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Training reform could harm patients, doctors warn

Proposals to shorten in-job training for qualified doctors in the UK could seriously compromise patient care and safety, leading doctors have warned.

They say there is a lack of evidence for the plans, which could see the time it takes to reach consultant level cut by two years.

They have called on the government to “pause” the training review.

Currently doctors spend the first two years after graduation rotating between about half a dozen different areas of medicine, such as obstetrics or A&E.

Many then specialise and stay within that area until they reach consultant level. Depending on which area they choose to focus on, that can take between eight to 10 years.

In a bid to promote general medical skills, one proposal is to shorten consultant training to between six and eight years. Another is to allow doctors to be fully registered to practise when they left medical school, rather than waiting a year as they do now.

But leading doctors are worried these changes could mean they will be allowed to practise fully autonomously before they have gained all the skills they need.

Read more at BBC Health.

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2 Responses to “Training reform could harm patients, doctors warn”

  1. caroline says:

    It is the difference between being competent at a set of skills and having the confidence to deal with them when less than straight forward.

    Only experience brings confidence to competence and that is already lacking in new consultants, mostly due to the 48 hour training week.

  2. Radman says:

    Full registration on leaving medical school? Good grief! I suppose it would help with the current pressures on foundation jobs by simply abolishing them and we will then have created a new lost tribe of junior trust grade fodder competing for specialist training posts without having much of a clue what they are letting themselves in for.
    I never had an issue with the medical SHO jobs I did for 3 years before starting a radiology training programme and at least I can still use the designation ‘clinical radiologist’. Total training time from graduation to consultant was 10 years and I regret none of it.

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