Abstract
Warnings have been issued regarding the recreation of the 'lost tribe' in the transition between core surgical training and higher surgical training. However, it is more likely that waiting to fill 'dead men's shoes' at the end of surgical training may become the major fear of the new Certificate of Completion of training (cct) holder. The majority of national training number (ntn) holders will receive a cct but market forces may preclude appointment. The projected increase in mismatch of cct holders and vacant posts is not a new phenomenon, nor is the emergence of a subconsultant grade. In the light of what is fast becoming a consultant delivered rather than a consultant led clinical service, are we training too many or too few surgeons for the future?
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