The Continuum of Training in Trauma and Orthopaedic Surgery was established by the Irish Institute for Trauma and Orthopaedic Surgery in 1999,
as a means to regularise Higher Surgical Training in Ireland.
The Institute oversees the Continuum in Orthopaedics on behalf of the Irish Surgical Postgraduate Training Committee (ISPTC), which is responsible in turn to the Joint Royal Colleges of Surgeons of Great Britain and Ireland. These bodies work to set standards and provide a continuity of training for six years. On satisfactory completion of a designated course of study, all Trainees sit their Exit Examination, or Intercollegiate Examination in Trauma and Orthopaedic Surgery and are awarded a
Certificate of Completion of Specialist Training.