急性期医療専門医スキルの進化
Gordon McKinnon1, Michael Wheble2, Nick Murch3
1MBChB, MRCP, Consultant Physician in Acute Medicine, Royal Alexandra Hospital, Paisley.
Background:
Specialist skills are central to the AIM curriculum, supporting both service delivery and portfolio careers.
Methods:
We surveyed UK Acute Medicine consultants and registrars via the Society for Acute Medicine to assess specialist skills selected, perceived value in obtaining consultant roles, and job-planned time.
Results:
146 responses (64 registrars, 82 consultants) were received across all UK regions. Among registrars, Intensive Care Medicine (19%) and echocardiography (14%) were most common. Medical Education, while previously dominant among consultants, has declined. Skills such as Neurology and Infectious Diseases were less frequently chosen but associated with greater job-planned time and perceived value.
Conclusions:
Specialist skill preferences are changing, influenced by training pathways and consultant job structure. With increasing rates of burnout and moral injury, as well as changes to the AIM curriculum, it is vital that we monitor trends in their selection going forward.
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