> 3    I'm not saying we shouldn't do these courses; they are
> recommended during higher specialist A&E training, for example, but
> are still not compulsory. I don't actually mind if they do become
> compulsory, at least then job adverts will simply cite requirement of
> a CCST, and won't specify ALS certification, which derogates what an
> A&E consultant is all about.

I hesitate to disagree with Adrian. (dons flame proof underwear). 
But, I do not think that these courses should be part of higher 
specialist training or a requirement for a CCST. ALS fits much better 
as an undergraduate subject, although the formal ALS course is 
probably too limited for medical students.

Of course consultants who attend a simple didatic course will have 
a bad time - we know life and medicine is not either simple or 

I would suggest that ALS and PLS courses are best suited to 
undergraduates with APLS and ATLS in the pre-registration year. (I 
would also suggest that what is required is high quality local 
teaching in these subjects rather than a formal and expensive 

Runs for cover.


Timothy J Coats MD FRCS FFAEM
Senior Lecturer in Accident and Emergency / Pre-Hospital Care
Royal London Hospital, UK.