--- Adrian Fogarty <[log in to unmask]> wrote:
> Remarkable, isn't it? I met a resident from McGill
> University Montreal
> today. His department sees around 60,000 patients
> and they have 20 attending
> physicians! Of course they have no equivalent to our
> SHOs, just a lot of
> residents (equivalent to our registrars, albeit much
> more junior)
I worked in Philadelphia for a while and I wouldn't
say the residents are SpR equivalent. About 2nd year
SHO level.
> and
> attendings (equivalent to our consultants, albeit
> with much shorter
> training).
Again the attendings varied. The juniour ones are
about equivalent to a year 3 SpR. They have 1 year as
an intern and 4 years of specialist training about
half of which is in A&E. The senior attendings are as
experienced as consultants are here.
> I suspect the Aussie and Kiwi systems are
> more similar to ours,
> except with double or treble our numbers of
> registrars and consultants.
But how much longer will they be able to afford it?
Talking to the Austalasians at the Edinburgh
conference I got the familiar tale of staff cuts, bed
closures, increasing trolley waits etc. due to funding
crisis. Similar story from the US, Canada, Taiwan.
> Still the British public are slowly coming to terms
> with the fact that you
> get what you pay for, or put another way "if you pay
> peanuts, you'll get
> monkeys" (no offence to our hardworking and
> ever-criticised SHOs - it's not
> their fault that they're too inexperienced for this
> business).
>
Everywhere else in the world they want to pay less for
their health care, but then they have been spending
more than us for some time!
Fred.
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