A History of Accident and Emergency Medicine, 1948-2004 - download pdf or read online

By H. Guly

ISBN-10: 0230000746

ISBN-13: 9780230000742

ISBN-10: 1403947155

ISBN-13: 9781403947154

This publication describes the struggle to create a brand new scientific forte of twist of fate and emergency drugs opposed to a lot competition from tested specialties. The distinctiveness was once first famous in 1972. The publication additionally charts the foremost advancements that happened within the first 30 years of emergency drugs.

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The report also recommended that ‘all patients in the Hospital Service should be in the charge of consultants, and consultants in the specialty or specialties involved in the treatment of each patient should bear the responsibility for his care and the medical work required for him’. MAs, while still experienced doctors, would be considered more junior to an SHMO and have a lower pay-scale. The report had also recommended that ‘… the Medical Assistant grade should help with the staffing of casualty departments.

The Nuffield team surveyed 59 SCOs. Fifty-one were British graduates, four were Commonwealth graduates and four qualified elsewhere. Thirty had either an Fellow of the Royal College of Surgeons (FRCS) or an MD. 45 Six were in their second SCO post. 46 Their mean age was 40. 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.

40 Whenever there is an absolute shortage of doctors, posts in unpopular specialties are the most difficult to fill. Casualty was unpopular. The only things helping to fill posts in casualty were the requirement by the Royal College of Surgeons (RCS) that applicants for the Fellowship exam had to have completed a six-month post in a casualty department and (later), immigration of doctors. There were several reasons why casualty was unpopular. Some of these are detailed in letters to the Lancet.

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


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