Hospital doctors : training for the future : the report of the Working Group on Specialist Medical Training.

  • Great Britain. Working Group on Specialist Medical Training.
Date:
1995
Catalogue details

Licence: Open Government Licence

Credit: Hospital doctors : training for the future : the report of the Working Group on Specialist Medical Training. Source: Wellcome Collection.

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    35 practice would become wholly integrated within the developing arrangements for commissioning postgraduate education and more relevant and planned periods of training could be purchased by the regional adviser to meet the individual requirements of trainees. Purchasing may also provide a means by which regional advisers working with postgraduate deans could pursue mechanisms for assuring the educational quality of SHO posts and of varying the relative duration of the general practice and hospital components of vocational training. It could also provide a vehicle, although not the funding, for facilitating the resourcing of trainees wishing to spend a short time in general practice while pursuing a hospital career. The strategy would therefore provide a significant mechanism for delivering greater flexibility in the provision of vocational training. Although more effective training could be anticipated the strategy would not in itself involve any additional new funds. Statements of required core competencies would be necessary to assist the purchasing function during the phase of vocational training in general practice. Likewise funding of higher or further training, which could be made available from commissioning agents, would also be facilitated if the competencies to be attained were defined. The Working Group recommends that: i provided provision for the trainer-trainee contract is not disturbed and appropriate lines of managerial accountability are recognised, resources to enable the purchase of vocational training should be transferred from the general medical services budgets to the postgraduate dean’s budget; and ii regional advisers in general practice, working with postgraduate deans and in line with their purchasing role, should be empowered to purchase suitable training opportunities to deliver programmes of vocational training. 36 At present the JCPTGP is, in relation to Title IV of EC Directive 93/16/EEC, designated as the competent authority for general practice in the UK in respect of certification functions, while the The General Medical Council (GMC) is responsible for other functions such as attesting good character, physical and mental health and receiving declarations from visiting practitioners. For all other specialties the GMC is the competent authority. The Working Group acknowledges that, in view of changes in the arrangements for specialist medical training to comply with the EC Directive, the option of a single competent authority for medicine now merits consideration. It recognises, however, that it is not the forum in which such a strategy should be pursued.