Medicopolitical Digest

Royal college proposes solutions for medical SRsChanges in NHS will be “historic”BMA calls for rethink on no fault compensationMedical students face average overdraft of £1000

BMJ 1998; 316 doi: (Published 16 May 1998) Cite this as: BMJ 1998;316:1540

Royal college proposes solutions for medical SRs

Although the introduction of the specialist registrar grade has led to improved and better organised teaching, more explicit training programmes, and shorter periods in training, many trainees in internal medicine and its specialties face problems. The Royal College of Physicians set up a working party to identify the problems and suggest solutions.

The report calls for several urgent changes. There should be an immediate and greater increase in the rate of funded consultant expansion and an increase in the number of specialist registrar training slots. The term locum appointments for training should be changed to short term training posts and their duration increased to two years. There should be more flexibility regarding the time during which a specialist registrar can apply for a consultant post. Doctors who take time out for research should be replaced with national training number posts. All specialist registrars should be encouraged to do at least one year of research training, and funding for such posts should be improved. There should be national standards for the penultimate year summative assessment with proper funding for …

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