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At the heart of general practice since 1960

Accreditation call is absurd

I qualified as a surgeon before entering general practice and have the MRCS, with experience in general and plastic surgery among other specialties.

Yet I am not allowed to take off basal cell carcinomas without GPSI accreditation, even though I have done this while a senior house officer.

Accreditation as a GPSI is a lengthy, time-consuming process that will not be cost-effective and will be a duplication of much that I am already qualified to do. I do not know of a single dermatologist with a surgical qualification - indeed, much of their surgery will be performed by unqualified medical trainees.

I have seen some shocking examples of excisions made by dermatologists, more akin to butchery than surgery - yet they are calling for GP accreditation?

Dr Daniel Burrow, Darlington, North Yorkshire

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