USA vs. UK: ASGBI Ep. 6 - Current Challenges and Hopes for the Future of Surgical Training
Behind The Knife: The Surgery Podcast
Behind The Knife: The Surgery Podcast
4.8 • 1.4K Ratings
🗓️ 18 September 2025
⏱️ 37 minutes
🧾️ Download transcript
Summary
In this episode, we delve into surgical training, current challenges, and hopes for the future of surgical training in the US and the UK. We will be discussing the advent of the EPA curriculum in the US, the current challenge of obtaining a speciality position in the UK, and tips for making the resident to attending/junior faculty transition smoothly. Dr. Jeremy Lipman represents the US while Dr. Phil Pearce represents the UK in this thought-provoking conversation.
Dr. Lipman is a colorectal surgeon at the Cleveland Clinic and the director of graduate medical education for all training programs at the Cleveland Clinic. Additionally, he is an Associate Dean for Graduate Medical Education and Professor of Surgery at Case Western Reserve University. He is passionate about surgical training and holds the James E. Sampliner Endowed Chair in Surgical Education.
Dr. Phil Pearce is a consultant in emergency general surgery in Oxford with interests in trauma, complex biliary disease, and most importantly a passion for training.
Take a listen and let us know what you think- who does surgical education and training better?
References:
Speciality training position in the NHS
https://www.ft.com/content/e4b364c3-6a20-42ee-a9a5-ab9eea441c87?utm_source=chatgpt.com
https://www.theguardian.com/society/2025/jul/02/nhs-in-england-told-to-slash-recruitment-of-overseas-trained-medics?utm_source=chatgpt.com
Surgery job market in the US
https://surgpli.com/the-state-of-surgery-as-a-career-in-2025/
EPA curriculum
https://www.aamc.org/about-us/mission-areas/medical-education/cbme/core-epas
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Transcript
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| 0:00.0 | Behind the Knife. |
| 0:25.6 | While many long-term listeners of BTK have used our podcasts and resources while in medical school, |
| 0:30.8 | we now provide resources tailored to medical student general surgery curriculum. |
| 0:35.3 | Over the past 10 years of BTK and in our day jobs, we have |
| 0:38.4 | dialed in the specifics of what medical students need to dominate their surgery rotation. |
| 0:43.0 | It contains about everything you need to include review text, video, audio segments, pictures, |
| 0:48.6 | reviewing over about 17 disciplines that you encounter during your time on service. |
| 0:53.2 | Enjoy the series and dominate the day. |
| 0:55.7 | Hello, everyone, and welcome to Behind a Knife. |
| 0:57.4 | We're back with another installment of our BTK and ASGBI collaborative series. |
| 1:01.6 | For our listeners who might not be familiar with the series, ASGBI is the Association of Surgeons of Great |
| 1:06.5 | Britain and Ireland, and within these podcasts, we compare and contrast various aspects of surgery in the |
| 1:11.9 | U.S. and UK to see who does it better. In our past few episodes, we've discussed surgical |
| 1:17.2 | training, compensation, research, and sustainability within these two landscapes. We have another |
| 1:22.6 | exciting episodes lined up for you today, so stay tuned. My name is Agnes Bramkemar, |
| 1:27.2 | I'm one of the Behind |
| 1:27.8 | the Knife Fellows for this year, and I'm a general surgery resident that will be representing |
| 1:31.5 | the U.S. side. I'm joined along with our UK-based co-host, Jared Volggement. Jared, please |
| 1:37.5 | feel free to introduce yourself. Sure. Hi, and my name's Jared Volgamut. I'm a surgical resident |
| 1:42.5 | based in the UK and the president |
| 1:45.2 | of the Moinian Academy, which is the resident group associated with the Association of Surgeons |
| 1:50.6 | of Great Britain and Ireland. It's great to be here. |
... |
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