Abstract
The exit exam (intercollegiate specialty examination) is the final rite of passage for surgical trainees. 'Old-system' SpRs like us have spent many years as SHOs, several more years in research and are then lucky enough to become registrars. The final years of training have been spent developing specialist operative skills and gaining as much practical experience as possible before taking on full responsibility as a consultant surgeon. During these years learning the craft of surgery is at its most intensive. The prospect, therefore, of a sudden return to a theory examination is a daunting one.
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