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General Practice: Future

General practice workforce

William Coote
Med J Aust 2003; 179 (1): 48-49.

Sociologists tell us that "Autonomy is the acid test of professional status ... all other characteristics of a profession flow from it".1 Poor Dr Zen* has no professional autonomy. Mr Unger's management is determined, not by her, but by an electronic decision system which then reduces her pay for taking too long and directs her continuing education. How did Dr Zen get into this thankless situation?

William Coote, FRACGP, BEc, Chief Executive Officer
General Practice Education & Training, Canberra, ACT.
Article References: 
Reference Text: 
Wolinsky FD. The professional dominance, deprofessionalisation, proletarianization, and corporatization perspectives: an overview and synthesis. In: Hafferty FW, McKinlay JB, editors. The changing medical profession: an international perspective. New York: Oxford University Press, 1993: 22.
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Reference Text: 
Joint Statement—Australian Medical Association (AMA); Australian Divisions of General Practice (ADGP); Royal Australian College of General Practitioners (RACGP); Rural Doctors Association of Australia (RDAA) — Government's Medicare Package. Canberra, 2003.
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