Think again about renal medicine, as less than ideal. A lot of their
patients can become very sick. Often involved with managing patients on
ITU/HDU. Also renal disease is often one part of a multi-system disease.
Andy Webster
-----Original Message-----
From: Accident and Emergency Academic List
[mailto:[log in to unmask]] On Behalf Of Adrian Fogarty
Sent: 29 November 2002 15:14
To: [log in to unmask]
Subject: Re: Acute Medicine
There is still no career path in acute general medicine in this country
John. There is clearly a need however. If it does come about I expect
such
trainees should concentrate on the more acute 'ologies including
cardiac,
chest, gastro together with general unselected "takes". As you go
through
the other 'ologies; renal, neuro, rheum, derm they become progressively
less
useful. But I also expect such trainees should do 6 to 12 months of ITU
with
anaesthesia, and of course they should do 6 to 12 months secondment to
A&E!
When fully "grown" I imagine they'll run MAUs, or whatever the latest
acronym is, perhaps with sessions in A&E. But will this be a popular
career
path? Possibly, not least because such physicians would have little or
no
OPD/clinic commitments!
Adrian Fogarty
----- Original Message -----
From: "John Chambers" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, November 28, 2002 10:40 AM
Subject: Acute Medicine
I suspect Sir George is being pragmatic
Just been looking at the RCP recommendations on acute medicine/AE
interface
All laudable stuff but I suspect budding ologists are not queueing up
for
the challenging positions doing shift work as a young consultant.
Whereas ED
specialists know it is inevitable
I may be wrong one of our specialists here has an MRCP and is about to
get
his FRCP. Very physicianly and eminent - and he is a good Emergency
physician as well with FFAEM and a broad training.
Does the career path in Acute Medicine include Specialist Registrar
attachments in an Emergency Department?
I would have though at least 1 year as and ED SpR would be mandatory -
perhaps it is
JohnC
Is there a career path in Acute Medicine?
This is not a rhetorical question as our Director of Internal Medicine
is
trying to get his head around the meaning of life and keeps asking me !
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