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BMJ 2005;331:697 (24 September), doi:10.1136/bmj.331.7518.697-b
| The first 150 words of the full text of this article appear below. |
EDITORThe foundation programme brings a welcome change to the training system in the United Kingdom.1 Having passed the exams of the Professional and Linguistic Assessment Board (PLAB) in 2000, I worked in UK hospitals as a house officer for six months before being kicked out to another hospital and then another. Finally, after working in six different hospitals and obtaining membership of the Royal College of Physicians (MRCP), I got a post as a specialist registrar.
By this time I had completed the US medical licensing exams and moved to the United States. The training, which is similar to the foundation programme, includes rotating among different subspecialties. I was attached to one hospital, which created a special bond to serve this hospital. No major examinations are involved in residency. This helped me to concentrate on clinical work.
I hope the foundation system will start in every hospital in
Satya S Toram, resident
Unity Health System, Rochester, NY 14626, USA storam@unityhealth.org