title: Ensuring a graduated integrated progression of learning in a changing environment.
abstract: Surgical training is under threat in the changing environment of today. In the past, training consisted of an apprenticeship, which is no longer feasible or practical within the time limitation imposed on trainees currently, and so a new and innovative approach is required to train the surgeons of tomorrow. There is therefore a need for an explicit curriculum that ensures a graduated and integrated progression of learning in which both trainees and trainers are aware of what is required for each stage in training and for each surgical specialty. Such a curriculum has now been developed in the UK.
authors.affiliation: Department of Education, Royal College of Surgeons of England, London, UK. wegthomas@btinternet.com
authors.forename: W E G
authors.initials: WE
authors.lastname: Thomas