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At the heart of general practice since 1960

'No exceptions' with recertification

GPs will have to demonstrate that they can treat all types of patients competently under recertification, the RCGP chair has said.

In an exclusive interview with Pulse, Professor Mayur Lakhani warned GPs could not expect to be excused any aspects of recertification simply because they seemed irrelevant to their everyday work.

GPs would have to show competence in treating conditions they might rarely see because the practice's demographics meant they treated few children or elderly people.

'I don't think we can have a system where we start making exceptions,' he said.'What you can't have, which is what's happening in Canada, is that because of that argument, people are restricting their practice. Some are saying only palliative care, adults, men or children.'

Professor Lakhani said GPs had to be competent generalists because they could never be certain of what would come through the door. 'If you're on the GP register of the GMC then you have to meet the standard of the generalist register, which is recertification.'

But he conceded that a 'one size fits all' approach would not be appropriate. 'Somebody only working one session a week and somebody doing four days at a university will have different needs from somebody doing 11 sessions of general practice,' he said.

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