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Perception of emergency medicine by consultants and specialist registrars from other hospital specialties
  1. S Reid1,
  2. D Stephenson2,
  3. L Bowden2
  1. 1
    South Yorkshire and South Humber Deanery, Sheffield, UK
  2. 2
    The Rotherham Hospital NHS Foundation Trust, Rotherham, UK
  1. Correspondence to Dr S Reid, Accident and Emergency Department, Northern General Hospital, Herries Road, Sheffield S5 7AU, UK; stureid60{at}hotmail.com

Abstract

Background: This is the first study to consider feedback on the specialty of emergency medicine (EM) given by other hospital specialties.

Method: A questionnaire was sent to 100 randomly selected consultants and specialist registrars from other specialties in a district general hospital in Northern England. The response rate was 67%.

Results: 80% of respondents felt that the official term for the specialty should be “accident and emergency medicine”. Resuscitation and major trauma were given the highest importance scores (>9/10) when evaluating the purpose of EM and minor injuries were given an intermediate importance score (6.5/10). Respondents advocated “rapid rule out” of acute medical problems by the emergency department (75%) and “any trained individual” carrying out ultrasound (72%) or stroke thrombolysis (59%) in the emergency department. Rapid sequence induction of anaesthesia exclusively by emergency physicians was unpopular (3%). Respondents were least satisfied with the study department’s documentation, availability of senior staff 24 h/day and the availability of equipment and drugs. Polyclinics and closure of smaller emergency department were unpopular future proposals, while 70% advocated a revival of traditional out-of-hours general practice services.

Conclusion: The perceived purpose, strengths and weaknesses of EM provide a focus for training and development, while opinion on new practices indicates areas where resistance to change may be met. The results can contribute to decision-making for emergency departments and for EM as it strives to adapt to its role in the modern NHS. Further similar studies are planned on a wider scale.

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Footnotes

  • Additional data are published online only at http://emj.bmj.com/content/vol26/issue10

  • Funding Supported by Rotherham Hospital NHS Foundation Trust Audit Department.

  • Competing interests None.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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