Posted by: Witch Doctor | October 17, 2007

The future role of the specialist

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THE SPECIALIST AND THE CONSULTANT

Here’s more from the NHS employers document.

“The future role for specialists holding certificates of completion of training (CCT) may differ from that of today. Not all trained doctors will want to take on the teaching and managerial aspects involved in a consultant position, just as consultant and GP principal opportunities may not be available for all trained doctors. What is clear is that we need to value doctors’ clinical skills and contribution, irrespective of grade.

Skills, competencies again.

They are planning a service taking into account the large intake of females into medical schools.

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“With shorter training pathways and less emphasis on experiential learning, the CCT holder of the future will not be the same as the CCT holder of the past. Trained doctors will be competent doctors, but it will need to be recognised that they may not possess the same degree of clinical expertise expected of a clinically autonomous consultant.

It does not specifically say here that the specialist will be clinically autonomous. I bet they will be, My Black Cat.

“There is a general acceptance that the traditional role of non-consultant level medical staff, with the exception of doctors in training, is changing. Where they were once seen, often inaccurately, as doctors who were not able to become a consultant or GP principal, they are now increasingly valued as doctors whose clinical expertise and input is essential in a modern healthcare system.

“A more flexible career ladder should provide opportunities for doctors to practise effectively within clear limits of competence and capability, with supervision based on the level of training successfully completed. This should apply both before and after achieving a CCT.”

Hmmm. Although no-one will admit to it, My Black Cat, what is being outlined above is a sub-consultant grade for the “benefit” of the large influx of women into medicine.

And the benefit of saving money.

And the benefit of weakening the “profession.”

That is what it’s about, isn’t it.

Remember the fuss when Dame Carol Black commented that a large intake of women would weaken the medical profession.

Remembering this, it suggests Dame Carol Black’s role in the development of MTAS/MMC was complex, and perhaps not what it seems.

Like the role of Sir Liam Donaldson, who consistently says we need more doctors.

Both of them are very, very quiet.

Do they welcome The Tooke Report?

We think they do, don’t we, My Black Cat?

It seems that the government’s plan is to have a few costly Level 9 consultants, largely male, and many more Level 7 and 8 specialists, less costly, both male and female.

Men or women, it will be very difficult to get hold of a Level 9 consultant post.

Much more difficult than it is today.

Isn’t that the plan, My Black Cat?

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