← The GP+ Careers Podcast20 feb · 30 min

22: GP+ Dermatology with Dr John Diamond

22: GP+ Dermatology with Dr John Diamond20 feb30 min

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In this episode of the GP+ Careers podcast, Sophie interviews Dr John Diamond, a GP based in Northern Ireland as he shares his journey of developing an extended role in dermatology to tackle Northern Ireland’s multi-year secondary care waiting lists. Drawing on his experience with the Cardiff diploma and the GPECs elective service, he provides practical advice on finding a clinical "spark," collaborating with colleagues, and starting small within your own practice.

Top Tips

Establish your foundation first - Spend your first four or five years in general practice settling into the business of partnership and getting to know your patient population before pursuing a specialised niche.

Invest in formal, high-quality qualifications - Pursue specialised education, such as the Cardiff diploma in practical dermatology, but be prepared for the time commitment; a rigorous academic diploma can require approximately 10 hours of study per week for a full year.

Observe secondary care clinics voluntarily - Before investing heavily, reach out to local consultants and ask to sit in on their clinics. As dermatology is highly visual, this firsthand exposure helps you determine if the discipline, which offers a "clean" break from complex social or mental health issues, truly suits you.

Collaborate to build services - Avoid working in isolation; instead, gather a group of like-minded colleagues. Pair with those who have complementary strengths, particularly those skilled at lobbying for funding and navigating administrative hurdles, as their persistence is often what gets a service off the ground.

Start small and focus on patient impact. You don't need a regional service to be effective; simply enhancing skills for your own practice list is invaluable. Addressing inflammatory conditions locally provides immediate relief to patients who might otherwise face secondary care waiting lists as long as six or seven years.