Thursday, 25 February 2010

Major Trauma Care In England 'not good enough'



According to last weeks article in Headway which you can read it here

I've worked in trauma/ITU both in the UK , in Singapore and in Japan now, all developed countries and one of the comments particularly interests me.

care should be led by consultants experienced in major trauma, but major trauma is most likely to occur at night-time or at weekends when consultants are not present in emergency departments


The main reason why there are so many trainees not experienced in major trauma in the UK is because there frankly isn't that much of it about. I see more trauma in a week working in Lagos/J-Burg that most trainees see a decade. But yet the training systems seem so against letting UK doctors take a year/rotation out and seem all too intensely focused on the bureaucratic, form-filling, box-ticking operation that medical training in the UK has become.

I think there maybe many advantages to actually encouraging trainees especially in departments such as A+E, T+O and infectious disease to take a gap year or do a 4-month rotation in another country.

In my opinion, spending a few months exposed to, living and working immersed in another culture is worth more than 100 of those communication workshops they put us through. In addition to this, these countries are usually developing/3rd world countries who could benefit immensely from the expertise of a doctor from a more developed country.

The options for taking time out are currently fraught with bureaucracy. I don't really understand why since this is something that could improve the technical skill and level of experience for UK doctors especially in Trauma.

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