Effects of the Calman reforms: a two year review

• Published in: Archives of disease in childhood 1999-01, Vol.80 (1), p.84-87
• Main Authors: Milligan, David W A, Hutchinson, Linda R
• Format: Article
• Language: English
• Subjects: Accountability; Advantages; Biological and medical sciences; Child Health; Childrens health; Colleges & universities; Community Relations; Consultants; Current Topic; Curricula; Education, Medical, Graduate - organization & administration; Education, Medical, Graduate - standards; European Union; Funding; Health participants; Hospitals; Humans; Job Sharing; Medical Education; Medical personnel; Medical sciences; Pediatrics - education; Physicians; Public health. Hygiene; Public health. Hygiene-occupational medicine; Reforms; Responsibilities; Specialists; Supervision; Teaching Methods; Trainees; Training; United Kingdom; Working conditions; Working hours
• ISSN: 0003-9888; 1468-2044
• DOI: 10.1136/adc.80.1.84

2 At the time the British Paediatric Association (BPA) was an appendage of the Royal College of Physicians without direct responsibility for training or examinations, or even the right to a voice on the new decision making bodies; working hours were becoming progressively shorter for junior doctors (but not for consultants); and the specialty was unattractive to potential recruits. 3 In the two years since then much has changed: the BPA has become a Royal College and acquired statutory responsibilities for training and examinations; the recruitment crisis has shifted to primary care; and there has been a change of Government, which has been accompanied by an explicit demand for more public accountability. 4 Training SELECTION Glossary Birmingham declaration-A statement from COPMED in May 1997 setting out the conditions by which overseas doctors could enter a type 1 training programme Calman-Chief Medical Officer and chairman of the working group in reference 1 CCST-Certificate of completion of specialist training CSAC-College (of Paediatrics and Child Health) specialty advisory committee COPMED-Committee of postgraduate medical deans MRCP (examination for)-Membership of the Royal College of Physicians NTN-National training number RITA-Record of in training assessment Specialist registrar-The unified training grade leading to a CCST CORE TRAINING The concept of a core period has the general support of both trainers and trainees, and should ensure that all consultants of the future have a grounding in the broad discipline of child health.