Confused about the use of the title "Surgeon". Any advice from medics? Watch

Anonymous #1
#1
Report Thread starter 7 years ago
#1
Hi,

I have an ingrown nail which I went to get sorted at the GP's surgery today but after discussing it with my doctor I decided I would rather have a wedge resection than the chemical ablation my GP was offering. Unfortunately my doctor doesn't offer this so I have opted to go private.

However, after a lot of researching online... I am thoroughly confused as to what to look for in a reputable "surgeon". There are so many podiatry and chiropody surgeons amd various qualifications out there.. and none of them have the title 'Dr.', they are all Mr.
I assume I should be looking for qualified doctors and should be associated with the Royal college of surgeons?

I found a clinic which I thought looked quite reputable and rang up. The receptionist seemed very understanding and knowledgeable and booked me in for a consultation. They also offered to do the procedure under general anesthetic for £850.
From that I simply assumed he was a doctor.. but now looking at his quals I'm not too sure... BSc (Hons)., FPodA., FCPodS. I don't know what these mean. After lots of googling all I have found are some worrying news articles saying how many unregulated qualifications there are in this field.
The surgery is carried out at a BMI hospital if that makes any difference at all?

I'd really appreciate some advice and help.
I have no idea where to go to get this done. I'm willing to pay as much as necessary to get the surgery I need done properly by a qualified surgeon.

Thanks.
0
reply
Helenia
Badges: 20
Rep:
?
#2
Report 7 years ago
#2
(Original post by Anonymous)
Hi,

I have an ingrown nail which I went to get sorted at the GP's surgery today but after discussing it with my doctor I decided I would rather have a wedge resection than the chemical ablation my GP was offering. Unfortunately my doctor doesn't offer this so I have opted to go private.

However, after a lot of researching online... I am thoroughly confused as to what to look for in a reputable "surgeon". There are so many podiatry and chiropody surgeons amd various qualifications out there.. and none of them have the title 'Dr.', they are all Mr.
I assume I should be looking for qualified doctors and should be associated with the Royal college of surgeons?

I found a clinic which I thought looked quite reputable and rang up. The receptionist seemed very understanding and knowledgeable and booked me in for a consultation. They also offered to do the procedure under general anesthetic for £850.
From that I simply assumed he was a doctor.. but now looking at his quals I'm not too sure... BSc (Hons)., FPodA., FCPodS. I don't know what these mean. After lots of googling all I have found are some worrying news articles saying how many unregulated qualifications there are in this field.
The surgery is carried out at a BMI hospital if that makes any difference at all?

I'd really appreciate some advice and help.
I have no idea where to go to get this done. I'm willing to pay as much as necessary to get the surgery I need done properly by a qualified surgeon.

Thanks.
Ah, it's a tricky one! There are two types of people out there who will do this type of surgery - podiatrists/podiatric surgeons (chiropodists also fall under this umbrella), and orthopaedic surgeons. Podiatric surgeons are not doctors, but are qualified to do certain operations on the feet, and I would imagine that a fairly straightforward ingrowing toenail would be well within their remit. Orthopaedic surgeons are doctors who specialise in operations on bones and joints, and some of them do work on feet. Honestly, I don't know if many of them will do toenails as it's a bit "minor."

The tricky bit is that medically-qualified surgeons in general do not use the title "Dr" for historical reasons, so some of them will appear as "Mr" on clinic websites. If you definitely want a doctor to do your surgery, then the degree you are looking for is MBChB (though some universities have variations on this like MBBS, MBBChir, BMBS etc - they all mean Bachelor of Medicine and Bachelor of Surgery), and they also should have MRCS/FRCS as a post-nomial.

From the names you have given, it sounds like the guy you are looking at is a podiatrist/podiatric surgeon rather than a doctor. Non-doctors are not allowed to become members/fellows of the Royal College of Surgeons, but podiatrists have their own professional bodies. He is still licensed and regulated and insured in case anything goes wrong, so whether you want to go for him depends on whether you definitely want "a doctor" or not.
0
reply
maxants33
Badges: 0
Rep:
?
#3
Report 7 years ago
#3
Hello
Podiatrists are very skilled when it comes to ingrown toenails, toenail surgery forms a big part of the undergrad degree, and most podiatrists will perform these minor ops very regularly. From what I've heard, surprisingly most medics are poor at toenail surgery, as most don't do toenails, even orthopaedic surgeons. Its like tooth extraction - Imagine you needed a tooth out, an ENT (type of medic who works in the mouth head and neck) despite being an incredible life saving surgeon who could remove the tooth, would not be as good a choice as a dentist, who would be best as they do this a lot.
Toe nail surgery has a very high failure rate, as often the nail grows back and the problem returns, so you want someone who does this loads, and no body does it as much as podiatrists.

For clarification, most podiatrists only form of surgery is toenail, there are a number of podiatric surgeons who do full foot and ankle surgery. They are not medics but do perform surgery. Pod surgeons can join the royal college of surgeons if they chose to. A huge number of RCS members are NOT medically qualified - as dentists and oral surgeons are members too!
Minor surgery such as toenail removal and mole removal is not reserved for surgeons, GPs, nurses, podiatrists and dentists all perform minor surgery.


The clinician who the OP mentioned with the FCpodS is a podaitric surgeon - i.e qualified to perform a wide range of surgical procedures, but again, pod surgeons are bust with foot surgery and using such a surgeons services is expensive, I would expect toenail surgery done by a standard podiatrist would be cheaper!

Hope that adds a little clarity!

P.s I'm a pod student!
0
reply
Helenia
Badges: 20
Rep:
?
#4
Report 7 years ago
#4
(Original post by maxants33)
Hello
Podiatrists are very skilled when it comes to ingrown toenails, toenail surgery forms a big part of the undergrad degree, and most podiatrists will perform these minor ops very regularly. From what I've heard, surprisingly most medics are poor at toenail surgery, as most don't do toenails, even orthopaedic surgeons. Its like tooth extraction - Imagine you needed a tooth out, an ENT (type of medic who works in the mouth head and neck) despite being an incredible life saving surgeon who could remove the tooth, would not be as good a choice as a dentist, who would be best as they do this a lot.
Toe nail surgery has a very high failure rate, as often the nail grows back and the problem returns, so you want someone who does this loads, and no body does it as much as podiatrists.

For clarification, most podiatrists only form of surgery is toenail, there are a number of podiatric surgeons who do full foot and ankle surgery. They are not medics but do perform surgery. Pod surgeons can join the royal college of surgeons if they chose to. A huge number of RCS members are NOT medically qualified - as dentists and oral surgeons are members too!
Minor surgery such as toenail removal and mole removal is not reserved for surgeons, GPs, nurses, podiatrists and dentists all perform minor surgery.


The clinician who the OP mentioned with the FCpodS is a podaitric surgeon - i.e qualified to perform a wide range of surgical procedures, but again, pod surgeons are bust with foot surgery and using such a surgeons services is expensive, I would expect toenail surgery done by a standard podiatrist would be cheaper!

Hope that adds a little clarity!

P.s I'm a pod student!
Can they? I can't see anything on the RCS website saying that they can - though dentists can, via their own set of examinations.
0
reply
maxants33
Badges: 0
Rep:
?
#5
Report 7 years ago
#5
Hello Helenia
I dont actually know that much about it to be honest. I do know pods can become honorary members, and by another route. I think its the case that pod surgeons need to be taught by RCS fellows, and most pod surgeons will be taught by a mix of clinicians, but mostly pod surgeons. I will ask some colleagues about this and try put up a more solid answer soon.
0
reply
Anonymous #1
#6
Report Thread starter 7 years ago
#6
Thank you both for your replies. I have managed to locate a nice local private hospital and get an appointment with a consultant podiatrist for Monday morning. Very pleased I'm finally getting this sorted...despite being scared rigid at the idea of having a needle jabbed in to my toe

Thanks again
0
reply
maxants33
Badges: 0
Rep:
?
#7
Report 7 years ago
#7
Good luck with the op anonymous poster! I hope your out of pain soon!
Also - thanks and well done Helenia, your knowledge of podiatry is really good, better than most folks, many people don't have a clue about it, its always encouraging to hear medics who are informed about our small profession!
0
reply
InArduisFouette
Badges: 21
Rep:
?
#8
Report 7 years ago
#8
(Original post by Helenia)
Can they? I can't see anything on the RCS website saying that they can - though dentists can, via their own set of examinations.
and given how sad and pathetic the RCS are over the issue of podiatric surgeons i doubt they do offer such membership as it seems the RCS view podiatric surgeons as charlatans ... the gripe seems to be that a Pod surgeon is Mr or Miss X but doesn;t have an FRCS.

it's all a bit pathetic given that orthopods don't do much not trauma foot and ankle surgeon and all vascular surgeons seem to do with toes is chop them off ...
0
reply
X

Quick Reply

Attached files
Write a reply...
Reply
new posts
Back
to top
Latest
My Feed

See more of what you like on
The Student Room

You can personalise what you see on TSR. Tell us a little about yourself to get started.

Personalise

Why wouldn't you turn to teachers if you were being bullied?

They might tell my parents (10)
6.29%
They might tell the bully (17)
10.69%
I don't think they'd understand (28)
17.61%
It might lead to more bullying (60)
37.74%
There's nothing they could do (44)
27.67%

Watched Threads

View All