You're quite right Andy, but I did put it at the front of my "reserve" list,
precisely for those reasons!
AF
----- Original Message -----
From: "Andrew Webster" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Friday, November 29, 2002 5:23 PM
Subject: Re: Acute Medicine
> Think again about renal medicine, as less than ideal. A lot of their
> patients can become very sick. Often involved with managing patients on
> ITU/HDU. Also renal disease is often one part of a multi-system disease.
>
> Andy Webster
>
> -----Original Message-----
> From: Accident and Emergency Academic List
> [mailto:[log in to unmask]] On Behalf Of Adrian Fogarty
> Sent: 29 November 2002 15:14
> To: [log in to unmask]
> Subject: Re: Acute Medicine
>
> There is still no career path in acute general medicine in this country
> John. There is clearly a need however. If it does come about I expect
> such
> trainees should concentrate on the more acute 'ologies including
> cardiac,
> chest, gastro together with general unselected "takes". As you go
> through
> the other 'ologies; renal, neuro, rheum, derm they become progressively
> less
> useful. But I also expect such trainees should do 6 to 12 months of ITU
> with
> anaesthesia, and of course they should do 6 to 12 months secondment to
> A&E!
> When fully "grown" I imagine they'll run MAUs, or whatever the latest
> acronym is, perhaps with sessions in A&E. But will this be a popular
> career
> path? Possibly, not least because such physicians would have little or
> no
> OPD/clinic commitments!
>
> Adrian Fogarty
>
> ----- Original Message -----
> From: "John Chambers" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Thursday, November 28, 2002 10:40 AM
> Subject: Acute Medicine
>
>
> I suspect Sir George is being pragmatic
> Just been looking at the RCP recommendations on acute medicine/AE
> interface
> All laudable stuff but I suspect budding ologists are not queueing up
> for
> the challenging positions doing shift work as a young consultant.
> Whereas ED
> specialists know it is inevitable
> I may be wrong one of our specialists here has an MRCP and is about to
> get
> his FRCP. Very physicianly and eminent - and he is a good Emergency
> physician as well with FFAEM and a broad training.
> Does the career path in Acute Medicine include Specialist Registrar
> attachments in an Emergency Department?
> I would have though at least 1 year as and ED SpR would be mandatory -
> perhaps it is
> JohnC
> Is there a career path in Acute Medicine?
> This is not a rhetorical question as our Director of Internal Medicine
> is
> trying to get his head around the meaning of life and keeps asking me !
>
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