315:"Primarily as the delivery of expert clinical care usually within a team, including the ability to recognise and manage the more complex end of the specialty spectrum (diagnosis, management decisions, difficult cases, including apparently simple cases which have a high incidence of complications in more inexperienced hands) but also involved in running departments, managerial decisions, teaching, training, researching, developing local services – generally being involved in the wider management and leadership of the organisations they work in, and the NHS generally."
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278:(CCT) in any of the recognised specialities, but academics with substantial publications and international reputation may be exempted from this requirement, in the expectation that they will practice at a tertiary level. "Locum consultant" appointments of limited duration may be given to those with clinical experience, with or without higher qualifications.
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The time required to become a consultant depends upon a number of factors, but principally the speciality chosen. Certain specialities require longer training, or are more competitive, and therefore becoming a consultant can take longer. Other specialities are relatively easy to progress through, and
269:
The primary objective of a consultant is to use expert knowledge and skill to diagnose and treat patients and ultimate clinical responsibility for their care. A physician must be on the
Specialist Register before they may be employed as a substantive consultant in the
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Other doctors - some without a CCT, a few who have only just obtained that qualification, others who have retired from substantive appointments, and others who wish to use some of their annual leave to generate additional earnings - may be employed as
405:
In the UK all doctors including consultants have the right to undertake private medical work. Some make a career out of private medical practice. For others it is used to supplement their work for the NHS.
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positions. Various titles (such as senior consultant, clinical director, medical director, lead consultant etc.) exist for consultants who have particular responsibilities for the overall management of the
371:
consulting, emotions, beliefs, sensitive topics, difficulty communicating and prognosis interpretation, or patients expectations despite critical illness are some of the challenges faced by the consultant.
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This report from 2008 describes how most consultants work now and it describes what the 2003 contract was intended (by BMA negotiators at least) to remunerate and develop (a consultant-based service).
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The term consultant may also be prefixed to other non-medical high specialist leadership roles in UK Healthcare settings such as
Consultant Nurse, Consultant Dietician, Consultant Paramedic and
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Training is competency based, times shown are a minimum. Training may be extended by obtaining an
Academic Clinical Fellowship for research or by dual certification in another speciality.
342:, all training to work in the consultant's speciality, as well as other "career grade" doctors such as clinical assistants, clinical fellows, Speciality Doctors, Associate Specialists and
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In terms of patient care, consultation times are controversial ground, with quality of communication is key over quantity of time spent with the client.
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Consultants in the NHS start £88,364 (Threshold 1) to £119,133 (Threshold 8) with additional "Clinical excellence awards" available.
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came into operation (in early 2007), the length of training was fixed for the majority of doctors, at about nine years.
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Training may be extended by pursuing medical research (usually 2–3 years), usually with clinical duties as well
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Caplan, Richard; Ramirez, Amanda; Graham, Jill; Richards, MichaelA.; Cull, Ann; Gregory, WalterM. (June 1996).
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doctors. They also have numerous other key roles in the functioning of hospitals and the wider health service.
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Most consultants work on a long-term contract with one or more hospital trusts, and these posts are known as
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Cohn mentions that "the consultant should try to support the referring physician and comfort the patient."
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285:. These are roles undertaken by Non Medical Practitioners in posts agreed by the Department of Health.
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The
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The
British Medical Association is the trade union and professional body for doctors in the UK
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In South East Asian countries, practitioners who have at least post graduation degree like
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Please help update this article to reflect recent events or newly available information.
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it is possible for a doctor to become a consultant much earlier in their career. After
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and more than 10 years of clinical experience in treating patients are labelled as
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Partain, Daniel K.; Strand, Jacob J. (2018), Robinson, Maisha T. (ed.),
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A consultant typically leads a "firm" (team of doctors) which comprises
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Oxtoby, Kathy (2012). "Is private practice losing its appeal?".
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906:"Common Challenges in a Palliative Medicine Consultation"
779:"Clinical Fellow | NIH Office of Intramural Research"
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Consultant, minimum 7–9 years total time in training
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Domain-specific challenges for consultants exist. In
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Title of a senior hospital-based physician or surgeon
144:. Unsourced material may be challenged and removed.
581:Oxtoby, Kathy. "Professional Roles Are Blurring".
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1065:Healthcare occupations in the United Kingdom
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489:hospital speciality (SpR), minimum 5 years
71:Learn how and when to remove these messages
542:, minimum 7 years total time in training
484:general practice (GPST), minimum 3 years
222:Learn how and when to remove this message
204:Learn how and when to remove this message
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250:is the title of a senior hospital-based
983:"Pay scales for consultants in England"
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910:Case Studies in Neuropalliative Care
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686:"The role of the medical consultant"
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851:"Stress in hospital consultants"
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355:Consultation time vs. quality
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1006:Oxtoby, Kathy (2009-01-07).
802:Oxtoby, Kathy (2010-05-26).
630:"The role of the consultant"
598:(equivalent position in the
471:minimum 2 years; often more
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266:in their chosen speciality.
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661:"UK Government Web Archive"
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583:BMJ (Clinical research ed.)
436:Modernising Medical Careers
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32:Consultant (disambiguation)
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516:General practitioner,
402:or some part thereof.
395:substantive consultant
585:(2009): a3163. Print.
487:Specialty registrar,
283:Consultant Pharmacist
804:"Consultation times"
527:General practitioner
498:Specialist registrar
467:Senior house officer
336:Specialty Registrars
138:improve this article
30:For other uses, see
743:(7458): s22.2–s22.
596:Attending physician
480:Specialty registrar
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369:palliative medicine
264:specialist register
242:, and parts of the
508:registrar, 1 year
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340:Foundation Doctors
290:Doctor of Medicine
18:Medical consultant
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960:10.1136/bmj.e4446
927:978-1-108-40491-4
820:10.1136/bmj.c2554
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783:oir.nih.gov
344:staff grade
294:consultant.
1054:Categories
992:2021-04-24
933:2021-04-24
855:The Lancet
788:2021-04-24
696:(1): 1–6.
670:2023-07-31
646:2021-04-24
611:References
540:Consultant
502:4–6 years
350:Challenges
299:Definition
260:specialist
248:consultant
194:April 2021
164:newspapers
103:April 2021
57:improve it
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875:0140-6736
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710:0025-7125
550:Optional
441:Previous
434:Current (
389:Contracts
252:physician
63:talk page
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765:80328092
718:12575881
637:Archived
590:See also
400:hospital
376:Training
304:CCSC/BMA
883:8667901
256:surgeon
240:Ireland
234:In the
178:scholar
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431:Year
185:JSTOR
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602:and
523:6–8
338:and
322:Cohn
157:news
1020:doi
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1012:BMJ
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