Abstract

Assessing competency in surgery is an age-old tradition. In the infancy of surgical practice the issue of competency in surgical skills was addressed by the Royal College of Surgeons of Edinburgh, one of the oldest surgical organisations. Competency in surgical skills has taken on an added urgency in contemporary practice because of several high-profile public enquiries into underperforming surgeons, such as the Bristol children's heart surgery affair in the UK, the paediatric cardiac surgery programme at Winnipeg Children's Hospital, Canada, and the Bundaberg Hospital affair in Australia.

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