Training doctors to meet changing healthcare needs
The final report of the major independent review of the shape of postgraduate training sets out a model for a more flexible training structure.
We welcome the idea that doctors will be able to change roles and specialties throughout their careers. This flexibility will be key in meeting the changing needs of patients in the UK – particularly the growing number of people with multiple comorbidities and chronic illness – while still attracting and retaining the best doctors in the profession.
The review, which began last year, examined postgraduate medical education and training in the UK to ensure that doctors now and in the future are able to meet the changing needs of patients, society and health services. It has drawn on evidence provided by nearly 400 individuals and organisations, and on the views of key groups from workshops, seminars and site visits.
Key messages from the report
- Patients should have doctors who can provide general care in broad speciality areas across a range of different settings.
- Following broad specialty training, doctors should go on to train in more specialised areas where there are local patient and workforce needs.
- Doctors should have opportunities to change roles and specialties throughout their careers to make medicine a sustainable career.
- Full registration should move to the point of graduation from medical school, provided there are measures in place to demonstrate graduates meet our standards at the end of medical school.
- Implementation of these recommendations must be carefully planned on a UK-wide basis to ensure minimum disruption to service.
‘Some of the recommendations will require further discussion, including the suggestion that full registration should be awarded at the point of graduation from medical school,’ said Professor Sir Peter Rubin, Chair of the GMC.
‘But overall we are confident that these recommendations will help to improve the way doctors are trained and provide clear benefits for patients and the public within the health service now and in the future.
The key is to ensure that we are able to make steady progress towards these reforms while maintaining some stability in a system that has already been subject to a great deal of change and pressure in recent years.’
Find out more
Take a look at the model of postgraduate training (pdf) recommended by the report.
Read the final report Securing the future of excellent patient care on the Shape of Training website.
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