Reforming regulatory relationships: The impact of medical revalidation on doctors,employers, and the General Medical Council in the United Kingdom

In 2012, medical regulation in the United Kingdom was fundamentally changed by the introduction of revalidation – a process by which all licensed doctors are required to regularly demonstrate that they are up to date and fit to practice in their chosen field and are able to provide a good level of care. This paper examines the implications of revalidation on the structure, governance, and performance management of the medical profession, as well as how it has changed the relationships between the regulator, employer organizations, and the profession. We conducted semi‐structured interviews with clinical and non‐clinical staff from a range of healthcare organizations. Our research suggests that organizations have become intermediaries in the relationship between the General Medical Council and doctors, enacting regulatory processes on its behalf and extending regulatory surveillance and oversight at local level. Doctors’ autonomy has been reduced as they have become more accountable to and reliant on the organizations that employ them.     

‘The Biosciences Knowledge Value Chain and Comparative Incubation Models’

This research derives from an EU DG Enterprise (IPS Programme) project on bio-incubation, called Bio-Link. The Bio-Link project is innovative in three ways. First, it involves an international comparative analysis of biotechnology incubators of the kind that is rarely if ever done. Second, the incubator representatives are monitored and investigated by an academic partnership team. Third, there is a stated aspiration by the incubator companies to engage in co-incubation across borders. Co-incubation is, as far as we are aware, a new kind of boundary crossing innovation in which advanced start-up businesses are assisted to enter other national markets and/or benefit from specialised services or scientific, technological, or commercial knowledge absent in the home country but present in a partner country. Evidence from research on European, Israeli and North American bioincubators is included to compare, contrast and enable future judgements of incubator appropriateness to biotechnology.     

THE NEW POLITICS OF MEDICINE

THE NEW POLITICS OF MEDICINE
Brian Salter
Palgrave Macmillan, 2004, 236 pp., £17.99 (pb) ISBN: 0333801121     

Adolescents' self-perceptions of their strengths

A sample of 960 adolescents drawn from the general population was asked to complete a 22-item scale relating to their self-perceived strengths. The mean score for the 492 boys was 14.9 and that for the 486 girls was 14.4; the difference was not statistically significant. There were, nevertheless, differences for some of the items. In particular, more boys saw themselves as good at sport, confident, popular, having lots of hobbies, and attractive, while more girls saw themselves as reliable, kind, independent, and affectionate. Regression analysis suggested that boys' strengths depended upon parent, peer and school attachment, part-time work, and the number of physical activities with which they were involved. Girls' strengths were best predicted by parent attachment and the number of physical activities with which they were involved.The Dunedin Multidisciplinary Health and Development Research Unit is supported by Medical Research of New Zealand. It also draws upon the involvement of several departments of the University of Otago.Received B.Sc. (Hons.) from University of Hull (U.K.). Research interests include child health.Received Ph.D. from University of N.S.W. (Aust.). Research interests include child and adolescent mental health.     

Agricultural cooperatives and social empowerment of women: a Ugandan case study

This article presents a case study of Manyakabi Area Cooperative Enterprise in south-western Uganda, which shows that benefits from agricultural cooperatives can extend beyond monetary tangibles. We discuss several social factors that women members claimed have improved since they became members of the cooperative, including their confidence, their negotiating skills, the ability to be of service to their communities through transferring skills to non-members, and the ability to take control of certain household decisions when dealing with men. We conclude that these social benefits could be enhanced if they were fully acknowledged as important by agents of change.