of every
6-months training period, every trainee would be required to
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Complete a Log book
Summary Report and Log book Summary
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Submit two Mentors
Assessment Forms for assessing his/her performance in the past 6-months training period.
Two mentors who must be delegated or designed by the supervisor of the training hospital
should complete these forms.
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The completed Log book Summary, Log book Summary
Report and Mentor Assessment Forms should be submitted by the supervisor concerned at
6-month interval for vetting by the Accreditation Committee of the HK Intercollegiate
Board regularly in January and July every year. The respective training period could be
recognized and registered on condition that satisfactory assessment must be achieved.
Individual trainee who has been warned of the deficiencies during the 3-month debriefing
still performs unsatisfactory at the end of the 6-month period. The Accreditation
Committee would interview this trainee as well as the surgeons for whom the trainee has
worked in the unsatisfactory period. Below average assessment of performance in any six
month period will constitute grounds for disqualify of that six month training period.
Trainees who fail to meet the above requirements would be required to undertake further
training before being considered eligible to sit for the examination. On going in-training
evaluation is required throughout the basic surgical training period. Any trainees who do
not satisfy the standards set by or under training assessments consecutively twice or
non-consecutively three times will be disqualified from the training programme.
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Interrupted
Training
The continuity of basic surgical training may be interrupted to allow time for rotating to
a non-recognized training centre and other reasons. Trainees may apply for suspension from
the continuous training programmes for a maximum of 6 months and such application must
seek prior approval from the respective Surgical College and the Accreditation Committee
of the HKICBSC. Trainees would be required to repeat the stipulated training requirements
if there is more than 6 months discontinuity of basic training. Only under exceptional
conditions (e.g. health, family or personal reasons) that the suspension period can be
longer than 6 months. It is emphasised that suspension of training should not be more than
6 months prior to examination.
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Appeal
Procedures
A trainee can appeal to the Chairman of HKICBSC concerning disqualification. However, the
notice of such appeal must be lodged with the Secretary of the Hong Kong Intercollegiate
Board of Surgical Colleges within 21 days from the date of notice in writing of such
disqualification to the trainee.
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Format of Examination

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Hong Kong /
Edinburgh System
Trainees who choose to join the Hong Kong/Edinburgh System would have to sit for the
Conjoint MRCSEd/MICBSC (HK) Examination that comprises of two parts. Syllabus for the
examination is available from the College of Surgeons of Hong Kong and the Royal College
of Surgeons of Edinburgh:
Multiple Choice Papers 1 and 2 :
The first paper will test the candidates knowledge of Sections 1-9 of the Syllabus.
The second paper will be an examination of the specialist subjects, covered by Sections
10-19 of the Edinburgh Syllabus. Both MCQ papers may be taken at any time during the two
years of basic surgical training and each paper will stand alone, candidates being awarded
either a pass or fail. There is no limit to the number of times candidates may sit the
papers. Both papers must be passed before candidates may enter the Final Assessment.
Final Assessment
After a minimum of eighteen months of the basic surgical training programme, candidates
may apply to sit the Final Assessment, which may be taken no earlier than after twenty
months of recognized training. Satisfactory completion of a Basic Surgical Skills Course
is also a prerequisite for sitting the examination. The Final Assessment consists of an
oral and a clinical component, as follows:
There will be three oral examinations, each lasting twenty minutes:
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Critical Care;
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Principles of Surgery,
including Operative Surgery and applied Anatomy;
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| 3) |
Clinical Surgery and
Pathology based on the experience demonstrated in the candidates logbook.
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There will be one clinical examination lasting 40
minutes with two examiners, during which candidates will see at least five cases. This
examination will assess candidates ability to take an accurate history, elicit
physical signs, produce differential diagnoses and briefly discuss investigation and
treatment.
Candidates must achieve a minimum mark in the oral component in order to proceed to the
clinical examination. Candidates who fail either the oral or clinical components only
require resitting the failed part. There will be no refund or transfer of any part of the
entrance fee for candidates who do not to proceed to the clinical component.
Candidates MUST PASS the final assessment within two years of their first attempt
at the oral/clinical examination. Those who cannot do so would be advised to discontinue
surgical training.
In the year 2004, the Royal College of Surgeons of Edinburgh and the Hong Kong Intercollegiate
Board of Surgical Colleges will conduct both the new Intercollegiate MRCS MCQ Examinations in
conjunction with the current MRCSEd MCQ Examination. For eligibility enter the examinations,
please refer to the Intercollegiate MRCS Announcement on website - www.rcsed.ac.uk.
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Hong Kong /
Australasian System
If trainees elect the Hong Kong/Australasian system, they would have to sit for the FRACS
Part I Examination conducted jointly by the Royal Australasian College of Surgeons and the
College of Surgeons of Hong Kong. The Part 1 (Basic Surgical Training) Examination Package
comprises:
Multiple Choice Questions Examination (MCQ)
The Examination will consist of three, two and a half-hour papers, each of 120 multiple
choice questions. The questions used in the examination are drawn from the 3 disciplines
of Anatomy, Physiology and Pathology. A minimum standard is required in each of the
Anatomy, Physiology and Pathology sections of the examination, at the same sitting, before
a candidate can be deemed to have passed the MCQ Examination.
Interview
Interviews by panel members are designed to ascertain the progress a candidate has made
during Basic Surgical Training. They will not be concerned with syllabus content. The
information gained will be used in conjunction with the result of the MCQ examination to
assess educational programmes in the various examination centres. While the information
may be used to assist the Board in determining a candidates examination result, it
will not be to the detriment of the candidate. The interview must be attended at each MCQ
attempt.
Objective Structured Clinical Assessment (OSCA)
The emphasis of the OSCA will be on the application of basic science knowledge and
understanding to clinical practice relevant to all forms of surgery at a level of
knowledge, which can be expected of a candidate at the end of Basic Surgical Training. The
test will comprise 15-20 stations at each of which the candidate will spend 5-10 minutes.
The tasks required may include, but not be limited to, history taking and examination,
demonstration of practical technical skills, the application of basic science knowledge,
data acquisition and analysis.
The Part 1 Examination may be taken at any time after the completion of the Modular
Distance Learning Programme - Surgical Trainees Education Modules (STEM) during year 2 of
basic surgical training.
The MCQ and OSCA can be attempted at the one session or at separate sessions. However, it
is a requirement that the MCQ component be attempted before, or at the same session as the
OSCA. A successful MCQ or OSCA attempt can be carried forward to a subsequent sitting.
Currently, the Part 1 MCQ and OSCA Examinations are offered in Hong Kong.
The RACS grants reciprocity to holders of the FRCS (United Kingdom and Ireland) A, B and C
Examinations for the full Part 1 package. However, the granting of reciprocity is
reconsidered from time to time as changes are implemented both in the RACS Part 1
programme and overseas surgical Colleges.
Review of Assessment Reports
The Part 1 package requires the satisfactory completion of an assessment component of not
less than 12 months during basic surgical training. Each term of less than 10 weeks or
greater than 26 weeks (6 months) will not be accepted for calculating such 12-months
period.
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Hospitals Accredited for Basic Surgical Training
During Basic Surgical Training, trainees would normally rotate through a series of posts
to include as many surgical specialties and related disciplines as possible. The following
are the recognized training centres in various specialties :
SPECIALTY
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HOSPITALS
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| Accident &
Embergency |
Caritas Medical Centre
Kwong Wah Hospital
North District Hospital
Pamela Youde Nethersole Eastern Hospital
Prince of Wales Hospital
Princess Margaret Hospital
Queen Elizabeth Hospital
Queen Mary Hospital
Tang Shiu Kin Hospital
Tuen Mun Hospital
United Christian Hospital
Yan Chai Hospital
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| Cardiothoracic Surgery |
Grantham Hospital
Prince of Wales Hospital
Queen Elizabeth Hospital
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| Neurosurgery |
Kwong Wah Hospital
Pamela Youde Nethersole Eastern Hospital
Prince of Wales Hospital
Princess Margaret Hospital
Queen Elizabeth Hospital
Queen Mary Hospital
Tuen Mun Hospital
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| Orthopaedics &
Traumatology |
Alice Ho Miu Ling
Nethersole Hospital
Caritas Medical Centre
Kwong Wah Hospital
North District Hospital
Pamela Youde Nethersole Eastern Hospital
Prince of Wales Hospital
Princess Margaret Hospital
Queen Elizabeth Hospital
Queen Mary Hospital / Duchess of Kent Children's Hospital
Tuen Mun Hospital
Tseung Kwan O Hospital
United Christian Hospital
Yan Chai Hospital
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| Otorhinolaryngology |
Pamela Youde Nethersole
Eastern Hospital
Prince of Wales Hospital / United Christian Hospital / Alice Ho Miu Ling Nethersole
Hospital
Queen Elizabeth Hospital
Queen Mary Hospital / Tung Wah Hospital
Tuen Mun Hospital
Yan Chai Hospital
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| Paediatric Surgery |
Prince of Wales Hospital
Queen Elizabeth Hospital
/ United Christian Hospital
Queen Mary Hospital
Pamela Youde Nethersole Eastern Hospital
Tuen Mun Hospital
Yan Chai Hospital
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| Plastic Surgery |
Kwong Wah Hospital
Pamela Youde Nethersole Eastern Hospital
Prince of Wales Hospital
Princess Margaret Hospital
Queen Elizabeth Hospital
Queen Mary Hospital
Tuen Mun Hospital
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| Surgery in General |
Alice Ho Miu Ling
Nethersole Hospital / North District Hospital / Prince of Wales Hospital
Caritas Medical Centre
Kwong Wah Hospital
North District Hospital
Pamela Youde Nethersole Eastern Hospital
Prince of Wales Hospital
Princess Margaret Hospital
Queen Elizabeth Hospital
Queen Mary Hospital / Tung Wah Hospital / Ruttonjee Hospital
Ruttonjee Hospital
Tuen Mun Hospital
United Christian Hospital / Tseung Kwan O Hospital
Yan Chai Hospital
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| Urology |
Alice Ho Miu Ling
Nethersole Hospital
Caritas Medical Centre
Kwong Wah Hospital
Pamela Youde Nethersole Eastern Hospital
Prince of Wales Hospital
Princess Margaret Hospital
Queen Elizabeth Hospital
Queen Mary Hospital / Tung Wah Hospital
Ruttonjee Hospital
Tuen Mun Hospital / Pok Oi Hospital
United Christian Hospital
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