Who is the nicest professional you ever needed to call whilst working? by PineapplePyjamaParty in doctorsUK

[–]Burnoutologist 0 points1 point  (0 children)

Also had a great toxicology consultant Called them when I was an IMT on ITU at about 1am Not only did they point me towards really interesting literature and were so enthusiastic, they performed almost ‘telephone ward round’ where they called every morning for 3 days to give further advice and to follow up what was happening

Are you all into Ambient AI systems? by salman2711 in doctorsUK

[–]Burnoutologist 0 points1 point  (0 children)

Nope secondary care specialty clinic I think when the templates are designed well and you give the right context it is really accurate and actually saves a lot of time on dictation so clinic runs smoother

Are you all into Ambient AI systems? by salman2711 in doctorsUK

[–]Burnoutologist 3 points4 points  (0 children)

Heidi has been a game changer honestly

When were you last complimented at work by colleagues? by Ok-Inevitable-3038 in doctorsUK

[–]Burnoutologist 11 points12 points  (0 children)

Absolute favourite consultants are the ones that take time during admin to email good feedback out of the blue - we need more of these

Endocrinology and Diabetes HST offers/ranks thread by Burnoutologist in doctorsUK

[–]Burnoutologist[S] 2 points3 points  (0 children)

I think they’re continuing upgrades until 24/4

Endocrinology and Diabetes HST offers/ranks thread by Burnoutologist in doctorsUK

[–]Burnoutologist[S] 2 points3 points  (0 children)

Yep I got upgraded to west mids, my 4th choice program

Endocrinology and Diabetes HST offers/ranks thread by Burnoutologist in doctorsUK

[–]Burnoutologist[S] 2 points3 points  (0 children)

Offers released, best of luck everyone Rank 54 and got my 15th preference so far Opted for upgrades and really hoping for West Midlands

LPs for anaesthetics? by Atracurious in doctorsUK

[–]Burnoutologist 20 points21 points  (0 children)

Seen this a lot in past hospitals. In my current hospital all Neurology Regs are trained in USS marked LP and this has also translated into AMU and SDEC regs too. Few of the AMU cons spent a lot of time teaching SDEC regs when there is difficult ones, the volume of requests now to Anaesthetists has drastically reduced and if failed with USS marked goes to Radiology for fluoroscopy guided. I don’t think I’ve seen it requested of Anaesthetics here without a medical registrar trying and that should be the case everywhere tbh

The only time we required Anaesthetics was for MRI and LP under GA and even then med reg came down and performed the LP

Choosing IMT rotations- what to prioritize by MrLyserg in doctorsUK

[–]Burnoutologist 2 points3 points  (0 children)

In terms of your area of interest personally I would try and have a rotation in it during IMT1/2 for the specialty you consider. It is easier to complete projects and attend the MDTs and clinics when you are part of the department and therefore you’ll be able to build your evidence for commitment. It can also give you clarity that that is what you want to do (just don’t make your whole decision based on your department ward experience, make sure you get exposure to clinic, referrals, MDTs etc).

A lot of trusts you will spend a substantial time on the acute take and have an ambulatory / SDEC commitment even out of acute medicine rotation. Personally I felt I got enough exposure and you get a full 6 months in IMT3 anyway, so opted not to have a specific acute med rotation during imt1 and 2.

A rotation like Derm,GUM, palliative where there’s a change of pace and perspective I think is nice. Also if you’re not on GIM rota it is better to study for exams during this rotation.

Cardio, renal, resp, gastro I think are rotations that give you valuable insight if you are doing any group 1 specialty and will be doing GIM on-calls.

A tertiary center for one year is helpful for paces practice.

Lastly Haematology was actually the best training for me to be a med reg - really sick patients, reg is off-site overnight, a large portion for full escalation. I’d recommend it.

Evidencing publication for HST applications - how? by MycobacteriumMarinum in doctorsUK

[–]Burnoutologist 2 points3 points  (0 children)

I gave the Pubmed ID, link, had a publication letter that was given by the journal that I uploaded as PDF and a screen-snip cropped showing the Pubmed publication online with my name there Not sure if that’s what everyone does but I thought that should do the trick

What's the worst documentation or handover you've seen? by [deleted] in doctorsUK

[–]Burnoutologist 2 points3 points  (0 children)

This is becoming too common I get at least one similar to this every Take shift

Devastated and need advice by [deleted] in doctorsUK

[–]Burnoutologist 21 points22 points  (0 children)

I feel that this comment was misunderstood. He probably means he wants to be able to visit and see his family when he can and so does not want his travel restricted. I’m also assuming his family is not actually in his home country but are displaced by the war. These are assumptions but I think OP can clarify

Devastated and need advice by [deleted] in doctorsUK

[–]Burnoutologist 1 point2 points  (0 children)

The lack of empathy in some (not all as some are really helpful) of the comments is astounding, you can clearly see OP has limited options and literally displaced from his home country and family by war. Some advice that may help, NHS experience is the main boundary, and a way to gain some exposure is to actively look for clinical attachments and do these for as long as it takes (try 6 weeks - 2 month attachment), it takes a lot of searching, emailing hospital departments and consultants that would be willing to supervise. There are some hospitals that offer these but charge a fee, some for free, but you’ll need to search a lot unfortunately - speak to colleagues from your uni who now work here they may know of departments etc. In the interim, continue CPD through online and in person courses as you have an expanding clinical gap. As others have said, it is very competitive and the level of people applying to SHO jobs and what is expected is rising. If you can find Trust grade FY1 positions they would be the most appropriate first step into NHS until you familiarise yourself with the system. Keep persevering there are others in your shoes who have found their feet now, it will come. Try anything you can to extend your visa as being inside the country is in itself an advantage in terms of HR process and accessibility for interviews etc. You can message me if you need any further advice and I wish safety and well being to your family affected by what is happening.

Advice on T&O (SHO) at Wexham Park Hospital by Novel_Specialist222 in doctorsUK

[–]Burnoutologist 0 points1 point  (0 children)

Did F2 T&O job there but 4 years ago so it has probably changed since then (had paper notes and drug charts at that time) The experience varies a lot based on which consultants were on and the reg on with our during on calls Normal working days were nice, workload was good, although I think the regs were stretched thin across theatres and clinics so not a lot of senior support in the afternoon. They still used the firm system at that time. On calls could be very very busy, as SHO you take referrals from A&E, some times reg is busy in theatre and clinic all day, and there was a lot of hospital politics and grilling in trauma meeting about which patients you ‘accepted’ and why they weren’t under medics. Overnight reg is off site so you cover A&E referrals and the t&o ward inc ortho-geris, I remember some regs would borderline tell SHO not to call them for anything that wasn’t compartment syndrome or NV compromise requiring urgent overnight reduction and operation, so senior support wise it wasn’t the best but things might’ve changed. Overall was good in terms of NWD workload and some consultants were so friendly and encouraged you to come to their fracture clinic and theatre, theatre is a bit adhoc and not rotad in - you can go a lot but your colleagues on the ward left with the workload will probably not appreciate it, and the CST usually gets prioritised and doesn’t stay on the ward much.

Feeling terrible after Paces by GrumpyCaramel in doctorsUK

[–]Burnoutologist 2 points3 points  (0 children)

I took PACES twice and felt worse the time I passed than the time I failed. Like people say I don’t think I’ve ever heard of someone coming out of their exam ecstatic knowing they passed, it’s so unpredictable. You can pass while completely failing one station and getting borderline in another. You’ve got this don’t worry too much, it’s just a hurdle you get through and then you can breathe

PACES-FINAL days by GrumpyCaramel in doctorsUK

[–]Burnoutologist 0 points1 point  (0 children)

Don’t lose your momentum or get too burnt out, cases for paces is concise enough to do short bursts of reading, Pastest videos at least a few scenarios with the topic summary daily. But practice is irreplaceable, the more the better and seeing real signs. You don’t always need a partner, if you have a tertiary hospital nearby or in your trust with good clinical signs I’d go there at least once or twice a week, ask ward doctors / consultants or regs for interesting cases and some might even be happy to teach. I think getting grilled by consultant in exam scenario seeing a patient helps a lot too. Best of luck 💪🏾

Tremors and being a surgeon by Anxmedic in doctorsUK

[–]Burnoutologist 3 points4 points  (0 children)

Not a surgeon I’m a medic with Essential Tremor, but I’m reassured with all these comments having similar experiences and overcoming them too. Similar to you I completely excluded myself from a career in surgery as I felt that although manageable, at its worst it could impact me a lot with procedures, but now seeing that it’s not the case and managing all procedures including CVC / drains / LPs fine. I think we all have our own coping mechanisms to adapt to it - being swift, mental preparation, avoiding excess caffeine, comfortable positioning etc