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BMJ 2005;331:697 (24 September), doi:10.1136/bmj.331.7518.697
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EDITORAlthough I sympathise to an extent with the views of the foundation programme's organisers and the Modernising Medical Careers quango,1 I think that there are some big defects. This is based on my experience as working as a house officer.
Postgraduate training seems to have been hijacked by self styled medical educationists who come mainly from academia and have a different agenda from the many trained doctors and doctors in training who work on the coalface of clinical medicine.
In the reams of literature and hours of talks it seems that care for patients has been forgotten, with numerous assessments (with funny names) of topics and skills learnt at medical school and talk of audit and portfolios. I just want to do a good job for my patients, and that is what I have been eagerly waiting for since my finals.
I recognise that we need to have
Rahul Velineni, house officer
Medway Maritime Hospital, Kent ME7 5NY rahulvelineni@gmail.com
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