Patients are being placed at "unnecessary risk" because junior doctors are told to work beyond their competence, a report has warned.
A review of doctor training ordered by Medical Education England found trainees are often handling cases that go beyond their expertise.
Dr Tom Dolphin, co-chairman of the British Medical Association's junior doctors committee, said: "It is incredibly stressful for doctors to be put in this position and it will inevitably threaten patient safety."
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