The study findings suggest that EM consultants in post are positive about their careers despite the high volume of consultant attrition. This study reinforces the need for dedicated undergraduate EM placements to stimulate interest and encourage medical student EM aspirations. Consultants identified that improving the physical working environment, including organisation, would increase their effectiveness and the attractiveness of EM as a long-term career.

The Ladder score could be omitted from this composite tool as it has poor inter-rater agreement in comparison with the other indicators.

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SummaryThis poem highlights the different clinical presentations, investigations and management of arterial and venous ulcers. RelevanceUlcers are a very common condition seen across primary and secondary care with serious health implications for the patient. They are a common exam and OSCE question and are frequently seen on placement.