INTRODUCTION
In 1985 Julian Tudor Hart observed:
‘… our medical schools teach and our students learn better than ever before’,1
yet he also noted that there was a ‘… crisis of structure’.
In response to that crisis he went on to make a case for ‘turning the world upside down’, arguing for a reversal in undergraduate medical education to see the preponderance of teaching time spent in the community rather than in hospital. The change he advocated did not occur; however, the discipline of academic general practice was recognised as playing a key role in the medical school curriculum and the education of medical students.
Fast forward over 30 years.
A CRISIS OF STRUCTURE
Although general practice has become embedded in the medical school curriculum, most teaching continues to remain hospital centred and hospital focused. The ‘crisis of structure’ …