The changing role of hospital consultants

BMJ 1995; 311 doi: https://doi.org/10.1136/bmj.311.7000.332b (Published 29 July 1995) Cite this as: BMJ 1995;311:332
  1. Stephen M Sagar,
  2. Glenn Jones,
  3. Helen Rhydderch,
  4. Barbara Thorson
  1. Consultant oncologist Consultant oncologist Clinical nurse specialist in oncology Clinical nurse specialist in oncology Hamilton Regional Cancer Centre, Hamilton, Ontario L8V 5C2, Canada

    EDITOR,--We agree with John Bailey that traditional working arrangements must be changed and that consultants should seize the initiative.1 He suggests that a hierarchical management structure, as found in Sweden and other countries, should be adopted. In contrast, we believe that consultants should support the creation of management teams within a horizontal structure.2 Each team can develop expertise in a particular specialty and should provide flexibility for each member's skills to be applied for the benefit of the patients. …

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