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Dáil Éireann debate -
Wednesday, 18 Nov 1998

Vol. 496 No. 7

Written Answers. - General Practitioner Training.

Ivor Callely

Question:

149 Mr. Callely asked the Minister for Health and Children the annual cost to train general practitioners from the time they enter medical school until they finish their training; and the procedures available to accommodate all qualified general practitioners to practice and accommodate public patients. [23408/98]

Any effort to realistically calculate the annual cost involved for the training of general practitioners involves consideration of a number of factors that make its precise calculation both difficult and subject to a range of purpose-related economic perspectives. A student preparing for a career as a general practitioner has to undergo undergraduate training in a medical school, to be followed by internship. The, should he or she wish to complete their general practice vocational training, which is a necessary prerequisite for eligibility for applying for a GMS scheme post, they would have to undergo a further three years of training of which two would be spent in a hospital and the final one in a specialised training general practice. Each aspect of that training regime has costs elements that are both direct and indirect and relate not only to the individual undergoing the training but also to the institution or body providing it and the State in terms of the overall infrastructure within which training takes place.

However, the Higher Education Authority has advised that based on unit data cost for 1996-97, the average annual cost of an undergraduate medical student is approximately £5,300, which, based on a six years course, results in a total average cost of £31,800. These costs relate entirely to the university period of training and do not encompass any other costs associated with required training.

All qualified and registered general practitioners are free to engage in private practice. Entry by practitioners to the general medical services scheme, which provides,inter alia, for general practice services for medical card holders is by way of open competition publicly advertised by the relevant recruiting health board, for new posts, vacancies and assistant-with-a-view to partnerships positions. The procedures governing entry, which are the subject of full agreement with the Irish Medical Organisations, are intended to ensure that the highest calibre doctors are recruited to the scheme; that there is a proper level of access to, and choice of, general practitioner services for patients in each health board area; and that due regard is given, on the basis of agreed guidelines, to the question of the viability of practices in the areas in question.
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