British Orthodontic Society Online Survey.
Joint Committee for Postgraduate Training in Dentistry Specialty Advisory Committee in Orthodontics. Guidelines for the UK three year training programmes in orthodontics for specialty registrars. 2012.

The best of both worlds? combining specialist practice with hospital consultancy

From Volume 12, Issue 2, April 2019 | Pages 70-76


This article describes the experience of undertaking post specialty consultant training, on a part-time basis, with its advantages and disadvantages, and how this experience is transferred into a current practice combining a hospital consultant and specialist practice position, with its challenges and benefits.

CPD/Clinical Relevance: The workforce providing primary and secondary care orthodontics is evolving and it is important that alternative training modalities and working practices are available to allow flexibility in provision of care.


In an ever changing world there appears to be uncertainty in everything around us and this is no different in the world of dentistry and the specialism of orthodontics. NHS funding for both primary and secondary care orthodontics is under pressure1 and, in a specialty which was previously primarily based on adolescent patients, a new, ever increasing private adult market has evolved.2

This had led to a change in the make-up of the workforce with a blurring of the lines between primary and secondary care providers, with many orthodontists trained to NHS consultant level spending part of their week in primary care.3

This article is in two parts, part one describes one of the author's experience undertaking his Post CCST consultant training, on a part-time basis, with the advantages and disadvantages, part two of the article illustrates the two authors' current working weeks combining hospital consultant positions and specialist practice positions, with its challenges and benefits.

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