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Related Experiment Videos

A chapter in emergency: a surgical trainee's experience.

A M Khan1, G Lauffer, F Haddad

  • 1Accident and Emergency Department, King George Hospital, Goodmayes, Redbridge, London, UK. dramirkhan@hotmail.com

Emergency Medicine Journal : EMJ
|November 19, 2003
PubMed
Summary
This summary is machine-generated.

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Senior house officers (SHOs) gain broad medical exposure in accident and emergency (A&E) training, enhancing general clinical skills but offering limited hands-on surgical experience.

Area of Science:

  • Medical Education
  • Emergency Medicine
  • Surgical Training

Background:

  • Accident and Emergency (A&E) departments serve as crucial training grounds for medical professionals.
  • Assessing the scope of exposure and benefits for surgical trainees in A&E is vital for curriculum development.

Purpose of the Study:

  • To evaluate the range of patient cases encountered by a Senior House Officer (SHO) during A&E training.
  • To determine the value of A&E experience for the development of surgical trainees.

Main Methods:

  • A six-month prospective logbook study of patient encounters by an SHO in an A&E setting.
  • Data collection included patient demographics, presenting symptoms, specialty, treatment outcomes, courses, and audits.

Main Results:

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  • 1249 patients were seen, with significant exposure to internal medicine (33%), orthopaedics/trauma (30%), and paediatrics (21%).
  • Surgical cases constituted 12% of the caseload; only 1.6% of patients required practical procedures.
  • The SHO completed Advanced Trauma Life Support (ATLS) and Advanced Life Support (ALS) courses.

Conclusions:

  • A&E training provides extensive exposure across various medical specialties for SHOs.
  • While A&E training enhances general clinical skills, it offers limited hands-on practical surgical experience for surgical trainees.