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Consultant surgeons undergo long periods of training and surgical experience before qualifying as consultants. Following a five-year or six-year degree course in a university medical school, they begin as junior hospital trainees where the basic starting salary is Â£22,412, according to NHS pay scales for 2011-2012.
In the current practice of medicine, surgeons periodically identify patients who are candidates for surgery, but based on symptoms or risk factors identified in the preoperative evaluation, the surgeon may want. cardiac clearance prior to performing surgery to avoid complications during surgery as a result of an. underlying cardiac condition. In these patients, the surgeon usually refers the patient to a primary care. physician, internist, or cardiologist to provide the evaluation and clearance. If the patient has a personal. physician who is familiar with the patient, there may not be a problem in granting clearance for surgery.