TY - JOUR T1 - Primary survey JF - Emergency Medicine Journal JO - Emerg Med J SP - 389 LP - 389 VL - 25 IS - 7 AU - Ian Maconochie Y1 - 2008/07/01 UR - http://emj.bmj.com/content/25/7/389.abstract N2 - Are there enough medics and nurses to go around EDs in the England and Wales (E&W)? This postal questionnaire survey, with a response rate of 45% of Trusts in E&W showed that the predominant workforce comprised “SHO” grade doctors. The bigger the department was, the more doctors there were; this was not matched when looking at the proportional numbers of nursing staff. Most departments do not fulfil the BAEM recommendations of 2005. How does your service compare (see page 420)?A good question given that valuable clinical time is spent doing them. The authors set about answering this, in their medium-sized department in the UK, by a prospective observational study of board rounds, collecting data on changes made to patients’ investigations, treatment or disposition, and whether any educational benefit arose, or merely delayed unseen patients to be processed. Happily, boards round seem to help! Board rounds, conducted by senior … ER -