Specialisation creep

doi:10.1136/bmj.331.7523.1031-a

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This article has a correction

Please see: Rethinking breast screening—again

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Kevin Barraclough, general practitioner

Painswick, Gloucestershire

Over the past 15 years the service provided by our local hospitals has altered dramatically. Juniors are less visible and there are large numbers of new consultants. Mostly these changes have been beneficial. The old diagnosis, ubiquitous in elderly people, of someone with “a bit of heart failure and a chest infection” is less common, and not everyone who has a transient neurological episode has a “TIA.” Whereas back then you got the impression that …