--- Adrian Fogarty <[log in to unmask]> wrote:
> ----- Original Message -----
> In a perfect world Robbie... But we just can't
> afford to let all our SHOs do
> a full ATLS and a full ALS course in the time
> available, and they themselves
> tend to select career oriented courses, e.g. MRCP
> courses and the like, with
> their limited funds. But I don't find our SHOs
> particularly lacking in a
> trauma situation when it's being run by a few
> seniors and middle-grades. Put
> another way, I question the value of routinely
> training a first year SHO how
> to lead a trauma, when you then bring them back to
> work and they never get
> near running these cases anyway. It does strike me
> as odd that as we are
> gradually making our specialty more senior based,
> some of our resus courses
> are gravitating in the opposite direction! Perhaps
> there could be a less
> advanced course for undergraduates as you point out
> (provider), and save the
> ATLS level for those who might realistically take
> charge in a trauma case
> (leader).
>
ATLS is considered the entry level course. It doesn't
teach you how to lead a trauma team. Current
recommendations are that anyone who will be leading a
team should do an apprentiship under an experienced
team leader. None of the resus courses teach team
leadership skills which was very elegantly
demonstrated by Simon Coopers research in Plymouth.
Cheers Fred.
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