- CV and photocopy of personal data page of passport
- Photocopy of accreditation certificate in Hand Surgery, and/or Orthopaedic Surgery, and/or Plastic Surgery, and/or General Surgery
- Proof of membership in a national hand society if a member thereof
- Surgical logbook (copy of your original logbook signed by your supervisor)
- Consolidation sheet (summary of your logbook with numbers of operations in different operation categories)
- Supplementary information (including a Training post diary, Instructional courses, Research activity list, Presentations list and Publications list)
Log book of operation records
You are required to record all hand operations at which you assisted, or which you yourself performed during your tenure of all the above posts. Working diary entries should be completed after each operation as follows:
| Date: |
Date of operation |
| Patient’s initials: |
Initials only to maintain confidentiality |
| Nature of operation: |
Description of the operation, including all the procedure in a major operation. |
| P/PA/A: |
P=performed independently by yourselfPA=performed with assistance of an experienced Hand Surgeon
A=operations at which you aided as first assistant. |
Each diary sheet should be signed at the foot by your supervisor
Where complex procedures are involved that include, for example, free tissue transfer or reconstruction by tissue expansion, you may include these reconstructive procedures in addition to the other major procedures. In other multiple procedures you may list only one component.
Computerised records of operative experience
A computer generated record of a candidate’s experience will be accepted by FESSH provided it contains the information required in this log book and provided it is certified by the candidate’s supervising consultant. If the computerised record fulfils these requirements, it will not be necessary for the candidate to fill in the operation record pages in the log book, but the record of training posts held, the consolidation sheets and the record of academic activities must be completed.
Consolidation sheets
These should show the cumulative totals of the various operations of which you have experience as independent operator (P), as surgeon with supervisory assistance by your consultant (PA) and as assistant (A). The required number of procedures should be performed as independent operator (P) or as surgeon with supervisory assistance by your consultant (PA).
The recommended numbers for each category of operations shown on the cumulative sheets should not be regarded as absolute requirements but more as guidelines. Moreover because of the differences in the availability of surgical procedures performed at any given hand surgical institution, it will be possible to compensate for the deficiency in the number of operations in one group by performing an increased number of operations in another group of equal value, eg. microvascular for congenital malformations.
Training posts diary
You are required to list in chronological order all the training posts in surgery which you have held. In particular hand appointments undertaken during your training or accreditation in Orthopaedic, Plastic or Hand Surgery should be listed as well as appointments at post-accreditation level or during the tenure of a Hand Fellowship.
Academic records
This should include:
- Any special instructional courses attended.
- Research undertaken.
- Presentations at scientific meetings.
- Published work – all candidates will be expected to have published at least one paper and to have made presentations at various categories of scientific meetings.
Guidelines for Advanced Hand Surgery Training Requirements:
The goals of advanced training are to gain continued knowledge and experience in the following areas:
- normal and pathological anatomy, aetiology, epidemiology, pathogenesis and prognosis of injuries, diseases and malformations of the hand,
- in clinical, radiological and operative diagnosis of injuries, diseases and malformations of the hand, including arthroscopy and imaging techniques (standard X-rays, CT and MRI),
- indications, planning and management of conservative and operative treatment of injuries, diseases and malformations of the hand, including microsurgical procedures,
- postoperative management and programmes of rehabilitation, as well as indications for therapeutic exercises, occupational therapy and physiotherapy, and the use of splints and protheses for the hand,
- disability evaluations of patients following an injury (minimum of 5 evaluations).
The training in Hand Surgery consists essentially of one to two years’ training in an accredited centre and the performance of the suggested number of operations listed in the Consolidation Sheets.
Further information
Contact Office for information on application: examadmin@fessh.com
The Chairman and Co-chairman are always available for advice: examination@fessh.com
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