Invited Commentary Training General Practitioners*

Nationally there is no standardized system for the education and training of general practitioners (GPs) within the UK in relation to prevention, early detection and management of alcohol problems. A number of surveys over the past 20 years have confirmed GPs' role legitimacy concerning working with excessive drinkers, but identified a lack of role adequacy and role support for this work. However, there are considerable constraints present in current UK general practice which limit opportunities for education and training of GPs. A possible way ahead may be to encourage general practitioners to utilize a screening and early intervention programme, coupled with ongoing support and imaginative use of other primary health care workers, community workers and the secondary services.