Academic General Practice in the UK Medical Schools, 1948-2000: A Short History
John Howie and Michael Whitfield
Abstract
Although General Practice is the commonest career choice for medical graduates, and the majority of encounters between doctors and patients take place in general practice, there was no formal teaching in or about the subject before the start of the NHS in 1948. Nor were there any staff trained in the discipline in a paid university position. This Book traces the revolution in medical education that took place between 1948 and 2000 resulting in every one of the then 31 established medical schools having a professorial appointment in the discipline, and some 15% of the medical curriculum nationa ... More
Although General Practice is the commonest career choice for medical graduates, and the majority of encounters between doctors and patients take place in general practice, there was no formal teaching in or about the subject before the start of the NHS in 1948. Nor were there any staff trained in the discipline in a paid university position. This Book traces the revolution in medical education that took place between 1948 and 2000 resulting in every one of the then 31 established medical schools having a professorial appointment in the discipline, and some 15% of the medical curriculum nationally being taught in the general practice setting by general practitioners. Each of the 21 chapters describes how this change came about (the London chapter describes the process across 11 different schools), and captures the struggles of visionary doctors (most but not all of whom were general practitioners) to establish a new discipline against a mix of protectionism, apathy and sometimes hostility from the existing medical establishment. The Book includes a more general analysis of the recurrent themes which were common across the university system, and of the long process of trying to establish the financial parity with existing clinical disciplines which was critical to allowing the new discipline first to survive and more recently to thrive.
Keywords:
medical education,
general practice (medicine),
history of medicine
Bibliographic Information
Print publication date: 2011 |
Print ISBN-13: 9780748643561 |
Published to Edinburgh Scholarship Online: September 2012 |
DOI:10.3366/edinburgh/9780748643561.001.0001 |