Currently we have an entry level training that is the basis of our practice. Our entry level training should prepare us to be able to apply our skills to virtually any area of practice at a basic level. There is debate as to whether entry level courses around the world are succeeding at this. The problem has got a lot to do with the knowledge explosion - entry level graduates need to be proficient in so much more. However it is also based on the observation that more mature students who have undertaken some life experience + more rigorous academic work consistently do better. Some countries and universities have resolved this problem by requiring the student to complete a more basic biomedical science degree that prepares them in topics such as anatomy, physiology, pathology, biomechanics, pharmacology, epidemiology, exercise science and so on. Once graduating from this degree they can then go on to complete a Masters or Doctorate entry level degree. This second qualification can focus on developing clinical knowledge and skills to a much higher level of practice in a variety or areas.

However there is still room for specialisation either through further academic study, or through another prescribed route of specialisation.

I think this model of educating the generalist to a higher level of competence and to also provide room for later specialisation works very well and provides scope for improvement. We have a strong identity as a profession and I would not like to see us becoming excessively medicalised, or another branch of medicine.