--- Shane Curran <[log in to unmask]> wrote:
> MY opinion is that this is what we should teach our
> trainees anyway.
Yes, but will they be assessed on it?
> The only advantage to any senior staff who do the
> course is learning what they teach and how they
> teach it so that we can teach the same mantra.Which
> is why our department can do all the mantra stuff in
> teaching.
> DID I learn anything form the courses?
> Not really except for the approach.
I always thought that the approach was the most useful
thing about the courses. there isn't the time to mnake
people competent in the skills.
I always found it
> interesting doing the APLS course on iv access
> basics when I had been teaching the advanced level
> at an ELS course the weekend before
>
I treat the skill stations as an oppurtunity for small
group teaching and try to include other information
than just the skills. I think it may be useful for
people to see the skill and get some idea of what it
is like to perform.
> Shane (who hates merit badge medicine)
> MBBS B Med Sc FACEM EMST ELS (instruct) MIMMS APLS
> MFCP AAGG(all around god guy) XXXX(australian for
> beer)
>
Interestingly, much as we would like to think that
that senior medical staff make a difference there is
no evidence from our audit data that having a
consultant present makes any difference to the outcome
and that applies to trauma and ALS resus. What does
make a difference is sticking to the guidelines and
our last 5 years audits have shown a dramatic
difference in survival to discharge between those
patients treated according to the guidelines and those
where the team did their own thing. The skills
retention study was even more dramatic and drop off in
performance of even relatively straight forward skills
such as defib were significant in pre-reg house
officers over 6 months. Despite them attending cardiac
arrests.
Fred Cartwright.
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