Trauma Care in the UK

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Tim (or anyone in the know),

Just for interest. Who takes the big bad and ugly non-trauma acute surgery stuff in the middle of the night?

Bill

P.S. Tim your sig line is too short, can't you think of anything to put in there :-)

>>> "Hardcastle, Tim, Dr <tch at sun.ac.za>" <tch at sun.ac.za> 11/25/2007 11:47 PM >>>
Mike
 
The other challenge that now exists in the UK is that there are less and less true "General Surgeons"; the majority of the "Trauma Surgeons" are mainly orthopaedic trained, while the GIT surgeons subspecialise even before they finish what we would know as residency. They qualify not as "General Surgeons", but as one of Breast-Endocrine / Upper GI / Colorectal or Hepato-biliary surgeons. Vascular is also seperate now. This leads to young consultant surgeons who have little idea of the overall patient and the care of trauma in particular. Add to this the lack of a formal ICU requirement in the post-grad training and you see where some of the deficiencies lie.
 
For this reason we in South Africa are inundated with requests for people to do three month mini-trauma-fellowships to get some experience in General Trauma care.
 
Regards
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 

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