BMJ 1995;311:1299 (11 November)
Letters
Harmonising specialist training in Europe
EDITOR,--As a German junior doctor who has studied and trained in Germany, England, the United States, and Canada, I strongly support Stephen Brearley's general view about the harmonisation of specialist training in Europe.1 Specialist training and medical systems adapt to the requirements of each particular society with its needs, beliefs, and financial potential. Medicine has its place in each society and cannot be separated from it; differences between medical systems are thus inevitable. While it may be possible to improve specialist training by importing ideas from other medical systems, complete unification is undesirable. The evolution of several medical systems brings forward more valuable ideas than does a large, unified medical system. Each national system then serves as an example to others.
Modern medicine cannot exist without an international exchange of ideas, data, and staff. Undoubtedly the best way of obtaining insight into other medical systems is to work in them, . . . [Full text of this article]

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Harmonisation of specialist training in Europe: is it a mirage?
- Stephen Brearley
BMJ 1995 311: 297-299.
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