The 2019 BOA Instructional Course will take place on Saturday 12th January at the Macdonald Hotel Manchester.This one day programme will run in two parallel streams and provide curriculum driven clinical updates and critical condition assessment opportunities aimed at T&O trainees and SAS surgeons.Stream One covers: Clinical Based Discussions (CBDs) in diabetic foot; necrotising fasciitis; spinal infection and metastatic spinal compression.Stream Two covers: Foot and ankle; shoulder and elbow; hand and wrist; hip and knee, spine and paediatrics.