We have recently appointed a "properly trained" consultant physician, albeit on a
locum basis in the first instance,who is based in our Medical Assessment Unit. The
Directorate of Medicine wanted to call him an "Emergency Physician" but were easily
persuaded that the term was not available to them, and so they advertised for and got
an "Acute Physician". Semantics, I know, but important nonetheless.
He's been in post six weeks, and manages to straddle the two directorates quite well,
spending much of his time seeing appropriate cases in the A&E Department, and coming
to "our" educational meetings. He's even carrying some of "our" messages to the Physicians
as a group, and because he's "one of them" they're much more ready to listen to him
saying some of the things we've been saying for years!
He is, however, very much a physician, and of no use with anything other than medical cases.
Lawrence Jaffey
Liverpool
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Date: 04/03/99 08:42
RE: RE: joint faculties meeting - Provision of Acute Medical Services
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Subject: RE: joint faculties meeting - Provision of Acute Medical Services
From: "Meek, Steve" <[log in to unmask]>
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Precedence: list
John, thanks for going to the trouble to disseminate all that information.
Regarding your last point, General physicians using the term emergency
physician, the way to prevent your fears becoming reality is to take
ownership now of the terms emergency physician and emergency medicine. If
you are surgically trained then the physician tag may be uncomfortable, so
you can be a "consultant in emergency medicine". Although some think it
pretentious to worry about a name, your concerns indicate clearly why what
we call our selves is important.
Have any trusts actually been successful in appointing properly trained and
experienced emergency physicans who are not "A&E" trained?
steve Meek
> ----------
>
> Coffee talk amongst A&E docs centered on concern over the 'Emergency
> Physician' being touted by some trusts. How that is what we A&E doctors
> have
> trained to do and that it could be seen as a way out for consultant
> physicans in having to do post take ward rounds. But for A&E is this new
> phenomenon a threat or an opportunity and is it the start of a return to
> European style emergency medicine with 'turn right if you have a surgical
> problem and left if its a medical problem sir' ? Then where would that
> leave A&E doctors, a much smaller specialty ? Perhaps let the discussion
> begin (if you have read down this far !!)........
>
>
>
> Dr John Ryan
>
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