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Part 1 Introduction: origins and nature of the research; what the GMC does and why it matters; historical background - 1856-1968. Part 2 The decade of the profession: the professional revolt; the GMC, the NHS and the overseas doctors; the Merrison enquiry and the 1978 Medical Act; changes in the composition of the Council. Part 3 How the GMC works: the Council, its officers and committees; registration and education - UK-qualified doctors; registration and education - overseas-qualified doctors; maintaining a register of the competent - discipline and health; maintaining a register of the competent - overseas doctors with limited registration. Part 4 The decade of the consumer: a patients' revolt? Part 5 Fit for the twenty-first century: profession before public; false gods and collective illusions; can self-regulation work?; towards a new professionalism.