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Dilemma of a surgical trainee

BMJ 2005; 331 doi: (Published 01 December 2005) Cite this as: BMJ 2005;331:1347
  1. Bettina Lieske, specialist registrar in vascular surgery (
  1. John Radcliffe Hospital, Oxford

    On finishing my basic surgical training and after gaining membership of the Royal College of Surgeons, I was keen to proceed in my chosen career in general surgery as quickly as possible. I was shortlisted for specialist interviews in early summer and offered a training number in the Oxford Deanery. Everybody who has been through this process can imagine how happy I was. Proud of my achievement, I was looking forward to my training as an SpR.

    My first appraisal went well. I am currently attached to the vascular firm, but since I am not aspiring to a career in vascular surgery and I am at the beginning of my training, the targets that my trainers identified for me include genuine surgical experience: By the end of my vascular attachment I “should be able to expose the groin vessels unsupervised, to have refined the performance of common femoral …

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