>From: "Cliff Reid" <[log in to unmask]>
>There's (retrospective) data from the US showing malpractice claims
>decrease
>with increasing cover by attending EPs, and a paper or two showing that
>people are less likely to reattend if they were seen by a senior doctor on
>their first ED visit. I can dig out the references if anyone would like
>them, but I recall the 'evidence', especially regarding the reattenders,
>was
>pretty weak methodologically. I agree it should be a priority for research.
>
>Cliff Reid
>
....
But their system is dramatically different and the cutoff point between EP's
and residents is difficult to compare to any specific/defined transition in
UK system.
Thus probably not worth the effort to go look for ref, especially if, as you
say, it was weak research.
I saw something a few years back by some lawyers claiming to have worked out
a higher ratio of litigation with SHOs compared to more senior staff. Worked
through it with a colleague and found that, once adjusted for numbers of
patients SHOs saw... they actually were doing better than consultants
according to their figures!!!
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