The Evolution of Surgical Training and Practice in London: Opportunities and Pitfalls

By John S Bolwell, this mini-monograph delves into the transformative journey of surgical training and practice in London, with a focus on the role of the Royal College of Surgeons of England and its predecessors.

A Call for Change: The Todd Report and the Flowers Report

In 1968, the Royal Commission on Medical Education, also known as the Todd Report, recommended significant changes to undergraduate and postgraduate medical education. This was further supported by the Flowers Report in 1980. London, with its unique concentration of teaching hospitals, medical schools, specialist hospitals, and research institutes, was considered a special case.

A Revolution in Surgical Techniques

Following World War II, extraordinary advances in medical sciences, engineering, high technology, and surgical techniques dramatically expanded the scope of diseases treatable with surgery. However, the UK lagged behind in complying with EU directives on the harmonization of specialist training until the 1990s, leading to a transformation in surgical training and practice.

The Challenges of Modern Surgery

Today, an increasing number of elderly patients and those with comorbidities are undergoing complex procedures, posing higher risks of complications and death. The ongoing controversy surrounding the optimal organization of operative and postoperative care for these patients is discussed in detail.

A Historical Context: 700 Years of Surgical History

This mini-monograph provides a comprehensive overview of more than 700 years of recorded surgical history, including commissioned reports and post-war innovations. The sometimes adversarial relationship between diplomates and the Royal College of Surgeons of England is also examined.

Diversity and Inclusion in Surgery

In 2020, Professor Neil Mortensen, the newly elected President of the Royal College of Surgeons of England, invited Baroness Helena Kennedy, QC to conduct a ‘Diversity and Inclusion Review.’ The report, published in 2021, revealed disturbing findings of systemic sexism, racism, and homophobia within the college and profession. The college responded with its ‘Diversity, Equity and Inclusion Action Plan’ in 2021, which is discussed in this context.

This concise account provides valuable insights into the evolution of surgical training and practice in London, shedding light on the opportunities and pitfalls that have shaped the profession.

Product Details:
Publisher: Grosvenor House Publishing Limited
Publication Date: November 3, 2022
Language: English
Paperback: 114 pages
ISBN-10: 1803811587
ISBN-13: 978-1803811581