Assessing quality of economic submissions to the BMJ

overall patient care by controlling the intake to unified rotational training programmes within national guidelines.Specialists would then gain advanced clinical experience and attend programmes of continuing education.In due course they would become senior specialists, clinical teachers, medical managers, or whatever they wish.The varied training opportunities available under this scheme would lead to "a wide range of specialist posts."4The future of research and development in medicine is of vital importance to its viability, and there is still a cohort of trainees, albeit a small one, that would not wish to climb this ladder of academic clinical practice.An academic career could start with a post as lecturer for research minded specialist registrars during the last year of their training.With their certificate of completion of specialist training they would be appointed senior lecturer or assistant professor with clinical specialist status.Each would associate with a reader, associate professor, or a