Annals of the Royal College of Surgeons of England
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An accurate audit of consultant manpower in paediatric surgery in the UK was performed based on two surveys carried out in 1992 and 1994. There were 70 paediatric surgeons in 1992 and 84.5 in 1994 (a 21 per cent increase). ⋯ The expressed aim of the British Association of Paediatric Surgeons is to achieve a ratio of 1 per 500,000 population which implies a further increase to about 110 consultant posts in the UK. It will be necessary to plan for a commensurate increase in the number of training posts in this specialty.
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There is concern that the shortened period of training to be introduced for the new Specialist Registrar Grade is incompatible with the limitation of hours of work required by the New Deal. Surgeons in training may require more experience than other specialties but the Calman proposals introduce the concept of a structured curricular training which will mean a radical change in the way that surgical training is delivered. The changes will be uncomfortable and may need to be modified in the light of experience but the end-result will be worthwhile and should be achievable within the new time constraints.
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Ann R Coll Surg Engl · Mar 1996
Letter Case ReportsAcute scybalous colonic obstruction and perforation.