Driscoll P, Cope A, Miles S A
Accident and Emergency Department, St Bartholomew's Hospital, West Smithfield, London, England.
Arch Emerg Med. 1988 Sep;5(3):162-8. doi: 10.1136/emj.5.3.162.
This study investigated the limitations of the present Senior Registrar training programmes in A&E Medicine. A completed questionnaire was returned from 46 of the 48 Consultants who had taken up post in the last 5 years and had themselves studied on one of the established training programmes. The positive views of the clinical training contrast sharply with the administrative and managerial components. Around 80% of the new Consultants had no training in clinical budgeting or ordering equipment and only half had experience of appointing staff and organizing locums. This is worrying as over 63% had or are currently facing staffing problems and 69% have financial or equipment difficulties. A more active training programme in A&E administration and management is recommended.
本研究调查了当前急症医学高级住院医师培训项目的局限性。在过去5年中上任且曾参加过既定培训项目之一学习的48名顾问医生中，有46人返回了一份完整的调查问卷。临床培训的积极看法与行政和管理部分形成鲜明对比。约80%的新顾问医生没有临床预算或订购设备方面的培训，只有一半人有任命员工和安排临时代班人员的经验。这令人担忧，因为超过63%的人曾有或目前正面临人员配备问题，69%的人有财务或设备方面的困难。建议开展更积极的急症医学行政和管理培训项目。
