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Cutting edge: teaching future surgeons

As junior trainees aspiring to be the consultant surgeons of the future, we are well aware of the challenges in balancing the demands of service provision with high-quality training in order to develop sound competence levels. Both the European Working Time Directive, which limits doctors to a maximum 48-hour working week, and the changing landscape of the National Health Service in the UK have meant less time in theatre for teaching and training. Sir John Temple, chair of Medical Education England, undertook an independent review to assess the impact of the 48-hour week on training. His subsequent report echoed our thoughts perfectly, stating that junior trainees are being compelled into service delivery, with the likelihood that training and education will suffer as a consequence. 1 The future, however, is bright. Health Education England, an organisation responsible for education and training in the health sector, have responded with the national ‘Better Training – Better Care’ initiatives. 2 These strive to provide greater supervision for trainees, improve service delivery, to support training, and maximise training during work hours. A tall order you say? In our experience, the consultantsupervised, trainee-led operating initiative at the University Hospital of South Manchester has delivered just that.