Operative Outcomes and Training Equity in Appendicectomy: Are Core Surgical Trainees Getting a Fair Chance?

CSTs performed significantly fewer appendicectomies than registrars yet achieved comparable outcomes when given the opportunity. No differences were found in operative duration, complication, or readmission rates between grades. These findings support increased supervised autonomy and equitable case allocation for CSTs to ensure adequate operative exposure and preparedness for higher surgical training. National evaluation of trainee involvement in index procedures is warranted to optimise training and workforce sustainability.