Declining training standards prompt recue action – but it is only sticking plaster. New doctors may have to pass standard test to join medical register: New doctors may have to pass standard test to join medical register

With 1:4 GP practices having a vacancy, the government administration is starting to panic. However, whilst recruiting doctors from all over the world they will block opportunities for our own in the future, and maintain the linguistic and cultural issues in all areas of medicine. It’s going to get worse, especially since the foundation experience is more about service rather than training, and management has excluded doctors from managing colleagues, and patients from continuity of care. Removing the legal obligation of the European Working Time directive may help the latter but there are bigger issues of disengagement, early retirement and emigration to contend with…. A standard test is common sense in a decline, but be clear, it is a focus on lowest common denominator rather than excellence… Presumably doctors who fail their finals in Edinburgh, Cardiff or London will be able to take the lesser test and practice? The Times’ Chris Smyth overstates: Doctors face tough new test on basic skills and shows a graphic showing how unprepared for real work the juniors are now.

Image result for a low standard cartoon

The Jersey Evening Post 1st Feb 2017 reports: New doctors may have to pass standard test to join medical register

New doctors would have to pass a universal test in order to practise in the UK under proposals to overhaul entry on to the medical register.

The General Medical Council (GMC) drew up the plans after finding not all doctors leaving medical school felt they were prepared to practise to the same level.

The watchdog also hopes to use Brexit as an opportunity to demand the same standards from all overseas doctors, who currently either face further exams or no barriers at all depending on where they qualified.

Under the present system each of the UK’s 32 medical schools sets its own curriculum and licensing criteria.

Terence Stephenson, chairman of the GMC, said: “That’s 32 slightly different ways of determining if a doctor in training is up to entering the profession.

“It can’t be right that medicine marks its own homework. So how do we make sure that doctors reach an agreed threshold of competence and preparedness?”

Research by the watchdog revealed some foundation doctors felt unprepared for the step up in responsibility and workload after graduating, while others were concerned about writing prescriptions and carrying our procedures like taking blood.

Under the Medical Licensing Assessment (MLA) all UK medical students will have to answer a common bank of questions for their final exams.

The GMC also hopes that the same test will be sat by doctors attempting to join the medical register wherever they obtain their degree from.

Around 35% of doctors working in the NHS qualified overseas, according to the GMC.

Do doctors spend too much time with computers?



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This entry was posted in A Personal View, Rationing, Stories in the Media on by .

About Roger Burns - retired GP

I am a retired GP and medical educator. I have supported patient participation throughout my career, and my practice, St Thomas; Surgery, has had a longstanding and active Patient Participation Group (PPG). I support the idea of Community Health Councils, although I feel they should be funded at arms length from government. I have taught GP trainees for 30 years, and been a Programme Director for GP training in Pembrokeshire 20 years. I served on the Pembrokeshire LHG and LHB for a total of 10 years. I completed an MBA in 1996, and I along with most others, never had an exit interview from any job in the NHS! I completed an MBA in 1996, and was a runner up for the Adam Smith prize for economy and efficiency in government in that year. This was owing to a suggestion (St Thomas' Mutual) that practices had incentives for saving by being allowed to buy rationed out services in the following year.

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