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A patient has his blood pressure taken in this undated file photo

Britain's 150,000 doctors will have to show they are fit to practice once every five years in the nation's biggest change to medical regulation for 150 years.

Doctors falling below standard risk being struck off the medical register unless they improve, under plans published by England's Chief Medical Officer Liam Donaldson on Wednesday.

At present doctors can only be debarred if complaints about their conduct or medical practice are upheld by regulators at the General Medical Council.

Last year the GMC struck off a total of 60 doctors.

Most doctors already undergo annual peer performance reviews, looking at factors such as prescribing habits and how up to date they are on the latest medical advice and research.

Under the new scheme these reviews will be standardized and patients will also be asked for their views on issues such as doctors' communication skills and ability to involve the patient in treatment decisions.

The new appraisals will begin in pilots in late 2009. Doctors will need to be recertified as competent every five years.

"There hasn't been that process before," said a Department of Health spokeswoman. "Once someone was certified they could be a doctor for 50 years, the way the current system works."

GMC President Graeme Catto said the plans were "the biggest change to medical regulation in one hundred and fifty years."

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(Agencies)

英國(guó)將推行150年來最大的一次醫(yī)療管理制度改革，今后英國(guó)的15萬名醫(yī)生每五年要接受一次行醫(yī)資格審查。

英國(guó)首席醫(yī)療官李安姆?唐納德森于本周三公布的改革方案規(guī)定，經(jīng)審查不合格的醫(yī)生如在一段時(shí)間內(nèi)無改進(jìn)，將面臨被吊銷行醫(yī)執(zhí)照的危險(xiǎn)。

目前，英國(guó)的醫(yī)生只有在被醫(yī)療委員會(huì)認(rèn)定為不稱職的情況下才可被吊銷執(zhí)照。

去年，醫(yī)療委員會(huì)共取消了60名醫(yī)生的行醫(yī)資格。

目前英國(guó)大多數(shù)醫(yī)生已開始接受年度行業(yè)考核，考核的內(nèi)容包括開立處方的習(xí)慣以及在醫(yī)療方面的新建議和醫(yī)學(xué)研究進(jìn)展等。

而新規(guī)定要求，這些考核將走向規(guī)范化，而且要將病人的意見考慮進(jìn)去，比如他們對(duì)醫(yī)生的溝通技巧和讓病人參與醫(yī)治決定能力的評(píng)價(jià)等。

新考核體系將于明年底開始試推行，醫(yī)生們須每五年更新一次執(zhí)照。

英國(guó)衛(wèi)生部的一名女發(fā)言人說：“以前我們從未有過這一制度。按照現(xiàn)行制度，行醫(yī)執(zhí)照的有效期為50年。”

醫(yī)療委員會(huì)主席格拉姆?卡托說，這將是“英國(guó)150年來最重大的一次醫(yī)療管理制度改革”。

（英語(yǔ)點(diǎn)津姍姍編輯）

Vocabulary:

strike off: 取消

debar: to exclude or shut out; bar.（把…排除在外；把…排除在外，不予考慮）