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Family planning doctors should refer patients with sexually transmitted diseases to specialists
EDITOR,--Yvonne Stedman and Max Elstein's main argument for stating that sexual health clinics should be under one roof is that patients who present with genital infections to family planning clinics are not managed as well as they would be if they attended genitourinary clinics.1 Consequently Stedman and Elstein believe that the two specialities of family planning and genitourinary medicine should come together, with medical and nursing staff being shared.
It is a pity the authors did not sound out genitourinary specialists before putting pen to paper. Their argument would be unacceptable to many genitourinary physicians, as it is to me (I work in the same hospital as Elstein). Most doctors working in family planning clinics do so on a sessional basis and frequently have no higher (college) medical qualification, while genitourinary physicians have a structured training programme of accreditation in the specialty and possess such a qualification. There would be
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- Rethinking sexual health clinics
- Yvonne Stedman and Max Elstein
BMJ 1995 310: 342-343.[Extract] [Full Text]
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