Training Orthopaedic Trainers Course (TOTs)

In light of the coronavirus (COVID 19) outbreak, the BOA are not currently taking TOTs course bookings. Further information regarding BOA activities and events is available here.

The BOA are looking at holding Virtual TOTs (V-TOTs) courses; anyone interested in registering their interest should email

The Training Orthopaedic Trainers (TOTs) programme has been established to improve the standard of teaching for those in trauma and orthopaedic (T&O) training and practice. The underlying premise is that if T&O trainers understand how people learn and how the T&O curriculum works, by translating that understanding into action, they should improve their teaching.


Course Director:

An established T&O surgical trainer and our educational advisor, Lisa Hadfield-Law, facilitates each course. Over the last 20 years, Lisa has trained over 15,000 surgeons, from 68 countries within Europe, North America, Latin America, and Asia Pacific.

Learning Outcomes:

At the end of the course, participants will be able to:

  • Identify personal development needs as a trainer
  • Focus on relevant issues arising from the T&O curriculum
  • Apply principles of learning including feedback to improve teaching
  • Help learners develop capabilities:
    • Working with the multidisciplinary team
    • In the operating theatre
    • During an unselected emergency take
    • Caring for in-patients
    • In an outpatients clinic
  • Maximise opportunities in practice for:
    • Assessment
    • Small group teaching
    • Lecturing
    • Simulation & technology enhanced learning
    • Reflection
    • Supporting learners with additional needs


There will be 10 participants on each course and although TOTs is not formally assessed, we offer peer and educator led feedback. ISCP Workplace Based Assessments can be completed incorporating this feedback.

Lisa has had excellent feedback from previous course participants who have made the following comments:

“This course was all I had hoped for, in fact more so. I found it extremely stimulating and worthwhile.”

“Only through courses such as this will we improve the quality of teaching required to take orthopaedic education forward.”

“I found your course enlightening, stimulating and utterly absorbing.”

“Excellent and enjoyable course. For one who thought of himself as a conscientious teacher, I realised the usefulness of modern teaching methods.”

“All doctors need exposing to this at an early stage in their careers.”

“I’ve just had a formal feedback summary from our education lead, and I’ve seen a huge increase in quality scores. All thanks to the techniques I learned.”

“Much more useful and applicable as this was a course aimed at training orthopaedic trainers and not simply a generic teach the teacher course – specifics of the curriculum, technical skills, cases/teaching topics selected.”

“Unusual course structure, where content is inserted around participants discussions and ideas. It works really well as a technique.”

“Lisa clearly has great skill in dealing with delicate training problems.”

“The entire course was excellent. It made me think differently about my entire approach to teaching and learning.”

Course Fees: 

We have made every attempt to keep the course fee to the minimum and will hold the programme at the BOA, unless stated otherwise. The course fee is £400 for BOA members for the two days (£700 for non members). This covers lunch and refreshments on both days.

Fees are payable at the time of registration. Please note that once a place is confirmed, there is a no-refund policy as the budgets are too tight to cope with any last minute cancellations.