Rashid A, Allen J, Styles B, Gray D P
Countesthorpe Health Centre, Leicester.
BMJ. 1994 Nov 12;309(6964):1270-2. doi: 10.1136/bmj.309.6964.1270.
Changing priorities in the NHS have underlined the crucial importance of academic general practice in providing quality training and research to underpin developments in general practice. Unfortunately, several problems and constraints mean that the full potential of general practitioners to make a contribution to teaching and research has not been realised. These issues are examined and recommendations for improvements are made. Obstacles to career development for academics in general practice should be removed. The funding of academic general practice should be the same as for other medical disciplines. Vocational training for general practice should be extended to include research and audit methods, particularly for doctors interested in an academic career. Above all, the long term objective should be to integrate undergraduate and post-graduate general practice to increase the overall effectiveness of teaching and research and hence the quality of service general practice.
英国国家医疗服务体系（NHS）不断变化的优先事项凸显了学术性全科医学在提供高质量培训和研究以支持全科医学发展方面的至关重要性。不幸的是，一些问题和限制意味着全科医生对教学和研究做出贡献的全部潜力尚未得到实现。本文对这些问题进行了审视并提出了改进建议。应消除全科医学领域学术人员职业发展的障碍。学术性全科医学的资金应与其他医学学科相同。全科医学的职业培训应扩展至包括研究和审计方法，特别是针对有志于从事学术职业的医生。最重要的是，长期目标应是整合本科和研究生阶段的全科医学教育，以提高教学和研究的整体效能，进而提升全科医疗服务的质量。
