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The Royal Colleges of Surgeons in the U.K. and Ireland have real concerns about the inequity of care in low- and middle-income countries (LMICs). These organizations also recognize the opportunities that exist to contribute to system strengthening and to develop standards, education, assessment, and advocacy initiatives in order to enhance access to quality surgical care. A particularly important area of this work relates to the contextualized provision of curriculum development and suitable clinical examinations that allow surgeons to benchmark their training and skills against an internationally recognized standard. The Royal Colleges of Surgeons in the U.K. and Ireland work together to contribute to the development and delivery of these activities and provide career-long support for their fellows and members who work to end health care disparities in LMICs.

This article describes contributions from the four surgical Royal Colleges in the U.K. and Ireland. Much of this work is collaborative, especially in relation to advocacy and support for the mission of the World Health Organization (WHO), as well as in curriculum development, quality assurance, and the assessment of young surgeons. These efforts are coordinated activities, and this article summarizes the main areas in which we operate.