How can specialty and associate specialist doctors safely transfer their skills to general practice?

Marshall and Mohite make excellent points about the General Medical Council’s discussions around specialty and associate specialist doctors working in primary care.1As a specialty and associate specialist doctor who recently joined the GP training scheme, I want to emphasise the virtues of the “combined pathway” certificate of completion of training (CCT), which the Royal College of General Practitioners has adapted to allow doctors to have up to one year of experience to be counted towards any future hospital posts in training. This can reduce the CCT to two years full time if there is rigorous evidence of previously achieved competencies.2 To be appointed as a specialty doctor, at least two years of post-foundation experience in the relevant specialty is required—this should not be mitigated for general practice.There is also a mechanism in place to allow for basic pay protection for NHS specialty and associate specialist doctors (and consultants) seeking to…
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