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EDITORIAL |
Training time and consultant practice
Newcastle Upon Tyne, UK E-mail: david.greaves@ncl.ac.uk
| The first 150 words of the full text of this article appear below. |
When I was an Anaesthetic Senior House Officer in the early 1970s, a respected consultant colleague remarked that, as a trainee, I could expect to be as good as the number of cases I had done. If he was even partly right, we need to be concerned about the paper from Underwood and McIndoe in this issue that records, from 1996, the falling caseload for trainees in a typical School of Anaesthesia in the United Kingdom.1 The authors discuss the reasons for this reduction, and indeed they are several, though the greatest are the recent changes in doctors' hours and conditions of service. These, and their impact on training, have recently been discussed by Spargo.2 Concerns are not exclusive to the UK, and recent changes in working times were greeted with mixed feelings by those responsible for residency programmes in the USA.3
That trainees in the UK now anaesthetize fewer
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