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From: Fiona Wallace <[log in to unmask]>

When you say 'middle grade', Adrian, do I hear the echo 'staff grade'?
Certainly seems that the registrars are less and less likely to have any
commitment beyond 5, or at best, 10pm.

--> ??? Huh ???
I think you will find that SpRs are very frequently busy with "antisocial"
work. This is especially so since recent target-based-medicine put even more
pressure on departments to make the efficiency moves which require
middle-grade or senior input. Many SpRs are on schedules which place them on
the shop floor outside the 8-5pm weekday hours on more than 50% of their
hours. Even as much as over 60% anti-social patterns are not rare and there
are severe subsequent effects on training and, through various reasons, less
time when SpRs can work alongside their trainer consultants. This is despite
moves for consultants to be around more out of hours.

Not that Staff Grade doctors are spared this...

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