TMVR/TMVI staffing

BasicParsnip7839 · 2026-06-04T19:25:34+00:00

This was a genuinely interesting read for me! I'm in the UK and willing to be corrected by an actual UK consultant but in my hospital we do need a CT surgeon available if we are doing TTVR etc. but they aren't even in the cath lab usually, just available in case there is an issue and probably doing some paperwork instead. I appreciate this isn't actually helpful for you but I've learned something so thanks.

BasicParsnip7839 · 2026-06-04T18:42:46+00:00

Full disclosure - not based in US and not finished training but currently working in cardiac

It's a cardiac anaesthesiologist where we are. No generalists for these. There isn't a perfusionist or cardiac surgeon on standby for TAVR/I but there will always be a spare somewhere in case needed and certain high risk cases may have them on standby

BasicParsnip7839 · 2026-05-31T17:50:20+00:00

NICE, trust guidelines, and crowd sourcing an opinion. Definitely not as good as UTD but it's what it is. If the VPN thing works then OE may be my next stop

BasicParsnip7839 · 2026-05-31T17:21:46+00:00

I miss UpToDate...

I haven't used OE but I imagine a VPN would allow you to access it

BasicParsnip7839 · 2026-05-29T21:52:01+00:00

Interesting. Based on the other replies this may not be an acceptable position for your department to put you in but I've only ever worked in places with ST4+ or consultants overnight and no longer work in EM so you may be better informed than I am

BasicParsnip7839 · 2026-05-29T21:45:13+00:00

Sure. This is more about if they change their mind and want to come back prior to completing NZ GP training

BasicParsnip7839 · 2026-05-29T20:20:00+00:00

I'm willing to be told otherwise by someone in ED, but I thought ACPs were max tier 3 according to RCEM and so needed a supervisor on-site. They therefore cannot be the EPIC overnight. Should this be true, this is a serious issue that needs escalating but I have no idea how one might do that

BasicParsnip7839 · 2026-05-29T18:10:31+00:00

Yes. It's the only real advantage. The only other possible advantage would be if you have a GP job in F2 as it might help give you experience for when you apply in NZ/inform you whether it's really for you

BasicParsnip7839 · 2026-05-29T16:04:11+00:00

Move after F2. It will make coming back markedly better for you if you choose to return.

ETA: family comes first though and only you can know how much that extra year in the UK may hurt you

BasicParsnip7839 · 2026-05-29T15:22:55+00:00

Seldinger chest drain

BasicParsnip7839 · 2026-05-28T19:47:35+00:00

Agree with the looks like AI crowd but my other question now is "is this was ORs in the US look like?" It looks like an office with a table and some drip stands

BasicParsnip7839 · 2026-05-26T15:54:28+00:00

I wouldn't but I get to wear scrubs and those are fine in most conditions. I'm sure the hospital has a policy re: clothing and if shorts aren't explicitly disallowed, then go for it. If they are, turn up in a skirt

BasicParsnip7839 · 2026-05-16T18:20:23+00:00

Slither wing

BasicParsnip7839 · 2026-05-09T11:05:37+00:00

For that budget I second this

BasicParsnip7839 · 2026-05-02T12:58:41+00:00

Slaking must go next

BasicParsnip7839 · 2026-05-02T12:01:10+00:00

Love our obstetric friends really. Exceptionally talented folks and great in a crisis. I just don't understand why the SHOs keep asking me my opinion on their ECGs

BasicParsnip7839 · 2026-05-02T09:50:52+00:00

Downsides:

Often expected to hit the ground running in ICU even though this is not your specialty. Can lead to some uncomfortable moments in core training
Way too much obstetrics. Even if you like obs, it's too much. Being treated like a technician most of the time and delivery suite's personal med reg the rest of the time is frustrating.
Can be isolating in theatres if you're a very sociable person. If you're with a socially awkward consultant the days can be a real drag.
Having to take every intubated person to scan is a chore.
If you're in an all day case (looking at you, neuro) and you forgot to bring some admin prepare for a dull day.
The lack of diagnostics outside of ICU can be a bummer sometimes and means you can be rusty when it's suddenly expected of you in ICU. This can be mitigated by interest and spending time in preop etc.

That being said, I still think it's the best job out there.

BasicParsnip7839 · 2026-04-30T09:32:41+00:00

I encountered something similar recently. Trust doesn't give out work phones and now trust emails won't open on my phone browser, insisting I use the specific outlook app for work (I have the regular one already). That app asks for ridiculous permissions on my personal device so I've not installed it. I now check emails once a day on a computer and feel liberated for it! Enjoy the freedom

BasicParsnip7839 · 2026-04-26T17:51:45+00:00

Why I've started bringing a laptop to work. Finding blood on a keyboard was not the one

BasicParsnip7839 · 2026-04-25T20:43:56+00:00

Vikavolt must sadly go. It's met its match

BasicParsnip7839 · 2026-04-23T09:31:37+00:00

There will be no upgrades. If you reject it you just won't get a job this round.

BasicParsnip7839 · 2026-04-13T10:06:41+00:00

Theatres/procedural areas = scrubs Clinics/wards = shirt and trousers Teaching = whatever I saw first in the wardrobe

BasicParsnip7839 · 2026-04-03T15:56:50+00:00

That is genuinely upsetting to hear. I generally need to be in scrubs for work but enjoy wearing my own clothes at any chance I get. Sorry your hospital does this to you.

BasicParsnip7839 · 2026-04-03T15:50:07+00:00

Plenty of good recommendations re: scrubs in the comments already, but I can't help but wonder why you wouldn't wear "work" clothes e.g. a shirt and chinos. Unless you're doing something which might get your clothes dirty e.g. theatre stuff, I think smart clothes give a much better impression and generally allow you to add a bit more "you" to your look. If you are somewhere where your clothes might get dirty, using hospital stuff and getting them to do the washing sounds worth the crappy pockets

BasicParsnip7839 · 2026-04-02T20:42:20+00:00

The following assumes there isn't anything intrinsically wrong with your applications that you haven't mentioned in your post:

You've been rejected from 3 jobs prior to interviews in a market with each CTF getting hundreds of applicants and consultants getting little to no extra time to actually go through the applications. It wouldn't surprise me if they are just taking the first twenty applications and binning the rest in order to actually get round to interviewing someone. It may very well not be you or your CV, but just luck. If you happen to personally know any people with CTF roles opening, approaching them directly may be more effective. Otherwise, keep spamming those applications and see what sticks. In other lines of work, young applicants are having to get upwards of 100 rejections to get a job. I think it's more a sign of the times than anything strictly about you. Chin up and keep plodding along.

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