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The use of an asynchronous learning network for senior house officers in emergency medicine
  1. A Ashton,
  2. R Bhati
  1. Correspondence to:
 A Ashton
 Manchester Royal Infirmary, Oxford Road, Manchester, M13 9WL, UK; aashton{at}


Full-shift working by senior house officers (SHOs) is well recognised as a definite constraint to effective group learning, as it is practically impossible to gather all team members together for teaching sessions at any given time. Provision of a robust weekly teaching programme is further compromised in units where relatively few doctors participate in the rota in any case. Although practical skills tuition will always demand an intensive, hands-on learning environment, teaching in relation to case-based discussion, clinical problem solving and other group activities may well be suited to more innovative methods.

  • ALN, asynchronous learning network
  • SHOs, senior house officers

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  • Competing interests: None declared.

  • Contributors: RB organised the IT framework for the ALN, checked the paper and made suggestions during revisions. AA developed the idea of ALN for SHOs, wrote the tasks and wrote the paper.