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Sun Oct 8 13:56:03 BST 2006

I'm still struggling with this. I certainly understand your intent and
motivation. As a former system admin guy I think I would try to limit
"requirements" to things that demonstrably and measurably impact patient
outcomes. I apologize for my ignorance if there is evidence that this is the
case. Since we can't even prove that having an attending in-house improves
pt. outcomes I'd be surprised if has been shown that taking ATLS does. 

Again I think everyone SHOULD take ATLS because it's a great learning
experience and can definitely help you to get the big picture, as you point
out. I'm conflicted as to whether this is enough of a reason to make it a
requirement. I realize it has become almost a national standard but I think
it serves as a kind of "commitment to Trauma marker". BTW can you get all
your consultants to attend Trauma M&M? 

Rob Smith

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of Ronald Simon
Sent: Friday, October 06, 2006 2:43 PM
To: Trauma &amp; Critical Care mailing list
Subject: Re: ATLS for consultants...

"Encouraged " is the key word. What we are grappling with is should it be a
REQUIREMENT for trauma center designation. There is no question that it is a
good idea BUT do we FORCE the issue my making it a statewide regulation? It
would be great if all trauma centers only had traumatologists caring for
trauma patients but it just aint gonna happen so we settle for competent
General surgeons to help out. I know the RIGHT answer, but the question is
how realistic is it amd do we settle.
Thanks for all the replies so far.
ron

Ronald Simon, MD
Dir of Trauma/SICU
Jacobi Medical Center, Rm 1213
Bronx, NY 10461
718 918 5598 phone
718 918 5593 fax

Ronald Gross wrote:

>Ron,
>
>We require that ortho and neurosurgeons take ATLS at least once. 
>
>Please note that the ACS COT "Optimal Resourses" document states that, 
>"At a minimum, orthopaedic surgeons on the trauma team should be 
>encouraged to successfully complete an ATLS Student Course."  The same 
>statement is repeated in the neurosurgical chapter: "At a minimum, 
>neurosurgeons on the trauma team should be encouraged to successfully 
>complete an ATLS Student Course."
>
>Best wishes,
>Ron
>
>  
>
>>>>Ronald Simon <Traumamd at nyc.rr.com> 10/5/2006 9:16 PM >>>
>>>>        
>>>>
>We are currently having a debate in our State Trauma Advisory Committee
>
>about whether trauma related consultants (neurosurg, ortho, ent, etc) 
>should be required to have taken ATLS to care for a trauma pt. The 
>question is whether this should be part of the requirements for trauma
>
>center designation. No question that members of the trauma service and
>
>the ED should but what about the subspecialists? Sure its a good 
>concept but actually getting them to take it is another thing. What is 
>the practice of other trauma systems?
>Thanks
>Ron Simon, MD
>Jacobi Medical Center
>Bronx, NY
>
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>  
>

--
Ronald Simon, MD
Dir of Trauma/SICU
Jacobi Medical Center, Rm 1213
Bronx, NY 10461
718 918 5598 phone
718 918 5593 fax

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ATLS for consultants...