>From: "Terry Adirim" <[log in to unmask]>
>To: "Matthew N. Denenberg" <[log in to unmask]>
>Subject: Re: Re: Don't head for Munchkinland
>Date: Tue, 3 Mar 1998 21:35:33 -0500
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>I completely agree with you that pregnant women should be brought to an
>adult trauma center. I think most people agree with that. I also agree
>that the writer's assertion the peds EM physicians can do adult trauma "in
>their sleep" is absurd.
>Please don't take offense to what I am about to say because I only wish to
>correct some common assumptions. I would like to know how much more
>"surgical" training an EM residency trained physician gets than a peds EM
>fellowship trained physician gets. As peds EM physicians, we do an entire
>peds residency (3 yrs) then 3 years of EM training which includes: 1-2
>months of ADULT trauma (similar to general EM residencies), 3-4 months of
>ADULT ED medicine, as well as at least 2 months of ICU and peds trauma. I
>know of no EM residency program that provides anywhere near as much peds
>training as we get adult training and yet they are considered "general EM"
>physicians whereas we are not considered suited to perform similar tasks on
>adults. A bit incongruous don't you think?
>It bothers me when physicians who treat adults devalue physicians who take
>care of children--I know this is true because we have EM residents rotating
>through our hospital a few of whom say things to lead me to believe that
>they feel their work is worth more.
>(By the way, I think neonatal resuscitation in the described circumstances
>is as difficult as adult resuscitation--remember the mom was down for a
>Children's National Medical Center
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