Views And Reviews

Five star consultants

BMJ 1994; 309 doi: (Published 02 July 1994) Cite this as: BMJ 1994;309:63
  1. 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 …

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