Appendix Four: Tables of costs to the trainee in each surgical specialty

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Appendix Four: Tables of costs to the trainee in each surgical specialty Using the published requirements for progression through surgical training we have provided an estimated breakdown of the costs to the trainee in each surgical specialty. The following tables of costs assume straight progression through F1- ST8 without taking time out for LTFT, post- graduate degrees or other career breaks. These prices are correct as of November 2016. July 2016 CCT guidance used as per JCST website. Conference costs do not include travel or subsistence. BMA= British Medical Association, CCT= Certificate of Completion of Training, CST= Core Surgical Trainee, CT= Core Training (year), FP=Foundation Programme, FRCS= Fellowship of the Royal College of Surgeons, GMC= General Medical Council, HST=Higher Surgical Trainee, JCST= Joint Committee on Surgical Training, MRCS= Membership of the Royal College of Surgeons, RCS= Surgical Royal College, RCSEng= Royal College of Surgeons of England, RCPSCG= Royal College of Physicians and Surgeons of Glasgow, ST= Specialty Trainee (year).

Cardiothoracic Surgery RCSEng Specialty Skills in Cardiothoracic Surgery Course National or international conference attendance each year of training e.g. Society for Cardiothoracic Surgery conference booked as early bird rate as a member 710 774 354 205 per year for 2 years as CST, 305 per year for 6 years as HST Specialty Association Membership e.g. Society for Cardiothoracic Surgery TOTAL ESTIMATE 24039.00 100 per year for 2 years as CST, 200 per year for 6 years as HST

General Surgery FRCS examination (and completion fee) Course relevant to specialist interest e.g. RCSEng specialty skills in coloproctology ATLS revalidation to keep valid at time of certification Attendance at 4 national or international conferences during training e.g. Association of Surgeons of Great Britain and Ireland conference booked as early bird rate as a member 354 585 260 per year for 4 years Specialty Association Membership e.g. Association of Surgeons of Great Britain and Ireland TOTAL ESTIMATE 22488.50 81 per year for 8 years

Neurosurgery completed during training Attendance at 4 national or international conferences during training e.g. Society of British Neurological Surgeons conference booked as early bird rate as an affiliate member.00.00.00.00 354.00.00 included above 150 per year for 4 years Specialty Association Membership e.g. Society of British Neurological Surgeons TOTAL ESTIMATE 21625.50 145 per year for 8 years

Oral and Maxillofacial Surgery Bachelor of Dental Surgery e.g. University of Liverpool BDS graduate entry JCST fee (for 7 years) GMC registration (for 9 years) GDC registration (for 9 years) Acute Life- threatening Events Recognition and Treatment (ALERT) Course ATLS revalidation to keep valid at time of certification Emergency Skills Course e.g. RCSEng Emergency Skills in Oral and Maxillofacial Surgery Basic Plating Course e.g. AO basic OMFS plating course Head and Neck Anatomy Course e.g. RCSEng basic surgical anatomy of the head and neck Surgical Dermatology Course e.g. RCSEd Facial aesthetics course Orthognathic Course e.g. 6 th biennial Glasgow course Microvascular Course e.g. University of Liverpool microvascular course Complex/Advanced Trauma Course inc. condylar fractures and orbital access e.g. SORG course 3 advanced sub- specialty courses: e.g. Establishing a modern salivary gland practice e.g. Newcastle functional septorhinoplasty and facial plastics cadaveric course e.g. Controversies in the management of head and neck cancer National or international conference attendance e.g. BAOMS Conference booked as early bird rate as a member * 9000 for 4 years 890 per year 95 354 877.50 499 414 785 495 1400 1500 1250 950 275 200

BMA Membership (for 9 years) RCS subscription fees e.g. RCSEng if complete MRCS at CT2 and FRCS as ST7 Specialty Association Membership e.g. British Association of Oral and Maxillofacial Surgeons Healthcare Protection Organisation (for 9 years) e.g. Medical Defence Union TOTAL ESTIMATE 71431.50 * Where no minimum number of attendances documented a minimum of 1 included 316 per year for 4 years as member, 531 for 1 year 85 per year for 7 years 1325

Otolaryngology Diploma of Otolaryngology Head and Neck Surgery (DO- HNS) Advanced Life Support Course Advanced Paediatric Life Support Course and 2 x ENT courses Temporal Bone Dissection Course e.g. Cuschieri Skills Course Sinus Anatomy and Surgical Dissection Course e.g. Cuschieri Skills Course Head and Neck Surgery Course (including LASER) e.g. RCSEd Head and Neck Course Module 1 and 2 Septorhinoplasty and Facial Plastics Surgery Course e.g. NSTC Course Advanced Paediatric Life Support Course National or international conference attendance e.g. BACO Conference booked as an ENT- UK member * 932.00 550 see below 225 275 850 and 1050 395 825 Specialty Association Membership e.g. ENT- UK TOTAL ESTIMATE 25218.50 * Where no minimum number of attendances documented a minimum of 1 included 210 per year for 8 years

Paediatric Surgery Advanced Paediatric Life Support Course ATLS revalidation to keep valid at time of certification National or international conference attendance e.g. British Association of Paediatric Surgeons conference booked as early bird rate as a member * 395 354 150 Specialty Association Membership e.g. British Association of Paediatric Surgeons TOTAL ESTIMATE 21640.50 * Where no minimum number of attendances documented a minimum of 1 included 110 per year for 8 years

Plastic Surgery completed during training included above Specialty Association Membership e.g. BAPRAS TOTAL ESTIMATE 20561.50 150 per year for 7 years (first year membership free)

Trauma and Orthopaedic Surgery Basic Course on Fracture Management e.g. RCPSCG principles of casting for orthopaedic trainees ATLS revalidation to keep valid at time of certification National or international conference attendance e.g. British Orthopaedic Association conference booked as a member * 20 Specialty Association Membership e.g. British Orthopaedic Association TOTAL ESTIMATE 21405.50 * Where no minimum number of attendances documented a minimum of 1 included 152 per year for 2 years as CST, 166 per year for 2 years as ST3-4, 204 per year for 2 years as ST5-6, 240 per year for 2 years as ST7-8

Urology JCST fee (for 7 years) GMC registration (for 9 years) ATLS revalidation to keep valid at time of certification Urodynamics Course e.g. Belfast Training Academy Course Paediatric Urology Course e.g. BAPU Course Spinal Injuries Course e.g. Princess Royal Spinal Unit Course Emergency Urology Course e.g. East of England Emergency Urology Course Attendance at 1 national or international conference every 2 years of training e.g. British Association of Urological Surgeons Conference booked as early bird rate as a member 354 187.50 295 450 65 100 per year for 3 years BMA Membership (for 9 years) RCS subscription fees e.g. RCSEng if complete MRCS at CT2 and FRCS as ST7 Specialty Association Membership e.g. British Association of Urological Surgeons Healthcare Protection Organisation (for 9 years) e.g. Medical Defence Union TOTAL ESTIMATE 20719 316 per year for 4 years as member, 531 for 1 year 160 per year for 7 years 1325

Vascular Surgery ATLS revalidation to keep valid at time of certification National or international conference attendance per year e.g. Vascular Society Conference booked as a member at early bird rate 354 375 per year for 8 years RCS subscription fees e.g. RCSEng if complete MRCS at CT2 and FRCS as ST7 Specialty Association Membership e.g. Vascular Society TOTAL ESTIMATE 24135.50 115 per year for 8 years