>From: Fiona Wallace <[log in to unmask]>
>
>When you say 'middle grade', Adrian, do I hear the echo 'staff grade'?
>Certainly seems that the registrars are less and less likely to have any
>commitment beyond 5, or at best, 10pm.
>
>--> ??? Huh ???
>I think you will find that SpRs are very frequently busy with "antisocial"
>work. This is especially so since recent target-based-medicine put even
more
>pressure on departments to make the efficiency moves which require
>middle-grade or senior input. Many SpRs are on schedules which place them
on
>the shop floor outside the 8-5pm weekday hours on more than 50% of their
>hours. Even as much as over 60% anti-social patterns are not rare and
there
>are severe subsequent effects on training and, through various reasons,
less
>time when SpRs can work alongside their trainer consultants. This is
despite
>moves for consultants to be around more out of hours.
>
>Not that Staff Grade doctors are spared this...
No; rather than only doing it for the A&E portion of their reg training
??abot 3 1/2 years, I think, staff grades are looking at doing it for the
rest of their working lives.
>
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