Abstract
The surgical workforce is rapidly changing and it would appear that few have an accurate grasp of the current situation. Modernising Medical Careers (MMC) and the Medical Training Application Service wreaked havoc, leaving many trainees confused about their current situation and uncertain about their future career prospects; there is no clarity on staff grade numbers and a significant number of CCT [Certificate of Completion of Training]-holders are struggling to find a consultant post. Lord Darzi's review has called for integrated workforce planning, occurring at the local level with employers, regionally with oversight from the strategic health authorities and nationally with a newly established 'centre of excellence' for workforce planning, to be supported at each level by professional advisor y groups. What are the implications for the profession?
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