ABSTRACT

There is a growing concern that the surgical training of doctors is not sufficient to meet the needs of new graduates [1]. With the advancement of science, newer medical therapies have replaced traditional surgical approaches. Residents and fellows in the united states are now bound to work a maximum of 80 hours per week, reducing the time spent in operating rooms and getting sufficient surgical training. In the united kingdom, the situation is even more extreme with the european 48 hour week working time directive. Newer technologies are constantly emerging making it difficult for surgeons to become proficient and for hospitals to control credentialing. These are important if patients are to be offered new procedures in a safe operating environment.