That's a great suggestion - allowing time spent in non-numbered MG posts to
be counted towards training. It seems with changes to the SHO grade and
demand for senior delivered care, especially see and treat, we are facing
the predictable situation of inadequate consultant and registrar numbers.
This solution might help fill the fellow grades in the short term. Can the
Faculty act here?
Cliff Reid
Consultant in Emergency Medicine
>From: Adrian Fogarty <[log in to unmask]>
>Reply-To: Accident and Emergency Academic List <[log in to unmask]>
>To: [log in to unmask]
>Subject: Re: middle grade cover
>Date: Wed, 8 Jan 2003 07:26:25 -0000
>
>Agreed, except for one small point Fiona - well, there's always one small
>point, isn't there?
>
>What's wrong with SpRs-to-be utilising a staff grade post to gain
>middle-grade experience? Sure, the majority of these posts will be for
>those
>seeking a "career grade". But these posts should be equally acceptable and
>just as attractive for less experienced doctors who wish to undergo further
>"training". In fact I think the single most important thing the Faculty
>could do to improve recruitment to these posts would be to recognise them
>for higher specialist training, should the post-holder be interested in
>further training at some point in the future. And as far as I'm concerned
>the weekly timetable of a staff grade, including rights and
>responsibilities, should be almost identical to a specialist registrar;
>unfortunately we can't give the former quite as much study leave as the
>latter, but that too can be "tweaked" at local level.
>
>OK, other things would also help recruitment and retention as you point
>out,
>like remuneration, terms and conditions etc. Your point about progress to
>associate specialist is clearly very important too.
>
>Adrian Fogarty
>
>P.S. Conflict of interest (and sneaky advert): am currently trying to fill
>my department's new staff grade posts, on quite competitive terms and
>conditions!
>
>
>----- Original Message -----
>From: "Fiona Wallace" <[log in to unmask]>
>To: <[log in to unmask]>
>Sent: Tuesday, January 07, 2003 8:11 PM
>Subject: middle grade cover
>
>
> > There are good staff grades out there, but you're right, many have made
>the
> > move to GP land. There are two major reasons for this:
> >
> > The pay - for a SHO3 moving to SG it's not bad, but if you want
>experienced
> > staff who are going to be asked to shoulder the greater burden of
>clinical
> > responsibility then you're going to have to give them more than 35K.
> > Especially as only half of any increase above that reaches the pay
>packet,
> > and with levels of pensions to be considered.
> >
> > The seniority - having a blanket grade that takes in everyone from a
>SHO3
> > with a year's A&E experience to someone with pretty much full registrar
> > training is ridiculous. As is treating it as a SpR-in-waiting grade,
>which
> > implies that those that don't move on are somehow lesser beings, when in
> > fact they are more likely to be or become the backbone of the
>department.
> > We've slipped into a 'those that can, do and those that can't become
>staff
> > grades' type of thinking. There should be a concerted push to get
> > experienced SGs into associate specialist posts and give them the
>respect
> > (and salary) they deserve.
> >
> > In cloud cuckoo land...
> >
> > Fiona.
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