Ann Marie
I meant to add to the previous post a note about disease specific
clinicians. Diversification and specialisation are fine natural
progressions, but too much specialisation may not be a wise move as far as
the profession is concerned.
If you look at the current drive in the NHS towards managing the diabetic
foot (to the exclusion of almost everything else)we can see a whole segment
of the profession whose eggs will most certainly be in one basket. The
problem arises when a cure for that particular condition arrives - and with
the advances in stem cell technology, it might not be all that far away.
What then for a generation of pods and their monofilament and cotton wool?
The question is how far do we take specialisation and diversity within the
scope of practice, as separate entities in their own right. We could have a
Faculty of Pod Medicine; a Faculty of Pod Surgery; and a Faculty of General
Practice. Do we need a Faculty of Podiatric Diabetology or a Faculty of
Podiatric Rheumatology as well? Methinks not, but others may well take a
different view. (After all we have a Faculty of Health Service Managers
within the profession at the moment and I'd argue that either of the last
two would be more desirable and appropriate than that!)
As far as a multi-channel route for training is concerned, few would argue
against that philosophy as opposed to a one-stop-for-all qualification at
the moment. That's one of the reasons that independent schools can still
attract new placements. How do we go about tailoring courses to suit all
entrants within the current structures?
Mark Russell
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