Noted
The GMC asserts that medical training in the UK equips doctors with the necessary skills to assess complex acute situations, and no further specific training intervention is required for Immersion Pulmonary Oedema at this stage. They describe their role in quality assuring medical education. (AI summary)
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Dear Miss Topping
Regulation 28 report Angela Kearn
I am responding on behalf of Professor .
I am deeply sorry to hear of the untimely and tragic circumstances of Angela Jean Kearns’ death. I extend my deepest condolences to Angela’s family and those impacted by her death.
Following an incident in Egypt, your report has raised concerns about awareness of ‘Immersion Pulmonary Oedema’ in the medical profession and that this condition is not specifically addressed in medical training.
Through our standards and quality assurance of medical education and training we ensure that doctors in the UK are equipped with professional behaviours, knowledge, and skills to competently assess complex and uncertain acute and emergency situations. In addition, through professional clinical reasoning doctors are able to consider relevant differential diagnoses and manage acute medical emergencies including identifying people at high risk due to underlying comorbidities (such as Angela’s age and her history with hypertension).
I hope the information above assures you that clinical knowledge and training is being assessed in areas that may intersect with Immersion Pulmonary Oedema and therefore if a doctor in the UK was to encounter a patient with this rare condition, they should have the tools and knowledge to be able to diagnose the condition and proceed accordingly with treatment.
Whilst it is not the role of the GMC to comment on specific clinical practice, Immersion Pulmonary Oedema is a rare condition and its emergency presentation may be similar to other medical emergencies. Its immediate management will also be similar and therefore we feel at this stage no further specific education and training intervention would be required. Institutions such as the Medical Royal Colleges may be able to provide you with information related to the details for a process to identify and develop areas where learning is needed and can be shared in postgraduate training across the relevant specialties and subspecialties.
gmc.uk.org 2
I note that this case happened in Egypt. We are not able to comment on the level of training or the medical education system in Egypt as that country is outside our jurisdiction.
The GMC is committed to work with others in the health care sectors to improve training of the professionals we regulate so that doctors are better equipped with dealing with the variety of healthcare concerns and demands within the UK. To provide some context to medical education and training in the UK, I hope the attached annexe is helpful to you.