An important point since that consultant is responsible for the care given
by the juniors in his/her unit. I guess the biggest risk of such conflict
arising is with SpRs, since they may be rotating around units with markedly
differing philosophies and levels of intervention considered appropriate for
each department. I've er...heard of such situations arising before, and it
can be tricky for both trainer and trainee, but as you indicate, the buck
has to stop with the boss.
It can get even more interesting with multi-consultant departments when one
consultant may demonstrate a very different interpretation of A&E practice
from another, potentially resulting in bewilderment and demotivation for
both nurses and junior doctors. Any suggestions on resolving this? Do any of
your departments have an agreed 'mission statement' or something similar?
Best wishes
Cliff Reid
Australia
>
>...and what any A&E junior reading the list must realise is that their
>actions in any particular A&E unit must represent the philosophy of the
>Consultant responsible for that unit - regardless of where they perceive
>their own EM boundaries lie.
>
>Nick Jenkins
>A&E Consultant, Abergavenny
>http://www.ae-nevillhall.org.uk
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