Medical managers

BMJ 1997; 315 doi: https://doi.org/10.1136/bmj.315.7111.817 (Published 27 September 1997) Cite this as: BMJ 1997;315:817

Doctors need training in management skills

  1. Mike Williams, Chief executivea
  1. a Radcliffe Infirmary NHS Trust, Oxford OX2 6 HE
  2. Clinical and Medical Directors Subcommittee, Central Consultants and Specialists Committee, BMA House, London WC1H 9JP

    Editor—The recent call for more doctors to be involved in the management of the NHS is to be welcomed.1 Jenny Simpson and Richard Smith outlined the benefits of having doctors involved in management, the main thrust of the argument being that doctors have knowledge of patient care and are in a more credible and secure position to take a stand against financial priorities imposed by bureaucratic hierarchies. This position is strongly supported by Oni, who argues that only doctors should manage the NHS because doctors treat patients and are the only permanent members of staff.2

    A paradox arises because many of the good reasons for having doctors as managers pose difficulties for them in making the transition to …

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