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British Journal of Hospital Medicine (BJHM) is published by IMR Press from Volume 87 Issue 1 (2026). Previous articles were published by another publisher under the hybrid model (CC-BY-NC license or on a subscription basis), and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement.

Abstract

Having lived through a number of changes in medical education over the last few decades, it is possible to cast a wearied eye over the changes introduced by Modernising Medical Careers (MMC), as outlined in Professor Heard's editorial (vol 67(8), 2006, p. 396), and say ‘Oh no – not another change!’ However, this particular change strikes the very back-bone of the entire postgraduate training of a doctor. It has also split the profession in their views.