304:"Primarily as the delivery of expert clinical care usually within a team, including the ability to recognise and manage the more complex end of the specialty spectrum (diagnosis, management decisions, difficult cases, including apparently simple cases which have a high incidence of complications in more inexperienced hands) but also involved in running departments, managerial decisions, teaching, training, researching, developing local services – generally being involved in the wider management and leadership of the organisations they work in, and the NHS generally."
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267:(CCT) in any of the recognised specialities, but academics with substantial publications and international reputation may be exempted from this requirement, in the expectation that they will practice at a tertiary level. "Locum consultant" appointments of limited duration may be given to those with clinical experience, with or without higher qualifications.
369:
The time required to become a consultant depends upon a number of factors, but principally the speciality chosen. Certain specialities require longer training, or are more competitive, and therefore becoming a consultant can take longer. Other specialities are relatively easy to progress through, and
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The primary objective of a consultant is to use expert knowledge and skill to diagnose and treat patients and ultimate clinical responsibility for their care. A physician must be on the
Specialist Register before they may be employed as a substantive consultant in the
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Other doctors - some without a CCT, a few who have only just obtained that qualification, others who have retired from substantive appointments, and others who wish to use some of their annual leave to generate additional earnings - may be employed as
394:
In the UK all doctors including consultants have the right to undertake private medical work. Some make a career out of private medical practice. For others it is used to supplement their work for the NHS.
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positions. Various titles (such as senior consultant, clinical director, medical director, lead consultant etc.) exist for consultants who have particular responsibilities for the overall management of the
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consulting, emotions, beliefs, sensitive topics, difficulty communicating and prognosis interpretation, or patients expectations despite critical illness are some of the challenges faced by the consultant.
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This report from 2008 describes how most consultants work now and it describes what the 2003 contract was intended (by BMA negotiators at least) to remunerate and develop (a consultant-based service).
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The term consultant may also be prefixed to other non-medical high specialist leadership roles in UK Healthcare settings such as
Consultant Nurse, Consultant Dietician, Consultant Paramedic and
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Training is competency based, times shown are a minimum. Training may be extended by obtaining an
Academic Clinical Fellowship for research or by dual certification in another speciality.
331:, all training to work in the consultant's speciality, as well as other "career grade" doctors such as clinical assistants, clinical fellows, Speciality Doctors, Associate Specialists and
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In terms of patient care, consultation times are controversial ground, with quality of communication is key over quantity of time spent with the client.
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Consultants in the NHS start £88,364 (Threshold 1) to £119,133 (Threshold 8) with additional "Clinical excellence awards" available.
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came into operation (in early 2007), the length of training was fixed for the majority of doctors, at about nine years.
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Training may be extended by pursuing medical research (usually 2–3 years), usually with clinical duties as well
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Caplan, Richard; Ramirez, Amanda; Graham, Jill; Richards, MichaelA.; Cull, Ann; Gregory, WalterM. (June 1996).
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doctors. They also have numerous other key roles in the functioning of hospitals and the wider health service.
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Most consultants work on a long-term contract with one or more hospital trusts, and these posts are known as
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Cohn mentions that "the consultant should try to support the referring physician and comfort the patient."
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274:. These are roles undertaken by Non Medical Practitioners in posts agreed by the Department of Health.
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The
Central Consultants and Specialists Committee (CCSC), which is a Standing Committee of the
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The
British Medical Association is the trade union and professional body for doctors in the UK
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In South East Asian countries, practitioners who have at least post graduation degree like
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Please help update this article to reflect recent events or newly available information.
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it is possible for a doctor to become a consultant much earlier in their career. After
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and more than 10 years of clinical experience in treating patients are labelled as
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Partain, Daniel K.; Strand, Jacob J. (2018), Robinson, Maisha T. (ed.),
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A consultant typically leads a "firm" (team of doctors) which comprises
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Oxtoby, Kathy (2012). "Is private practice losing its appeal?".
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895:"Common Challenges in a Palliative Medicine Consultation"
768:"Clinical Fellow | NIH Office of Intramural Research"
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Consultant, minimum 7–9 years total time in training
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Domain-specific challenges for consultants exist. In
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Title of a senior hospital-based physician or surgeon
133:. Unsourced material may be challenged and removed.
570:Oxtoby, Kathy. "Professional Roles Are Blurring".
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1054:Healthcare occupations in the United Kingdom
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478:hospital speciality (SpR), minimum 5 years
60:Learn how and when to remove these messages
531:, minimum 7 years total time in training
473:general practice (GPST), minimum 3 years
211:Learn how and when to remove this message
193:Learn how and when to remove this message
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239:is the title of a senior hospital-based
972:"Pay scales for consultants in England"
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263:(NHS). This usually entails holding a
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899:Case Studies in Neuropalliative Care
679:The Medical Clinics of North America
675:"The role of the medical consultant"
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654:webarchive.nationalarchives.gov.uk
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41:This article has multiple issues.
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720:Stebbing, Justin (2004-07-17).
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412:Medical career grades of the
344:Consultation time vs. quality
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995:Oxtoby, Kathy (2009-01-07).
791:Oxtoby, Kathy (2010-05-26).
619:"The role of the consultant"
587:(equivalent position in the
460:minimum 2 years; often more
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255:in their chosen speciality.
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650:"UK Government Web Archive"
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572:BMJ (Clinical research ed.)
425:Modernising Medical Careers
372:Modernising Medical Careers
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1049:Consulting occupations
505:General practitioner,
391:or some part thereof.
384:substantive consultant
574:(2009): a3163. Print.
476:Specialty registrar,
272:Consultant Pharmacist
793:"Consultation times"
516:General practitioner
487:Specialist registrar
456:Senior house officer
325:Specialty Registrars
127:improve this article
19:For other uses, see
732:(7458): s22.2–s22.
585:Attending physician
469:Specialty registrar
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358:palliative medicine
253:specialist register
231:, and parts of the
497:registrar, 1 year
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329:Foundation Doctors
279:Doctor of Medicine
1013:10.1136/bmj.a3163
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916:978-1-108-40491-4
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772:oir.nih.gov
333:staff grade
283:consultant.
1043:Categories
981:2021-04-24
922:2021-04-24
844:The Lancet
777:2021-04-24
685:(1): 1–6.
659:2023-07-31
635:2021-04-24
600:References
529:Consultant
491:4–6 years
339:Challenges
288:Definition
249:specialist
237:consultant
183:April 2021
153:newspapers
92:April 2021
46:improve it
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1007:: a3163.
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539:Optional
430:Previous
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241:physician
52:talk page
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626:Archived
579:See also
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365:Training
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245:surgeon
229:Ireland
223:In the
167:scholar
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591:and
512:6–8
327:and
311:Cohn
146:news
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