BMJ 1995;310:1266 (13 May)

Letters

Skills and knowledge should be tested in postgraduate exams

EDITOR,--Recent correspondence has highlighted the deficiencies of various groups attending cardiac arrest.1 2 3 We believe that doctors are motivated to practise basic life support skills and learn guidelines on advanced life support mainly when these are required for career advancement. One example of this is the fellowship of the Royal College of Anaesthetists: life support is included in the curriculum for the examination for parts 1 and 3, and candidates know that they will be tested on this subject.

We surveyed 43 anaesthetic trainees in our region by questionnaire to asses their knowlewdge of the European Resuscitation Council's advanced cardiac life support guidelines of 1992.4 Each trainee could score a maximum of 13, and a pass was awarded if intravenous access and intubation were attempted at the appropriate time, the correct energy level and sequence of DC shocks were indicated, the correct number of sequences of cardiopulmonary resuscitation was known, and . . . [Full text of this article]


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