I think John's comprehensive advice is spot on, and could be sent to
any such SHO as it stands. I would personally, though, add the rider that
the year of medicine for the FRCS(Ed) should be a year of acute SHO med
including cardiology, not 6 months PRHO and a dubious quality gerries job
which may enable one to take the exam. A sound grounding in general medicine
and anesthetics/ITU is essential for our prospective trainees.--------
steve meek
bath
> From: [log in to unmask][SMTP:[log in to unmask]]
> Sent: 21 April 1999 12:38
> To: [log in to unmask]
> Subject: Re: A&E SHO training
>
> The way forward has to be a unified training grade. In time I am sure we
> will see this 'looking forward to the day' as David Williams said last
> week
> for our 'Royal College'. There will then be a common part 1 entrance and
> a
> final exit exam the FFAEM. This is the way things have gone in Australia
> and
> essentially in the US and Canada. Until then people who show a clear
> committment to A&E as a career, by taking FRCS A&E must do one year of
> medicine, one year of surgical related jobs and 1 year of A&E before they
> can take part 2 FRCS A&E. This as preparation for a future career and a
> SpR
> job inb A&E has to be of more value than spending 2 years in a rotation
> that
> includes neurology, gastroenterology, nephrology and maybe 6 months A&E.
> As
> it stands a doctor could then apply and successfully be appointed to a SpR
>
> job in A&E without having treated children or without a decent
> understanding
> of trauma or indeed have any surgical skills whatsoever.
>
> Our recommendation to juniors planning a career in A&E is now to apply for
>
> our 2 year rotation at SHO level designed for doctors wishing to persue a
> career in A&E. After house jobs they do 6 months A&E, 6 months general
> medicine, another 6 months A&E and 6 months orthopaedics. They take MRCP
> part 1 and FRCSEd A&E part 2. During the 2 years they undertake all the
> appropriate advance life support courses and are involved in audit and
> research related to A&E being encouraged to present at national meetings
> and
> submit papers to JAEM. At the end of this time if they have been
> successful
> in their exams they can apply for a SpR post. If they have had a blip and
>
> missed the exams they pass into phase 2 which includes 6 months
> Anaesthetics/ITU, 6 months paediatrics, 6 months overseas in Australia and
> 6
> months A&E locally again. If they still have not got the exam or a sPR job
>
> then they are counselled about persuing a career as a staff grade.
>
> Frankly the idea of persuing MRCP only as a route to an A&E career shows a
>
> lack of understanding for the needs of the specialty and the way in which
> emergency medicine is progressing worldwide. Trainees applying for SPR job
>
> with FRCS A&E clearly are demonstrating a committment to A&E as a
> specialty
> and have a better understanding of the strengths and weaknesses of the
> specialty.
>
> Dr John M Ryan
>
> Consultant & Senior Lecturer in A&E medicine
> Royal Sussex County Hospital
> Eastern Rd.
> Brighton
> BN2 5BE
> UK
>
> Ph; 00 44 1273 696955
> Fax: 00 44 1273 680627
>
> http://www.pavilion.co.uk/users/ryanj/
> http://www.rsch.org.uk/rsch/rschae.htm
>
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