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In 1993 the Calman report set out to revise specialist medical training.1 It recommended a curriculum for each specialty, structured training programmes, progression through training based on formal annual assessments of competence, and much shorter training in most specialties. Medical royal colleges and postgraduate medical deans would share in the planning and delivery of a new system to start by the end of 1995. On time, and after extended effort by the colleges, deans, and members of the NHS Executive, the new specialist training is to start for general surgery and clinical radiology in December and for all other specialties between April 1996 and April 1997.
Guidance notes for implementing higher training in the new system were released last week. The notes focus on arrangements for transferring present trainees to the new specialist registrar grade during a transition period, which should last
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