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The Bulletin of The Royal College of Surgeons of England is published monthly, with the exceptions of August and December. The primary aims of the Bulletin are to keep fellows, members and affiliates of the College informed of all College activities and to provide a forum for the debate of current issues of interest and/or contention within the profession.

College activities include the activities of the Council and its boards, with particular emphasis on training and education. Outside views are sought from specialty and other clinical groups, deans and managers. Please note that every effort is made by the publishers and editors to ensure that no inaccurate or misleading opinion or statement appears in this journal. They wish to make it clear that the opinions expressed in the articles, correspondence, advertisements, etc. herein are the responsibility of the contributor or advertiser concerned and do not necessarily reflect the views of The Royal College of Surgeons of England. Further, this publication is copyright of The Royal College of Surgeons of England. All rights reserved.

Publisher: The Royal College of Surgeons of England

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Volume 91, Number 10, November 2009

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