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Supporting the Orthopaedic Specialty Trainees of Today, For the Patients of Tomorrow

BOTA is an independent professional body promoting surgical excellence in trauma & orthopaedic surgical training within the United Kingdom. Founded in 1987 it is an organisation run by trainees, for trainees, for the benefit of patients.

How do I get involved on the BOTA Committee?

The British Orthopaedic Trainees Association (BOTA) Committee is ...
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BOTA / BONE - Paediatric Orthopaedic Trauma Snapshot [POTS]

With the roaring success of the BONE / BOTA Lost Tribe audit project (221 collaborators in 101 hospi... Read more

The BOTA Census 2016

Are you happy with your training? Would would you change to make your training experience better? Ar... Read more

ASIT/BOTA Statement on Junior Doctor Referendum Results

In light of the result of the referendum regarding the Junior Doctor Contract, The Association of Surgeons in Training (ASiT) and the British Orthopaedic Trainees’ Association (BOTA) would like to thank the BMA Junior Doctors’ Committee (JDC) for their exceptional... Read more

Volunteer for World Orthopaedic Concern this September!

Dear trainees, our friends at World Orthopaedic Concern have an exciting volunteering opportunity this September... Read more

Join Zinc

Zinc was founded by a junior doctor and computer scientist that share a mutual belief that technology can enable audit, service improvement, and medical research for the betterment of patient care. Read more to find out. Read more

POTS Certificates for contributors

A big thank you to all contributors to the POTS study! Please collect your certificate here!! Read more

BOA Professional Practice Committee Meeting

As the new Publicity Rep for BOTA I attended the Professional Practice Committee at the BOA in August.  This committee aims to guide and shape our profession as orthopaedic surgeons. Read more

ASIT/BOTA Statement regarding decision for further industrial action

The British Orthopaedic Trainees’ Association (BOTA) and The Association of Surgeons in Training (ASiT) committees regret that the BMA is in a position where further industrial action has been deemed necessary. We would like to reiterate our support for all our members and junior doctors at this time – we remain united. Read more

Frontline-led Quality Improvement Organisation Networking Event

BOTA/BONE were invited to attend this inaugural event held at the Health Foundation, to meet the leaders of other quality-improvement (QI) initiatives. Read more

Time Does Not Equal Training - A response to the proposed plan for a 70-hour working week for London surgical trainees

Read BOTA's position on the proposed plan for a 70-hour working week for London surgical trainees. Read more

1st Scottish Trauma and Orthopaedics Trainee Symposium (STOTS)

The 1st September 2016 saw the introduction of the Scottish Trauma and Orthopaedic Trainees Symposium (STOTS), a national day of orthopaedic registrar teaching which took place at the Dunblane Hydro. Read more

Report on SAC Meeting, September 2016

As SAC representative, I attended the quarterly SAC meeting on behalf of BOTA.  The SAC is the committee that decides on the requirements for us to CCT in Trauma and Orthopaedics.  There were a number of issues discussed and I would like to flag up the following areas that I feel are important to the membership. Read more

Update on waypoint assessments for ST4 and ST6 trainees

Reminder to ST4 and ST6 trainees: The ST4 and ST6 waypoint checklists are available on the JCST website at http://www.jcst.org/quality-assurance/certification-guidelines Read more

BOTA Census 2016 - Winner Announced!

Many thanks to all of you who filled out the BOTA Census 2016, the results are being analysed and will be prepared for presentation and publication. Congratulations to Lara Thompson winner of the Census prize draw who is the lucky recipient of £1849 to pay for her FRCS, not a bad rate of return for filling out a google form! Read more

RCPSG Trainees Committee Meeting

This was the first RCPSG Trainees Committee meeting chaired by the 2016-18 executive committee.  The majority of the meeting was spent on discussing plans to expand the RCPSG education event portfolio.  The RCPSG now hosts an annual orthopaedic symposium and a core orthopaedic practical skills course. Read more

BMA Medical Subspecialty and Junior Doctor Committee meetings September 2016

So, having not been able to attend any of the previous BMA meetings I have had 2 in a week. MSWG took place on Monday. This is the medical subspecialties working group and brings together representatives of the various trainee organisations. The forum is designed to allow us to raise concerns and give input into the BMA JDC. Normally this meeting would be chaired by the JDC educational deputy chair but with everything going on we were blessed with the presence of Dr Ellen McCourt. Unsurprisingly the meeting centred around discussion of the new junior doctors contract and the proposed industrial action. Ellen was keen to hear from the various organisations present about what their trainees felt regarding the IA and what sort of numbers we were expecting to go on strike. The vast majority felt that their members had lost enthusiasm for IA in the wake of the BMA referendum and the lack of subsequent communication from the JDC. Both myself and the representative from ASiT expressed our concerns at the effect the new contract may have on ‘craft’ specialties. However, having spoken to the committee and BOTA members at the BOA last week I was forced to agree with the other representatives that our membership did not have the hunger for a 5 day strike. Ellen seemed unsurprised to hear this but was thankful for our comments. After this discussion I raised the results of the recent BOTA census focussing on the statistics around bullying and harassment. Embarrassingly, for us as a specialty, none of the other representatives were particularly surprised by the numbers. However, a number of them did comment that they did not think it was isolated to orthopaedics and we had a lively discussion about bullying in the workplace. I am hopeful that with some persistence over the next few months we may be able to get the BMA to join with the BOA in their recent commitment to helping tackle this issue. Saturday September 24th, the day of the JDC committee meeting. The vast majority of you will already know the main outcome from this meeting and will no doubt have an opinion. Let me add a little context. Unsurprisingly the committee meeting was well attended with the majority of the 13 national regions represented by 3 or more members. Unusually, approximately 50% of these committee members are new representing the recent upsurge in BMA membership and activity. Following the tedium of committee procedures (approving minutes took 45 minutes) we moved on to the elections for committee positions. Dr Ellen McCourt was running against Dr Nadia Masood and Dr Ben White. The election process is very simple with each candidate being given 4 minutes to speak and then 6 minutes of questions. Ellen went first and spoke very frankly about ‘that radio 4 interview’ and the need to improve the BMAs communication with its membership. She went on to talk about what she hopes to achieve as JDC chair and how she already knows the intricacies of the new contract and state of negotiations. She was largely questioned about her media strategy and gave very sensible answers. Nadia and Ben then took the stage. For those that aren't aware, these are two of the doctors involved in the Justice For Health campaign that has been so successful in raising funds to fight a legal battle against the new contract. They have led an excellent media campaign and spoke heavily about this. Unfortunately, it became very apparent that they do not have the experience within the BMA or in the DOH meetings that this position requires. Their answers to questions felt superficial and lacked the grounding of Ellen’s. The vote fell in favour of Ellen who received a standing ovation from the committee members. The deputy chair elections provided quite a bit of entertainment and concern from a neutral observers point of view. When a candidate openly admitted to finding out who liked whom and what she needed to say to specific people to secure her nomination the committee could not believe what they were hearing. It was hugely disappointing to find that people feel these machinations are necessary and worrying that in a group of people all aimed at the same thing that they are possible. Thankfully the position went to someone else. I would like to say congratulations to Dr Pete Campbell (deputy chair professional issues), Dr Jeeves Wijesuriya (deputy chair training and education) and Dr Will Sapwell (deputy chair terms, conditions and negotiating) on their election. Following the election of the committee the decision was made to make the session ‘in camera’. As an invited observer this meant I was kicked out and had to receive the news about IA like everyone else through social media and the internet. Like many of you, i was disappointed in how the news was released and think it highlights the work the JDC have to do on their media strategy. Like many of you i have looked at the Junior Doctor Contract Forum on Facebook and witnessed the impassioned posts that many feel the need to make. I encourage our membership to hold faith with the BMA. The members of the JDC were all switched on and seemed dedicated to working in the best interests of their members. Whilst many think the decision to completely cancel the IA is a political blunder I think the decision was made with good intent and I am reassured that the committee will continue to work for its members going forward. Patrick Williams BOTA BMA representative @BOTA_BMA @paddymedic86 Read more

BSSH and the Hand Surgery ELPRAS Modules

The British Society for Surgery of the Hand (BSSH) are currently formulating a web based modular educational programme for hand surgery as part of eLPRAS. We are asking for interested trainees to help with writing these modules. This provides a personal education in writing a short review article and will enhance your knowledge hand surgery. This is recognised as an e-publication and will contribute to points accrued for national interviews and ARCPs. If you have not completed FRCSPlast or FRCSOrth, you will need to find a local supporting consultant supervisor who is a member of the BSSH or approved by the BSSH. Your supervisor will edit your article before submission to the BSSH and will bear senior responsibility for it. The completion date for submission is 1st February 2017. For information on the modules available please contact [email protected] with your details, speciality (Plastics or Orthopaedics) and those of your consultant supervisor. You will be contacted regarding module allocation and provided with a template to construct your topic. Kind regards Dean Boyce, FRCS(Plast) BSSH Council Member and Lead on Hand Surgery ELPRAS Modules Read more

BOA Council Meeting - Report from June 2016

The President of BOTA (Simon Fleming) attended this meeting and the hot topics included national selection, UKITE and the role of PAs Read more

BOA Council Meeting - Report from September 2016

The President of BOTA (Simon Fleming) attended this meeting and the hot topics included UKITE, FORTE Summer School, BOA Instructional, Women in Surgery and BOTA Census Read more

ISCP Meeting - September 2016

Enhanced Visual Representation A new, much more functional demo was shown of the possibility of using a new way to demonstrate how a trainee is progressing with their WBAs. Initially there was a concern that it failed the “so what” test but actually, as demonstrated here, if one area has lots of yellow or grey, one “ring” after another, then it can highlight an area for development. It is felt this will actually be especially useful when looking at MSFs WBAs There was an interesting talk delivered on the potential need to develop a new WBA to assess competency more effectively, especially with the coming EPAs (Entrustable Professional Activities). This work will start soon, but BOTA made it clear that the goal should be to create something novel, quick to complete and trainee/trainer friendly, to avoid creating another “tick box” assessment tool that added nothing and took ages! Read more

JCST Meeting - October 2016

This month has seen meetings of both the JCST and JCST Quality Assurance groups. Below are a series of bullet points covering the main points discussed regarding training in T&O Read more

RCS Senior Clinical Fellowship Scheme

The President of BOTA (Simon Fleming) attended this meeting and the hot topic included RCS Work Package 4: Improving Surgical Training Group. The majority of this meeting was based in and around the rebranding, redeveloping and general application process for the RCS Senior Clinical Fellowships. Read more

JCIE Meeting - October 2016

I attended the Joint Committee on Intercollegiate Examinations (JCIE) meeting at RCSEd on behalf of BOTA. JCIE is the committee that oversees the Intercollegiate Exam Boards for all surgical specialities across all four colleges. This meeting contained representatives from the exam boards of all of the surgical specialities. There were a few matters that I would like to bring to the attention of the membership. Read more

BOTA Medical Student Bursary

CALLING ALL MEDICAL STUDENTS: Apply now for the opportunity to be awarded £500 towards your elective! Deadline to apply 31st January 2017. Read more

The Royal Society of Medicine: Orthopaedic Council Section Meeting

I attended the above meeting on behalf of BOTA. The pertinent points relevant for Orthopaedic trainees are to highlight the Christmas lecture and President’s prize papers (December), the Sports Injuries conference (January) and Trauma symposium (February).
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ICBSE IQA Meeting

On the 18th November 2016, I attended the Royal College of Surgeons Intercollegiate Committee for Basic Surgical Examinations (ICBSE) Internal Quality Assurance (IQA) Committee meeting. This was an insightful meeting where its members worked tirelessly to ensure that every aspect of the MRCS examination is run fairly and equally regardless of college or country. Read more

Report from JCIE Part 1 Standard Setting Meeting

I was invited to attend the Standard setting meeting for the FRCS Part 1 that candidates sat at the beginning of November. This was an interesting meeting to attend as I could see the process of how the examiners ensure that the exam is fair and set the pass mark. I was also given the opportunity to participate in the Angoff method, although my scores were not included in those that set the pass mark (which is a good thing, as I discovered that I am towards the harsher end of the scale). Read more

Core Surgical Training Advisory Committee (CSTAC)

I had the privilege of attending this meeting as my first as BOTA junior representative. It was firstly announced the committee would now take the new form of the Core Surgical Training Advisory Committee (CSTAC). Read more

Attention Aspiring Trauma Surgeons

Attention Aspiring Trauma Surgeons If you aim to be an Major Trauma Centre (MTC) Consultant in re...
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ASIT Conference 2017

The 2017 ASiT International Surgical Conference will be held in the beautiful seaside town of Bournemouth, 31st March – 2nd April 2017. With a fantastic line up of plenaries and workshops, covering topics across surgical practice, training and research, there is something for delegates of all stages of training. Don’t miss our legendary gala dinner! Read more

Academy Guidance for reflection on e-portfolios

Attention all trainees. The Academy of Medical Royal Colleges has published official guidance on reflection covering legal aspects and best practice guidance. Read more

SAC Meeting at the Royal College of Surgeons

As SAC representative, I attended the quarterly SAC meeting on behalf of BOTA. The SAC is the committee that decides on the requirements for us to CCT in Trauma and Orthopaedics. There were a number of issues discussed and I would like to flag up the following areas that I feel are important to the membership. Read more

BMA Junior Doctors Committee Meeting

I hope everyone has had a lovely Christmas. The Christmas break has finally given me a chance to report on the BMA JDC meeting I attended at the beginning of the month. Read more

Hammer It Out

In 2016, BOTA presented the results of a census of Trauma & Orthopaedic (T&O) trainees in the UK. One of the key issues highlighted from the results was that of bullying, harassment and undermining behaviours. We want to start a dialogue that leads to a positive change in culture within healthcare with orthopaedics leading the way. Read more

FRCS Section 1 - Trauma and Orthopaedic Surgery

This article will look at Section 1 of the Intercollegiate examination in Trauma and Orthopaedics. It will describe how the section is written, administered and used to determine who will be allowed to proceed to sit Section 2 (clinicals and vivas). If candidates understand more about the nature of this section of the exam they may be more relaxed when they come to face it, and may therefore perform better! Read more

Junior Essay Writing Prize 2017 - Deadline 31st March 2017!

Don't miss out on some extra cash coming up to the end of term! Open to all Junior BOTA Members and Medical Students! The annual Junior Essay Writing Prize has been announced. Up for grabs is a cash prize of £300 generously sponsored by "The Worshipful Company of Barbers" Read more

Nottingham Lower Limb Fellowship

Start date: ASAP February 2017 to August 2017 for 6 months This post will predominantly be with Mr Tony Westbrook (arthroplasty & revision hip) & Mr Phil Radford (arthroplasty including computer navigated TKR), based at Nottimgham City Hospital. It is expected that the fellow will be able to perform a large volume of primary hip & knee arthroplasty during the 6 months. Opportunities are also available for research. Other opportunities such as soft tissue knee surgery can be arranged if the successful candidate wishes. Read more

Update on ST3 applications for London

The JCST have released the following statement regarding the situation of ST3 numbers in London this year: "Following the controversy surrounding the lack of NTNs in London last year for T&O, we are aware that a number of you may be looking to re-apply for ST3 this year. At this juncture, we are uncertain of the situation regarding NTNs in London for the current round of ST3 applications, but will keep you updated as soon as we hear how the situation is developing. If you are considering re-applying and currently hold an NTN, we would like to bring to your attention the form below, which should be completed in support of your application." We will keep membership updated on the situation as we get more information. Read more

BOA Education Committee Meeting - January 2017

As BOTA’s representative for education, I attend the BOA’s Education Committee, more formally known as the Education & Revalidation Committee. Herein I include brief summaries of those aspects of the committee’s work that are relevant to our membership. Read more

JCIE Meeting - January 2017

I attended the meeting of the JCIE at the Royal College of Surgeons of Edinburgh on behalf of BOTA. I would like to bring the following matters to the attention of the membership Read more

ICBSE Meeting - January 2017

This week, I was privileged to attend the Intercollegiate Committee for Basic Surgical Examinations (ICBSE) at the Royal College of Surgeons of England. Read more

OrthoBuzz - Keeping you up-to-date on orthopaedic news

OrthoBuzz is a blog from the publishers of The Journal of Bone & Joint Surgery, one of the most trusted names in orthopaedics. The OrthoBuzz mission is to efficiently inform readers about developments in the orthopaedic and healthcare communities that affect the day-to-day practice of orthopaedics. In addition to the blog, we publish the monthly OrthoBuzz complimentary e-mail newsletters. Read more

National Surgical Consent Audit 2017

An interesting audit designed to look at consent. Since the Montgomery ruling in 2015, the purpose of this audit is to establish whether surgical practice is keeping up with the recent changes in UK law. Read more

Junior Reviews - rate, review and improve your training!

BOTA are pleased to support Junior Reviews: an innovative website that lets you rate, review, and compare medical training in the UK – helping you find the very best places to train! Read more

Medical Student Bursary 2017 - Winners announced!!

Thank you for submitting your application to be considered for a BOTA Medical Student Bursary 2017. We had 23 entries this year, with an extremely impressive standard of applications!! Click here for the winners. Read more

How I Got Into Orthopaedics...

BOTA have teamed up with the Edinburgh University Orthopaedic Society to bring you an evening of inspirational stories, careers advice and an open Q&A forum!. All welcome to attend and it's FREE!! Read more

BOTA Summer School 2017

BOTA are excited to announce the details of the upcoming summer school featuring plastering and leadership!! For further information and how to sign up please visit our event page on: https://botasummerschool.eventbrite.co.uk Read more

Report on SAC Meeting March 2017

As SAC representative, I attended the SAC meeting on behalf of BOTA. The SAC is the committee that decides on the requirements for us to CCT in Trauma and Orthopaedics. There were several issues discussed and I would like to flag up the following areas that I feel are important to the membership including minimum indicative numbers, major trauma TIG fellowship and NHS crisis pressures. Read more

How to apply for FRCS T&O

BOTA have frequently been contacted about the FRCS exam by members recently and there have been several themes emerging. Hopefully, this handy guide will help on how to register for both parts 1 and 2 of the exam. Read more

BOTA/ASIT Position Statement on Rise of JCST Fees

The Association of Surgeons in Training (ASiT) and the British Orthopaedic Trainees’ Association (BOTA) are extremely disappointed by the decision of the Joint Committee on Surgical Training (JCST) and the Royal Colleges to raise the annual trainee fee by a further £5, representing a 2% increase in annual cost to the trainee. This is despite the fact that, last year, the JCST made a surplus of £57,751. Whilst this most recent increase has been cited merely as a rise in line with inflation, it is noteworthy that doctors’ pay has not risen in line with the rate of inflation since 2007. Moreover, we applaud the RCSI for ensuring that trainees in Ireland do not cover the JCST fee themselves, demonstrating there are alternative, more balanced, solutions. Read more

Attention Aspiring Trauma Surgeons

There has been confirmation of 5 HEE funded Major Trauma TIG fellowships with the possibility of 2 further posts that may be funded by the military. There are going to be two principle streams- the ‘Resuscitative Surgeon’ (which will principally be interesting to vascular and general surgeons because of the competencies required and the skills to be acquired) and the ‘Major Trauma Consultant’ which will be of interest to T&O trainees who wish to work in an MTC and that will be concerned with the delivery and coordination of care to the severely injured in an MTC. There is an anticipation that there will be front loading of the Resuscitative arm. i.e. 4:1 or similar.
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Limb Reconstruction Fellowship Opportunity

Applications are invited for a Limb Reconstruction research fellow, based at Hull and East Yorkshire Hospitals NHS Trust, Hull, UK, for 6 months with the potential to increase to 12 months. Read more

ST3 Level in T&O and want to do a MD/PhD?

Research level posts with clinical commitments available from August. Contact: [email protected] or see advert: http://bit.ly/2oegWD2 Read more

GIRFT Surgical Site Infection Audit

The national Getting It Right First Time (GIRFT) programme is seeking volunteers to take part in their audit on surgical site infections (SSIs). Click here to find out more! Read more

BOA Education and Revalidation Committee Report

As BOTA’s representative for education, I attend the BOA’s Education Committee, more formally known as the Education & Revalidation Committee. Herein I include brief summaries of those aspects of the committee’s work that are relevant to our membership.
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BOTA Junior Essay Competition - Winner Announced!

Thank you to all of those who entered this year’s essay competition. After receiving a large number of applications, all to a very high standard, it was a very difficult decision to choose the best. Read more

Summer SCOT Meeting 2017 - Call for abstracts

Abstracts are invited for the Summer SCOT Meeting which will be held at Dunblane Hydro on 7th/8th September 2017 Read more

BOA Trauma Group Meeting

On behalf of BOTA 12/04/2017, I attended the BOA Trauma Group Committee Meeting at the BOA offices, RCS Eng.  Many important aspects of trauma planning and guidance were discussed in addition to the need for a permanent trainee committee member to be recruited through BOTA. 
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BOTA/ASIT Position Statement:

Position statement of BOTA and ASIT regarding mandatory service for medical graduates submitted to the Department of Health for consultation Read more

AOUK Trauma Research Prize 2017

Looking for Funds to help pay for a Course or Fellowship travel costs? AOUK invite applications for a research prize of £1,000. This is open to all surgeons in training, as well as operating room personnel. Entry is via submission of a 250-word abstract involving any aspect of musculoskeletal trauma (including hand, cranio maxillofacial ,veterinary and spine surgery). Read more

Abstract Submission Educational Congress 2017

We invite you to submit abstracts of any original research / audit / quality improvement related to trauma and orthopaedic surgery for a podium or poster presentation. The presenting author will be expected to register for the educational weekend in order to present. There will be prizes for the best oral presentations and for the posters following judging at the congress. Read more

BOTA/RCSEd Study Budget Survey -

BOTA are working closely with the Royal College of Surgeons of Edinburgh (RCS Ed) to find out how and where orthopaedic trainees’ study budgets are being spent in the UK. You are invited to take part in this national survey to help BOTA and the RCS Ed discover what barriers to education exist and how we can work to improve access. Read more

BOA Trauma Group Meeting

The BOA Trauma Group met on the 6th June 2017 at the RCS Eng. It is advised that there will be a change in the numerical name of the BOAST guidelines to a more descriptive title in order to ease online searches. Some of the guidelines are currently being updated and all of the latest versions will be brought to you both via the BOA and BOTA websites Read more

BOA UKITE Editor Recruitment 2017

The BOA is looking for UKITE content editors for the exam in 2017. Read more

RCSEd Bursaries for BOTA members!

The University of Edinburgh and Royal College of Surgeons of Edinburgh are jointly awarding 2 fantastic bursaries exclusively for BOTA members for their Masters Programme in Trauma and Orthopaedic Surgery. Read more

JCST Surgical Morale Training Survey

From the JCST: We are proud to be running a co-badged survey of trainee morale with the Association of Surgeons in Training (ASiT) and the British Orthopaedic Trainees' Association (BOTA). All trainees with a National Training Number (NTN) at Core Surgical Training and specialty surgical training level will have received an email with instructions on how to take part. If you have not received an email, please contact JCST Quality on [email protected] Read more

Attitudes Towards Surgical Preparation

We want to understand how surgical performance and patient safety can be improved and we ask that you try to respond honestly and accurately. It is important to note that some of these questions may be considered sensitive in nature (e.g. around your surgical practice and level of training) and that you are free not to answer any specific question if you do not wish to do so. Read more

eLogbook Review Meeting July 2017

I represented trainees at a review of eLogbook operative codes, index procedures and indicative numbers required for T&O CCT. Representatives from all UK T&O subspecialist societies were invited to review and edit their subspecialist codes. The meeting was co-chaired by Mr Bill Ryan (SAC) and Mr Mike Reed (former Education Committee chair). The eLogbook is used in the UK and Ireland and currently contains 32 million operations.
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