In surgery, a common trunk program of 3 years,

which Selleck EX-527 includes a 9-month primary health care rotation, was designed to familiarize the resident with basic surgical techniques while working in a central or district hospital under the supervision of a more senior surgeon and learning to perform independently the more common basic surgical emergency operations such as appendectomies, incarcerated hernia operations, fixation of ankle fractures etc. After the common trunk period, another 3-year period in one of the university hospitals is required in one of the following fields: gastroenterological surgery, cardiothoracic surgery, check details vascular surgery, urology, orthopedics and traumatology, hand surgery, plastic surgery, pediatric surgery, MK5108 concentration and general surgery. The new law created 2 new specialties, vascular surgery (separated from cardiothoracic surgery) and general surgery (an independent specialty). Oral and maxillofacial surgery and neurosurgery are also main specialties with a 6-year training program but are not following the common trunk training program of other fields of surgery. Theoretical

education of 100 hours and a national examination are part of all specialization programs. There is no emergency surgery specialty in Finland. Surgeons specialized in orthopedics and traumatology look after most of the polytrauma patients, whereas visceral injuries are largely managed by organ-specific specialists, at least in bigger hospitals. Future directions The current specialization system is in harmony with the European Union requirements and will guarantee the supply of well-trained surgeons for specialized elective surgery.

However, it is seriously deficient in providing surgical competence for managing Dynein acute surgical problems, in terms of knowledge, decision making and technical skills. General surgical knowledge and skills are eroding rapidly and this has caused great concern among the surgical profession in Finland. Inevitably this will lead to increasing centralization of trauma and emergency surgery services, a trend that is already visible in many parts of the country. A new law on medical education is under preparation and will probably be effective within the next 1–2 years. Among other things, it lengthens the common trunk period with one year, and effectively the overall training period from 6 to 7 years. It also seems to end the role of general surgery as an independent specialty. Whether this will alleviate the problems associated with the current training system is questionable. The Finnish Society of Surgery has taken the initiative to urge for complete reorganization of the surgical services based on a regionalized model.