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At the heart of general practice since 1960

How to silence our minor surgery critics

The minor surgery DES covers more than just skin surgery and therefore comes under the scrutiny of the royal surgical colleges as well as the skin physicians ('We never wanted to ban GP minor surgery', pulsetoday.co.uk/letters).

This is where even our dermatological colleagues in secondary care will fall short of the training and assessment standards that the surgeons now impose on their trainees.

So what do we do, as GPs? Do we adopt better processes of training, mentorship and assessment of competence, which might potentially dissuade a large number of GPs from taking up minor surgery?

Do we claim that the dermatologists have not gone through the Intercollegiate Surgical Curriculum Programme and therefore we can write the rules for our own as the physicians have done for themselves?

How are we going to be confident that the GP who cuts into our children in the future is going to be good enough?

The current situation where there is no regulation or peer review is clearly lacking.

Having gone through a dual GPSI reaccreditation process, it is not something I would wish on my colleagues. But unless we embrace processes that prove we are all as good as the best of us, I don't think we can hold our head up high and silence our critics.

From Dr Soon Lim in Watford, Hertfordshire

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