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October 1994

Dermatology in England

Author Affiliations

Department of Dermatology The General Infirmary at Leeds Great George Street Leeds LSI 3EX, England

Arch Dermatol. 1994;130(10):1305-1307. doi:10.1001/archderm.1994.01690100089015

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DERMATOLOGISTS IN the United States and in the United Kingdom treat the same diseases with similar therapies, with similar success. We speak the same language—almost. However, the postgraduate training and administration of dermatology is vastly different on both sides of the Atlantic. Another common factor is that both the American and British systems are undergoing changes mandated by their central governments—possibly too quickly, and without adequate professional consultation. Historically, our systems have been very different for many years.

UNDERGRADUATE TRAINING  Let us first consider training. In the United Kingdom, most medical students have a 5-year course at the end of which the graduate receives the degree of MB, ChB (or something very similar). This is followed by a 1-year junior house position in which the junior physician is in day-to-day charge of the patients' immediate practical needs. The work is predominantly related to inpatients. This first 12-month period is divided

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