Your letters, calls and emails: Avoidance of registrars would paralyse hospitals

I was interested to read that patients must consent to see a GP registrar or other 'doctor in training' (GP, 7 December 2007).

This must be having an interesting impact on hospital practice where, presumably, patients are able to insist that all their care is delivered by fully accredited specialists.

They will be able to choose to be clerked, bled and examined, and have all their procedures performed, by the boss and insist that they are always offered the chance to see the consultant in outpatients or the emergency department.

I must make sure that I inform my patients of this when I refer them or admit them to hospital.

Dr James Hickman, Taunton, Somerset.

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