Our system is supported by trainees and works within about 8.5% of GDP. In the USA it's about 16%. Extraordinarily expensive. No UK hospital invoices $12000 for an appendicectomy. Swings and roundabouts. I'm no advocate. Just pointing out differences Americans may not appreciate
second part understood. In UK responsibility falls on the senior if junior operating within competence. The consultant gives the go ahead.
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In US no surgical resident is allowed to operate without attending surgeon scrubbed in supervision. More advanced trainees may perform non-essential parts of surgery (opening, closing) without the attending present.
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I'd disagree with "non-essential" :) but sure I got what you mean. That's standard for junior trainees in the UK. Lapartomy, thoractomy, for median sternotomy (virgin thorax only!) the con is always scrubbed for obvious reasons.
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