" EM as a speciality will have no credibility.....as long as our juniors
have to consult with another speciality after hours when they run into
problems.....Emergency medicine wont be going anywhere in the UK."
Yes, which is why EM DOESN'T have much credibility in many hospitals. In the
21st century, we still allow the sickest patients to be seen by the most
junior registered doctors. Trusts should acknowledge this for the risk
management issue that it is and the BAEM/FAEM bods should consider this the
number one issue facing the specialty (perhaps they do). Do any other
specialists allow a first month SHO to practice every aspect of their work
unsupervised? Surgery? Anaesthesia? Interventional Cardiology? Do we really
deserve any credibility yet? If the government does do away with our
specialty then we should shoulder some of the blame: by not providing
specialist emergency medicine care at evenings and weekends we add
ammunition to the argument that we're not really needed the rest of the time
" The other issue is .... how to standardise the Staff grade - the huge
variation in levels of practice is a real issue and a cause for concern -
its unacceptable to have a spectrum which stretches from consultant level
care to unsafe practice or to a deliberate narrow spectrum practice ie
seeing only the minors."
This is true, but in fairness to Staff Grades, please note that you could
replace the word 'Staff' with 'Consultant' in the above paragraph and it
would ring bells with most of us, although I guess the FFAEM exam is a step
towards addressing that.
Emergency Physician, London
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