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Debate: Will restricting hospital training places encourage more medical students to become GPs?


GP trainee recruitment crisis + GP retention problem and mass GP exodus + early retirement = GP workforce crisis. During the last six years for which records are available 12,486 GPs have left the profession. It costs £247,000 to put a family doctor through post-graduate training- (12,486 GPs X£ 247,000 = £3,084,042,000) (RCGP publication dated: 04 July 2014). Let’s suppose a bank lose over 3 billion pounds, then what would happen. Forget about depriving patients form the care these GPs could provide or the time spent on their training. I think asking GPs to come from Australia or Canada is a fantasy and over optimism. Make conditions better here, then it could be a possibility. Those GPs who already left medicine for more than 2 years, I don’t think they would come back due to dropping confidence in practising medicine. In addition, conditions for practising medicine are not better now in comparison when they left, so why should they come? Asking foundation doctors to spend time in general practice is madness as general practice is a very broad- based specialty. Poor newly qualified foundation doctors may be overwhelmed in general practice and there is a risk that they would leave medicine all together. They can’t work independently and where would you get the trainers from in supervising them in seeing every patient? Restricting hospital training and forcing trainees and forcing them to general practice is not a good idea. Then you would have a problem in retaining them in general practice. Looks at the above, already alot of money wasted on training, and don't wast it. Lastly, one good source doctors and readily available is ex-gp trainees who failed are role player CSA exam, but RCGP mostly turns a blind eye to it. Most of them have several NHS hospitals experience and work back at the NHS hospitals after failed CSA exam. Make CSA exam fairer for IMGs and it could help a lot towards the GP workforce crisis. There is no need in arguing for fairness in CSA exam by looking at the statistics for a very high discrepancies in failure rate for UK and non UK graduates. If you don ‘t believe in statistics, stop practising evidence-based medicine now.

Posted date

10 Aug 2014

Posted time