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BMJ 1998; 316 doi: (Published 20 June 1998) Cite this as: BMJ 1998;316:S3a-7148

Thanks to Dr Ross Davis, a senior house office in Accident and Emergency at Musgrove Park Hospital in Taunton. He writes to point out that one possible response to the shortage of training places for Advanced Trauma Life Support (ATLS) is to cross the pond and attend a course in the States. Fees are lower there, and courses tend to be organised over two rather than three days, which begins to shrink the price of the plane ticket. You can check on the availability of courses at the American College of Surgeon's website:

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