> from: Doc Holiday <[log in to unmask]>
> subject: Re: Early senior involvement
> 100% right. In both hospitals I've seen this at, there were around 9-10
> middle grade doctors running this. These must be proper SpRs or others who
> have the same mindset, i.e. having the ability and motivation to get
> involved in ALL types of cases.
>
> Usually, this was run on rotas where the middle grades overlap in various
> shifts. One registrar will take this "clinical lead" and hover mainly in
> "Majors" and "Resus" another will do the same in "minors" and "paeds".
> Others will take over the roles as the day progressed, leaving only 3-5 hour
> stints at this as it is rather challenging work. There needs to be 24:7
> registrar cover.
>
> The Majors/Resus clinical lead registrar MUST avoid the temptation of
> picking up a case from the queue and just "seeing" them. Invariably, as soon
> as he/she gets involved with a
> long-story-abdo-pain-with-rash-not-speaking-English-needs-lots-of-time, then
> things will back up all over! The clinical lead registrar, other than the
> roles I already mentioned, there and the system works really beautifully,
> but I don't wish to take up the list's time. Anyone who wants more on this
> (And there is a lot) get me off list, please.
On the contrary Doc, I would've thought this is incredibly useful stuff and is perfectly suited to be on the List. It's also germane to ESC work which is well suited to the List. Besides, you've very conveniently started a new thread title, so those who aren't interested in any more can simply delete!
Regards
Adrian Fogarty
|