INTRODUCTION
Specialist training in surgery has been a reality in the English-speaking Caribbean for about 30 years. Since the first graduate in 1977, there have been a further 74 graduates in the combined specialties of General Surgery, Orthopaedics, Urology, Paediatric Surgery, Neurosurgery, Otorhinolaryngology and Cardiothoracic Surgery. Through its contribution to Caribbean life, the DM surgery training programme has been and remains a major determinant of the standard of surgical care offered to Caribbean people.