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Emergency Medicine Journal 2004;21:646; doi:10.1136/emj.2004.014787
© 2004 BMJ Publishing Group Ltd and the College of Emergency Medicine.
Emerg Med J 2004; 21:646
© 2004 BMJ Publishing Group Ltd, British Association for Accident & Emergency Medicine, & Faculty of Accident & Emergency Medicine

LETTER

Are accident and emergency senior house officers getting slower?

P Gilligan1, R N Illingworth1, S Crane2, D Hegarty3

1 Accident and Emergency Department, St James’s University Hospital, Leeds, UK
2 Accident and Emergency Department, York District Hospital, York, UK
3 The Avenue Practice, Alwoodley, Leeds, UK

Correspondence to:
Correspondence to:
Dr P Gilligan
Accident and Emergency Department, The Leeds General Infirmary, Leeds, Yorkshire, UK; hegartydeirdre@ireland.com

Keywords: efficiency; career

The first 150 words of the full text of this article appear below.

You sometimes hear people saying that senior house officers (SHOs) in emergency departments are not what they used to be.

We studied data collected over a five year period (1996–2001) on the number of patients seen by all SHOs who completed a six month post in our A&E department.

The 118 SHOs (62 male and 56 female) worked a full shift rota averaging 52 hours per week. The influence of the sex of the doctor and their future career plan on the number of patients they saw was also assessed.

The number of patients seen by each SHO in six months ranged from 1069 to 2659 (mean 1774, SD 346). On average the SHOs working between August 1996 and January 1999 saw 154 more patients than those working between February 1999 and July 2001 (p = 0.015; unpaired t test). Male SHOs saw on average 217.5 patients (range 1121 to . . . [Full text of this article]


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