• Training Requirements for Higher Surgical Training

    Training Requirements

    Rotational Requirements

    Training Plan Requirements


    TRAINING REQUIREMENTS

    Trainees in Higher Surgical Training will follow a structured programme of training and assessment laid down by CSHK. There are six specialties which CSHK recognizes to be distinct and independent of each other in terms of training and independent training programmes. These specialties are:

    · Cardiothoracic Surgery

    · General Surgery

    · Neurosurgery

    · Paediatric Surgery

    · Plastic Surgery

    · Urology


    All six specialties have the same basic surgical training in Surgery and its related specialties for at least 2 years. At the end of the basic training, trainees have to pass the MHKICBSC Examination in Hong Kong before entry into Higher Surgical Training:

    Cardiothoracic Surgery

    Training Duration: 5 years

    Trainees can take the Joint Specialty Fellowship Examination with the Royal College of Surgeons of Edinburgh after the completion of 3.5 years of accredited higher training, but they must complete at least 5 years of training.

    General Surgery

    Training Duration: 4 years

    Trainees can take the Joint Specialty Fellowship Examination with the Royal College of Surgeons of Edinburgh after the completion of 3.5 years of accredited higher training, but they must complete at least 4 years of training.

    Neurosurgery

    Training Duration: 5 years

    Trainees can take the Joint Specialty Fellowship Examination with the Royal College of Surgeons of Edinburgh after the completion of 3.5 years of accredited higher training, but they must complete at least 5 years of training.

    Paediatric Surgery

    Training Duration: 4 years

    Trainees can take the Joint Specialty Fellowship Examination with the Royal College of Surgeons of Edinburgh after the completion of 3.5 years of accredited higher training, but they must complete at least 4 years of training.

    Plastic Surgery

    Training Duration: 4 years

    Trainees can take the Fellowship Examination conducted by the College of Surgeons of Hong Kong after the completion of 3.5 years of accredited higher training, but they must complete at least 4 years of training.

    Urology

    Training Duration: 4 years

    Trainees can take the Joint Specialty Fellowship Examination with the Royal College of Surgeons of Edinburgh after the completion of 3.5 years of accredited higher training, but they must complete at least 4 years of training.


    ROTATIONAL REQUIREMENTS

    Trainees are required to meet the following rotational requirements prescribed by the respective Specialty during their higher surgical training:

    Cardiothoracic Surgery

    (1) Rotate out of the parent training centre for at least one year.

    (2) Unless otherwise specified, each rotation out of the parent centre should be at least 6 months.

    (3) In their parent training centre, each trainee should rotate to different trainers every 6 monthly.

    (4) Each trainee should be exposed to at least 4 different trainers during the higher surgical training.


    General Surgery

    (1) Rotate out of the parent training centre for at least one year.

    (2) Unless otherwise specified, each rotation out of the parent centre should be at least 6 months. For cluster-based training programme, trainee should be rotated out of the parent training cluster for at least 6 months.

    (3) In the parent training centre, each trainee should rotate to different trainers every 6 months.

    (4) Each trainee should be exposed to at least 4 different trainers during the higher surgical training.


    Neurosurgery

    (1) Rotate out of the parent training centre for at least one year.

    (2) Unless otherwise specified, each rotation out of the parent centre should be at least 6 months.

    (3) In the parent training centre, each trainee should rotate to different trainers every 6 months.

    (4) Each trainee should be exposed to at least 4 different trainers during the higher surgical training.

    (5) Trainee should spend the first year of training in the parent hospital, rotate for the second and third years to other hospitals and return to their parent hospital for the final two years. (For trainees admitted from 1 July 2017 onwards)

    (6) Each trainee should spend one year in a University Hospital (QMH/PWH) OR high-volume unit with an annual workload of over 750 operative cases. (For trainees admitted from 1 July 2017 onwards)


    Paediatric Surgery

    (1) Rotate out of the parent training centre for at least one year out of the required training period.

    (2) Unless otherwise specified, each rotation out of the parent centre should be at least 6 months.

    (3) In the parent training centre, each trainee should rotate to different trainers every 6 months.

    (4) Each trainee should be exposed to at least 4 different trainers during the higher surgical training.

    (5) Each trainee should spend 2 years in HKCH and another 2 years in the two regional centres of PWH and QMH, with a minimum of 6 months in each of the regional centres.


    Plastic Surgery

    (1) Rotate out of the parent training centre for at least one year.

    (2) Unless otherwise specified, each rotation out of the parent centre should be at least 6 months.

    (3) In the parent training centre, each trainee should rotate to different trainers every 6 months.

    (4) Each trainee should be exposed to at least 4 different trainers during the higher surgical training.

    (5) Each trainee should have two months rotation in Aesthetic and Reconstructive surgery in Hong Kong Sanatorium & Hospital and two months rotation in Hand and Microsurgery. (For trainees admitted from 1 July 2021 onwards)

    Urology

    (1) Rotate out of the parent training centre for at least one year.

    (2) Unless otherwise specified, each rotation out of the parent centre should be at least 6 months.

    (3) In the parent training centre, each trainee should rotate to different trainers every 6 months.

    (4) Each trainee should be exposed to at least 4 different trainers during the higher surgical training.

    (5) Each trainee should not have more than 2 years of training in succession in any one centre.

    (6) Each trainee should spend the first and fourth year of training in the parent hospital and rotate out for the second and third year to at least three different training units. Either the parent hospital or the secondment unit must be a kidney transplant unit.


    TRAINING PLAN REQUIREMENTS

    Trainees are required to meet the following training plan requirements prescribed by the respective Specialty during their higher surgical training:


    Cardiothoracic Surgery

    (1) HSTs admitted before 1 July 2021 are required to have a Training Plan signed off for each 6-month-period of training and proof of this should be kept in the trainees’ logbook.

    (2) HSTs admitted from 1 July 2021 onwards are required to have a Training Plan signed off for each 6-month-period of training and submit it to the College Secretariat together with the half-yearly assessment.

    (3) Completion of the training plan requirements is one of the eligibility criteria for enrolment to Joint Specialty Fellowship Examination in Cardiothoracic Surgery.


    General Surgery (For trainees admitted from 1 July 2021 onwards)

    (1)   HSTs are required to complete and submit the training plan for each rotation to the College Secretariat together with the half-yearly assessment.

    (2)   HSTs should discuss their learning objectives and action plan with their trainers at the start of each rotation. Progress will be reviewed through an interim review and a final review.

    (3)   Both trainer and trainee will need to give overall comments and sign off.


    Neurosurgery (For trainees admitted from 1 July 2021 onwards)

    (1)   HSTs are required to have a training plan signed off for each 12-month period of training and submit it to the College Secretariat together with the half-yearly assessment.


    Paediatric Surgery (For trainees admitted from 1 July 2021 onwards)

    (1)   HSTs are required to complete and submit the training plan for each of the 6-month rotation to the College Secretariat together with the half-yearly assessment.

    (2)   Training plan as agreed by the trainee and the training unit supervisor should be made at the beginning of each of the 6-month rotation. Progress will be reviewed through an interim review in 3 months and a final review at the end of the rotation.

    (3)   Both trainer and trainee will need to give overall comments and sign off.


    Plastic Surgery (For trainees admitted from 1 July 2021 onwards)

    (1)   HSTs are required to complete and submit the training plan for each of the 6-month rotation to the College Secretariat together with the half-yearly assessment.

    (2)   Trainee should discuss their learning objectives and action plan with their trainer at the beginning of the 6 months’ training. Progress will be reviewed through an interim review and a final review.

    (3)   Both trainer and trainee will need to give overall comments and sign off.


    Urology (For trainees admitted from 1 January 2021 onwards)

    (1)   HSTs are required to have a Training Plan signed off for each agreed period of training with their Assigned Education Supervisor (AES) of the training centre.

    (2)   One training plan is needed for each training unit rotation (6 or 12 months) during the 4 years of HST training.

    (3)   Proof of this should be submitted to the College Secretariat when the Training Plan is completed.


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