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Training > Basic Surgical Training |
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Registration for Basic Surgical Training
Training Requirements
Supervision of Basic Surgical Training
Hospitals Accredited for Basic Surgical Training
Ordinary Membership
Registration for Basic Surgical Training
Basic Surgical Training takes 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 (CSHK), the Hong Kong College of Emergency Medicine (HKCEM), the Hong Kong College of Orthopaedic Surgeons (HKCOS) and the Hong Kong College of Otorhinolaryngologists (HKCORL). Basic Training is under the auspices of HKICBSC. A Register of Basic Surgical Trainees is maintained at CSHK.
ELIGIBILIY FOR ADMISSION TO BASIC SURGICAL TRAINING
To enter the Basic Surgical Training Programme of HKICBSC in Hong Kong, applicants must fulfill the following requirements:
- One must be fully registered with the Medical Council of Hong Kong.
- One must obtain a training post from the approved hospitals or institutions in Hong Kong.
Please refer to the “Eligibility for Basic Surgical Training” for further details.
SUBMISSION DEADLINE
All trainees who decide to enroll into Basic Training Programme under HKICBSC must register with HKICBSC within the first month of training. Failure to register in time will render the respective period of training NOT recognized.
ANNUAL REGISTRATION FEE
Registration, which includes an annual registration fee, is applicable to all basic trainees until they completed the basic training and passed the Membership Examination of the Hong Kong Intercollegiate Board of Surgical Colleges (MHKICBSC Examination).
Effective from 1 January 2012, basic trainees are required to make payment of their annual registration fee within the first month of the year, i.e. on or before 31st January. A surcharge of 100% will be levied for any late payment after the first month of the year. Those who still fail to settle the outstanding fee within the first three months of the year, i.e. on or before 31st March, will be removed from HKICBSC Register.
Only paid-up Basic Surgical Trainees are allowed to take the MHKICBSC Examination.
Please refer to the “Policy on Annual Subscription” for further details.
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ROTATIONAL REQUIREMENTS
Basic trainees must have at least twenty four months’ experience in a programme or posts approved by HKICBSC for Basic Surgical Training following their registration or Intern year. For trainees who are admitted from 1 July 2010 onwards, basic trainees must undergo a 2-year rotation comprising of:One year of Core Training in General Surgery & Emergency Surgery
One 6-month training in General Surgery; AND
One 6-month training (or TWO 3 months) in critical care or emergency medicine or Traumatology (Emergency Surgery), which can be of the followings:- Accident & Emergency Department (AED, maximum of 6 months)
- General surgery in traumatology (maximum of 3 months)
- General orthopaedic in traumatology (maximum of 3 months)
- Neurosurgery in traumatology (maximum of 3 months)
- Cardiothoracic surgery in traumatology (maximum of 3 months)
- Intensive Therapy Unit (ITU, maximum of 3 months)
Basic Surgical Trainees must fulfill the requirements of one year of core training in General Surgery and Emergency Surgery as mentioned above. For the remaining one year, trainees can choose either path (2a) or path (2b):
- 2a) The remaining 1 year will be in TWO or THREE specialties or subspecialties, each with at least 3-month duration, where the experience gained is not included in the 12 months described above (AED or ITU should include in core-training ONLY; and thus will NOT be accepted in this 1 year of training).
OR
- Orthopaedic Surgery
- Otorhinolaryngology
- Neurosurgery
- Cardiothoracic Surgery
- Paediatric Surgery
- Urology
- Plastic Surgery
- Six months in an approved post in General Surgery with emergency work;
- Six months in an approved post in Orthopaedics with musculo-skeletal trauma;
- Six months in Accident and Emergency Medicine.
- Cardiothoracic Surgery
- Neurosurgery
- Otolaryngology
- Paediatric Surgery
- Plastic Surgery
- Urology
2b) If a basic trainee indicates his/her interest in any specialty, the following rotation would be preferred in the remaining 1 year:
One 6-month training in surgical specialty of the intended higher training
AND
One 6-month training in a related surgical subspecialty of intended higher training (This is to be determined by HKCOS, HKCORL and Specialty Boards of CSHK)
Important Notes: During the 2 years of Basic Surgical Training, trainees are required to make up at least 4 specialties or subspecialties to meet the rotational requirement, but not more than 1 yearin any 1 specialty
For trainees who were admitted before 1 July 2010, please refer to the following Rotational Requirements:
Basic trainees must have at least twenty four months’ experience in a programme or posts approved by the HKICBSC for Basic Surgical Training following their registration or Intern year. The two-year programme must include
Twelve months made up from two specialties, in each of which a significant proportion of the work will be spent with surgical emergencies requiring the general care of the patient and/or the care of the critically ill drawn from the following list:
Posts in other surgical specialties which provide a similar component care of the critically ill would be acceptable providing they have recognized as such by the HKICBSC.
The remaining twelve months should be spent in approved posts in other acute surgical specialties as listed below. This may consist of two posts, each of six-month duration or more posts of three or four-month duration of the latter form part of a suitable rotation, each post with different experience gained:
*Three or four months of experience in intensive therapy, where the experience gained is not included above.
*General Surgery or one of its subspecialties where the experience gained is not included in the 12 months described above.
*Orthopaedics or one of its subspecialties where the experience gained is not included in the 12 months described above.
*Accident and Emergency where the experience gained is not included in the 12 months described above.
DECLARATION OF SPECIALTY INTEREST
For Basic Trainees who are admitted from 1 July 2010 onwards, they are advised to declare their interest in intended higher specialty training during their first year of training as early as possible, if they wish. The declaration of specialty interest is entirely on a voluntary basis. Trainees who do not declare any specialty interest will be placed in General Surgery.
Declaration of Specialty Interest will be recorded in their Registration Form on entry to Basic Surgical Training and in their Record of Curriculumbefore next rotation. Trainees should inform their training supervisors of their declaration of specialty interest.
Should trainees wish to change their declaration of specialty indicated earlier to HKICBSC, it is their responsibility to inform their respective supervisor & parent Department Head as well as update the Record of Curriculum, which is required to be kept in their logbook during the entire basic training.
Please refer to the “New Curriculum for BST admitted from 1 July 2010 onwards (Jun 2012)” for further details.
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Supervision of Basic Surgical Training
In-training ASSESSMENT
On going in-training assessment is required throughout the Basic Surgical Training period. On entering Basic Surgical Training, trainees must maintain a logbook for their operative experience until the completion of basic training. They must keep a logbook prospectively recording all their training experience. This must be certified as satisfactory by their supervisors/mentors before entry into the MHKICBSC Examination - Part 3.
During the training period, trainees must obtain satisfactory assessments from their supervisors/mentors and copies of these assessments must be filed in the trainees’ logbooks and recorded by HKICBSC. The logbook is also required to be provided for inspection at the Conjoint Selection Exercise for entry to Higher Surgical Training held by the Hospital Authority of Hong Kong and the College of Surgeons of Hong Kong.
Individual trainee’s logbook should be reviewed regularly by his/her
- Mentor at a 3-month interval (Mid-term Assessment)
- Supervisor at a 6-month interval (Half-yearly assessment)
ASSESSMENT
Mid-term Assessment
On completion of every 3-month 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 HKICBSC. The trainee should be advised what measures are required to reverse these deficiencies.
Half-yearly Assessment
On completion of every 6-month training period, every trainee is required to submit the half-yearly assessment documentation to the Accreditation Committee of HKICBSC via their training supervisor regularly in January and July every year for recognition of the respective training period. The assessment documentation should include the following:
- Log book Summary Report
- Log book Summary
- CME Report
- Two Mentors Assessment Forms for assessing trainees’ performance in the past 6-month training period. Two mentors who must be delegated or designated by the supervisor of the training hospital should complete these forms.
Competency Assessment
Apart from the above assessment documentation, basic trainees admitted from 1 July 2010 onwards are also required to submit additional competency assessment before their completion of basic training. Trainees are required to KEEP them in their logbook during the entire basic training and do not need to submit to HKICBSC Secretariat. The 4 competency assessment documentation should include the following:
# Mini-Clinical Evaluation Exercise(CEX)
- Trainees must complete at least 2 of this form during 2 years of basic training
# Direct Observation of Procedural Skills in Surgery(Surgical DOPS)
- Trainees must complete at least 2 of this form during 2 years of basic training
# Direct Observation of Procedural Skills in Endoscopy(Endoscopic DOPS)
- Trainees must complete at least 1 of this form during 2 years of basic training
# Record of Curriculum
- Trainees must complete this form during 2 years of basic training and are advised to keep it in their Logbook.
- The declaration of specialty interest must be recorded in the above form. It is trainees’ responsibility to update the form and inform their training supervisor if the declaration of specialty interest has been changed.
Unsatisfactory Training Performance
Trainees who fail to meet the above requirements may be required to undertake further training. If individual trainee who has been warned of the deficiencies during the mid-term assessment still performs unsatisfactory at the end of the 6-month period, the Accreditation Committee of HKICBSC may interview this trainee as well as the mentors whom the trainee has worked for in the unsatisfactory period. Below average assessment of performance in any 6-month period will constitute grounds for disqualification of that 6-month training period. The respective training period could only be recognized and registered on condition that satisfactory assessment must be achieved. Any trainees who do not satisfy the standards set by or have unsatisfactory assessments consecutively twice or non-consecutively three times will be disqualified from the training programme.
Basic trainees are required to submit the half-yearly assessment documentation to the Accreditation Committee of HKICBSC via their training supervisor regularly in January and July every year. Deadline for submission of half-yearly assessment documentation falls on the date of Accreditation Committee meeting. Late submission of the half-yearly assessment documentation will render the respective training period NOT recognized.
Appeal Procedures
Trainees can appeal to the Chairman of the Accreditation Committee of HKICBSC concerning disqualification. However, the notice of such appeal must be lodged with the Secretariat of HKICBSC within 21 days from the date of notice in writing of such disqualification to the trainee.
MANDATORY COURSES
During the training period, trainees are required to successfully complete mandatory courses stipulated in the training curriculum. Please refer to the “Mandatory Courses for Basic Surgical Trainee” for further details. Attendance at the courses must be recorded in the trainees’ logbooks. Trainees are also required to submit the Certificates of Attendance of the mandatory courses as evidence for completion when they apply for the Ordinary Membership of the College.
Trainees are also advised to take an Early Trauma and Critical Care (ETCC), Advanced Trauma Life Support (ATLS) or equivalent course approved by HKICBSC and the Royal College of Surgeons of Edinburgh (RCSEd).
Continuing Medical Education (CME) Programme
CSHK undertakes CME administration for their trainees and reports their compliance to the Hong Kong Academy of Medicine. Basic trainees are strongly recommended to gain 30 CME points per year from the following activities held within the period of a CME cycle:
- In-hospital meetings / Instructional Courses.
- National/ International Meetings.
- Basic trainees are encouraged to participate in investigation studies / research activities.
Please refer to the “Continuing Medical Education (CME) Programme for Surgical Trainees” for further details.
Interruption of Training
Basic Surgical Training may be interrupted for rotating to a non-recognized training center or other reasons for a maximum of 6 months. Trainees may apply for interruption from the continuous training programmes for a maximum of 6 months provided that pre-approval from the respective Surgical College & the Accreditation Committee of the HKICBSC was obtained beforehand.
Interruption of training longer than 1 month out of 6-month rotation can be granted only if trainees can provide good reasons such as sick leave, etc. Under such circumstances, the actual period of satisfactory training within that 6-month assessment can be counted provided that the interruption is pre-approved and the performance of training is up to the satisfaction of mentors.
Pre-approval from the respective Surgical College and the Accreditation Committee of HKICBSC is required if basic training is interrupted for more than 1 month. Trainees will be required to compensate the stipulated training requirements if there is more than 1 month discontinuity of Basic Surgical Training. Only under exceptional conditions (e.g. health, family or personal reasons), the interruption period can be longer than 6 months.
Trainees with pre-approved interruption of training longer than 1 year are not only required to make up the deficit but also do remedial training in additional to their normal period of training programme. However, for those who fail to obtain pre-approval from the Accreditation Committee will constitute grounds for disqualification from the training programme.
For any reasons of interruption of training, pre-approval is required. According to the Regulations of MHKICBSC Examination, all basic trainees are required to complete all Parts of the MHKICBSC Examination within a maximum period of 4 years counting from the first day of basic training. Thus, the interrupted period can be exempted from this 4-year limit only under the condition that the interruption of training has been pre-approved.
If trainees did not obtain prior approval from the respective Colleges & the Accreditation Committee for their interruption of training, its interrupted period will, therefore, be included in the 4-year limit. HKICBSC does not take any responsibility if any trainees are disqualified from sitting for MHKICBSC Examination under such circumstances. Trainees may also constitute grounds for disqualification of the basic training programme if they did not seek prior approval for their interruption of training.
Trainees are allowed to have their training interrupted for the purpose of doing research study only when such application is pre-approved by the Accreditation Committee and the length of interruption is up to 1 year.
Trainees are not allowed to have their training interrupted within 6 months prior to examination.
Application is reviewed by the Accreditation Committee of HKICBSC on case by case basis. The final decision is subject to the discretion of the Accreditation Committee of HKICBSC.
Retrospective Recognition Of Local Training & Overseas Qualification
For local trainees:
HKICBSC will NOT accept any retrospective recognition of training experience obtained in Hong Kong since HKICBSC is not able to validate the exact nature of its past experience. Only training experience registered under HKICBSC will be retrospectively recognized on case by case basis by the Accreditation Committee.
Overseas training without prior approval in writing from the Chairman of the Accreditation Committee of HKICBSC will NOT be recognized by HKICBSC.
The final decision is subject to the discretion of the Accreditation Committee.
For holders of overseas qualifications:
Such application is reviewed by the Accreditation Committee of HKICBSC on case by case basis. Applicants are required to provide the following documentation to the Accreditation Committee for consideration:
- Letter(s) of support from the respective training supervisor(s) of their previous training unit(s)
- Satisfactory assessment documentation for the previous completed training
- Other relevant qualification(if any)
Overseas qualification will only be recognized for a maximum of 1 year.
Application will be considered only if the previous overseas training was received within 36 months counting from the date of application. Should the overseas training experience was obtained more than 3 years before the date of application, such application will NOT be accepted.
The final decision is subject to the discretion of the Accreditation Committee.
Withdrawal From Basic Surgical Training
Trainees are required to write to the Chairman of the Accreditation Committee if they wish to withdraw from basic training of HKICBSC.
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Hospitals Accredited for Basic Surgical Training
During Basic Surgical Training, trainees normally rotate through a series of posts to include as many surgical specialties and related disciplines as possible. The followings are the recognized training centers in various specialties:
Specialty |
Hospitals |
| Accident & Emergency |
Alice Ho Miu Ling Nethersole Hospital |
| Cardiothoracic Surgery |
Queen Mary Hospital |
| General Surgery |
Caritas Medical Centre |
| Neurosurgery |
Kwong Wah Hospital |
| Orthopaedics & Traumatology |
Alice Ho Miu Ling Nethersole Hospital |
| Otorhinolaryngology |
Pamela Youde Nethersole Eastern Hospital |
| Paediatric Surgery |
Prince of Wales Hospital |
| Plastic Surgery |
Kwong Wah Hospital / Queen Elizabeth Hospital |
| Urology |
Pamela Youde Nethersole Eastern Hospital |
In collaboration with the RCSEd for the accreditation of mainland training centres, the following mainland centres’ Higher Surgical Training Programmes were accredited by CSHK and RCSEd:
Specialty |
Hospitals In Mainland China |
| General Surgery |
Peking Union Medical College Hospital 北京协和医院 |
| Urology |
West China Hospital of Sichuan University四川大學華西醫院 |
The above list of accredited mainland centres may be updated from time to time, please contact the College Secretarial for all updated list.
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Upon completion of Basic Surgical Training and passing all parts of the MHKICBSC Examination, trainees are eligible to obtain dual membership. They are eligible for election as a Member of the Royal College of Surgeons of Edinburgh(RCSEd) and ONE of the following Colleges only:
- The College of Surgeons of Hong Kong
- The Hong Kong College of Emergency Medicine
- The Hong Kong College of Orthopaedic Surgeons
- The Hong Kong College of Otorhinolaryngologists
Eligibility for ordinary Membership of CSHK
To be eligible for applying for Ordinary Membership of CSHK(MCSHK), trainees must fulfill the following requirements:
- One must be fully registered with the Medical Council of Hong Kong
- One must complete two years of Basic Surgical Training of HKICBSC with satisfactory training performance and proper rotations as prescribed in the Basic Surgical Training Curriculum
- One must pass the MHKICBSC Examination held in Hong Kong
- One must complete satisfactorily all mandatory courses prescribed in the Basic Surgical Training Programme
- One’s application must be proposed and seconded by two registered College Fellows.
Trainees are required to apply for MCSHK before they can enter into Higher Surgical Training. For further details, please refer to the “Notice for Applicant of Higher Surgical Trainee” & “Eligibility for Ordinary Membership of the College”.
Obligation & Privileges
Ordinary Members shall be eligible to enjoy all the privileges of the College except the power of voting at general meetings of the College (or in the election of Councilors) and being a Councilor.
Every candidate for Ordinary Membership of the College shall be proposed and seconded by two Fellows and shall apply in writing in such form as the Council may from time to time decide and pay the annual membership fee from time to time fixed by the Council.
Dual Membership - Royal College of Surgeons of Edinburgh(RCSEd)
Trainees are eligible to obtain dual membership of CSHK and RCSEd. Holder of RCSEd membership is also one of the eligibility to apply for the Joint Specialty Fellowship Examination of the five specialties, namely Cardiothoracic Surgery, General Surgery, Neurosurgery, Paediatric Surgery, and Urology, as well as the Fellowship Examination of Plastic Surgery which are under the auspices of the respective Specialty Boards of CSHK.
For application procedures of RCSEd membership, please visit the website of RCSEd at http://www.rcsed.ac.uk.
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