Discussion at case conferences often returns to the difficulties of effective communication and deficiencies in training of students in the necessary skills. On this occasion we record a discussion about the problems encountered at three levels in a doctor's training: that of a medical student in his first weeks of ward work; of a student about to become a doctor and take clinical responsibility, and of a trainee general practitioner nearing the end of his year's attachment to a group practice. The problems are discussed among a general practice team involved in teaching. Those present are: a final year medical student, a trainee medical practitioner, a health visitor, an attached social worker and three general practitioners, one a lecturer at the nearby teaching hospital, one a trainer in the practice, and a third partner.
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