Second: thyroid. For years the surgical management of thyroid disease has sat somewhere between Otorhinolaryngologists and General Surgeons. It still does. Interestingly though with developments in the ‘two-week-wait’ pushing patients with neck lumps to the fore, Head and Neck Surgeons have noticed more thyroid disease coming through the clinic doors. One unforeseen circumstance of this DOH initiative may be to increase the proportion of thyroid disease seen in ENT clinics rather than general surgery outpatients.
Future editions of The Otorhinolaryngologist will look at these subject areas in more detail. Both balance disorders and thyroid management are areas in which specialist expertise exists within ENT departments throughout the UK but are the current training schedules for registrars reinforcing these skills? Some may argue that unless a trainee is lucky enough to work for a consultant with a niche interest these topics may be only taught at a superfi - cial level. Within the British Society of Otology the present discussion is regarding balance skills. Should these be taught within the new curriculum to any great depth or reserved for those going on to a specialist otology/neurootology fellowship? A similar argument holds for thyroid surgery. Trainees or consultants with strong views on this are encouraged to email and the most informative responses will be published.
Editor in Chief