Mr Johnson wrote the letter with Dame Carol Black, chairman of the Academy of Medical Royal Colleges, but did not consult his senior BMA colleagues. Its publication resulted in almost universal anger and condemnation from doctors, some saying the letter is 'arrogant, deluded and out of touch.'
The sentence which appears to have caused the greatest offence is where Mr Johnson and Dame Carol 'restate our support for the Chief Medical Officer and his role in improving junior doctors' training'.
Dr David Pickersgill, treasurer of the BMA said: 'While the letter reflected the Association's agreed position of working towards a pragmatic solution for this year, its tone failed to reflect the anger being currently expressed by members of the Association, particularly among junior doctors. It was felt to be insufficiently sensitive and has led to a loss of confidence in the chairman.'
The BMA will now consider the process for electing a new chairman and the interim arrangements which need to be put in place.
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