Sadly Sospan,

That is common place everywhere.

All these Specialists are stuck in their training world, what they got out of their training days is all they got / learned / stuck in their minds.

And demanding that they update their training isn't part of the Specialty Boards, in any particular arenas, other than general CME and few Boards even require retesting with actual tests.

So, they read journals, go to symposiums, get credits and maybe publish an article here and there, and get recertified in their specialty.

Don't know about the UK, but in the USA, Family Practitioners, Internists, and Physician Assistants have to re-test on varied year schedules; some others may have to, but I haven't kept up enough to be aware. I am not aware that any sub-specialists have testing or anything other than certification symposiums or training fellowships such as specialties in PCS/mTBI training/care , etc.