Introduction: There continue to be many threats to surgical training opportunity.
Methods: A national survey was undertaken of all higher surgical trainees in Otolaryngology and head and neck surgery in the United Kingdom detailing current surgical training opportunity.
Results: There was a 51% response rate. The majority of trainees (66.7%) undertake between three and four clinics each week, with most (67.4%) performing between three and four operating lists per week; 48.5% have less than four theatre lists per week.
Discussion: The results and their implications for training are discussed, along with the need to ensure quality assurance of training posts.
Conclusion: We suspect that overall training opportunity has declined along with the number of hours worked. Training posts need robust monitoring by the appropriate organisations to ensure that they are fulfilling requirements. There is a need for a paradigm shift in training from a service-based apprenticeship to a more focused educational model.