My last post on this, Im probably boring people to death.
I dont believe that any funding issues coming up will impact by way of
changing the seniority of staff providing emergency care. The reasons are
many, but not least is the public backlash about reductions in emergency
care - political suicide in Australasia. But there are many more fiscal
arguments as well.
Im still at a loss to understand why there is such an acceptance of SHO
delivered care. I accept the confines of the NHS, but surely it is something
to strive for.
When I say consultant delivered care I mean - a consultant presence 16-24
hrs / 7 days, and close supervision of all the juniors. Not the consultants
seeing all the patients. As opposed to middle grade or SHO delivered / led
services that mostly exist currently
As I understand it about 80% of the US residencies are 3 years. 20% are 4 (
3 + intern year ).
Laat post, I ll shut up now
cheers
Craig
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