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Programmes Information

MCS (ECSA) Information

A certificate of competence in surgery at General Medical Officer Grade (2 years training). After two years trainees should be able to take responsibility for emergency surgical admissions, deal with life-threatening situations resulting from trauma or critical illness and be able to diagnose and plan treatment for a variety of common surgical conditions.
Registering for Training

Applications to register as a trainee must be made online through the COSECSA website in the Applicant Registration section. A registration fee of USD 500 is paid online. The application must be supported by the country representative.

Programme Entry Requirements

All candidates must:

  1. Have full registration with the Medical Council of the country in which the candidate is working before the start of training.
  2. Be registered with the College and have satisfactorily completed two years of basic surgical training in recognized posts in institutions accredited by COSECSA.
Training Requirements

The two-year training:

  1. Should comprise at least six months of general surgery including emergencies and at least six months of orthopaedics with trauma
  2. The remainder of the time may be spent in any surgical specialty (including general surgery and orthopaedics).

Before sitting the MCS examination candidates must:

  1. Have successfully completed basic surgical skills, basic surgical sciences and trauma course
  2. Have completed the required number of case studies and Surgery in Africa journal club modules on the School for Surgeons e-learning platform.
  3. All candidates must keep an accurate record of their training experience prospectively in their electronic logbook.
Curriculum & Syllabus

The Curriculum and Syllabus is available through the following links:

FCS (ECSA) Information

A specialty qualification in General Surgery, Orthopaedics, Urology, Paediatric Surgery, Otorhinolaryngology, Plastic Surgery, Cardiothoracic Surgery (all 5 years training), Neurosurgery (6 years training), a sub-specialty qualification in Orthopaedic Surgery (Paediatric Orthopaedic Surgery – 2 Years) and a super-specialty in Upper Gastrointestinal Surgery and Endoscopy.

COSECSA Overall Curriculum

Sub/Super-Specialties

FCS General Surgery

The Fellowship training and examination in general surgery leads to the qualification of Fellow of the College of Surgeons of East Central and Southern Africa, FCS Gen (ECSA). For more information on training and the examination See the following important documents;

FCS General Surgery Curriculum

FCS Orthopaedics Surgery

The Fellowship training and examination in orthopaedic surgery leads to the qualification of Fellow of the College of Surgeons of East Central and Southern Africa, FCS Orth (ECSA).For more information on training and the examination See the following important documents;

FCS Orthopaedic Surgery Curriculum

FCS Paediatric Surgery

Fellowship training and examination in Paediatric Surgery leads to the qualification of Fellow of the College of Surgeons of East Central and Southern Africa, FCS Paed (ECSA).For more information on training and the examination See the following important documents;

FCS Paediatric SUrgery Regulations and Syllabus

FCS Plastic Surgery

Fellowship training and examination in Plastic Surgery leads to the qualification of Fellow of the College of Surgeons of East Central and Southern Africa, FCS Plas (ECSA). For more information on training and the examination See the following important documents;

FCS Plastic Surgery Regulations and Syllabus

FCS Urologic Surgery

The Fellowship training and examination in Urological Surgery leads to the qualification of Fellow of the College of Surgeons of East Central and Southern Africa, FCS Urol (ECSA). For more information on training and the examination See the following important documents;

FCS Urologic Surgery Regulations and Syllabus

FCS Neurosurgery

The Fellowship training and examination in Neurosurgery leads to the qualification of Fellow of the College of Surgeons of East Central and Southern Africa, FCS Neuro (ECSA). For more information on training and the examination See the following important documents;

FCS Neurosurgery Regulations and Syllabus

FCS Otorhinolaryngology Surgery

The Fellowship training and examination in Otorhinolaryngology leads to the qualification of Fellow of the College of Surgeons of East Central and Southern Africa, FCS Orl (ECSA). For more information on training and the examination See the following important documents;

FCS Otorhinolaryngology Surgery Regulations and Syllabus

FCS Paediatric Orthopaedic Surgery

The Fellowship training and examination in Paediatric Orthopaedic surgery leads to the qualification of Fellow of the College of Surgeons of East Central and Southern Africa, FCS Paed-Ortho (ECSA). To qualify for admission to this programme one must be an Orthopaedic Surgeon from any recognized institution. For more information on training and the examination See the following important documents; 

FCS Paediatric Orthopaedic Surgery

FCS Cardiothoracic Surgery

The Fellowship training and examination in Cardiothoracic surgery leads to the qualification of Fellow of the College of Surgeons of East Central and Southern Africa, FCS CTS (ECSA). To qualify for admission to this programme one must be a General Surgeon from any recognized institution. For more information on training and the examination See the following important documents;

FCS Cardiothoracic Surgery

Upper GI Surgery

The Fellowship training and examination in Upper Gastrointestinal Surgery leads to the qualification of Fellow of the College of Surgeons of East Central and Southern Africa, FCS UGS (ECSA). To qualify for admission to this programme one must be a General Surgeon from any recognized institution. For more information on training and the examination See the following important documents; 

FCS Upper Gastrointestinal Surgery 

Breast Surgery

The Fellowship training and examination in Breast Surgery leads to the qualification of Fellow of the College of Surgeons of East Central and Southern Africa, FCS BRS (ECSA). To qualify for admission to this programme one must be a General Surgeon from any recognized institution. For more information on training and the examination See the following important documents; 

FCS Breast Surgery

Surgical Endoscopy

The Fellowship training and examination in Surgical Endoscopy  leads to the qualification of Fellow of the College of Surgeons of East Central and Southern Africa, FCS SE (ECSA). For more information on training and the examination See the following important documents; 

FCS Surgical Endoscopy

Applications for 2026 Intake now Open!