The Curriculum is based on the Syllabus, but goes beyond this in that it introduces the concept of Entrustable Professional Activity (EPA). In addition to details about the objectives, academic content, it also refers to the methodologies to be adopted and the appropriate bodies that are entrusted with this aspect. Thus, a careful reading of the Syllabus (refer to the appropriate section), is essential in order to appreciate the Curriculum with the proper perspective. One should not be alienated by the volume and detail of the Syllabus, which is intrinsic to its nature. The Curriculum goes beyond the Syllabus in that the Curriculum is prescriptive or specific and refers to the entire content taught in the training programme. This is in contrast to the Syllabus which is essentially descriptive and explicitly describes what areas are required to be covered in General Surgery.
The Curriculum is designed to train across the entire discipline of General Surgery. Although trainees may develop particular specialty biases, they are required to have acquired core knowledge, skills and attitudes in General Surgery. Detailed instructional methods and integrated feedback mechanisms are within the remit of the respective training programmes and the appropriate national local bodies. The accreditation of a competence is primarily the teaching responsibility of the local supervising trainer and the learning responsibility of the trainee themselves. There is an ethical responsibility on both the trainer and the trainee to ensure that the accreditation of any particular competence is valid from the viewpoint of patient safety and that this is adequately documented and certified.
During their training, doctors will acquire a variety of competencies. The acquisition of these competencies needs to be assessed and documented initially in a formative process and thereafter in a summative and maintenance process. Valid tools for assessing and documenting the successful acquisition of competencies must be available to trainees and trainers during the programme. Although these instruments will vary throughout the European area, it is important that full documentation of competence acquisition occurs. The UEMS Division of General Surgery provides a Logbook template and an E-Portfolio to facilitate the documentation process.
Since one is aware of the different contents and emphasis of training programmes in different countries, the methodologies in the training programmes to be followed are considered to be within the remit of the appropriate national or local educational authorities who will be required to certify the consistency of the Surgical Training. This should lead to the attainment of the following Entrustable Professional Activities (EPAs). The attainment of at least 65% of the EPAs is expected of an applicant for the UEMS EBSQ General Surgery Examination, in addition to the knowledge, attitudes and clinical skills described in the Syllabus. The Curriculum emphasises the required competencies that General Surgeons passing an Exit Examination should have, especially when dealing with emergency surgical situations in on-call practice.
Please find below the full curriculum: