I learnt little at medical school expect how to pass exams and which book to
look it up in later.
Most of my teaching has come from middle grades, my peers or the oxford
handbook of medicine read hastily on the lav.
Why should A&E be a job for the indecisive after house jobs and not a valid
career choice?
Surely if the SHO s in A&E are a mixture of career medics , surgeons , GP's
and career A&E then they will educate each other.
The only safe way to teach SHO's is to make them surplus to requirements for
an induction period with one to one teaching from a senior ,as happens for
the first 2- 3 months of anaesthetic training (a speciality which is aeons
ahead of any other educationally) This would obviously necessitate more
senior /middle grades and working longer shifts as happens in USA/
Australia.
Accident & Emergency needs to define itself with a proper college, career
structure and clinical attachments in medical school rather than being part
of the RCS ed etc.
But I am just a cas. officer
Chris Markwick
----- Original Message -----
From: <[log in to unmask]>
To: <[log in to unmask]>
Cc: <[log in to unmask]>
Sent: 10 August 1999 06:12
Subject: The Young Ones
>
> Perhaps I am just getting old, but the latest crop of SHOs, although the
> nicest and most charming of people, are really rather dubious in the
> skills and decision-making department. Review Clinic was full of sprained
> ankles that did not require review and some ST segment elevation was sent
> home.
>
> Should we now be having a debate about the most junior person safe to be
> an A&E SHO? Traditionally it is the first job after House jobs, and most
> of mine are. But as the house job is now a glorified final student year
> are we not unfairly exposing people who are not yet equipped to make safe
> decisions with a huge burden? Should we be saying we want to see a job or
> two as an SHO in hospital with a system to let them out slowly?
>
> Or should we be going back to the medical schools and asking some
> pertinent questions about student training? Or am I the only one with this
> thought this time? I doubt it, as I hear stories of medical registrars who
> can't put central lines in and surgical registrars who have not done
> anything more taxing than close other people's incisions. In the current
> climate of quality pursuits can we justify dropping these SHOs in it? And
> if not, how do we ensure someone improves their training?
>
> Best wishes,
>
>
> Rowley Cottingham
>
> [log in to unmask]
>
> No, my powers can only be used for good.
>
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|