List Archives

Tue Nov 28 04:29:57 GMT 2006

Joe

Although a surgeon by training, I sit on the program exec for our university's Division of EM and helped to draft the curriculum - it is a "new" speciality in South Africa (only promulgated in December 2004 by the Health Minister and HPCSA). I have the utmost respect for those who man the coal face / front room. You are the emergency generalists, yet even there there is place for sub-specialisation (in SA that could mean trauma vs. medical EM vs. doing a 2 year ICU fellowship)

Regards
Tim
Dr T C Hardcastle
M.B.,Ch.B.(Stell); M.Med(Chir); FCS(SA)
Senior Surgeon / Senior Lecturer: Surgery (Trauma and ICU)
ATLS  instructor and DSTC Cape Town Course Director
Intern program Coordinator: Surgery
M.Med (Emergency Medicine) Executive Committee member
Clinical Head (Director): Diana Princess of Wales Trauma Unit
Division of Surgery (General) Room 4064
Department of Surgical Sciences
Tygerberg Hospital / University of Stellenbosch
PO Box 19063
Tygerberg 7505
Western Cape
South Africa
e-mail: tch at sun.ac.za
Cell: +27824681615
Office: +27219389281 or 4911 pager 0302

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org]On Behalf Of Joe Nemeth
Sent: Tuesday, November 28, 2006 2:36 AM
To: trauma-list at trauma.org
Subject: tooting our own horn...

Ken, Tim and all other surgeons on this list...

I wholeheartedly agree with both of your assessments regarding limiting 
your practice to one area of surgery (be that trauma, CVT, what have 
you)...this makes for bad doctors...and it is nice to hear that both of 
you, though experts in your own fields, still manage to partake in 
appy's and chole's...

Well along the same lines, emergentologist are routinely called to 
manage ALL types of medical/pediatric/geriatric and yes even simple 
surgical presentations...let's not even go into the skill set needed 
for the multitasking to run an ER...

This list is heavy on the surgical bias...no problem with that...it's 
just that once in a while, the emerg guys should also be praised for 
what they routinely are called to do

Joe
McGill University
Montreal

Ken

Must agree completely - your basics come from general surgery or a 
similar general discipline (Yours being Cardiovascular, no doubt). 
Without regular refreshing of the basics one loses the technical 
qualities that make trauma special - being knowledgeable about 
everything. Where the TS is a specialist in his/her own right is the 
ICU advanced training.

Tim

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tooting our own horn...