I agree with all you say, Craig. Tell us what your patient workload and
staffing levels are, please.
Rocky.
----- Original Message -----
From: "Craig Ellis" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, January 24, 2001 4:37 AM
Subject: Supervision of juniors
> >From: Adrian Fogarty <[log in to unmask]>
> >
> >Realistically however we can slowly work towards 8 consultant
>departments,
> >and personally I don't relish the
> >thought of signing off every patient like the Americans do, though no
> > >doubt it'll happen someday! I expect BAEM are doing work on these
> > >numbers as we speak?
>
>
> The College of Anaesthetists here ( and I assume its similar in the UK)
> require that all their trainees spend at least six months under full
> supervision, before they are allowed to work alone. For the next year or
so,
> they receive high levels in specialist input, and discuss most cases with
> their consultant and are supervised for all but the most minor cases.
>
> An ED SHO arrives, is given a short induction and left to "go for it",
with
> varying levels of senior input and support from unit to unit - some
> excellent, some shocking. I think there is a strong case to be made for
much
> greater levels of senior supervision - and I believe that all new SHO's
> should have to discuss EVERY patient with a middle grade or senior, ( how
> long for ???? ) and that SpR's in their first year, should be discussing
all
> of their critically ill or complicated patients with a Specialist. I learn
> alot from discussing my seriously ill patients with a consultant - and I
> wonder what the UK trainee's are missing out on by not having an expanded
> senior cover. Anecdotally Im sure everyone is aware of the huge amount of
> sub-obtimal ( not always wrong or leading to an adverse outcome - just
> sub-optimal ) management that goes on due to lack of experience or over
> confidence from junior staff. Im not convienced a period of absolute
> supervision at both junior and middle grade isnt required. Its obviously
> partially a resources question. The American model may be overkill - but
its
> closer to the ideal than the current UK situation - isnt it ?
> Any thoughts ?
>
> Craig
> New Zealand
>
>
>
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