ABSOLOUTELY!
Now, why are so many people against selection of patients out of their
triage queue? We are not trying to be "fair", merely efficient. Don't tell
me that there is no place for skill-mix to be applied to the queue. The
patients should not mind any more than they mind having minors separated
from majors, which is a common pattern...
It is rather like selecting which meeting to attend, which book to study and
which subject to learn in more detail...
SHOs need the full spectrum and they will get it. Hopefully, registrars and
consultants may be allowed to see beyond that and to the bigger picture.
drydok
>From: "A S Lockey" <[log in to unmask]>
>Reply-To: [log in to unmask]
>To: "Acad-Ae-Med" <[log in to unmask]>
>Subject: SpRs
>Date: Mon, 27 Sep 1999 18:47:35 +0100
>MIME-Version: 1.0
>From [log in to unmask] Mon Sep 27 10:51:20 1999
>Received: from naga.mailbase.ac.uk (naga.mailbase.ac.uk [128.240.226.3])by
>mailout2.mailbase.ac.uk (8.9.1a/8.9.1) with ESMTP id SAA27197;Mon, 27 Sep
>1999 18:51:13 +0100 (BST)
>Received: (from daemon@localhost) by naga.mailbase.ac.uk
>(8.8.x/Mailbase) id SAA17859; Mon, 27 Sep 1999 18:50:32 +0100 (BST)
>Received: from kiwi.mail.easynet.net (kiwi.mail.easynet.net [195.40.1.40])
> by naga.mailbase.ac.uk (8.8.x/Mailbase) with ESMTP id SAA17853;
> Mon, 27 Sep 1999 18:50:29 +0100 (BST)
>Received: from fig.mail.easynet.net (fig.mail.easynet.net [195.40.1.46])by
>kiwi.mail.easynet.net (Postfix) with SMTP id C9D04DAF45for
><[log in to unmask]>; Mon, 27 Sep 1999 18:50:30 +0100 (BST)
>Received: (qmail 2134 invoked from network); 27 Sep 1999 17:50:27 -0000
>Received: from alockey.easynet.co.uk (HELO default) (195.40.213.139) by
>fig.mail.easynet.net with SMTP; 27 Sep 1999 17:50:27 -0000
>Message-ID: <[log in to unmask]>
>X-Priority: 3 (Normal)
>X-MSMail-Priority: Normal
>X-Mailer: Microsoft Outlook IMO, Build 9.0.2416 (9.0.2910.0)
>Importance: Normal
>X-MimeOLE: Produced By Microsoft MimeOLE V5.00.2314.1300
>X-List: [log in to unmask]
>X-Unsub: To leave, send text 'leave acad-ae-med' to [log in to unmask]
>X-List-Unsubscribe:
><mailto:[log in to unmask]>
>Sender: [log in to unmask]
>Errors-To: [log in to unmask]
>Precedence: list
>
>We seem to have entered ?SpR Bashing? season!! Despite a few well meaning
>comments (?Having said that I know you're not all like that - but some of
>the trainees
>do give you all a bad name.?- Nick Jenkins) the knives are obviously out.
>
>Can I put a few more comments in to the debate:
>
>1) I agree - there are some specialties, most notably general surgery,
>where SpRs are getting less exposure to their training needs. I know of
>many
>who are frustrated at the lack of operative exposure with the result that
>some are still cutting their teeth on appendicectomies.
>2) I would disagree that A&E training has suffered the same fate.
>Certainly in the Yorkshire region (I cannot speak for other regions -PLEASE
>NOTE THE LACK OF GENERALISATION!) I feel we have a more rounded training
>scheme since Calmanisation.
>3) Do all SpRs shuffle A&E cards? I think not. Remember that there are
>times when the department is heaving and it makes good management sense to
>?debulk? the department by having someone senior run a ?Walking Wounded?
>clinic - I?ve certainly done this before in the early hours. Also, in a
>department where there is not 24 hour Consultant presence on the shop
>floor,
>the SpR takes on a managerial role - supervising SHOs, supervising nurse
>practitioners, being available for Resus calls (because we can?t have SHOs
>looking after sick people without senior backup, can we?!), being on call
>for advice from nurse led MIUs etc. etc. etc. If, during all this, the SpR
>has got himself involved with several long cases, the patients suffer as
>their care is delayed whilst the other things are sorted out.
>4) Do all SpRs sit in offices all day? I think not. However, to return
>to the bad old days when we were just there to number crunch is not
>appropriate. The beauty of Calmanisation is that we can now learn and
>develop management skills prior to the onset of Consultancy and a proper
>rota will allow this without it being to the detriment of the department
>(i.e. an SpR or staff grade always on the shop floor). Yes, this involves
>going on courses and studying and I?m amazed that Carlos criticises us for
>wanting to ?spend a lot of time studying and reading and not in the sharp
>end of thing?. Could it be that there are consultants out there who are
>bitter that they didn?t get the chance to learn a bit about management
>prior
>to being dumped in at the deep end??..!
>5) The quality of your SpR is partly determined by the quality of the
>training you give him/her
>.
>
>Debates like this are good but please try and avoid generalisations. If we
>have 100% Consultant led service 24 hours a day then fine - the SpR will be
>able to muck in and see everyone. Until then, there will be times when this
>is not possible.
>
>Phew! Opinionated rant over.
>
>Andy Lockey
>
>A&E SpR (and proud of it!)
>
______________________________________________________
Get Your Private, Free Email at http://www.hotmail.com
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|