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The importance of developing a learning culture in the NHS has been recognised to enable skill mix, sharing of good practice and the capacity to learn from errors. Learning is linked with the implementation of good clinical governance strategies.
The impact of continuing changes in, and modernisation of, healthcare is being felt by all those involved in training and education in a healthcare setting. The need for high quality teaching staff was reinforced by commitments to education and training in the NHS Plan which emphasised continuous professional development, lifelong learning, increasing training commissions for doctors, nurses and allied health professions, interprofessional learning and working, and preparation of students and staff for new roles and new ways of working.1
In August 2004 the requirements of the European Working Time Directive for doctors and dentists in training were implemented. With this came significant changes in patterns of service delivery which impact on time available for teaching and training.
Under the influence of Modernising Medical Careers, we are seeing wholesale changes in organisation of the postgraduate development of doctors. In September 2005 the Postgraduate Medical Education …
Conflict of interest: none stated