Grey et al.1 are correct in their defence of general practice. But I wish to add to my charge sheet that over the last few decades, doctors’ training has been driven by perceived litigation threats, thereby abolishing the concept the generalist. After 10 years of training, GPs feel they are still not qualified unless they gain further tickets for everyday procedures within a practice, creating micro-specialists. Younger doctors are only comfortable working behind large teams, preferably part-time and without ownership of practices and the responsibility that it entails. My comment2 that GPs should move into hospital was a nod to these forces that are changing medical practice. Somehow, we must work with these trends arising from within the profession. To resist is futile.
Declarations
Competing Interests
None declared.
References
- 1.Gray DP, Sidaway-Lee K, Evans P, Harding A. The strengths of general practice. J R Soc Med 2018; 111: 264–264. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 2.Bulger G. Contract and ownership type and patient experience. J R Soc Med 2018; 111: 80–80. [DOI] [PMC free article] [PubMed] [Google Scholar]