Expansion depends on rigorous control of numbers in training and non-consultant career grades

BMJ 1995; 310 doi: https://doi.org/10.1136/bmj.310.6977.470 (Published 18 February 1995) Cite this as: BMJ 1995;310:470
  1. Andrew G Hobart
  1. Senior house officer in surgery Hinchingbrooke Hospital, Huntingdon PE18 8NT

    EDITOR,—Stephen Brearley identifies the principal influences on the duration of training for junior doctors in Britain: the rate of entry to and exit from the training grades.1 He does not, however, consider fully how those rates may be varied and regulated.

    The rate of outflow from the training grades is influenced mainly by the number of consultant posts. If purchasers wish to buy more or better quality services they must finance more consultant posts—unless, that is, trusts employ other doctors at lower salaries. Staff …

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