Irvine had been elected to the presidency on a reform agenda. Before his ascendancy, reform had been pursued through blueprints for medical education (Tomorrow's doctors: recommendations on undergraduate medical education. London: GMC, 1993) and for professionalism in practice (Duties of a doctor: good medical practice. London: GMC, 1995). But reform had moved at a snail's pace and remained impervious to societal changes.
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