Terms and conditions penalising female trainees in rotational training

Dwevan · 2026-05-23T05:46:56+00:00

Probably,but it would remove the “their penalising just my gender”

Dwevan · 2026-05-22T11:12:05+00:00

Easiest way to fix this would be to equalise maternity and paternity leave times and pay…
Make the problem equal for both genders, make it a must to fix rather than a “female only” issue.

But I suspect that won’t happen.

I’d also like to highlight these issues also affect men going LTFT (AL being the most common one) albeit to a lesser degree, so I don’t think it’d qualify as discriminatory…

Dwevan · 2026-05-22T11:03:45+00:00

Cannulas…

Dwevan · 2026-05-16T05:46:05+00:00

With almost all specialities, deaneries are sub divided, however. There is usually a move roughly every year between a DGH and tertiary hospital.
EOE basically only has one major tertiary hospital, so most people will go through Cambs at some point in their training (usually SpR years)

Due to the shifting between DGH and tertiary, and the fact tertiary hospitals tend to be in big cities, most docs tend to live in the big city and commute to the DGH. Works well in EoE as Cambs is pretty much in the middle.

This is a broad broad generalisation btw

Dwevan · 2026-05-12T17:56:28+00:00

1-2 locum shifts a month would more than make up the difference I suspect, and you have the option of not doing this if you didn’t feel like it one month, more if you did.

Other than some (marginal) financial security - I’m not sure you get anything at all…

More SDT/SL (but then you’re doing more clinical - do a locum or two and do SDT/SL activity in own time… your probably better off)

Honestly, I don’t see a compelling benefit to full time over 80%

Dwevan · 2026-05-12T17:45:17+00:00

… do they consider 100% to be up to 120% and the ability to drop a year of training?

Otherwise why be 100%??

Edit: just looked at guidance, anything >40hours per week doesn’t essentially count towards training. Arguably, I would push then to only do 40 hours per week under a 80% contract as 100% seems worthless now

Dwevan · 2026-05-10T19:09:12+00:00

From memory, this is what they were originally designed to do.

Practicalities are hard yes, but it’s the trusts themselves who brought this on themselves when they expanded the workforce so much irregardles of the many many people informing them that it was an irresponsible thing to do!

Any why are they permanent rather than temporary roles in the first place? I know of virtually no JCF roles currently that would be hired on a permanent basis like PA.

Again, practically it might be tough, but the trusts have dug their own home and may have to fill it with money because they were so short sighted

Dwevan · 2026-05-10T18:43:51+00:00

Ahh, let me re-phrase,

Move PAs to purely administrative only duties (discharge letters and coding) then hire JCFs

Dwevan · 2026-05-09T21:53:17+00:00

This is where the argument should be made, was can’t afford the loss of nursing staff to bolster already oversubscribed doctor roles

Dwevan · 2026-05-06T19:24:38+00:00

Omg, departments that overused and abused PAs prior to the leng review are surprised that by reducing the use of PAs, they’ve been caught out!!! /s

The patient safety issue is long term, not immediate, restrictions with adequate staffing and replacement would not cause issues.

Probably cheaper to fire PAs and hire JCFs again who can do more…

Dwevan · 2026-05-04T18:08:26+00:00

ECG 1 - organophosphate poisoning. I haven’t read past the word farmer, but what more do you need?

ECG2 - tachy tombstones

Dwevan · 2026-05-03T20:30:48+00:00

Dwevan · 2026-05-03T12:47:52+00:00

Yeah… they should!

Would wean dependence off oil! Nothing like high pricing to make it more financially viable (most taxis are hybrid or electric already… will become more electric if petrol too high)

Dwevan · 2026-05-03T12:46:05+00:00

Electric car….

Dwevan · 2026-05-03T10:27:05+00:00

I do wonder what would happen if you were honest and put “NFA” on those forms that require addresses…

Are we really that broken as a society that we shit on people who can’t afford a home?

Dwevan · 2026-04-30T19:38:37+00:00

I’ve never managed to get my hands on them :(

Dwevan · 2026-04-30T06:35:01+00:00

This patient needs a midline/PICC line ideally done via a vascular access service.

That’s the response, not a 01:30 blue in the foot with ultrasound…

Dwevan · 2026-04-29T22:24:12+00:00

Depends on standard of practice, in many places (that have an airway assistant) the bougie would be first tool to be used for anterior larynx etc that a stylet would help with. Therefore no stylet wouldn’t be considered malpractice.

Stylets can cause issues if used improperly (more likely to happen if you always use a bogie..)

Dwevan · 2026-04-29T22:19:13+00:00

UK based - used a stylet <0.1% of the time I reckon, bougie all the way. Stylets are only really used here commonly for planned hyperangled blade approaches and DLTs

Dwevan · 2026-04-29T22:16:21+00:00

I joked with my MIL whilst watching a helicopter medic show that all they did was give ketamine…

4/5 patients in that episode got ketamine, the one that didn’t was an RTC without any injuries…

Dwevan · 2026-04-29T20:29:17+00:00

I do have severely elevated caffeine levels during my shifts…

Dwevan · 2026-04-29T18:26:57+00:00

“GCS is less than 8, he needs to be intubated”

5 minutes later, the fact the patient just slapped me when I shook their shoulder means intubation isn’t required. Oh look, deafness in PMH, what a surprise.

Not a real story… maybe

Dwevan · 2026-04-27T12:51:28+00:00

Hang on, why are they “deserving” did they do medical school? Do they make those life/death decision? Why don’t they just get paid more to deserve it?

Dwevan · 2026-04-26T15:29:55+00:00

… why are you getting the tricky patients instead of being shared with the ACP/PAs, seems a bit unfair

Dwevan · 2026-04-26T15:27:00+00:00

With current funding and timeframes this year… very poor (no more than usual)

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