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Graeme Catto

Bio: Graeme Catto is an academic researcher from General Medical Council. The author has contributed to research in topics: Accreditation & Government. The author has an hindex of 4, co-authored 8 publications receiving 42 citations.
Topics: Accreditation, Government, Scrutiny, SAFER, Officer

Papers
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Journal ArticleDOI
01 Mar 2007-BMJ
TL;DR: Last week, the Department of Health announced its plans for reforming regulation of doctors, and the BMJ asked some of those affected for their opinions.
Abstract: Last week, the Department of Health announced its plans for reforming regulation of doctors. The BMJ asked some of those affected for their opinions

6 citations

Journal ArticleDOI
24 Jul 2008-BMJ
TL;DR: On the day the General Medical Council publishes its guidance on acting as an expert witness, Graeme Catto, the council’s president, explains the background to the document.
Abstract: On the day the General Medical Council publishes its guidance on acting as an expert witness, Graeme Catto, the council’s president, explains the background to the document

6 citations

Journal ArticleDOI
19 May 2005-BMJ
TL;DR: The fifth report of the Shipman inquiry provided a thorough and considered analysis of the issues surrounding fitness to practise as discussed by the authors, and the GMC plans to play an important part in developing an effective system.
Abstract: Revalidation is under scrutiny. The GMC plans to play an important part in developing an effective system The fifth report of the Shipman inquiry provided a thorough and considered analysis of the issues surrounding fitness to practise.1 We must all approach the report in the spirit of learning from the past and as a source of ideas for improving the protection of patients in the future. The government's proposals to improve death certification and for tighter regulation of controlled drugs2 will, alongside clinical governance, help stop another Harold Shipman. Nevertheless, the General Medical Council recognises that further changes are required to our processes. ![][1] How can we ensure new doctors remain fit to practise? Credit: www.topfoto.co.uk Some have argued that no general lessons can be drawn from the Shipman case. I believe that view is mistaken. Of course many of the circumstances were specific, but much broader, historical issues were raised. These include: Dame Janet Smith, the chairman of the inquiry, acknowledged that much has changed for the better, but we all have more to do, whether within our regulatory bodies, healthcare organisations, or clinical teams or as individual healthcare professionals. We need to ensure that further … [1]: /embed/graphic-1.gif

6 citations

Journal ArticleDOI
TL;DR: The turbulence of the last few years has a number of causes, including increasing patient expectations, which has again called into question the relationship between government, the public and the profession.
Abstract: In recent years, concerns about health and healthcare have been expressed by the public, the profession, patients and politicians. These are neither new nor confined to the UK. Doctors were not always held in high public esteem; that had been earned over the last 150 years through scientific discoveries such as anaesthesia which revolutionised patient care. The turbulence of the last few years has a number of causes, including increasing patient expectations. Perhaps inevitably it has again called into question the relationship between government, the public and the profession. The resulting debate has been more widespread and better informed than previous episodes of dissent, perhaps indicating a greater willingness on the part of all three parties to assess their relationship anew. Any such assessment would no doubt have to accept the current workforce difficulties experienced by many doctors and other healthcare professionals practising in unsatisfactory circumstances.

3 citations


Cited by
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Journal ArticleDOI
TL;DR: A literature review was designed to evaluate the existing evidence about reflection and reflective practice and their utility in health professional education, to understand the key variables influencing this educational process, identify gaps in the evidence, and explore any implications for educational practice and research.
Abstract: The importance of reflection and reflective practice are frequently noted in the literature; indeed, reflective capacity is regarded by many as an essential characteristic for professional competence. Educators assert that the emergence of reflective practice is part of a change that acknowledges the need for students to act and to think professionally as an integral part of learning throughout their courses of study, integrating theory and practice from the outset. Activities to promote reflection are now being incorporated into undergraduate, postgraduate and continuing medical education, and across a variety of health professions. The evidence to support and inform these curricular interventions and innovations remains largely theoretical. Further, the literature is dispersed across several fields, and it is unclear which approaches may have efficacy or impact. We, therefore, designed a literature review to evaluate the existing evidence about reflection and reflective practice and their utility in health professional education. Our aim was to understand the key variables influencing this educational process, identify gaps in the evidence, and to explore any implications for educational practice and research.

1,747 citations

Journal ArticleDOI
TL;DR: Teachers across Canada are presently discussing whether the current 4‐year residency programmes adequately prepare paediatricians for their future careers, and whether such programmes should be extended.
Abstract: CONTEXT Educators across Canada are presently discussing whether the current 4-year residency programmes adequately prepare paediatricians for their future careers. Studies carried out in the USA have repeatedly shown areas of weakness in residency training, but there are no studies looking at the overall adequacy of training across Canada. OBJECTIVES To assess practising paediatricians' perceptions of the adequacy of their residency training as preparation for clinical practice and to assess practising paediatricians' opinions about the required mandatory length of training. METHODS A questionnaire based on previous studies was sent to 434 paediatricians certified between 1999 and 2003, asking for their opinions of their preparedness for practice in the broad areas of paediatrics and in the professional roles of the doctor-specialist. RESULTS Overall, 239 (55%) paediatricians replied, 96% of whom indicated they were 'adequately' or 'very well' trained. Areas in which opinions on training were positive included emergency medicine, neonatology, endocrinology, haematology/oncology, neurology, infectious diseases and respirology. Areas where preparation was considered to have been less adequate included gynaecology, child psychiatry, behavioural psychology, surgical specialties, orthopaedics and adolescents. With respect to the roles of the doctor-specialist, strengths of training included the areas of medical expert, collaborator, ethics and professionalism, and communicator. Respondents felt they were less adequately prepared for the role of a medical expert dealing with palliative care, for dealing with bereaved parents and as manager of an office practice. Despite these weaknesses, 80% felt that 4 years of training was sufficient. DISCUSSION The results of the study are comparable with those of previous studies carried out in the USA and reinforce the need for regular programme assessment. This study will hopefully lead to the improvement of current paediatric residency programmes and enhanced education and training of future paediatricians. Although overall satisfaction with training was high, paediatric programmes need to make some changes by providing more appropriate training with less tertiary care, hospital-based training and more community and ambulatory-based experiences.

67 citations

Journal ArticleDOI
TL;DR: The EWTD has had a marked adverse impact on continuity of care for neurosurgical patients at St. George's Hospital and residents' training opportunities were reduced.
Abstract: Implementation of the European Working Time Directive (EWTD) raises questions about reduced surgical training opportunities and lost continuity of patient care. We studied the effect that the EWTD has had in these areas for residents in the neurosurgical unit at St. George's Hospital, London, UK. Case notes for 50 emergency and 50 elective operative admissions were randomly selected before and after implementation of an EWTD compliant resident roster (total, 200 episodes). Each was objectively scored for continuity of care from the operating surgeon. Rosters from 3 months before and after implementation were compared to assess training opportunities available. A significant reduction was observed in continuity of emergency care following introduction of the EWTD compliant roster (P < 0.009). The same proportion of residents consented and operated on elective cases; however, a significant reduction in continuity of postoperative care was observed (P < 0.0001). Resident training opportunities were substantially affected with reduced involvement in outpatient (72% vs. 60%) and operating sessions (79% vs. 63%) with their nominated consultant. The EWTD has had a marked adverse impact on continuity of care for neurosurgical patients at St. George's Hospital. Residents' training opportunities were reduced.

65 citations

Journal ArticleDOI
TL;DR: The results for ALC compare favorably with published series and it is demonstrated that the operation can be performed safely by HST under direct supervision without compromising operating lists or safety.
Abstract: Background Even though ambulatory laparoscopic cholecystectomy (ALC) is safe and cost effective, this approach has yet to gain acceptance in the United Kingdom We report our 5-year experience of ALC with emphasis on its appropriateness for higher surgical training

59 citations

Proceedings ArticleDOI
20 May 2010
TL;DR: The attestation of the correct operation of the evidence collector is discussed in this paper and an implemented solution is presented.
Abstract: Non-repudiation of digital evidence is required by various use cases in today’s business cases for example in the area of medical products but also in public use cases like congestion charges. These use cases have in common that at a certain time an evidence record is generated to attest for the occurrence of a certain event. To allow for non-repudiation of such an evidence record it is required to provide evidence on the used device itself, its configuration, and the software running at the time of the event. Digital signatures as used today provide authenticity and integrity of the evidence record. However the signature gives no information about the state of the Measurement Instrument at the time of operation. The attestation of the correct operation of the evidence collector is discussed in this paper and an implemented solution is presented.

34 citations