--- Craig Ellis <[log in to unmask]> wrote:
> But the americans have a 3 year EM training
> programme (and a board exam of which the MCQ's at
> least are not overly challenging - although I dont
> know about their oral exam). Contrasting with the
> UK/Aust's 2-4 basic training and 5 years advanced.
> While they do a number of things very well, I agree,
> I dont think there day to day practice is something
> to emulate. No EM system in the world is perfect,
> but IMO the current UK system where the bulk of care
> is delivered by docs 12-18 months out of med school
> is appalling.
Well I wouldn't say it was that bad. Our outcome
figures from national trauma audits have shown no
excessive mortality or morbidity and our survival to
discharge from cardiac arrest is up with the top
performers.
I think until you move to a specialist
> drivien service you dont realise how sub-optimal an
> SHO driven one really is, again just my opinion.
>
Depends what you mean. If you mean specialist
delivered then there is no way the NHS could afford it
at present even if we could find the docs to do it and
I can't see any goverment stumping up the cash to do
it in the foreseeable future. Just how much longer
other countries will be able to do so remains to be
seen. Was talking to one of the Aussie docs the other
day and he was telling me about upcoming crisis in
funding. Something to do with the number of people
privately insured dropping below a critical level.
Cheers Fred.
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