Application for Accreditation - Breast Surgery - The College of ...

THE COLLEGE OF SURGEONS OF HONG KONGAPPLICATION FOR ACCREDITATION OFSUBSPECIALTY TRAINING PROGRAMME IN GENERAL SURGERYBREAST SURGERYFrom(Hospital)The completed form should be returned to:The SecretariatThe College Of Surgeons Of Hong KongRoom 601, 6 th FloorHong Kong Academy Of Medicine Jockey Club Building99 Wong Chuk Hang RoadAberdeen, Hong Kong

1. SUPERVISOR2. STAFF LISTRankNumber3. LIST OF TRAINERS FOR THE CONCERNED SUBSPECIALTYName Rank Special Interest Sessions Year Appointed4. LIST OF TRAINEES WHO JOINED THE CONCERNED SUBSPECIALTYName Date Of Appointment Qualifications1

5. STATISTICSTotal no. of major cases in the concerned subspecialty per 6 months:SUBSPECIALITYBREASTSURGERYKEY PROCEDURESTotal Mastectomy / MRM *Breast Conserving Surgery *Axillary Dissection #Sentinel LN BiopsyWire Guide Biopsy /ROLLMicrodochectomy / Major Duct ExcisionReconstruction / OncoplasticTRAINING UNITNO. OF KEY PROCEDURES PER 6 MONTHS* The minimum number of Total Mastectomy + Breast Conserving Surgery will be at least 50. This willensure minimum number of breast cancer treated in the training unit while allowing variation of preferenceof practice in different centres.# The number also include those performed as integral component of MRM^ Procedures as chief surgeon: 70%In order to align with the basic requirement for general surgical trainer, breast surgery program will onlyaccept candidates who have > 1 year general surgery experience after exitOutpatients ClinicClinicNo. of Sessions/Week2

6. Enclose a list of publications of(a) Trainers and(b) Trainees who joined the concerned subspecialty in the past three years.7. Any other information that commends your hospital as a Training Centre forSubspecialty Training in General SurgerySigned on behalf of the Hospital Chief ExecutiveName :Signature :Date :3