To the Editor: I commend Jenkins and colleagues for an engaging article on the future of general medicine in Australia.1 It mirrors a debate that is occurring in many acute-care hospitals, particularly in the context of a nationwide shortage of acute-care beds and increasing numbers of older patients presenting with chronic and multisystem disease.2
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- 1. Jenkins PF, Thompson CH, Macdonald AB. What does the future hold for general medicine? Med J Aust 2011; 195: 49-50. <eMJA full text> <MJA full text>
- 2. Australian Institute of Health and Welfare. Australia’s health 2010. Canberra: AIHW, 2010. (AIHW Cat. No. AUS 122.)
- 3. Kontos MC, Kurz MC, Roberts CS, et al. An evaluation of the accuracy of emergency physician activation of the cardiac catheterization laboratory for patients with suspected ST-segment elevation myocardial infarction. Ann Emerg Med 2010; 55: 423-430.
- 4. Boyle AA, Atkinson PR, Ahmed V, Kark WW. Emergency physician performed rapid sequence induction and system changes reduce time to intubation in critically ill emergency medicine patients. Eur J Emerg Med 2008; 15: 243-234.
- 5. Donald KJ, Smith AN, Doherty S, Sundararajan V. Effect of an on-site emergency physician in a rural emergency department at night. Rural Remote Health 2005; 5: 380.
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