Doc Holiday wrote:
> In order to start a debate...
>
> 1. What would people out there say to A&E SpR's wanting to take time out
> overseas as a part of their training? Is this worthwhile? Is it to be
> recommended/encouraged? Should we actively arrange exchange programs? Is it
> not a good idea for general knowledge to see how other medical systems solve
> problems? Or... Is it just an excuse to bum on some beach...
>
> 2. If travel is a good idea... What chances are there to have such a trip of
> a few months or a year accreditted for training, given that so few countries
> have institutions which are recognised (unless I'm mistaken)? What about
> someone who wants a place that is not (yet) recognised, but sounds like a
> decent post with useful experience?
The JCHTA&E Curriculum for training of SpRs in A&E Medicine allows for
recognition of TRAINING abroad and also for recognition of EXPERIENCE abroad.
The former must be in a centre recognised in that country for training in
Emergency Medicine, with a curriculum similar to the UK system; the latter can
be in a centre which does not meet the same standards but provides useful
expereince.
Examples might be an Australian teaching hospital Emergency Departement and a
South African trauma unit respectively.
I do not have the regulations to hand but I think the time limit is 12 months of
overseas trainning and 6 months of overseas experience. In both cases there must
be approval IN ADVANCE from the local PG Dean, training committee and JCHT.
Regardless of the total time spent on approved secondments, research, overseas
work etc all SpRs must spend a minimum of three years in a UK Emergency
Departments practicing A&E Medicine under Consultant supervision.
> 3. Many a debate have I entered on the following topic: Some Canadian and
> USA colleagues/friends have been trying to determine some equivalent levels
> between their training and the British style. Some of the comments are:
> - FRCS/MRCP/FRCSA&E are well below the level of American "Boards" as the
> latter are the "highest" level in America, while our exams are only "entry
> level".
No idea.
> - American Residents, on completion of their program and passing exams are
> the equivalent of Consultants in the UK. This is despite the major
> difference in number of years of training from end of med school to this
> point (many more here), because their system (they say) does not waste
> trainnees' time by USING them, it merely intensively trains them.
They MAY have clinical knowledge and skills equivalent to UK A&E Consultants,
but I very much doubt that they have the same level of training in th
non-clinical areas.
> - UK medical graduates, as they leave med school, are inferior to the
> American graduates in clinical skills, etc.
So what!
--
Andrew
_______________________________________________________
Andrew Hobart FRCS FFAEM
Birmingham
Trainees Representative on the JCHTA&E
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