Craig> the point that we spend 5 years of learning the skills for the job, which
takes useful ones from Anaethetics, is a very valued point - I like to think I
am skilled in certain aspects of anaethesia - ie local blocks, distraction
techniques, analgesia delivery and Airway assessment and management.
We don't really need to be able to deal with all the anaesthetic bits, like
maintenance anaesthesia, or the use of parental feeding etc.
We need to learn the specific skills and overlap areas.
ICU is useful to teach practical procedures, and to recognise and act on
patients physiological status.
The attachments during SpR training focus attention on areas of overlap, but of
cause cannot teach you to be a surgeon, unless you are one!!
As a newly appointed Consultant in A&E I will continue to learn from the
anaethetists - as will I from the surgeons, and orthops, and paeds etc - as I
hope they will from me.
In Leeds , 'Aims and Objectives' for attachments have been developed to futher
focus the attachments taken.
Kind regards
Adrian Kerner
Dewsbury
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