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> I think "not my job" arguments are unhelpful, You didn't think this would go unchallenged, did you? One aspect of good time management is limiting what you do. As long as A and E consultants are taken away from doing what they do better than anyone else (which may be dealing with critically ill patients, complex soft tissue, minor injuries, observation ward stuff, management etc depending on the individual) to do a job that could be done equally well by someone else with less training, we have to limit what we do. Our training on the whole involves 'practising' on seriously ill patients before we are fully trained. This is a necessary evil in all branches of medicine. (I wouldn't like my child's switch operation to be done by someone who has done fewer than 20; 20 people have to have this). Ethically we can justify this only if we are putting that training to its best use. 'Not my job' is a vital part of good patient care. Matt Dunn This email has been scanned for viruses by NAI AVD however we are unable to accept responsibility for any damage caused by the contents. The opinions expressed in this email represent the views of the sender, not South Warwickshire General Hospitals NHS Trust unless explicitly stated. If you have received this email in error, please notify the sender.