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Training may be extended by obtaining an Academic Clinical Fellowship for research or by dual certification in another speciality. Training may be extended by pursuing medical research usually 2—3 years , usually with clinical duties as well The postgraduate qualification Membership of the Royal College of General Practitioners MRCGP was previously optional. In , a requirement was introduced for doctors to succeed in the MRCGP assessments in order to be issued with a certificate of completion of their specialty training CCT in general practice. During the GP specialty training programme, the medical practitioner must complete a variety of assessments in order to be allowed to practice independently as a GP. The practical examination takes the form of a "simulated surgery" in which the doctor is presented with thirteen clinical cases and assessment is made of data gathering, interpersonal skills and clinical management.
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Early life[ edit ] Paltrow was born in Los Angeles, the daughter of actress Blythe Danner and film producer-director Bruce Paltrow — She has a younger brother, Jake Paltrow , who is a director and screenwriter. Paltrow's father was Jewish , [7] while her mother is from a Christian background. Congresswoman Gabrielle Giffords AZ , through her father. Paltrow recalls their family gatherings:
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