From: John Paskins <[log in to unmask]>
>Our PCT has decided to "re-configure" the "A/E" services locally...
>Emergency Department will care for only those patients suffering
>"life-threatening illness or injury". > This has the backing of the
>Department of Health and will be copied in many other areas.
>Does anyone have a view?
--> How about this view:
Let's say a consultant in EM works in an ED which, by some miracle DOES
manage to exclude all non-emergency presentations. (and I don't think it
will ever happen, no matter who backs it and ESPECIALLY if it is the DoH).
As Paul's pointed out - they never will manage it, but let's assume they
did... This EM consultant will be seeing a very acute and emergent spectrum
of pathology... Day in, day out, for months and then a year and more...
With a year or more of this on his/her CV, I would not hire such a
consultant to transfer to my ED, as he/she would be that many years out of
practice with about 2/3 of a normal ED caseload... I'd advise any consultant
who is about to have their experience NARROWED to this extent to consider
carefully their future job prospects in the UK, or OZ or NZ or the USA or
Planet Earth...
Lucky for you - there are many "less progressive" (i.e. normal) EDs about
for you to escape to before this happens, even in major trauma centres...
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