• Training Requirements for Higher Surgical Training

    Training Requirements

    Rotational 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.


    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 be exposed to a mandatory 3 months hand surgery rotation.

    (6) Each trainee should be exposed to a 12-session attachment on cosmetic surgery in the fourth year of higher surgical training.


    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.

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