Reform of the SHO grade? So being topical you might like to look at
Unfinished Business, this has been published today for
consultation and is available on the Department of Health website at
www.doh.gov.uk/shoconsult.
Ray McGlone
A&E Lancaster
----- Original Message -----
From: "Adrian Fogarty" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, August 21, 2002 10:22 AM
Subject: Re: SHO BAND 2A ROTA
> ----- Original Message -----
> From: "Craig Ellis"
> Subject: Re: SHO BAND 2A ROTA
>
> > Adrian and Phil,
> > It wasnt a dig at the staffing structure, I understand the
> "way it is". I still dont think working 14 hours in a high intensity
> environment is good for learning, patient care or the SHO's themselves.
Even
> if relatively well supported. I agree that the best place to learn EM is
on
> the shop floor. It would be a disaster to have trainees only working 1/3
> clinical. But performance declines with time - there is plenty of
literature
> around on it (mostly anaesthetic, but some Aust and US ED data) - in
ICU/ED
> environments 12 hr shifts are usually considered the max safe length, with
> 10 or 8 being the ideal. Putting a doctor, mostly 12 months out of med
> school, on 14 hours shifts in ED is just not on IMO - although I do
> understand the financial problems with increased staffing.
>
> Oh I fully agree Craig, we've just gotta improve our balance, that's what
I
> mean; a few more registrars dedicated to clinical care rather than endless
> courses, and a little less reliance on first year SHOs would go a long way
> to redressing the balance.
>
> > Craig (who currently works in a 65K department, with 26 SHO's, 9 middle
> grades and 7 FTE consultants, where every single patient is reviewed or
> discussed with a middle grade or above - so finds it very hard to
comprehend
> the UK system sometimes)
>
> See what I mean about decades behind...
>
> > P.S Adrian, Sorry about the grammer and spelling - Im pretty c#$p at
both.
>
> All is forgiven Craig!
>
> Adrian Fogarty
>
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