Abstract
A plethora of terms has appeared in recent years to describe posts that lie outside standard training programmes. The term 'clinical fellowship' (CF) is widely used to describe specialised posts undertaken at the end of training, that is, out-of-programme (OOP) experience (with variable degrees of recognition towards a Certificate of Completion of Training (CCT)). It is also often used to designate posts that combine elements of research, teaching and clinical work filled by individuals who wish to take time out from their training programme (often to obtain an additional qualification) or by those who have been unsuccessful in gaining a place within a training programme. The unknown number of such posts seriously jeopardises surgical workforce calculations.
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