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

By Henry Guly (auth.)

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To promote interest in and by means of investigation to further the knowledge of A&E work in the hospital service. 2. To improve and maintain the standard of work carried out in A&E departments. 3. To protect the interests of those who work in these departments. At the first meeting they decided to investigate the misuse of casualty departments; the time spent by casualty officers in specific duties and the ultimate source and reason for attendance. The first Annual General Meeting of the Casualty Surgeons Association was held at Walsall General Hospital on 23 March 1968 at which Maurice Ellis was elected as President, David Caro as Vice President, Edward Abson as Honorary Secretary and John Hindle, Honorary Treasurer.

Hrs/ week Av. 6 Note: * ENW is evenings, nights and weekend. Source: Reference 42. ’45 It was also difficult to fill vacancies with GPs. 42 The unpopularity of A&E posts was not surprising as a working party conducting a ‘time and motion’ study in 1968 showed that doctors working in A&E got 7 minutes of teaching per week compared to 29 minutes for those in general surgery and 75 minutes for those in general medicine. They spent 1 hr 55 minutes in clinical discussion (compared with 2 hr 24 minutes and 4 hr 10 minutes) and spent 17 minutes per week studying during working hours (compared to 71 and 103 minutes).

4 Interest of Medical Committee 10 indicates that the hospital accepted the casualty department as an important and integral part of the hospital. 8–9 indicate that either that there was an active consultant in charge (who would automatically be part of the hospital medical committee) or that the Senior Casualty Officer was a member of the Committee. 5–7 indicate that casualty had a central role in the hospital but the rest of the hospital staff were neutral. 2–4 indicate that relationships were only good between junior medical staff and nursing staff.

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