ABSTRACT
A joint postgraduate educational structure might have alleviated some of the obvious disadvantages of the divided administration of GP and con sultant services and raised the status of general practice. Each hospital region had been deliberately centered on a university medical school. The medical teaching center was thus given implicit regional responsibilities besides its existing functions as an undergraduate school and a local refer ence hospital. For the first time, virtually all consultants in a geographical area of two or three million population were on equal terms, working in one hospital service.