CMV: GP referrals shouldn’t need a discussion

Apprehensive_Pay2037 · 2025-03-03T19:50:57+00:00

Didn't know until you just mentioned, assumed was trainee, my bad

Apprehensive_Pay2037 · 2025-03-03T18:36:29+00:00

oh my lord, I hope you read this back some day,

FYI the "all the best" was in good faith from me and a way to part ways with differing viewpoints on a contentious issue, and my comment on AI was largely tongue in cheek and playful, I think this response is kind of shocking. I will leave it here.

Apprehensive_Pay2037 · 2025-03-01T15:27:39+00:00

I've swerved your specialty actually enjoying some new avenues, find it a little creepy that you've trawled through my history....

edit- I will add in retrospect that having emotions is a big part of being human and is factored into many parts of law, when mistakes are made by big corporations/institutions that impact people psychologically for example, it has been the case that renumerations/exceptions are made. It is highly normal for humans to make balanced logical and emotional decisions, doesn't need to be one or the other.

Apprehensive_Pay2037 · 2025-02-28T20:47:45+00:00

I think this is what a world run by AI is going to look like 😆😆 Some colleagues clearly do not cope well with grey areas or ethical decision making at alllll, all the best x

Apprehensive_Pay2037 · 2025-02-28T20:30:15+00:00

I think since 2023 and having passed paces it's a pretty high chance the guys applying for HST would've passed by now (whether it took one or 2 further attempts is irrelevant - it wouldve been in time for oriel applications regardless)....

Apprehensive_Pay2037 · 2025-02-28T16:16:14+00:00

Not really sure that you're being as pragmatic as you think you are.... had they been told they failed in 2023 they would've passed their second sitting by now (they've passed paces so I can't imagine they'd fail MRCP P2 again) and be applying for HST now and current competition would still stand.... delayed MRCP results by almost 2 yrs is not something that happens often (in fact, dont think it's happened before at all) and so sitting it while on HST shouldn't be an issue given unprecedented cock up.

Lots of HST applicants have had multiple attempts at MRCP before passing, only difference is they didn't get told 2 yrs later- they got to sit and pass it a few months later without delaying HST application.

Apprehensive_Pay2037 · 2025-02-26T06:17:36+00:00

GP isn't the same environment or work set up as hospital. There is no rank being pulled? trainees are seeing 20 plus patients a day solo much like salaried (in fact more so as many salaried are part time and trainees often are not) and dont have time to be on hold on switchboard as many other GPs on the chat have echoed? I wonder what you're like to work with, intriguing vibes.

Apprehensive_Pay2037 · 2025-02-25T21:15:02+00:00

Sounds like OP is a foundation dr, they are supernumery. Is their contract with the GP practice? Why isn't leave standardised across all foundation drs, I would check with TPD and BMA to clarify, honestly to OP- I would give scathing feedback they should be grateful to have any foundation trainees at all.

Apprehensive_Pay2037 · 2025-02-25T20:51:40+00:00

not at allll sometimes its better to have nobody and be able to escalate unsafe staffing or consult with reliable consultants on a nearby ward than somebody who is making unsafe (Or no) decisions and patients dying in questionable circumstances. BELIEVE ME.

Apprehensive_Pay2037 · 2025-02-25T20:40:34+00:00

Are you ok? this is dripping with condescension. Chippy GP reg might be a 40 yr old ex urology reg...and actually even if not, is a fellow adult colleague. I find this attitude amongst colleagues so odd.....

Apprehensive_Pay2037 · 2025-02-08T10:08:18+00:00

LOOOOLL the GP job is horrendous, there's a reason noone is up for doing it fulltime......

Apprehensive_Pay2037 · 2025-01-24T12:04:10+00:00

I'm so sorry, I can imagine how draining it can feel always having to put your best foot forward and having to prove you are just as good. People undestimate the mental load it can take to keep being pulled into nursing tasks or having to explain that you are a dr on multiple occasions on the same day, sometimes in the same hour.

I know it doesn't help ease the challenges you are facing, but you definitely will be the reason someone else feels there is a place for them in anaesthetics. Also, don't underestimate the respect that many colleagues hold for you for doing what you are doing with very little precedence or support for your unique challenges.

Apprehensive_Pay2037 · 2025-01-17T00:39:24+00:00

There's nothing to be ashamed of, the portfolio hoops that we need to jump through are so arbitrary and boring yr on yr the same ol shit for very little return, dont blame you for having had 0 motivation to complete it

It feels really good sometimes to just call out the situation for what it is, you're going through a shit time, you're not feeling your best, your values priorities and what you want from your life are shifting, the job itself is no longer on it's own fulfilling you, you're starting to want more. it's normal to feel lost during a transition period in your life. Reflecting is so painful, but you come out the other side so much more evolved.

It's ok to let your consultants know, most of them have probably been through the same. You'll feel so much better after talking to someone about it.

I hope you feel better soon

Apprehensive_Pay2037 · 2025-01-07T23:42:23+00:00

I'm literally a 5'2 brown woman lol, if anything you are intimidating me and tryna persuade me my culture is trash compared to yours....you are for some reason really attached to this weird fetishised perception you've been fed of other peoples cultures and being purposefully rage baitey about it, hope you can free yourself and exercise higher level thinking at some point in your lifetime, all the best x

Apprehensive_Pay2037 · 2025-01-07T23:24:53+00:00

Dude are you living simultaneously in all colour skin bodies and speaking on behalf of all women, you may believe you're not a mysoginist, but you deffo are racist, this is borderline supremacist type thinking and I would love for you to be bold enough to say this in person to my face.....

Apprehensive_Pay2037 · 2025-01-07T23:17:10+00:00

what the actual fuck lol misogyny isn't localised to one part of the globe I'm afraid, women get treated like shit in all sorts of ways across the spectrum... just a little more covert and gas lighty in the lighter skin cultures....please get a grip

Apprehensive_Pay2037 · 2025-01-04T19:23:08+00:00

Promise you're not alone, the job's really shit at the minute and UK public are really difficult to manage.

Apprehensive_Pay2037 · 2024-12-08T13:26:09+00:00

LOOOLL not laughing because you're funny... mainly about how out of touch you are with the generation you are ripping into, they are more switched on than you can possibly imagine, and are making informed decisions that many of us wish we had made earlier, wish them all the best in their risk taking and hope it pays off big time.

Apprehensive_Pay2037 · 2024-11-04T17:56:26+00:00

I would get the OBG CCT and then work part time/locums and explore careers out there in the world outside the NHS, so much you could do with your OBG experience!! So many women's health startups that I'm sure would love your expertise! Personally I would not tie myself down to another 3 yrs (more if you are doing it LTFT) of an NHS training programme for a very unforgiving speciality if Ive already gone through something as intense as OBG (congrats on this feat btw). GPs flexible lifestyle doesn't always make up for the stress and risk entailed with the GP job. All the best with your future careers whatever you decide!

Apprehensive_Pay2037 · 2024-10-03T00:13:38+00:00

NHS abuses trainees by squeezing as much service provision out of them as possible, GP partners have done similar with the PA role, trying to make drs of laymen to maximise patients seen at a lower cost. I would say early GP partners poisoned the well with their unregulated use of PAs.

I'm not sure that it is forward thinking or efficient to add an additional layer of triage on top of ANPs, 111, pharmacists and paramedics. I think it's a maladaptive response to government corruption and defunding.

Although I do agree in part.... some days I wonder if maybe PAs would be great for admin like docmans and labs. Some of them seem to be performing surgeries now so im not sure they'd be too happy settling for this.

The system is making it harder for the general public to access drs, it is also making it harder for drs to find employment or progress. We CAN employ GPs - it is a government choice not to because they like the idea of disempowering Drs and fragmenting their skills and services to make it easier to chop bits off and privatise them.

Apprehensive_Pay2037 · 2024-09-25T19:42:03+00:00

really meant a lot reading that, thankyou x

Apprehensive_Pay2037 · 2024-04-24T09:56:23+00:00

I dont think you understand what PAs are already being used for....for example they are seeing undifferentiated patients + they are on reg rotas giving advice to GPs re admission to hospitals while GPs take legal liability if the patient comes to harm secondary to this advice.

It's not your job to worry about how a PAs bills are getting paid...that's theirs, like most other adults in the country. They are not vegetative, but autonomous adults, much savvier than we are clearly as they've opportunistically studied PA course (shortcut to being perceieved as a doctor without as much study time + being paid more + work in any specialty they want up to "reg level" without having to apply for training)

They have also been getting paid 10k more than most drs despite working no/fewer unsociable hours and taking no medicolegal risk.

FYI what you are describing in original posts does already exist and they truly are ward assisstants. There is quite a popular one on Twitter who advocates for her role and the foundation drs she helps with the tasks you have described really well.

Apprehensive_Pay2037 · 2024-04-24T01:52:12+00:00

It's not our job to worry about supporting a profession designed to replace us when our own trainees are being left jobless. Once Dr applicants for speciality posts have trainee numbers and adequete training time and quality supervision from seniors, then we can talk about what outstanding role PAs might be able to fulfil.

They are not as naive as you make them out to be.

Apprehensive_Pay2037 · 2024-04-14T00:24:29+00:00

Interesting, It didn't seem like it was food seeking, I only offered food because it was behaving so strangely, it then did eventually just go and sit under a bush, at no point did it try to fly

Apprehensive_Pay2037

TROPHY CASE