Document Detail


Covering ENT out of hours: how confident are senior house officers?
MedLine Citation:
PMID:  16672087     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The implementation of the European working time directive has led to an increase in cross-speciality out-of-hours cover. This survey illustrates ENT out-of-hours cover arrangements and assesses the implications for senior house officers (SHOs) responsible for managing emergencies. METHODS: A telephone survey of 100 ENT departments was conducted, asking the on-call SHO about departmental structure, on-call rota design, their previous ENT experience, access to SHO training and their confidence in managing emergencies. RESULTS: 44 per cent of departments used only ENT SHOs on the on-call rota. 73 per cent always had an ENT middle grade on call. In 60 per cent of hospitals, the ENT consultant was sometimes on call with only a non-ENT SHO. At the time of the study, 5 per cent of SHOs had no ENT experience, no access to training, were not confident in managing simple emergencies and were on-call without middle-grade cover. CONCLUSION: The current junior on-call structure for ENT has implications for patient management.
Authors:
S J Davis; S McDonald
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Publication Detail:
Type:  Journal Article     Date:  2006-05-04
Journal Detail:
Title:  The Journal of laryngology and otology     Volume:  120     ISSN:  1748-5460     ISO Abbreviation:  J Laryngol Otol     Publication Date:  2006 Jul 
Date Detail:
Created Date:  2006-07-12     Completed Date:  2007-04-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8706896     Medline TA:  J Laryngol Otol     Country:  England    
Other Details:
Languages:  eng     Pagination:  587-90     Citation Subset:  AIM; IM    
Affiliation:
ENT Department, Queen Alexandra Hospital, Portsmouth, UK. sd4166@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
After-Hours Care*
Attitude of Health Personnel
Clinical Competence
Education, Medical, Continuing
Emergencies*
Emergency Service, Hospital / organization & administration
Great Britain
Hospital Departments / organization & administration
Humans
Medical Staff, Hospital / education,  psychology*
Otolaryngology / education,  organization & administration
Otorhinolaryngologic Diseases / therapy*
Personnel Staffing and Scheduling / organization & administration

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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