Some career grade doctors will also have teaching responsibility. They will often run their own clinics, have their own personal waiting lists and operate independently. Depending on experience, career grade doctors tend to focus on a few specific routine operations. They may perform a range of operations and outpatient consultations under the supervision of a consultant. These surgeons will have had some experience as a registrar (see below) and have completed at least two years of surgical training after their foundation years (except specialty surgeons, who may have just finished core training). Specialty/staff grade/career grade surgeons They too will often run their own clinics, have their own personal waiting lists and operate independently. They work under the supervision of a consultant. This might include complex surgery at which they have become expert. These surgeons carry out a wide range of surgical care, dependent on the extent of their training on the ward, in the outpatient clinic and in the operating theatre. Consultant surgeons employed by a university who have a contract with a hospital may be called honorary consultants. In teaching hospitals, consultants may be called professors, readers or senior lecturers. In order to become consultants in the NHS, their names must be on the specialist register of the GMC. Consultants usually specialise and may become highly skilled in one or two specific areas of surgery. ![]() The consultant has overall responsibility for the standards of care given to all patients by doctors in their team. While you may see your consultant at hospital appointments and on the ward, s/he may not perform your operation. ![]() The consultant is responsible for managing your care and is assisted by a team of doctors and other professionals. The surgical team consists of doctors with different levels of training, experience and responsibility, working alongside other healthcare professionals with different roles and responsibilities.
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