By Henry Guly (auth.)
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Extra resources for A History of Accident and Emergency Medicine, 1948–2004
41–43 A more severe problem, which exacerbated the medico-legal problem, was the lack of back up and support for inexperienced doctors. ‘Theoretically advice is available; but in practice surgical registrars and others are busy with their own work. ’44 Asking advice ‘is relatively easy in a teaching hospital … but in some provincial hospitals resort has to be made to the 12 A History of Accident and Emergency Medicine consultant. ’43 The lack of anybody more senior in the department to turn to was a pointer that there were no career prospects in the post and this too was a further disadvantage.
The Birmingham Accident Hospital was in a city with other hospitals to which patients with non-traumatic problems could be taken but the accident service at the Radcliffe Infirmary, Oxford also dealt almost exclusively with trauma with 95 per cent of patients attending following an injury. 4 Interest of Medical Committee 10 indicates that the hospital accepted the casualty department as an important and integral part of the hospital. 8–9 indicate that either that there was an active consultant in charge (who would automatically be part of the hospital medical committee) or that the Senior Casualty Officer was a member of the Committee.
2 shows the number of staff employed and the hours worked. 9 per cent of all the casualty officers were SHOs. It also shows that the lower the grade of doctor, the more hours they worked and, in particular, the more out-of-hours work they did. It was still difficult to find junior staff for casualty departments. 1 Supervision of casualty departments 1969 Specialty No. of depts No. of depts without paid sessions No. of depts with paid sessions No. of paid sessions Orthopaedic surgeons Others Joint responsibility No cover 174 38 5 11 156 28 4 11 18 10 1 — 73 66 16 — Total 228 199 29 155 Source: Reference 42.
A History of Accident and Emergency Medicine, 1948–2004 by Henry Guly (auth.)