>By comparison, from talking to various emergency physicians in the US,
>there
>seems to be much closer supervision of trainees there. Apparently Emergency
>medicine residency training there has evolved (for various reasons) into a
>system whereby every patient seen by a trainee has to be 'signed off' by a
>fully trained ER doctor. In the first year or two of training this tends to
>mean the supervising doctor at least 'casts an eye' on every patient and
>their investigation results etc. In the final year it can just mean that
>each case is discussed before admission / discharge.
I don't know the system very well, and I don't doubt it would help feedback,
but is there not some financial incentive for attendings to "sign off
patients" i.e. they get paid for number of cases seen so very beneficial to
have a cursory glance at the patient.
Andy Webster
Specialist Registrar in Emergency Medicine
Department of Accident and Emergency Medicine Northern General Hospital
+44 114 2434343
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