Why should the trainee in the UK apply, after every few months or few years, for more posts? This uproots the doctors family and himself necessarily.
The Royal College Exams ( which are an Honorary degree) should not to continue to become the criteria for specialisation in Medicine and Surgery. This should be replaced by a proper academic degree like Masters and Doctorate Degrees.
It is about time that clinical research is substantiated by the Gov provide opportunity to graduates of Medicine to involve themselves in preparing academic degrees such as Masters and Phd's. Once this happens medicine would solve many more ailments and there would be a real upturn in curing many diseases. This lacks in the system today in areas like treating depression some killers like diabetes, cancer, strokes and heart disease. One of the most common causes of acquired blindness is Diabetic Retinopathy; it is a shame that the only treatment available to date is the laser destruction of as much possible of the retina in order to preserve the central vision. It is clear that progress in clinical science has not been made and this may be due to the type and nature of postgraduate training doctors receive.
Dr M A Ruby.
Medical Training in the USA