Postgraduate training in the United Kingdom is undergoing radical chan
ges following the 'Calman Report'. Commissioned in response to a Europ
ean Union (EU) Directive. this contained recommendations to allow reci
procal recognition of all EU trained specialists. We present the findi
ngs of a, postal questionnaire sent to representatives of the European
Federation of Oto-Rhino-Laryngological Societies and the utolaryngolo
gy professors of the UK and Ireland with a response I ate of 67.7%. As
pects assessed included clinical and surgical experience, examinations
, teaching, research, length, regulation and perception of training. T
he programmes share similar teaching and research experience but subst
antial differences exist in most other areas. The accredited UK traine
e has a much wider clinical and surgical repertoire than those from th
e Continent. Greek trainees were trained to the lowest minimum standar
d. The requirements of a training system are largely determined by the
revel of clinical experience and surgical skill required by an indepe
ndent specialist in a given country.