Similar sentiment expressed seriously by plastic surgeon in Manchester:-
"All burns must be seen by a plastic surgeon within 24 hours." (yes really -
ALL burns!) logic being that no-one else is trained and capable of assessing
them.
A few years back we (NW SpRs) had an excellent talk from an Emergency
physician in Florida. When asked what his biggest day to day problem was he
replied "my in house collegues just don't understand what I do".
To a large extent it is the same here, perhaps fuelled by the fact that many
people did A+E in the past (with little senior support and in sign post type
departments) and managed to struggle through.
It may change with time as people currently coming through departments see
what we do and as we do more "in house". I am increasingly asked for advice
regarding acute patient management from the SHO and Registrars in other
specialities when in the department. It's progress of a sort.
Simon
Simon Carley
SpR in Emergency Medicine
[log in to unmask]
Evidence based emergency medicine
http://www.bestbets.org
----- Original Message -----
From: "Howarth, Paul - RCHT" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, October 02, 2002 4:50 PM
Subject: Re: Ubi (Latin Where?)
> Danny,
> This situation was entirely predictable.
> I am not a medical politician so I am sure someone on the list will be
able
> to flesh this out but there was a DOH document leaked about 15 months ago
> laying this arrangement out explicitly (my medical director saw it and
> joking said that I did'nt need to worry about A/E cons expansion too much
as
> there would not be much for us to do in the future) . I gather that it was
> withdrawn. The sentiments behind it have resurfaced as 'streaming' in the
> reforming emergency care document.
> If the DOH wanted to develop the specialty they would have expanded SpR
> numbers dramatically.
> The new Tzar is.....
> I am also told by those in the know that the Gov blame A/E for the Trolley
> crisis and have tired of throwing money at us.
> I am not too worried as when they actually look at what we do everyone
else
> will back off. About 7 years ago one of the paediatricians here floated
the
> idea that they should see ALL the children on the ward, I responded by
> asking if they could cope with 12,000 extra patients a year and what did
> they know about Salter Harris I fractures. I have heard no more.
> Paul
>
>
>
>
> -----Original Message-----
> From: Danny McGeehan [mailto:[log in to unmask]]
> Sent: Wednesday, October 02, 2002 15:57
> To: [log in to unmask]
> Subject: Ubi (Latin Where?)
>
>
> Doing a bit of CME and came across this posting on the Doctors net forum
> page seems very distressing. Tried to follow the thread but lost, where
is
> it does anyone know? Can we have details please. Here is the posting.
> Suprisingly to me it seems to be classical streaming!!!
>
> "At our glorious unit - teaching hospital serving one million, the A&E
> consultants have effectively been forced out. No-one applied for the jobs
> though 18 came to look! Trust have suggested that to cover A&E they break
it
> up into its "speciality groups" i.e. medicine covers medical problems,
> surgery covers surgery and orthopaedics covers everything else - walking
> wounded, minor injuries, resus etc.
> Has anyone else had to face this and if so, how did you make it work?
> In a similar vein, has anyone any lateral thinking that might suggest a
> better answer? "
>
> Danny McGeehan
> --------------------------------------------------------------------------
--------------------------
> The information in this e-mail and any attachments is confidential
> and is intended for the attention and use of the named
> addressee(s). It must not be disclosed to any other person
> without our authority. If you are not the intended recipient, or a
> person responsible for delivering it to the intended recipient or
> are aware that this e-mail has been sent to you in error, you are
> not authorised to and must not disclose, copy, distribute, or
> retain this message or any part of it.
>
> We sweep all outgoing mail for the presence of computer
> viruses. However we cannot accept any responsibility for any
> loss or damage to your systems due to viruses or malicious code
> not detected.
>
> The statements and opinions expressed in this message are
> those of the author and do not necessarily reflect those of the
> organisations within the Cornwall & Isles of Scilly Health
> Community, which will not automatically take any responsibility
> for the views of the author.
> --------------------------------------------------------------------------
-------------------------
>
|