General Junior trainees will be expected to perform:

• Small bowel anastomosis – using porcine bowel and hand-sewn technique
• Stoma formation and siting – using porcine bowel and skin
• Inguinal and femoral hernia repair – using a model developed by the Programme which offers more realistic anatomical landmarks, as well as dissection of the spermatic cord and mesh placement/fixation
• Laparoscopic appendicectomy – using a synthetic model made in-house.
• Laparoscopic cholecystectomy – using a porcine tissue model. This model allows for division, mobilisation and ligation of the vessels and use of diathermy to remove the gall bladder.
• Colorectal anastomosis – using porcine large bowel in conjunction with pelvic jigs supplied by Annex Art. Hand-sewn technique
• Laparoscopic suturing – using box-trainers to allow practice of stitching and knot tying techniques on a range of substrates, including both tissue and synthetic skin pads
• Gastrojejunostomy and surgical management of emergency upper gastrointestinal procedures - using hand-sewn technique on porcine stomach and small bowel, on a bench-top model
• Vascular anastomosis – latex artery models that allow for end-to-end, longitudinal and transverse anastomoses

Trainees attached to an ST5 or ST6 Breast post will be expected to perform:

• Wide local excision
• Breast imaging and needle localisation/biopsy
• Nipple reconstruction
• Sentinel lymph node biopsy
• Wire-guided surgery
• Axillary node clearance
• Skin sparing mastectomy and breast reconstruction
• Breast reconstruction post mastectomy
• Lipomodelling 

Trainees attached to an ST5 or ST6 Colorectal post will be expected to perform: 

• Hand-sewn and stapled ileoanal pouch formation - using porcine bowel to create a pouch on the bench-top
• Colo-anal anastomosis – using porcine bowel on bench-top simulators, and allowing training with the Eisenhammer retractor
• Total mesorectal excision - using human cadavers
• Laparoscopic suturing– using box-trainers to allow practice of stitching and knot tying techniques on a range of substrates, including both tissue and synthetic skin pads
• Haemorrhoid surgery and treatments
• Stoma closure
• Laparoscopic TAPP inguinal hernia repair - using Professor Dietz's synthetic model
• Fistula surgery - using Eisenhammer retractors, Lockhart-Mummery probes and fistula probes on simulated peronium
• Laparoscopic right hemicolectomy - using the Programme's synthetic model

Trainees attached to an ST5 or ST6 Transplant post will be expected to perform:

• Back Table Kidney Preparation (Benching)
• Ureteric Techniques - standard, duplex, etc
• Kidney Transplant (Advanced Vascular)- anastomotic techniques on arteries and veins, vein elongation techniques, living/deceased donor vessels, single/multiple vessels, etc
• Full abdominal retrieval and benching - using human cadavers
• Dialysis Access Surgery

Trainees attached to an ST5 or ST6 Upper GI or HPB post will be expected to perform:

• Laparoscopic gastrojejunostomy – focusing on stapling technique and continuous stitching
• Laparoscopic suturing – using box-trainers to allow practice of stitching and knot tying techniques on a range of substrates, including both tissue and synthetic skin pads
• Laparoscopic fundoplication and Heller’s myotomy – using a hybrid porcine tisuue and synthetic model allowing manoeuvring of the fundus around the oesophagus via manipulation through the crus
• Laparoscopic TAPP inguinal hernia repair - using Professor Dietz's synthetic model
• Oesophagogastric anastomosis – using a jig to simulate depth and the awkward angles involved in this procedure.  Parachute technique can also be used
• Total gastrectomy, oesophagojejunal anastomosis, splenectomy
• Common bile duct exploration - using choledochoscopes and baskets to extract foreign bodies from porcine tissue
• Pancreaticojejunostomy and pancreaticogastrostomy
• Biliary bypass surgery

Trainees attached to an ST4, ST5 or ST6  Vascular post will be expected to perform: 

• Femoral popliteal bypass – using a synthetic model from Limbs and Things
• Endovascular aneurysm repair workshop – double session – all day
• Carotid endarterectomy– involving removal of a plaque from a synthetic filled carotid artery and subsequent arterial repair
• Endovenous Laser Therapy workshop – double session – all day
• Femoro-distal anastomosis– using a synthetic model from Limbs and Things to practice open techniques
• Abdominal aortic aneurysm repair– using a synthetic model from Limbs and Things, incorporating aortic, common iliac and internal iliac aneurysms
• Dialysis access surgery - using a synthetic model