I have always believed in professional self-regulation, preferably through critical peer review.
The problem is that the colleges have not been consistent in their approach to issues like regular re-validation through peer review and, even if they had a common position, they do not seem to have teeth to take action against consultants who choose to ignore them.
Perhaps the "teeth" need to be given by the General Medical Council, but the coll-eges do have to agree and set the speciality standards first.
A J VALLANCE-OWEN MBA FRCS Ed
Group Medical Director
Bupa, London WC1Reuse content