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Reviews management training for doctors undertaken in the special health authorities in London. These are postgraduate research institutes in clinical medicine. Compares methodology and outcome issues with the national research programme completed a year earlier, and identifies the context of comparative change between the research programmes. The findings, although similar to the national evaluation the previous year,identify some additions, in particular the lack of formal accountability for the management role in the NHS being undertaken by these university employees, and the differing nature of the working arrangements for these academic doctors who are usually working as knowledge‐based networkers across a number of organizations.

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