The level of the physicians making the error was consultant surgeon (4 cases), resident in training (15 cases), career medical officer
(2 cases), referring doctor (6 cases).
This acknowledgement calls for support for the concept of the acute care surgeon, capable of providing specialist-level general surgical care, as well as support for the training of more generalists, possibly in the form of career medical officers
, and reversing the growing trend towards narrow subspecialist training seen among newer graduates.
The employment of trainees at private hospitals could lead to an overall improvement of medical cover on the wards, helping to fill the gap between the resident or career medical officers
on duty in the wards, and the specialists on-call but offsite.