--- "Dunn Matthew Dr. (RJC) ACCIDENT & EMERGENCY -
SwarkHosp-TR" <[log in to unmask]> wrote:
> > The New Consultant contract is rejected, and at
> some point a
> > new-and-improved Contract is agreed (or enforced
> by the Gov).
> > GP's will increasingly pull out of out of hours
> work.
> > SHO training is drastically improved, by removing
> the service
> > element of their jobs as they pass through the two
> year
> > General Training (European Working Time Directive
> making sure
> > they don't stay up past bedtime.) The gap between
> this and
> > SpR post is as yet clear, but is likely to be some
> version of
> > a speciality training.
>
> With you so far. We've been told for over 10 years
> now to consider how we
> would run our departments without trainees.
Maybe so, but it isn't going to happen anytime soon!
Here is why. To run our department safely and to cope
with the new targets for treatment times I reckon we
will need on average 2.5 docs on the shop floor 24/7.
That is 420 hours of consultant time needed per week.
Now to allow for admin, annual leave, sick leave,
study leave etc. I reckon you will get about 28 hours
of shop floor time per consultant! That means 15
consultants for this department. You can see the
problem. Where are the other 13 going to come from and
the wages bill for medical staff busts £1,000,000 for
ONE department in ONE DGH!!
>
> > SpR Training will drop to three years and most of
> that
> > centralised in order to improve its quality (and
> conform with
> > the EWTD.)
This already happens in the US. Trainees are
supernumeray. Spent a couple of months in the US 2
years ago at a department with roughly the same annual
attendance as ours and they had about the number of
attending physicians as I've outlined above. Every
case seen by a trainee was reviewed by one of the
attendings. Interestingly it didn't seem to result in
a significantly higher standard of care IMHO.
Cheers Fred.
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