Table 1.

Key features of each of the four training programmes

Feature of programme	Scotland	Ireland	Wessex	Bristol
Access to portable simulator	✓	✓	✓	✓
Simulator type	EoSim	EoSim	EoSim	EoSim
Access to online training module	✓	✓	✓	✓
Module type	EoSim core	EoSim core	EoSim core	EoSim core
Technical support	✓	✓	✓	✓
Clear goals	✓	✗	✓	✓
Metric feedback	✓	✗	✓	✓
Individualised feedback from superior	✓	✗	✓	✓
Attainment of eCertificate	✓	✗	✓	✓
Mandated	✗	✗	✓	✓

All trainees were given an EoSim simulator (EO Surgical, Edinburgh) with access to the online core training module (including tasks such as peg threading, precision cutting and dice stacking). In keeping with the principles of deliberate practice, all trainees had access to a portable simulator, giving them an opportunity to engage with repetitive practice. In addition, clear, achievable goals were set and most groups of trainees were provided with at least one form of feedback