BMJ 2001;323:1429 ( 15 December )

Letters

Don't GPs have to be good clinicians any more?

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

EDITOR---I agree that the selection of doctors is far from perfect, but I am concerned that the emphasis shown by Patterson et al on key competencies for general practitioner registrars in Career focus will encourage the selection of politically correct candidates with little clinical acumen.1

Of the 11 key competencies quoted, only one, remarkably, related to clinical skills. The other 10 competencies, all management related, could easily have been condensed into two or three. Aren't professional integrity, coping with pressure, and empathy and sensitivity personal attributes in the same way as motivation and flexibility are? Aren't organising and planning skills, legal and political awareness, problem solving, and communication skills also part of team involvement and managing others? And what on earth is conceptual thinking? In this new world of general practitioner training I am already feeling deficient.

I see a similar trend in my own hospital's training days in the . . . [Full text of this article]


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