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Hi Maroju,
After all said and done i think my point remained unanswered..
i agree to wat u hv said abt the emergency procedures as without them we wud not exist {and for that matter neither hv i performed any burr holes until now} that is how this point came to my mind that if we shud be trained to do one or not.
I am not totally convinced abt the argument that one shud be trained according to the kind of patients they see on a daily basis thats where the prob begins.
My point frm the start was if EM residents shud be trained equally in medical and surgical emergencies so as to deal with whole spectrum of patients.
Tell me...wat more can we do in a patient presenting to us with an active ongoing upper GI bleed apart from fluid resuscitation and preparing him for the surgery{lets not forget the time lost to get in touch with the surgical gastro["Timely Intervention"] as india still does not have the concept of onboard subspecialist}.Personally i feel...residents who are ready and capable to be trained as trauma surgeons shud be roped in and nursed for the benefit.
This is where the basic training comes into play{which was my point from the start} that "SHOULD" EM residents be trained equally in surgical and allied surgical branches as they are being done for medical emergencies or not.

Dr.Shahab.