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BMJ 2003;327:702 (27 September), doi:10.1136/bmj.327.7417.702
Geoff Watts
London
Suspending a doctor for poor performance is a drastic step. It's far better to get to the problem earlier in the day, says Alastair Scotland, head of the National Clinical Assessment Authority
| The first 150 words of the full text of this article appear below. |
A switch from plastic surgery to public healthfrom the most hands-on specialty to one of the leastis surely not among the more common career moves in medicine. But such is the route that Alastair Scotland has followed to his present job as chief officer and medical director of the National Clinical Assessment Authority.
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Alastair Scotland (pictured): when employers don't follow his recommendations, he would like to know the reason why, but he doesn't want them bludgeoned into line
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"If you've ever done surgery, you do miss the excitement, the hurly burly of the acute situation," he admits. However, if part of the appeal of medicine is being able to observe the human drama at first hand, running the new authority is hardly short of dramainvolving as it does advising on what to do for and about doctors in difficulty.
Perhaps even a bit too dramatic: isn't it depressing to have
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