TY - JOUR T1 - Five-year training: a radical rational approach to delivery JF - British Journal of General Practice JO - Br J Gen Pract SP - 464 LP - 465 DO - 10.3399/bjgp11X583434 VL - 61 IS - 588 AU - Nigel de Kare-Silver Y1 - 2011/07/01 UR - http://bjgp.org/content/61/588/464.abstract N2 - The MRCGP as it stands. Acquisition of the MRCGP has evolved over the years and the most recent changes, introduced in 2008, incorporate both examination modules and satisfactory submission of work place based assessment evidence. One of the most significant steps in the recent change has been the requirement for the trainee to enter a GMC approved and Deanery delivered 3-year programme from the outset of their specialty training.Parallel to the changes in the entry requirements for Royal College Membership has been discussion on how long the training programme should be. In 2008 the Tooke1 report on postgraduate specialty training was published and shortly thereafter accepted by the then Secretary of State for Health. One of its key points being that general practice training should be extended to 5 years.However, since then, adverse national economic factors have arisen and discussion on this change appears very low key.2,3Simultaneous with the changing financial challenges, the NHS has been subject to further organisational and structural change.4 Some of the key points include the dismantling of the current administrative structure of the PCTs, and the assumption of leadership by GPs in the commissioning of health care. This additional proposed responsibility has coincided with the ongoing development of an ever-growing body of health knowledge, the development and implementation of complex systems of … ER -