Training in bilateral breast reduction and breast augmentation: the results of a supra-regional audit.

[INTRODUCTION] Bilateral breast reduction (BBR) and bilateral breast augmentation (BBA) represent ideal training procedures. This study prospectively audited BBR and BBA training opportunities at six plastic surgery units.

[METHODS] Operative numbers and training opportunities were audited at 6 plastic surgical units in the south west region.

[RESULTS] The results demonstrated considerable variations in training opportunities between different hospitals. In some cases, trainees did not operate on a single BBR or BBA, despite relatively high overall operative numbers. These differences did not relate to trainee seniority or patient demographics.

[CONCLUSION] The variations and deficiencies in training opportunities identified in this study may be due to a number of factors, such as local attitudes to training, external pressure on operative lists and the EWTD restrictions. These findings are unlikely to be confined to one region and should encourage wider audit of training provision.