The consultant physician and the acute medical assessment unit.
نویسنده
چکیده
greatly over the past 10 years. Since 1996 we have seen the introduction of the Calman reforms to specialist training, the European Working Time Directive (EWTD) and the new consultant contract. We have seen a change of government, bringing with it a ‘modernisation of the NHS’ and a multiplication of NHS targets. The EWTD led to a reduction in junior doctors’ hours, fragmentation of patient care and fuelled a growth of Trust grade posts to make oncall rotas ‘hours compliant’. More recently, we have had the introduction of Modernising Medical Careers and the conversion of posts for experienced senior house officers (SHOs) into posts for the less experienced Foundation Year 2 trainees. The turn of the millennium was marked by many patients waiting in the accident and emergency (A&E) department for more than 24 hours for a hospital bed, the notorious ‘trolley wait’, leading to government targets for maximum waiting times in A&E of twelve and subsequently four hours. The introduction of these targets combined with everincreasing numbers of emergency medical admissions has led to the development of the medical admissions unit or acute admissions unit (AAU) and the emergence of the new subspecialty of acute medicine.
منابع مشابه
A consultant physician in acute medicine: the Bournemouth Model for managing increasing numbers of medical emergency admissions.
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ورودعنوان ژورنال:
- Clinical medicine
دوره 6 3 شماره
صفحات -
تاریخ انتشار 2006