Editor—Has it occurred to Dame Janet Smith that the reasons her proposals might be so slow to implement are because they are not an appropriate solution?1 Of the changes introduced, most doctors know that appraisal is in practice both costly and ineffectual and that revalidation is likely to be a more grandiose version of the same. When, one wonders, would a High Court judge be happy to have a doctor sit in judgment of some of the very necessary reforms of her profession?
Competing interests: None declared.
References
- 1.Richards T. Chairwoman of Shipman inquiry protests at lack of action. BMJ 2006;332: 1111. (13 May.) [DOI] [PMC free article] [PubMed] [Google Scholar]