Approved by the Royal College of Surgeons5 CPD POINTS

The training program complements the National Institute for Health Care and Excellence (NICE) recommendations that SNB is an alternative to elective neck dissection (END) and should be considered for patients with early (stage 1 & 2) mouth cancer.

However, SNB is not without its problems. It is an operator-sensitive procedure with the best units reporting false negative rates down to 5-8%. The false negative rate for new adopters ranges from 13%-40%. Only half of these patients can be rescued when clinically obvious disease appears in the neck.

The intention of this programme is to introduce H/N SNB in a uniform way across the country with a well-structured and high quality course. The objective is to have a uniform standard of SNB practice in the UK proven by low incidence of false negative results and validated through an online data base. With your collaboration, we think we can deliver on these objectives. The accuracy of the SNB test depends on a team of people working together. Consequently, the training programme is designed for hospital teams attending together.

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