Tom completed his undergraduate and basic surgical training at the Bristol Royal Infirmary. He moved to Oxford in 2004 and completed a D.Phil in Surgery at the University of Oxford. He was then appointed as a Clinical Lecturer in Urology in the Nuffield Department of Surgical Sciences, University of Oxford.

In this post he combined research with specialist registrar training in Urology in the Oxford Deanery. For the final two years of his training, he trained as a robotic surgeon under the mentorship of Prof Freddie Hamdy at the Churchill Hospital, Oxford.