Why time the MRCGP examination at the end of vocational training?
نویسنده
چکیده
Many other voluntary organizations work with women of childbearing age and can incorporate a significant health dimension-given the necessary encouragement and help, not least from their local primary health care teams. Voluntary organizations provide much specialized advice on subjects like breastfeeding and maternity rights. Equally significant is their support to 'special needs' groups such as single women, ethnic minorities, prospective mothers of twins or those facing complications in their pregnancies. Such support is often based on mutual aid and the use of lay peers and, like a great deal of voluntary action, endures far beyond birth itself. To talk about voluntary projects in such general terms always does them a disservice-they sound abstract, and fall prey to the reader's prejudices about the character and value of voluntary action. The detailed facts of what is actually being done speak loudest, and our report is punctuated with case studies, information sheets and practical information. Busy professionals can use it to see how particular needs can be tackled without necessarily reading more than the summaries of the accompanying arguments. And this is very much a matter for health professionals themselves. Of course there is much more that various voluntary organizations and community health councils can do. But virtually all the pioneering initiatives under consideration rely to a greater or lesser extent on professional backing. They need reliable, statutory funding. They need access to NHS facilities. They need support and expertise from NHS staff. This presents a major challenge to those working in the NHS who are accustomed to dealing exclusively with individual patients. Even if they are aware that voluntary action and volunteers do not grow on trees, they can assume that their development must be somebody else's business. Our argument is that meeting the health needs of future parents in the round should involve the health services at all levels in an active commitment to partnership with groups of lay people-in enabling voluntary action as well as treating individual patients. Nor is this a utopian idea. Practical initiatives under way testify to the practicability and promise of partnership with the voluntary sector. Individual general practitioners are to the fore in beginning to develop voluntary action in the seven growth areas identified above. We hope this report will be a helpful starting-point and guide for many others. General Practitioner, Plymouth Surveys of attitudes to the MRCGP examination amongst trainees have all shown similar …
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ورودعنوان ژورنال:
- The Journal of the Royal College of General Practitioners
دوره 33 249 شماره
صفحات -
تاریخ انتشار 1983