A History of Accident and Emergency Medicine, 1948–2004 by Henry Guly (auth.)

By Henry Guly (auth.)

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Extra info for A History of Accident and Emergency Medicine, 1948–2004

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In 1949 the casualty department was staffed from 0900 to 1900 hr by two outpatient officers (presumably casualty officers), three dressers (medical students) and the casualty surgeon (presumably not present all the time). From 1900 to 0900 hr, it was covered by an assistant house surgeon (who also had duties elsewhere in the hospital) assisted by two dressers. 40 Whenever there is an absolute shortage of doctors, posts in unpopular specialties are the most difficult to fill. Casualty was unpopular.

The difficulty in filling posts in the early 1950s has been mentioned above. The situation was no different by 1958. The Nuffield Report notes that posts were often difficult to fill and a large number of posts were filled by overseas graduates. 5 Continued 37,284 16,000 57,200 New patients 53,110 87,000 Total patients 1 medical assistant 3 SHOs 1 orthopaedic SR (in accident unit) 3 SHOs (rotate with orthopaedics) 2 clinical assistants working sessions (number not stated) Cons. 6 Grade of most senior casualty post in departments without an SCO 1958 Grade Number JHMO Registrar SHO Part time SHO House-surgeon GP 17 9 23 1 1 1 Number of departments Source: Nuffield Report.

It appeared to the SCOs that there was no satisfactory consultant staffing in casualty and that if this report was taken at face value, orthopaedic surgeons could not take responsibility for anything other than trauma and that casualty departments would cease. 18 Senior Casualty Officers Subcommittee The SCOs needed a forum to meet to ensure that they were speaking with one voice and an organisation to represent their interests. In August 1962 Mr G. da Costa asked to form a committee within the British Medical Association (BMA) as they could not be represented by Who Should Run A&E Departments?

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