Introduction to Severn Trauma and Orthopaedic Training

Severn PGME is highly regarded as being one of the optimal regions for trauma and orthopaedic training in the UK. The programme ranks 1st nationally for overall satisfaction in the 2015 GMC survey. We have over 95% pass rate for FRCS (Tr & Orth) due to a fantastic teaching programme featuring internationally renowned local and national speakers.

We have a specific group for registrars locally (Bristol Orthopaedic Registrar's Group aka BORG), which exists to support the trainees both academically and socially. It produces an annual publication JBORG, with the most recent edition attracting praise from Clare Max, President RCS (Eng), who commented on the excellent nature of the publication.

This is an excellent place to conduct orthopaedic training, with a high level of satisfaction and an excellent conversion to permanent consultant jobs. Further information can be found on our website and from the BORG chairman.

Hospitals on Rotation

The Trauma and Orthopaedic training programme is six years in duration. During their time on the training programme, trainees will rotate through all of the following hospitals:

  • Bristol Children's Hospital - major trauma centre (paediatrics) for the southwest. One of the largest paediatric centres in the country, with specialist services across the spectrum of orthopaedics from limb reconstruction to osteogenesis imperfect and skeletal dysplasia.
  • Bristol Royal Infirmary - teaching hospital, where jobs are predominantly a trauma rotation. Features the limb reconstruction unit and the orthopaedic hand surgeons in Bristol.
  • Gloucestershire Royal Hospitals (Gloucester and Cheltenham) - Gloucester is one of the busiest trauma hospitals on rotation and features a previous winner of the silver scalpel (best UK surgical trainer) - Chris Curwen. Cheltenham is predominantly elective based.
  • Great Western Hospital (Swindon) - unique hospital on rotation as it features trainees from Oxford and London rotations plus Severn. Has a large database to facilitate audit and research projects. 
  • Musgrove Park Hospital (Taunton) - another busy district hospital with a particularly busy spinal unit and the full range of orthopaedic services provided. Rated as one of the friendliest units on rotation.
  • Royal United Hospital (Bath) - busy district general hospital, with a large trauma workload. Also has an extensive elective practice featuring upper limb, lower limb, and spine.
  • Southmead (Bristol) - major trauma centre (adults) for the region. Also incorporates the Avon Orthopaedic Centre, the predominant Bristol elective practice. Jobs are split into either trauma or elective rotations. Features current BORG trainer of the year Mez Acharya.
  • Weston General Hospital - one of the smaller district general hospitals on rotation, Weston covers all subspecialties of orthopaedics with the exception of spinal and paediatrics. A busy arthroplasty centre.
  • Yeovil District Hospital - another of the smaller units on rotation, with a a full range of non-spinal elective orthopaedics provided.

Recent Trainee Achievements

  • BOTA Committee members - Danny Ryan (Education Rep), Payam Tarassoli (Academic Rep), Marshall Sangster (SAC Rep)
  • National Medical Director’s Clinical Fellow to the GMC - Peter Dacombe
  • Fellow to the Royal College of Surgeons of England - Johnny Matthews
  • BOFAS Travelling Fellowship - Alasdair Bott
  • BOTA/Heraeus Travelling Fellowship - Nathanael Ahearn
  • IOSUK/BOTA Travelling Fellowship - Damian Clark
  • Sir Ratanji Dalal Tropical Medicine/Surgery Research Scholarship - Henry Burnand
  • Severn Deanery Trainee of the Year - Brett Rocos


  • Social events: Christmas dinner; Summer BBQ; Golf Day
  • Christmas Presentation Day
  • Post-teaching drinks in the Cambridge Arms every Friday

Trauma and Orthopaedic Surgery

Trauma and Orthopaedic Surgery is a specialty dealing with injuries, congenital and acquired disorders of the bones, joints and their associated soft tissues, including ligaments, nerves and muscles.

Most consultants contribute to an emergency trauma workload dealing with bony and soft tissue injuries admitted through their local A&E Departments. The vast majority of surgeons also have a specialist elective interest in orthopaedic conditions often based on an anatomical region of the body including the following:

  • Lower limb joint reconstruction (hip and knee replacements and associated procedures)
  • Hip surgery
  • Knee surgery (bony and soft tissue)
  • Ankle and foot
  • Upper limb (shoulder and elbow)
  • Upper limb (hands)
  • Spine
  • Bone tumour surgery
  • The surgery of childhood
  • Rheumatoid surgery
  • Complex trauma surgery

Some surgeons have very highly specialised practices in one of these areas and a few do not take part in general trauma surgery.

The award of a Certificate of Completion of Training (CCT) occurs at the completion of training once the Trainee has demonstrated a range of generic medical skills including teamworking and communication as well as well as evidence of competence in the general practice of orthopaedic and trauma surgery. By the time they acquire the CCT they may already have developed a special interest in one of the above named areas.

The curriculum for T&O training is modular with the trainee rotating through a series of attachments aimed at providing a comprehensive appreciation of the range of disorders likely to present in his or her later professional life.

Further information on T&O training is available from the ISCP website.


Trauma & Orthopaedic ARCPS

ARCPS for Trauma & Orthopaedics for 2019 will be held in Severn PGME as follows:

  • 9th January 2019
  • 17th June 2019 (for those due to CCT or going on Fellowship only)  
  • 19th July 2019
  • 26th July 2019