As we travel along our medical careers (becoming more senior), it\'s surprising how our portfolio of practice narrows, even though we still have the ability to diagnosis and treat a whole range of conditions affecting the body.
As a medical student I was exposed to teaching and was examined in all specialties.
After qualification with an MBBS, the pre-registration year was in medicine and surgery, with exposure to the common conditions.
Work as a casualty doctor was the last time I had to deal with a wide range of problems, from dental abscesses to gynaecological emergencies.
After choosing to enter ophthalmology, my disease exposure was dramatically reduced.
There was a concentration on the eye, and the things that affected the eyes (ear nose and throat, neurology, neurosurgery, maxillofacial etc).
Ophthalmic training as a senior house officer covered all of ophthalmology, but I very quickly realised that I was attracted to cataract surgery and oculoplastics.
I underwent examinations in general ophthalmology, and passed the diploma in ophthalmology and fellowship of the Royal College of Surgeons. I was awarded the Membership of the Royal College of Ophthalmologists, and later its Fellowship also.
The Fellowship examination was the gateway to more advanced training in ophthalmology as a registrar, and then a fellowship in oculoplastics surgery.
During the end if my registrar training I undertook a Doctorate in Medicine, having published quite a few research papers as a registrar.
After the required training as a specialist registrar, I gained my consultant job at the Manchester Royal Eye Hospital - that was just over 12 years ago - and things have only got busier!
Phew !
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