Surgeons and the new deal--good deal or raw deal?

New regulations concerning the training of junior doctors are being introduced. The effect of some of these is already beginning to be noted and the new style Calman training will be introduced shortly. In the South East Thames the implications of Calman type training programme have been piloted in a unified registrar training grade in general surgery for the last three years. It seems an appropriate time to reflect on the changes already operational and the impact of those to come.