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Objectives The Shape of Training report recommended that full registration is aligned with medical school graduation. As part of a General Medical Council-funded study about the preparedness for practice of UK medical graduates, we explored UK stakeholders’ views about this proposal using qualitative interviews (30 group and 87 individual interviews) and Framework Analysis. Setting Four UK study sites, one in each country. Participants 185 individuals from eight stakeholder groups: (1) foundation year 1 (F1) doctors (n=34); (2) fully registered trainee doctors (n=33); (3) clinical educators (n=32); (4) undergraduate/postgraduate Deans, and Foundation Programme Directors (n=30); (5) other healthcare professionals (n=13); (6) employers (n=7); (7) policy and government (n=11); (8) patient and public representatives (n=25). Results We identified four main themes: (1) The F1 year as a safety net: patients were protected by close trainee supervision and ‘sign off’ to prevent errors; trainees were provided with a safe environment for learning on the job; (2) Implications for undergraduate medical education: if the proposal was accepted, a ‘radical review’ of undergraduate curricula would be needed; undergraduate education might need to be longer; (3) Implications for F1 work practice: steps to protect healthcare team integration and ensure that F1 doctors stay within competency limits would be required; (4) Financial, structural and political implications: there would be cost implications for trainees; clarification of responsibilities between undergraduate and postgraduate medical education would be needed. Typically, each theme comprised arguments for and against the proposal. Conclusions A policy change to align the timing of full registration with graduation would require considerable planning and preliminary work. These findings will inform policymakers’ decision-making. Regardless of the decision, medical students should take on greater responsibility for patient car, Project funded by the UK General Medical Council., How prepared are UK medical graduates for practice?

This thesis examines the interest in spiritualism of Canada’s tenth Prime Minister, William Lyon Mackenzie King. By placing King’s engagement with spiritualism within the context of recent historiography on spiritualism as a progressive form of religion in the late nineteenth and early twentieth century, this research demonstrates that spiritualism was not a pseudo-religion or parlour game but rather, a religious practice meaningful to King both as a component of his faith and his intellectual pursuits. Within the context of this thesis, spiritualism is treated as a lived religion. Based on the research of Robert Orsi and David D. Hall, whose contention is that religion comes into existence only in a dynamic relationship with the realities of everyday life, particular attention is paid to those parts of King’s world that serve as the building blocks for his first encounters with spiritualism. This research demonstrates that while King remained skeptical of spiritualist claims until later in his life, his eventual acceptance of spiritualism was the result of several factors. Though the deaths within his immediate family in the early 1900s served as a catalyst for King’s desire to seek spirit contact, it was his reading and involvement in social Christianity as early as 1891, when he began his studies at the University of Toronto that provided the scaffolding for King’s incorporation of spiritualism into his later life. It is argued that, ultimately, King’s goals remained consistent throughout his personal evolution: to lead a Christian life in service to the less fortunate and to the people of Canada., Thesis (Master, History) -- Queen's University, 2009-12-06 20:38:59.97