Five star consultantsBMJ 1994; 309 doi: https://doi.org/10.1136/bmj.309.6946.63a (Published 02 July 1994) Cite this as: BMJ 1994;309:63
- J O Drife
Theoretically, all consultants are created equal and remain so throughout their careers. This may produce a level playing field for private practice but it works to the disadvantage of the NHS. In no other walk of life is someone appointed to a secure job for 30 years with no hope of advancement and no need to keep up to date.
At present a consultant's only chance of promotion is to become a clinical director, but many clinicians regard a move into management as a retrograde step. What is needed is a career structure which formalises the natural progression that already …