Download A History of Accident and Emergency Medicine, 1948-2004 by H. Guly PDF

By H. Guly

This ebook describes the struggle to create a brand new scientific forte of coincidence and emergency medication opposed to a lot competition from verified specialties. The area of expertise used to be first well-known in 1972. The booklet additionally charts the main advancements that happened within the first 30 years of emergency medication.

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4. Summary Before the Platt Report, the staffing of casualty departments was very variable. There were examples of excellence and not just in Leeds which was the only department with a full time casualty consultant. However consultant supervision (where it existed) was often little more than nominal. Many of the larger departments had SCOs who worked well but most were not given adequate responsibility for their departments. Junior staff was difficult to obtain and many departments relied on inexperienced preregistration HOs.

Forty-one were British Nationals and the rest were mostly from the Commonwealth. Ten had a higher qualification and eight had been senior registrars for between one and six years. Forty four spent between 20 and 100 per cent of their time in the casualty department. Most spent the rest of time in general surgery and orthopaedics. Only three spent more than 50 per cent of their time in ‘specialties like medicine, obstetrics and anaesthetics’. 4. The Casualty Surgeons Association (CSA) archive also contains data from another survey of SCOs.

11 Despite the poor career prospects in other specialties, these posts were not necessarily easy to fill. Whereas 11 posts were filled within three months, 13 took over 12 months to fill and some posts could not be filled because of lack of suitable applicants. Other hospitals did not make appointments because they did not want to make appointments outside the usual hierarchy of consultants and junior doctors and in recognition that this was not a permanent solution. It was not intended that these doctors would remain in casualty forever and it was thought that many might return to general or orthopaedic surgery.

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