The residency training program for general surgeons in Groningen, the Netherlands

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Abstract
In 1970, a new residency training program for general surgeons was started at the university hospital in Groningen to meet the new requirements of the national Committee of Specialist Registration and the Central Board. The program consists of 6 years of formal training in general surgery and the surgical specialties, divided into 24 rotation terms of 3 months each. During the 6 years, the residents spend 3‐1/4 years in general surgery (which includes conventional general surgery, pediatric surgery, traumatology, surgical oncology and vascular surgery), 1‐1/4 years distributed among the surgical specialties (orthopedics, anesthesiology, plastic and reconstructive surgery, urology and cardiothoracic surgery), 9 months in the first aid and acute admissions department, 6 months in an elective period of their choice, and 3 months performing consultations. Upon satisfactory completion of the training, the resident is certified as a specialist. No final examinations are given, but the training program is carefully supervised according to strict requirements. Although the program has some problems related to its rigidity, there is general enthusiasm for it among both residents and staff members because it provides a uniformly high standard of surgical education in a stable framework.

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