BMJ  2007;335:426-428 (1 September), doi:10.1136/bmj.39300.591632.DE

Analysis

Has Modernising Medical Careers lost its way?

George B P Madden, final year medical student1, Anthony P Madden, consultant anaesthetist2

1 University of Birmingham, Edgbaston, Birmingham, 2 Department of Anaesthesia, Southmead Hospital, Bristol BS10 5NB

Correspondence to: A P Madden Anthony.Madden@nhs.net

Originally intended to address problems with the senior house officer grade, Modernising Medical Careers has since expanded in scope and radically altered its plans for specialist training. George and Anthony Madden question whether it is still fit for purpose

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


Summary points

Modernising Medical Careers began as an attempt to address longstanding problems with the senior house officer grade
It has since expanded in scope to reform all levels of postgraduate medical training and bears little resemblance to the proposals that were approved during consultations
There is now a real danger that it will deliver a generation of highly specialised doctors who lack the breadth of experience and flexibility that will enable them to manage unusual clinical problems or change as medicine advances
This cannot be good for patients, NHS employers or the government, indicating that MMC may not be fit for purpose


The Medical Training Applications Service (MTAS) has caused huge upset within the medical profession. Not only has it failed to allocate trainees in a fair and transparent way, but it has failed to ensure all allocations have been completed in time for 1 August 2007.

In recent months, the . . . [Full text of this article]

What is Modernising Medical Careers?


The original idea


The need for modernisation


Box 1: Five key principles for reform of the senior house officer grade2

Responses to the consultation


Box 2: The British Medical Association's response to Unfinished Business5

Evolution of MMC


Has MMC lost its way?



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This article has been cited by other articles:

  • Delamothe, T. (2008). Modernising Medical Careers: final report. BMJ 336: 54-55 [Full text]  
  • Delamothe, T. (2007). Modernising Medical Careers laid bare. BMJ 335: 733-734 [Full text]  

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Adverse clinical risk from Modernising Medical Careers
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