CCT Requirements

Dear All,

As you may or may not be aware there has been changes to the CCT requirements which came into effect from August 2018. Please read how this may affect you depending on your training year and when you started training.

CCT guidelines have always had a two year lag for implementation and this update will be no different. The new CCT guidelines have been released and represent a few important changes. They are applicable  for those who have a CCT date from 5th August 2020 onwards. This allows for ST6s and under entering into ST7 and below over then coming months two years or more to achieve them. Therefore, if you are in ST7 or ST8 before 5th August 2018, you can stay with the 2017 CCT guidelines of, if you would prefer, you can use these new updated guidelines.

1 – Two new CBDs (diabetic foot and primary or secondary musculo-skeletal malignancy)

2 – Exposure to the full breadth of Trauma & Orthopaedics with clinical exposure to a minimum of 3-6 months each in Hand&Wrist, Shoulder&Elbow, Spine, Hip, Knee, Foot&Ankle, Paediatrics and Major Trauma

3 – Indicative numbers (minimum 1800 with 1260 as primary surgeon). The total indicative numbers therefore remains unchanged.

4 – Index procedures. There has been a reframing of definitions to allow a broader application. This is in line with GMC guidance and the “Shape of Training” report for training based around principles and transferable skills in the breadth of the specialty. Osteotomies, IM nailing and plate fixation will be applicable to more areas than before. There will be minor variation in total numbers (10 more arthroscopies, 10 less tendon repairs and 5 less TBWs). K-wiring and Paediatric supracondylar elbow fractures (including traction) will be introduced as index procedures. 5 Supracondylar fracture managements are required. 1 may be in traction, 1 may be in simulation but 3 will need to be actual clinical cases of wiring (one of which will need to be assessed as a level 4 PBA).