Clunie G J
University of Melbourne.
J R Coll Physicians Lond. 1993 Apr;27(2):154-7.
The strength of postgraduate medical education in the United Kingdom lies in the recognition that it is a continuing process from the preregistration year through the training grades into the stage of independent practice. The continuity derives from the support given to postgraduate deans by the universities, regional health authorities and professional colleges whose various contributions and training activities can be coordinated under the umbrella of the dean's office. This contrasts with the Australian scene where the responsibility for medical postgraduate education is still largely divided between the Australian Medical Council, individual state medical boards and the various professional colleges and faculties. Australia, has, however, devised a shorter basic and higher specialist training structure that ensures an earlier and more productive entry to independent practice. Australia has also accepted the principle of recertification which would seem to be a logical sequel to the committed system of defining and maintaining high standards of delivery of health care in the United Kingdom.
英国研究生医学教育的优势在于，它认识到这是一个持续的过程，从注册前一年开始，经过培训阶段，直至进入独立执业阶段。这种连续性源于大学、地区卫生当局和专业学院对研究生院长的支持，它们各自的贡献和培训活动可在院长办公室的统筹下协调开展。这与澳大利亚的情况形成对比，在澳大利亚，医学研究生教育的责任仍主要由澳大利亚医学委员会、各州医学委员会以及各类专业学院和系分担。不过，澳大利亚设计了一种更短的基础和高级专科培训结构，以确保更早且更高效地进入独立执业阶段。澳大利亚还接受了重新认证的原则，这似乎是英国致力于界定和维持高标准医疗服务体系的合理延续。
