Savage R, Vaughan C
BMJ. 1996 Aug 31;313(7056):544-6. doi: 10.1136/bmj.313.7056.544.
Recruitment to general practice is at its lowest level for 30 years, and many vocational training schemes report difficulty in attracting new trainees. Spurred on by the aging population of south London, and with the advantage of pounds 1.3m of development money resulting from the Tomlinson report, the south London organisation of vocational training schemes (SLOVTS) has perhaps been able to cope better than most. Its chair, Richard Savage, a general practitioner and course organiser, and Clare Vaughan, an assistant adviser, have devised and implemented many innovative training posts for general practice over the past two years, and their approach seems to be bearing fruit: most of the doctors who have finished the training scheme are now entering practice in south London. They talked to Douglas Carnall about the causes of the crisis and the measures they have implemented to counter it. Clare Vaughan died in the week following the interview (see obituary, p 555).
全科医学的招聘人数处于30年来的最低水平,许多职业培训计划都报告称难以吸引新学员。受伦敦南部人口老龄化的推动,再加上汤姆林森报告带来的130万英镑发展资金的优势,伦敦南部职业培训计划组织(SLOVTS)或许比大多数组织应对得更好。其主席理查德·萨维奇是一名全科医生兼课程组织者,助理顾问克莱尔·沃恩在过去两年中为全科医学设计并实施了许多创新培训岗位,他们的方法似乎正在取得成效:大多数完成培训计划的医生现在都在伦敦南部开业。他们与道格拉斯·卡纳尔谈论了危机的原因以及他们为应对危机而采取的措施。克莱尔·沃恩在采访后的一周去世(见讣告,第555页)。