Abstract
Several forces have resulted in the creation in Tayside of the first formally integrated unit of undergraduate and postgraduate education in general practice in the United Kingdom. Forces that helped this integration included the desire for change, national developments in education, financial support through funds set aside to cover the additional cost of teaching, and a management structure which concentrates on shared leadership. Forces that hindered the integration included uneasiness about ideas for reforming traditional structures, institutional inertia, the complexity of financial arrangements, and tensions over priorities. The experience of managing institutional changes in Tayside has been invaluable and will lead to a more cohesive approach to undergraduate teaching, postgraduate training, and the provision of services relevant to the development of general practice.
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Selected References
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- Allen J., Wilson A., Fraser R., Gray D. P. The academic base for general practice: the case for change. BMJ. 1993 Sep 18;307(6906):719–722. doi: 10.1136/bmj.307.6906.719. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Atkinson C., Hayden J. Managing change in primary care. Strategies for success. BMJ. 1992 Jun 6;304(6840):1488–1490. doi: 10.1136/bmj.304.6840.1488. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Horder J. Academic general practice. Br Med J (Clin Res Ed) 1984 Oct 27;289(6452):1117–1118. doi: 10.1136/bmj.289.6452.1117. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Marinker M. Should general practice be represented in the university medical school? Br Med J (Clin Res Ed) 1983 Mar 12;286(6368):855–859. doi: 10.1136/bmj.286.6368.855. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Metcalfe D. The chains of education, experience, and culture. BMJ. 1992 Jul 4;305(6844):33–34. doi: 10.1136/bmj.305.6844.33. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Rashid A., Allen J., Styles B., Gray D. P. Careers in academic general practice: problems, constraints, and opportunities. BMJ. 1994 Nov 12;309(6964):1270–1272. doi: 10.1136/bmj.309.6964.1270. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Richardson I. M. The value of a university department of general practice. Br Med J. 1975 Dec 27;4(5999):740–742. doi: 10.1136/bmj.4.5999.740. [DOI] [PMC free article] [PubMed] [Google Scholar]