Intended for healthcare professionals

Rapid response to:

Reviews Personal views

I just wanted to be a doctor

BMJ 2006; 333 doi: (Published 10 August 2006) Cite this as: BMJ 2006;333:359

Rapid Response:

Clinical commitment must be acknowledged in our brave new world.

Editor – As I wait with bated breath for details of the MMC
(Modernising Medical Careers) run-through training recruitment, Dr Hart’s
desire to be credited for her clinical role strikes a serious chord.

The publish or die culture not only distracts trainees from clinical
care, but also fails to produce high quality research and audit. I fear
that national, on-line selection will reward those who cobble together
references regardless of substance and at the expense of concentration on
the wards. This is unlikely to recruit the best doctors.

Clinical commitment and the quality of research or audit undertaken
must be acknowledged in our brave new world. The Foundation Programme
clinical assessment tools (CBD, DOPs, and mini-CEX) are time-consuming and
yet, in their current format, of questionable value and no long-term
consequence. Could they not be refined to reliably differentiate
trainees’ clinical capability and contribute towards interview selection?

Competing interests:
None declared

Competing interests: No competing interests

14 August 2006
Katie L Wittering
Foundation Year 2
South Manchester University Hospital Trust M23 9LT