Bravo Carlos and Steven Meek
There is hope for the future!
However it occurs to me that a specialty which is divided as to its purpose
at consultant level leading to rather humble plans for the future is in
great danger of having a solution imposed on it by others.
Both Carlos and I worked for Ian Stewart in Plymouth. The best boss I ever
had!
Ian and his colleagues in Plymouth were great to work with , good role
models and very supportive of to the junior staff. However in the same
hospital a large number of patients arrived with emergent conditions through
another door and were taken to acute admission wards while still
undifferentiated.
Fast tracking to specialty units is baloney and does not serve the sick, fat
67 year old very well (and our parents then ourselves may be that very
patient)
Bring all emergencies to the emergency department - the hub of the hospital.
I suggest that this is the key to defining what emergency medicine is all
about and making best use of well trained specialists.
I hope and suspect Ian would agree...
JohnC
May be drifting off the concerns of the original thread but it all comes
back to defining what the job really is - then you can "size it" and
negotiate for proper career pathways, numbers of trainees and remuneration
ie. a salary that does not rely on medical reports to pay for the BMW and
the school fees. And don't be fooled Britian about what can/can't be
afforded blah,blah...
- the UK is a very wealthy nation.
-----Original Message-----
From: Carlos Arturo Perez Avila [mailto:[log in to unmask]]
Sent: Tuesday, 28 September 1999 05:01
To: INTERNET:[log in to unmask]
Subject: Willies
I understand your position. You are not alone in thinking this way. I feel,
personally, that the sooner we move to a consultant based service the
better we will be.
SpR, bless them, contribute to less than 30% of the service provision in my
view. Want to go on many training courses and days and spend a lot of time
studying and reading and not in the sharp end of thing. Some of us as a
result have to spend a lot of our time, quite enjoyable, at the coal face
with our SHO's. Some of our consultant colleagues do not like this but my
narrow minded view is that is why I study medicine to see patients, and if
I specialised in A&E is to see ALL types of A&E patients not just the
selected few which have an interest, which ever that may be.
I am all for a consulatnt based servive with some SHO's and SpR's who can
then be properly trained in what they want.
My main concerned is that the porfession appears to be very divided as to
what their individual roles as consultants should. Their range goes from
american stayle consultant run department to "I am a consultant I will be
in my offcie supervising!!!!"
What do people think.
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