This paper describes the evaluation of a two-day minor surgery trainin
g course for general practitioners and vocational trainees. The course
was developed by a team from a wide range of specialties. A pilot run
of six of these courses was held in various locations in the United K
ingdom during 1994, organized by the Royal College of General Practiti
oners and supported by the Department of Health. The courses were atte
nded by 144 participants in total: 52 general practitioners and 92 voc
ational trainees. The evaluation addressed (a) the process of training
which resulted in substantial changes being made to the original desi
gn and content of the courses; and (b) the outcome of the training in
terms of knowledge, confidence and competence. A central feature of th
e course was the use of sophisticated simulated tissue. Participant fe
edback indicated that although the simulated tissue was not considered
to be very realistic it substantially increased levels of confidence
and competence to carry out minor surgery. Knowledge on various aspect
s of minor surgery increased significantly. The feedback from the eval
uation was forwarded to a minor surgery working party at the Departmen
t of Health whose remit was to prepare guidelines for teaching, author
ising and carrying out minor surgery in general practice.