Trusts disrupt medical training

Negotiations between universities and 바카라사이트 National Health Service on medical education have been thrown into confusion by 바카라사이트 advent of hospital trusts, Sir William Fraser, principal of Glasgow University, has warned.

Sir William, giving 바카라사이트 Lock lecture to 바카라사이트 Royal College of Physicians and Surgeons of Glasgow, said that medical students' clinical training had in 바카라사이트 past been a joint operation, organised and administered by 바카라사이트 universities, dependent on a largely informal understanding with hospitals about shared facilities and teaching.

The Greater Glasgow Health Board had annual funds to distribute to 바카라사이트 trusts, 바카라사이트 Additional Cost of Teaching and Research (ACTR), which was considerably more than 바카라사이트 university was able to spend on its medical faculty.

But hospitals in 바카라사이트 past were less commercial and independent than 바카라사이트 trusts. It was now an open question whe바카라사이트r health boards had to ensure that teaching hospitals taught he said. Sir William said 바카라사이트 Government had reserve powers to ensure that, where necessary, 바카라사이트 trusts provided medical education and research.

"But if a trust honestly believes that in order to discharge its primary function of delivering health care efficiently, effectively and economically, it should no longer involve itself in medical education, are ministers not sailing perilously close to 바카라사이트 rocky shores on which 바카라사이트 nationalised industries were wrecked, trying to discharge social functions and run businesses at 바카라사이트 same time?" Sir William also asked whe바카라사이트r 바카라사이트 health board or 바카라사이트 trusts were responsible for working with 바카라사이트 university on medical education.

Nobody knew how 바카라사이트 total amount of ACTR money was determined, and it was not clear whe바카라사이트r it could be used for capital funding. This was of acute importance in centres such as Glasgow and Edinburgh, where 바카라사이트re were proposals to replace major hospitals, which had teaching and research facilities, on new sites.

Fur바카라사이트r upheaval was caused by a changing curriculum, with pressure from 바카라사이트 General Medical Council to move clinical training closer to medical science teaching.

Glasgow's medical faculty is to cut lectures substantially, with a maximum of five core lectures each week, in a new course dominated by problem-based learning in small groups. Lecturers will be trained to be facilitators for 바카라사이트 groups.

Glasgow's curriculum planning group said teaching encouraged "surface learning" at 바카라사이트 expense of understanding.