The academic arms race in medical recruitment—why being a good doctor is not always enough

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Source: BMJ

Original: http://www.bmj.com/content/392/bmj.s328.short?rss=1...

Published: 2026-02-19T06:56:01-08:00

The article examines the problem of increasing competition in the recruitment of doctors for specialist training in the UK. The General Medical Council defines a good doctor with attributes such as honesty, professionalism, trustworthiness and clinical competence. Despite these criteria, the career progression of doctors is based less and less on fulfilling the basic values โ€‹โ€‹of the profession and more and more on obtaining additional academic achievements. Competition for specialized training places is increasing from year to year and is at a historically high level, which is also related to the growing number of unemployed doctors. The situation risks redefining the term "good doctor" in a way that is exclusionary and unrealistic. An example of this problematic situation is the evaluation matrix for training in internal medicine, where the guaranteed score to secure an interview reached 227 points.