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Views & Reviews From the Frontline

Scrap the royal colleges’ fellowships

BMJ 2013; 346 doi: https://doi.org/10.1136/bmj.f1609 (Published 12 March 2013) Cite this as: BMJ 2013;346:f1609

Rapid Response:

Re: Scrap the royal colleges’ fellowships

For a while, the Royal College of General Practitioners (RCGP) ran "Fellowship by Assessment" (FBA), which was a rigorous peer-reviewed assessment of the day-to-day work of the individual GP. The paperwork and day-long interview by 3 assessors required for this assessment formed a thesis from the individual on how to develop to be an excellent GP. It is sad that FBA was lost in the development of the RCGP in recent years, as it provided an focus for GPs who aspired to develop high quality care in their practices. And it rewarded those GPs with recognition by peer review, rather than a "gong" for "service".

There is an opportunity for all Royal Colleges to develop this sort of Fellowship again, incorporating leadership and management of change skills, sophisticated communication skills, IT skills and other areas appropriate to 21st Century health care excellence.

Competing interests: No competing interests

16 March 2013
Brad Cheek
General Practitioner
James St Group Practice, Workington, Cumbria
Orchard Brow Farm Hardgates Road Haile