This thread appears to be degenerating into an us Vs them style debate – whilst whinging about arrogant Drs, stupid nurses and other caricatures may be enjoyable mess/coffee room chat it is hardly the way to conduct decent debate on this list.
There is a belief that jobs can be divided down into their constituent parts and if a person is trained in each of these parts they should be able to do that job – from published evidence it is apparent that extended role nurses can and do operate at a level of safety and ability equivalent to an SHO (all be it generaly more expensively). The difference is that (as Rowley has said) these SHOs are going to go on and become the people who extended role nurses turn to for advice/help as they become more senior – without that experience at an SHO level it is going to become harder for them to operate at a middle grade and senior level. Just because tasks can be performed by others dosen’t mean its not important for SHOs to get experience in these areas.
With regards to ‘unhealthy deference’ to comparatively inexperienced doctors – I’m sure we can all think of examples where we have been narrowly guided from disaster by the voice of an experienced nurse and likewise I can think of several occasions where the ‘voice of experience’ has been plain wrong. Healthy respect of colleagues knowledge, skills and abilities is required rather than application of clichéd sterotypes to every new professional you meet.
Andy Conway Morris
JHO- Glasgow
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