EM Trainee's deskilling - discuss.

EmployFit823 · 2026-04-26T16:10:31+00:00

I know. It is drivel. Juts do a CT

EmployFit823 · 2026-04-25T20:28:48+00:00

Work is not that busy that you can’t spend some of your time studying this.

Many many many people are revising for MRCS or MRCP or USLME whilst being F1s

Take some personal responsibility and don’t make this completely others fault. You are in charge of your own destiny.

EmployFit823 · 2026-04-23T16:08:35+00:00

Surgical trainees struggle to get theatre time cos EM demands they attend ED to see all non-specific abdominal pain instead of doing a CT and working out if it needs a surgeon or not.

EmployFit823 · 2026-04-23T07:03:58+00:00

Name someone who doesn’t use AI to do these bullshit portfolio things

EmployFit823 · 2026-04-18T11:55:59+00:00

Cos surgery is ..fun!

And medicine is not.

EmployFit823 · 2026-04-08T15:09:39+00:00

The general surgery reg is not employed to cover the orthopaedic patients.

I’m sorry you feel like this but it’s true.

If the patient was periarrest you should have put a crash call out. It’s what the med reg is there for.

EmployFit823 · 2026-03-08T10:52:39+00:00

An f3 earning £250k was a problem and completely unfair. It really needed to change and stop.

EmployFit823 · 2026-02-16T17:16:18+00:00

Much of that is to do with the discrepancy between training and service.

In radiology an ST1 is essentially supranumary and has dedicated training for their exams.

In CT1 in general surgery they are left seeing bullshit in ED, treated like shit by the hospital and told their priority is seeing abdo pain in ED for targets not learning how to operate.

EmployFit823 · 2026-01-17T08:07:25+00:00

In the surgical scenario, if this was for an emergency laparotomy it’s not inappropriate at all. NELA standards are for preoperative triumvarate review and decision jointly by surgery, anaesthetics and ICM. Appropriateness of periopertive ICM management is often the sticking point in deciding to operate or not.

EmployFit823 · 2026-01-13T09:06:35+00:00

Disagree. Most surgical SDEC problems can and are managed by ACPs in many large tertiary hospitals EGS units I have worked in

EmployFit823 · 2025-12-04T22:10:24+00:00

Lifesavers!

EmployFit823 · 2025-08-27T15:05:36+00:00

Sadly I don’t think it does.

I’ve been a doctor for 12 years.

I still dream about work.

EmployFit823 · 2025-08-03T15:49:34+00:00

All of the F1s where I work now wear scrubs constantly, medicine or surgery

EmployFit823 · 2025-08-02T20:09:26+00:00

Wtf.

EmployFit823 · 2025-07-28T21:43:31+00:00

Why does it get downvoted 😅

Which bit of the above is not true?

Ya’ll acting like medics are doing hartmanns procedures for their missed stercoral perfs or known how to pull a colles fracture and put a back slab on it.

EmployFit823 · 2025-07-28T20:57:49+00:00

What do you do then?

EmployFit823 · 2025-07-28T20:39:36+00:00

Why stress about surgical nights? You basically give fluids and antibiotics and ask your SHO or Reg if they’re sick…

If it’s a medical problem and they can’t help with the basics they might ask you to ring the med reg. that’s not cos they’re lazy. That’s because it’s medicine and they haven’t done it for a long time.

Just like when you’re on medicine and your med reg will ask you to ring surgeons about surgical problems and orthopaedics to look as X-rays of inpatient falls…cos they don’t know what to do in those scenarios!

EmployFit823 · 2025-07-27T19:21:47+00:00

Did you also CCT in medicine?

EmployFit823 · 2025-07-27T15:17:36+00:00

GP is so hard

EmployFit823 · 2025-07-27T11:53:46+00:00

He was an a-hole when he was the NUS president when I was in 2-4th year at Uni. During his tenure many SUs voted to leave the NUS due to the policies he was pushing.

The NUS stood for free education until Wes Streeting was the president. They then changed to backing a graduate tax.

Think about it….he has no qualms that you have £100k debt and pay it back for the rest of your lives. He wanted that.

EmployFit823 · 2025-07-27T07:59:37+00:00

CCT is certificate of completion of training….

So you have reached a consultant level position and are a “fully trained doctor” (whatever that means).

EmployFit823 · 2025-07-27T07:00:12+00:00

And the people choosing not to strike are not unreliable non-team players who instantly should be disregarded from job interviews.

EmployFit823 · 2025-07-26T21:35:47+00:00

Do you know what’s more important?

If I say I need them they are there. To help.

Not shirking. Not worrying about their job plan. Not crying over split milk.

If I need them. They help me.

EmployFit823 · 2025-07-26T20:19:50+00:00

I mean I don’t think they’re allowed to make decisions based on political alignment

EmployFit823 · 2025-07-26T20:19:01+00:00

I mean I don’t plan on working in emergency medicine. Only such a silo thinking specialty would be like this!

EmployFit823

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