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Message from the Secretary

Deirdre Watson

By the end of 1999, more than thirty-five cardiothoracic trainees are expected to have their Certificate of Completion of Specialist Training. There is an understandable anxiety amongst this group about the availability of consultant posts. There is considerable concern about the failure of a number of hospitals to recruit full-time thoracic surgeons. At present it is estimated that there are eleven such posts available in the UK, many of them have not even gone to advertisement because of the recognised absence of suitable candidates. At the Annual Business Meeting in March, the Executive was charged with looking into this problem and a Thoracic Surgical Working Party has already been set up and it is expected that its deliberations will be brought to the membership before the year's end. Standing back from these two dilemmas, there seems to be a clear cut and simple solution to both problems - some of the cardiothoracic traineesshould declare their interest in thoracic surgery. If they feel they are less well trained in thoracic surgery than cardiac, as the majority are because of the service demands of the training programmes, there is ample good will to arrange to improve on that experience by arranging for them to spend time in busy thoracic units, if necessary away from their base rotation. This would be an ad hoc answer to a problem that requires a long-term solution but any interested senior higher surgical trainees should contact their programme directors, the Society's Postgraduate Dean or any of the officers of the Society who would be only too happy to discuss individual's aspirations.

Another matter of increasing concern that has come to the fore since the Annual Business Meeting is the rapidly changing workload of consultants. This is being discussed in many fora but the Executive has taken the view that the Society must make recommendations on an appropriate workload for cardiothoracic surgeons and a working party chaired by the Vice-President, Jim Monro, has been established. Anyone wishing to make their views known should contact Mr. Monro at Southampton General Hospital directly.

The printed paper production of this twice yearly Bulletin is entirely my responsibility but the professional printing and entire cost of the prodution is generously born by Ethicon who have magnanimously underwritten producton of The Bulletin for a further two years. If you feel it is a useful part of the Society's communications, please keep your contributions rolling in - they do not have to be invited!

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