General thought.
If anyone thinks that we will be doing the same job in 10-20 years time that
current consultants are doing they are as mistaken as anyone who thought the
same 20 years ago. The speciality will adapt and change with time, may even
dissapear as a name. However, the skills, people, interest and patients will
remain. There will always be a role for people interested in acute medical
practice.
i.e. adaptation to survive may be the best policy.
Simon
Simon Carley
SpR in Emergency Medicine
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Evidence based emergency medicine
http://www.bestbets.org
----- Original Message -----
From: "Biggin Chris (RTF) NHCT" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, October 01, 2002 6:58 PM
Subject: Re: John H & the trolley tsar
> I understand the defensiveness, as most units are not adequately resourced
> to perform what they're currently being asked to do, never mind allow time
> for A&E senior staff to expand their role into what have traditionally
been
> medical units. However, in the longer term, I think we need to look at the
> skill-base needed to make the whole emergency system of a trust work
better;
> A&E, or emergency physicians, or whatever you want to call them, possess a
> lot of those skills. More to the point, the breed of physician currently
> being trained doesn't necessarily. There are undoubtedly hospitals where
it
> would be unwise to make overtures at this point towards involvement of A&E
> on MAU for fear of "being dumped on". BUT.... there are units where the
> medics are supportive, where the management understand the importance of a
> quality emergency service, where the further training needs for A&E to
take
> on these roles are understood, and where the A&E staff can understand how
> they could fit in to some jointly run system. Looking at the smug
> satisfaction of colleagues who have had experience in Australia, it could
> even enhance the job that we're currently doing. Sure, it's not for
> everyone, but it's worthy of looking at.
>
> Chris Biggin
> Consultant in Emergency Medicine
> North Tyneside General Hospital
>
> -----Original Message-----
> From: Dr P Munro [mailto:[log in to unmask]]
> Sent: 28 September 2002 19:40
> To: [log in to unmask]
> Subject: Re: John H & the trolley tsar
>
>
> "...and I can see a blended role developing where current A&E consultants
> and current acute physicians merge together to create the new acute
> emergency physicians."
> Prof Sir George Alberti in Hospital Doctor 26th September.
> What on earth does this mean? It sounds like "all those general physicians
> who dont want to do any acute receiving work please take one step back".
> If there was any sense to the world, John Heyworth would not be advising
the
> 'acute care tsar', he would be it!
> More worried than normal.
>
> Phil Munro
> A&E Glasgow
>
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