Foot and Ankle Fellowships in the UK

NewsBot · Jun 11, 2017

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The Current Standard of Foot and Ankle Fellowship in the UK
R. Brown et al
Foot and Ankle Surgery; 10 June 2017

Highlights
•Detailed definition of current standard of training in Foot & Ankle Surgery during Fellowship in the UK.
•Evidence from data in the study to base a recommendation for the acceptable standard for a F&A Fellowship.
•Fellows are overall satisfied.
•Fellows receive a broad experience of different areas of F&A surgery.
•Fellows are actively involved in Education.
•Fellows are being under utilised in F&A research.
•F&A Surgical Education is the first orthopaedic sub-specialty to review the quality of their Fellowships in an attempt to bring this final essential stage of training up to a uniform standard and then to start to raise that standard.
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Background
The aim of this study was to evaluate the current standards of Fellowship training in Foot and Ankle Surgery Fellowship in the UK.

Methods
Thirteen UK post-FRCS (Tr&Orth) or equivalent Fellows completed a questionnaire detailing their outpatient, surgical, teaching and research experience, along with documenting their supervision and terms of employment.

Results
A Fellow attended a mean of 2.5 (0.5-4) clinics and 3.84 (2-7) theatre sessions per week. 62% of Fellows had independent clinics. The three largest sub-specialty areas experienced were forefoot surgery, mid or/hindfoot arthritis and deformity correction. 82% of Fellows had a regular MDT meeting. All were involved in both teaching and research, but only 64% had timetabled research sessions. All Fellows were satisfied with their experience and would recommended the Fellowship.

Conclusions
The current standard of a post FRCS (Tr&Orth) Fellowship in Foot & Ankle surgery in the UK has been defined. Further improvement will require all Fellows to be involved in a regular MDT meetings, work in an independent clinic, have guaranteed timetabled research time and a ring fenced study leave budget.
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