Brearley S
Whipps Cross Hospital, London.
BMJ. 1995 Jul 29;311(7000):297-9. doi: 10.1136/bmj.311.7000.297.
For the past 18 years there has been a proliferation of European committees, boards, associations, colleges, and working groups set up to promote the harmonisation of specialist training in Europe. It has been taken as read that this objective is desirable. The fact that these bodies have achieved remarkably little is telling, and it is time to question their activity. There are good practical reasons behind the evolution of Europe's disparate training schemes, and the arguments for retaining diversity rather than continuing to strive for homogeneity are persuasive.
在过去的18年里，为促进欧洲专科培训的协调一致，欧洲成立了大量的委员会、理事会、协会、学院和工作组。人们一直认为这一目标是可取的。然而，这些机构成效甚微这一事实很能说明问题，是时候对它们的活动提出质疑了。欧洲不同培训计划的演变背后有充分的实际原因，支持保留多样性而非继续追求同质化的论点很有说服力。
