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.

Minimum Indicative numbers

The SAC understands that in many regions, obtaining the indicative numbers for first ray surgery can prove challenging due to many reasons.  They are going to consider the problems that trainees face with these cases and consider available options improve this situation.  I will keep you posted regarding developments in this in due course.

Joint injections and spinal injections (e.g. facet joint) will now no longer count towards overall operative indicative numbers (1800 total in training).  Please be aware of this when approaching your CCT if you are close to the minimum numbers and have lots of injections.

Major Trauma TIG Fellowship

The major trauma trainee interface fellowship is coming.  There will be two types of post, however the one that will be of interest to T&O trainees is the Major Trauma Consultant Fellowship.  This fellowship will be designed to develop consultants who wish to work in a major trauma setting giving them the skills to coordinate and manage the care of severely injured patients.  Interested trainees should be aware that the current plan is to have the first group of fellows starting in February 2018.  The current plan is for adverts to go out in July 2017 with interviews later this year.

Pressures from the NHS crisis

We are aware that the current pressures in the NHS may have an impact on training, however it is not clear what the position on the ground is.  If this is a problem in your local region, can you please flag this up to us via your regional representative.

Clarification of Out of Programme (OOP) rules

There have been several requests for OOP to be considered and it is important that as trainees you understand the processes involved to ensure that you have the best chance if a successful application.  The full regulations covering OOP are in The Gold Guide pages 40-44 (http://www.jcst.org/key-documents/docs/a-reference-guide-for-postgraduate-specialty-training-in-the-uk-gold-guide-2016).

  • The key points are OOP is not normally allowed until you have completed at least one year of in programme.
  • OOP must be prospectively approved to count towards your CCT.
  • A minimum of three months notice is required
  • All OOP must be approved by your postgraduate dean
  • Trainees will not normally be granted OOP for research in their final year of training
  • OOPT needs to be in a GMC approved post that is prospectively approved