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Difficulties are compounded because the plans for postgraduate training in Britain (the Calman scheme) and the arrangements for staffing the health service are not coordinated. A reduction in middle grade posts - traditionally training posts - is occurring at a time when consultant posts are to be expanded. With the reduction in registrar posts some "visiting registrar" positions are being created, which are suitable for overseas doctors who already have a sound clinical grounding. These posts should give training comparable to that of career registrars (this grade will metamorphose into the unified training grade). The Royal College of Physicians of Edinburgh
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