Specialty and Associate Specialists (SAS)

The BOA believes that meeting the professional development needs of our SAS colleagues is essential at both an organisational and individual level.  Sustaining good quality services for NHS patients requires all surgeons to remain up to date with advances in trauma and orthopaedic surgery and this is as relevant for SAS as those in training or at consultant level. 

British Orthopaedic Association and SAS Career Development Position Statement


We recognise Specialty & Associate Specialist (SAS) surgeons or Locally-Employed Doctors (LEDs) will have distinct needs for career and educational support specific to their situation.

We are building a resource to assist with SAS career development and will be developing and adding T&O specific resources to these pages on a regular basis. If there are resources that you would find helpful in developing your career we would love to hear from you at info@boa.ac.uk.

Useful Links and Resources

Contracts and Jobs Planning

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SAS Contract

This guidance covers the terms and conditions of the SAS doctors 2008 contracts, for all nations, and of the 2021 specialty doctor and specialist contracts.

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The 2021 specialist grade explained

The new 2021 specialist contract presents new career opportunities for SAS grade doctors. Read the BMA guidance.

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BMA Guide - Job Planning

From recording your activities to managing conversations in your job plan review, our guidance and Dr Diary app helps you to stay on top of your job plan, guiding you through the process.

BMA - SAS Charter image

BMA - SAS Charter

The SAS charter was created by the BMA and NHS employers to help SAS doctors with their development and provide opportunities in their workplace.

RCSEng Guidance - Job Plans for SAS surgeons image

RCSEng Guidance - Job Plans for SAS surgeons

Guidance from The Royal College of Surgeons of England SAS Committee. Quality indicators for job plans for SAS surgeons.

Curriculum and Exams

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CCT Curriculum

This resource contains the curricula documents for specialty training in trauma and orthopaedic surgery.

eLogbook - the Pan-Surgical Electronic Logbook image

eLogbook - the Pan-Surgical Electronic Logbook

The eLogbook has been developed in close co-operation with the Specialty Associations to provide a whole of life service to surgeons of whatever specialty. It will build up a complete record of your work, it will inform appraisals, it can contain a record of your CPD and shortly it will be able to provide reports in support of re-validation and re-certification.

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JCIE Exam

The JCIE is responsible, in line with the statutory requirements of the GMC Postgraduate Board, to the four surgical Royal Colleges of Great Britain and Ireland, for the supervision of standards, policies, Regulations and professional conduct of the Specialty Fellowship Examinations.

Certificate of Eligibility for Specialist Registration (CESR)

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GMC - Specialty specific guidance for CESR

The Joint Committee on Surgical Training and GMC have produced guidance documents for both the previous and current version of the T&O curriculum.

Eligibility for Specialist Registration (CESR) - JCST guidance for applicants image

Eligibility for Specialist Registration (CESR) - JCST guidance for applicants

This document provides guidance and information on the CESR requirements for applicants in surgical specialties.

Wider Resources

Royal College of Surgeons of Edinburgh - SAS Resources image

Royal College of Surgeons of Edinburgh - SAS Resources

The RCSEd website has further guidance and resources supporting SAS grade surgeons

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Royal College of Surgeons of England - SAS Surgeon Resources

The Royal College of Surgeons of Englang’s SAS committee works to represent all SAS grade surgeons and is committed to supporting their career progression.

Academy of Medical Royal Colleges - SAS Doctors image

Academy of Medical Royal Colleges - SAS Doctors

Specialty and Associate Specialist (SAS) doctors are a diverse group, ranging from doctors/dentists with 4 years’ experience to senior doctors/dentists practising independently.

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GMC - Outreach Advisors

The GMC outreach team works across the UK to improve understanding of their guidance. They explain how their processes work and promote their standards. They also collaborate with the service to understand the issues faced at local level.