BMJ 1995;310:1674 (24 June)
Letters
Vocational training for GPs should be community based
EDITOR,--Trevor J Bayley's editorial on the unified training grade leaves the impression that, after nearly three years of lengthy debate, countless meetings, and working parties, we are still no nearer a solution than we were in 1992.1 Although undoubtedly an expansion in the number of consultants is a prerequisite for the successful implementation of the grade, I believe that the main obstacle is our traditional habit of trying to introduce change without upsetting the status quo. For instance, the assumption that all those with a certificate of completion of specialist training will seek employment only in NHS hospitals or will want full time employment is open to debate. Furthermore, many of the expected difficulties would be overcome if we were to grasp the nettle of knowing staffing requirements in each specialty. The widely held view that this is impossible needs to be challenged.
The question of doctors who qualified overseas . . . [Full text of this article]

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Unified training grade
- Trevor J Bayley
BMJ 1995 310: 1020-1021.
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