The tradition of barefoot doctors has inspired similar developments in several other countries across world. Recently China has embarked upon an ambitious new mission to create a primary care workforce consisting of trained general practitioners having international standard skillsets.
If you teach students and young doctors, you will help to improve the lives of hundreds of thousands of patients. If, through research, you change the way we all practise, you will help to improve the lives of millions. Regular assessments of severely mentally ill patients, 1 and the use of questionnaires to measure severity of depression before treatment, 2 3 are now Gp article about education in UK general practice.
Research in primary care is at the applied end of the spectrum, which means that useful results can be implemented for the benefit of patients within a few years of publication.
Primary care is where the large majority of common and costly medical problems are managed, and where public health and health promotion interface with clinical care. Academic general practitioners have made major contributions to the care of many millions of patients through widely cited epidemiological surveys, 4 5 6 observational studies, 7 8 9 randomised controlled trials and systematic reviews, 10 11 12 13 14 developments in service delivery, 15 16 and methodological developments in health care research and development.
Managing these competing demands, however, is enormous fun, because academics have a huge degree of control over their day to day work. And you get to see the world.
Mind, these privileges have to be earned by working into the evening and at weekends in order to meet the ever present deadlines.
The career ladder for academic GPs In a structured career pathway for medical academics was set up as a result of a joint working Gp article about education of the United Kingdom Clinical Research Collaboration and the Modernising Medical Careers initiative, led by Mark Walport of the Wellcome Trust.
General practice AF2s are offered in a number of foundation schools consult the deanery websites. Academic clinical fellowships provide funding to lengthen GP training from three to four years, securing time to get some initial research training and prepare applications for doctoral fellowships from the Department of Health, the Medical Research Council, the Wellcome Trust, or other charities.
Where to start Students who are already sure they want an academic career should get experience in research through an intercalated degree, or special study module.
A first-class degree, prizes, distinctions or honours, and research related conference presentations and publications gained as a student will make you more competitive for an AF2 post. In turn, securing an AF2 post will help, but is not essential, to secure an academic clinical fellowship post during specialist training.
Inseven academic departments of general practice in England Bristol, Cambridge, Keele, Manchester, Oxford, Southampton, and University College London secured programmes that between them provide a total of 45 academic clinical fellowships and 29 clinical lectureship posts for GPs over five years.
Other departments have secured funding from their local deanery, to provide similar academic training opportunities during the GP specialist trainee years.
Links to academic departments can be found through the Society for Academic Primary Care www. In recognition of the fact that this is actually a more common route for GPs, the Walport Report also recommended funding academic in-practice fellowships for fully qualified GPs who can show evidence of an interest in research, to allow them to pursue masters-level research training half time for two years, and prepare an application for a doctoral-level research training fellowship.
Doctoral-level research training fellowships are awarded in open national competition by the National Institute of Health Research, the Medical Research Council, the Wellcome Trust, and other charities. A period of experience working in an academic department is an essential prerequisite for successful application, however, whether it is for an academic clinical fellowship, an academic in-practice fellowship, as an academic GP specialist trainee funded by the deanery, or funded by the department itself.
Speak to your local professor, who will meet you with enthusiasm. Medical education Most of the academic clinical fellowships, academic in-practice fellowships, and clinical lectureship posts are research posts, although a minority are provided in medical education.
The career ladder in education, however, is better defined through the postgraduate deanery route, rather than through the undergraduate academic departments, although in some parts of the country undergraduate and postgraduate departments are happily merged.
Box 2 lists ways in which you can get involved in GP education. Opportunities to get involved in general practice education Teaching medical students One to one as a GP tutor in your practice In groups as a seminar leader As an undergraduate course organiser for your local medical school GP specialist trainees One to one as a GP trainer in your practice As course organiser for your local training scheme As associate director or director of postgraduate GP education Continuing medical education of GPs As a postgraduate centre GP tutor Undergraduate students and foundation school trainees are usually involved in some teaching of students in the years below them.News Corp is a network of leading companies in the worlds of diversified media, news, education, and information services.
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Education Is undoubtedly a critical driver of economic growth and social mobility. But efforts to expand access to education have typically focused on the primary level, while neglecting tertiary schooling.
And Initiatives that have emphasized post- secondary learning have placed relatively little emphasis on educational quality.
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The Bilingual Education Policy in Singapore: Implications for Second Language Acquisition L. Quentin Dixon Harvard University Graduate School of Education.