Abstract
A change in the ratio of trainees to consultants is necessary: despite being the agreed policy of the profession and DHSS, existing central planning machinery has failed to bring about its implementation. There is no reason to suppose that central methods can ever achieve the desired ends without intolerable constraints on the liberty of doctors. Freedom for individual groups of consultants to negotiate local changes in manpower coupled with inducements to both them and the authorities would seem to provide a promising approach that has not yet been adequately debated for explored. In the nature of it such an idea is unlikely to be attractive to central bureaucratic organisations, whether governmental or professional.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Greene G. R., Sartwell P. E. Oral contraceptive use in patients with thromboembolism following surgery, trauma, or infection. Am J Public Health. 1972 May;62(5):680–685. doi: 10.2105/ajph.62.5.680. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Russell W. Letter from westminster. Br Med J (Clin Res Ed) 1981 Mar 21;282(6268):1004–1004. doi: 10.1136/bmj.282.6268.1004. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sagar S., Stamatakis J. D., Thomas D. P., Kakkar V. V. Oral contraceptives, antithrombin- III activity, and postoperative deep-vein thrombosis. Lancet. 1976 Mar 6;1(7958):509–511. doi: 10.1016/s0140-6736(76)90296-8. [DOI] [PubMed] [Google Scholar]
- Vessey M. P., Doll R., Fairbairn A. S., Glober G. Postoperative thromboembolism and the use of oral contraceptives. Br Med J. 1970 Jul 18;3(5715):123–126. doi: 10.1136/bmj.3.5715.123. [DOI] [PMC free article] [PubMed] [Google Scholar]