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Doctors have always fulfilled roles outside their immediate clinical commitments—be it teaching and education, academia and research, or leadership and management. These non-clinical roles give richness and variation to the working lives of clinicians, who would otherwise spend their whole time with patients, and usually serve to improve our healthcare organisations. Despite this, postgraduate medical training and assessment has predominantly focused on the acquisition of technical skills and clinical acumen. The skills required to contribute outside direct patient care to allow doctors to research, teach, lead and manage have been developed on a more ad hoc basis.
Earlier this year in the UK another re-think of medical postgraduate training was conducted. The Shape of Training review1 outlines plans for the future of medical training and highlights the need for more doctors to be trained to provide high standard care in a range of different settings. It encourages flexible training and allows doctors to have opportunities to train in new areas to develop clinical and non-clinical skills outside …