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Colleagues> > I understand that with current numbers of A&E trainees and expected > retirements, BAEM's recommendation of around 800 consultants will become a > reality around the middle of the next decade. I'm sorry colleagues if I might cause some offence. Calman has caused a can of worms and this should be acknowledged by all concerned. He has devalued the training and the expertise of the specialist registrar. Unfortunately in order to maintain numbers people are being appointed to SpR posts who 5 years ago would be unappointable. This is a fact. I don't care if I cause ofence it is true. The standards have undoubtably been lowered. In order to expedate the rulings of Brussels and ultimately the EEC a series of proposals were rushed through to get training numbers up. They were ill conceived and poorly thought out. The standards were lowered. Suffice it to say it also gives me the Wilies. We are now faced with the nonsense of SpR's in General Surgery who have only done 3 or 4 Trauma Lap's and many have yet to do an apppendicectomy. They are not as experienced as the SR's of yore. I don't care what any body says it is true. To get to be a SR in any speciality you had to be the cream of your speciality and that includes A & E. > This gives me the willies. Without SpRs, who will provide middle grade cover > in most DGHs? As far as my limited imagination sees it the options are: Don't blame us Consultants, it is the ex-CMO who has done very nicely out of it as well as those who organise PGME to which the venom should be directed. He is now sitting happily on his index linked pension has introduced his name to the reforms which bear his name and left a current generation of young dynamic consultants to sort out the mess that he has caused. To be qute honest it makes me sick. Danny McGeehan Staffordshire %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%