Securing the Future.

Abstract

Don Berwick, emeritus president of the Institute of Healthcare Improvement in Boston, foresees a future, third era of medicine, driven not by professional dominance or managerialism, but by transparency, improvement science, less inspection and more civility.1 Steering general practice and primary care out of the current crisis into a new phase of professional confidence and clinical excellence — perhaps Berwick’s third era — will require attention, among other things, to recruitment, to career structures and retention, and to innovation and transformation. Clustered around Research articles exploring key aspects of determinants, perceptions, and decisions about general practice careers, are three important …