Graduate-entry degrees are common in the US and Australia and are offered by 14 universities in the UK. The University of Nottingham has recently seen the integration of its graduate-entry medicine (GEM) students with its traditional medical undergraduates (BMedSci) on their first clinical attachment. Those pursuing a surgical career will be subject to shortened training as part of Modernising Medical Careers. Furthermore, the increase in minimally invasive techniques will lead to simulator training being utilised as this is a method to which laparoscopic skills acquisition lends itself. A number of validated curricula have been developed since the use of simulators was first suggested as a tool for endoscopic surgical training. Indeed, recent work has shown that simulation may improve psychomotor skills within the context of a surgical procedure.