Difference between healthcare professionals?

Foot Pain Consultant Birmingham - Podiatric surgical services at Spire Little Aston Hospital

Difference between healthcare professionals – what’s in a name?

It is difficult to know who is who in a hospital. When is a doctor a doctor and when is a surgeon called a surgeon. All females are not nurses and some males are nurses.

I am not a doctor but I am a specialist because I have added to my training substantially and am registered to perform treatment at an higher level. All podiatrists hold a basic three year qualification. All podiatric surgeons in England hold a fellowship; those recently qualified will have a second degree within a post graduate training of a further 10 years. As with many clinicians some have a PhD and so are entitled to use doctor of philosophy even though it may be in science. British podiatrists who practise in foot surgery will explain this to patients if they hold a PhD to avoid confusion with the term ‘medical doctor’.

Many of the websites are very helpful in providing such information. Broadly there are three groups of people in medicine: medically qualified and trained doctors, nurses and allied health professionals (AHPs). Dentists fit somewhere between doctors and AHPs. Some dentists go onto specialise in surgery and medicine i.e reconstruction to the face (maxilla-facial or max-fax surgeons). There has been much consternation about dentists using the term doctor. The Max-fax surgeons become double qualified as medical doctors but use the older historical title Mr that the barber surgeon used. Throughout the world you will find most countries use doctor for surgeon, but not in Britain! We do like to be different.

AHPs include psychologists, physiotherapists, radiolographers, occupational therapists and operating department practitioners as well as podiatrists. There are over 20 professionals which make up a very large group of clinicians who provide a variety of treatment, keeping the nation fitter. Here again some will use the prefix doctor but this will be taken to mean doctor of philosophy, not associated with medicine. As the natural educational standards rise and more responsibility is assumed by many professionals, overlap inevitably arises. Many regulated professionals other then doctors and dentists can provide medicines related to the conditions that they treat.

All podiatrists study medicine as part of their qualification so that by the time we qualify we know the function at cellular level to macro-level, anatomy of muscles and diseases of the heart for example. To learn more about podiatry please link to www.feetforlife.org

All podiatrists have to be registered in British law to practise podiatry. Unqualified people who use the term ‘podiatry’ are breaking the law. The register is held by the Health Care Professions Council (HCPC) who has similar powers to the General Medical Council in that they protect the public where clinical staff fall below the expected standards of care.

Regulators in healthcare

In the UK only podiatric surgeons and some orthopaedic surgeons are ‘wholly’ dedicated to elective foot and ankle surgery although orthopaedic surgeons may not practise on the foot and ankle surgery alone. You should check the appropriate websites for further information on orthopaedics. Please note that the orthopaedic profession’s opinions are not necessarily shared by the podiatric profession although members of both professions do try to work closely over a wide range of health concerns. Podiatric surgery is recognised by the Department of Health as providing a valuable contribution to health care in the UK.

The podiatric surgeon works on the foot and associated structures which can include the tendon achilles. We deal with skin trauma due to pressure and fixed deformities as well as diagnose and manage pain.

If confused always ask your consultant what his qualification is and who his regulator is. During 2013 the College of Podiatry and Faculty of Podiatric Surgery have produced a collaborative leaflet on ‘What is a Podiatric Surgeon’ and new code of practice to ensure that patients are clearer about our use of the title  ‘podiatric surgeon’.

Further information

www.feetforlife.org

www.bofas.org.uk

Thanks for reading: Difference between healthcare professionals? Consulting Foot Pain – David Tollafield, Birmingham