Training
In Canada, Australia, New Zealand, and the United States general surgery is a five to seven year residency and follows completion of medical school, either MD, MBBS, MBChB, or DO degrees. In Australia and New Zealand, a residency leads to eligibility for Fellowship of the Royal Australasian College of Surgeons. In Canada, residency leads to eligibility for certification by and Fellowship of the Royal College of Physicians and Surgeons of Canada, while in the United States, completion of a residency in general surgery leads to eligibility for board certification by the American Board of Surgery or the American Osteopathic Board of Surgery which is also required upon completion of training for a general surgeon to have operating privileges at most hospitals in the United States.
In the United Kingdom, surgical trainees enter training after five years of medical school and two years of the Foundation Programme. During the two to three-year core training programme, doctors will sit the Membership of the Royal College of Surgeons (MRCS) examination. On award of the MRCS examination, surgeons may hold the title 'Mister' or 'Miss/Ms' rather than doctor. This is a tradition dating back hundreds of years in the United Kingdom. Trainees will then go onto Higher Surgical Training (HST), lasting a further four to five years. During this time they may choose to subspecialise. Before the end of HST, the examination of Fellow of the Royal College of Surgeons (FRCS) must be taken in general surgery plus the subspeciality. Upon completion of training, the surgeon will become a consultant surgeon and will be eligible for entry on the GMC Specialist Register and may work both in the NHS and independent sector as a consultant general surgeon. However, with the implementation of the European Working Time Directive limiting UK surgical residents to a 48-hour working week. The introduction of a sub-consultant grade to enable those who have recently received a UK Certificate of Completion of Training may be necessary.
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