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Commission calls for medical training to become more generalist

BMJ 2011; 343 doi: http://dx.doi.org/10.1136/bmj.d6465 (Published 06 October 2011) Cite this as: BMJ 2011;343:d6465
  1. Jacqui Wise
  1. 1London

An independent commission has called for greater incentives to encourage talented doctors to pursue a career in generalism and for medical training to become much more generalist in content.

The commission, established by the Royal College of General Practitioners and the Health Foundation, recommends that a placement in general practice should be compulsory during the two year foundation programme for medical graduates.

The commission’s report, Guiding Patients through Complexity: Modern Medical Generalism, also recommends that the length of specialist training for GPs should be expanded from three years to five to put them on an equal footing with specialists. This should include specific training in disciplines relevant to general practice, including paediatric care, learning disability, mental health, care of people with life limiting conditions, and end of life care for patients and their families.

Martin Marshall, director of clinical quality at the Health Foundation, said: “We need to take …

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