Shifts in opportunities for doctors in training

BMJ 1998;316:1032-1033 ( 4 April )

Editorials

Shifts in opportunities for doctors in training

Revise the training as well as the hours

The first 150 words of the full text of this article appear below.

The health of an individual represents a continuum of events. Therefore health care requires continuity of assessment, planning,and treatment. Is it necessary to have most of the medical careprovided by one doctor, or can adequate care be provided by avariety of doctors for each health event? Can continuity of carein hospitals be met by trainee doctors working shifts, and canshift work and reduced hours meet training requirements?

These are important questions for teaching hospitals. In most countries where early postgraduate medical training takes placein general hospitals three needs are evident: to define appropriatetraining requirements for progression to higher levels of practice;to provide the maximum effectiveness of care for the lowest possiblecost; and to provide reasonable hours of work for staff in training.^1-4

In medicine skills and knowledge are traditionally gained by apprenticeship and experience. ⁴ ⁵ In the past this has meantlong . . . [Full text of this article]

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