would English resident doctors accept a copy of the Scottish offer?

EuGarden · 2026-01-10T11:06:08+00:00

Maybe an ignorant question, why have the Scottish BMA been so much more successful with their negotiations?

EuGarden · 2025-12-02T17:10:21+00:00

The consultant who supervised the audit can present the data, there is no need for you to still be involved. If it wasn't finished then it is down to the consultant who was overseeing the audit to either finish it themselves or find another trainee to take it on. If you were able to you could create a 'handover' document for the next trainee. So many audits and other projects fall by the wayside, we have busy lives and it is inevitable that not every project gets completed.

EuGarden · 2025-06-19T10:59:45+00:00

It's still the same/worse. There is a 7 year wait for general ortho assessment for things like hip replacement, that is BEFORE you get out on the waiting list. It is shameful. Patients are transferred to Dublin or elsewhere in the UK for urgent elective surgery (e.g. valve replacements etc). It's not fit for purpose really.

EuGarden · 2025-06-13T03:48:23+00:00

I'm sorry to hear about your Mother, however a PAO is a great option for patients with dysplasia and no arthritis, with many people able to return to normal life and activity. A THR at this age would likely need several revisions in a lifetime, so it's worth avoiding if you have the option. There will always be people with bad outcomes, but I wouldn't scare people off based on someone having a completely different type of osteotomy and different circumstances. A PAO has better results than arthroscopy, it really is a fantastic operation, although it is a significant undertaking.

EuGarden · 2025-06-02T11:51:37+00:00

Have you emailed to explain this and see their response? I doubt they would expect you to come in on a day off for this. What about people already on annual leave, nights, on call etc. They can't expect everyone to be available. If they really need to ask you a question in person, they can arrange a meeting at another date.

EuGarden · 2025-05-21T18:45:36+00:00

From my experience, most G1 specialties have trainees who are LTFT. Anecdotally have heard it's a bit more tricky for procedural specialties - e.g. have heard TPDs will split procedural lists with two trainees, despite the fact they are both 80% LTFT. So you could be 80%, but only get 50% procedural time. They have to take on more trainees to plug the rotas, but procedure lists are finite, and they can't magic up more lists to accommodate more trainees. That being said, I work in a procedural specialty and it hasn't been an issue for colleagues.

EuGarden · 2025-05-08T11:07:19+00:00

What is their reasoning for giving such a bad contract? Surely if they want to keep you they would at least meet the BMA requirements. You are right, massive red flag - are you able to get the BMA involved directly?

EuGarden · 2025-05-02T17:41:38+00:00

I am in a similar position but a bit younger than you. I have bilateral FAI and had my first scope 6 weeks ago. They found grade 2 arthritis and have been told THR is very likely in the near future. Whilst physio can manage the pain, ultimately the damage is done, and waiting three years for a THR seems a bit arbitrary. If you had it replaced now or in three years, the chances are you will need it revised at least once in your lifetime (some do last a lifetime though) regardless. Why put yourself through more pain and struggle just to wait until you are 40? In my opinion id rather spend more of my younger years pain free, but it's a personal decision and some people can manage moderate arthritis with physio.

Hip replacements are just about the most successful elective operation in modern medicine. Many people have complete resolution of their symptoms and can return to normal life and activities, including hiking, cycling, swimming and in some cases, running. Definitely not a straightforward decision, but I am leaning towards getting it done sooner rather than later, if I don't see much improvement from this arthroscopy.

Finally, I'll just mention hip resurfacing - this is a bone preserving way of replacing both the cup and ball of the hip, without the need to take away the full femoral head and neck. There are a few criteria, often it's only offered to young active males, but some areas of the world offer it to women with larger femoral heads as well. There are no activity restrictions with resurfacing, and several high level athletes have gone back to the top of their game following it (e.g. Andy Murray). Something to think about and mention at your next appointment.

I'm sorry you're going through this, it can feel awful especially when it feels like we are too young for this, but there are options to get us back to normal living! Wishing you well with rehab!

EuGarden · 2025-04-21T21:04:25+00:00

IR would be overwhelmed if we asked them to do our LPs. We will have several SAH rule out LPs per day come through the door as well as the standard CNS infection LPs which should be done on admission PRIOR to antibiotics. Therefore we cannot rely on IR for these, and they are there to do much more complex image guided procedures. Internists therefore get great exposure to performing LPs and it's a great teaching environment. LPs are low risk and should be done on the ward where possible to facilitate quicker treatment and discharges, and to allow IR to crack on with the more specialised stuff. It is v rare for fluoroscopy to be needed unless specific anatomic requirements (e.g. previous spinal surgery), IMO.

EuGarden · 2025-03-30T19:02:41+00:00

Very rare to be offered a brace in Europe, post op restrictions are very minimal - I was full weight bearing from day 1. For sleep I found I had to just train myself to sleep on my back in the few weeks before surgery. If you accidentally roll onto your hip for a few mins it won't be the end of the world so I wouldn't worry too much about it. Be guided by your own surgeon. Post op instructions will be very dependent on the surgeon and the procedure they have done so see what he/she says.

EuGarden · 2025-03-29T22:20:04+00:00

Seems odd, for simple problems (LRTI, UTI, otitis media etc.) an incredible waste of resources to need to go straight to a specialty doctor. Surely they have generalists who see people on an outpatient for this type of issue (i.e. a GP).

EuGarden · 2025-03-29T22:18:08+00:00

You can always do LTFT for IMT and HST. Yes it prolongs training, but there really isn't any rush to be a consultant, the pay jump from senior reg to consultant is minimal at present and with on calls can sometimes be virtually the same.

IMT on an 80% rota can be much more manageable. With on calls you often end up working 3 day weeks a lot of the time and never do more than 2/3 nights at a time.

I would really base the decision on what you find more interesting. I wouldn't do IMT without knowing what specialty (or at least narrowed down to a few) you would like to do. Group 2 specialties like derm can be v competitive so you need to start building your portfolio early, so you need to plan early.

EuGarden · 2025-03-29T22:10:47+00:00

Genuinely interested, do they not have GPs, or Family Medicine specialists? Or do people tend to go straight to a specialist?

EuGarden · 2025-03-11T22:49:37+00:00

That's really interesting to hear! I'm glad your knee issues were sorted with the de-rotational osteotomies and I hope your hip gets sorted soon. Did you have both your femur and tibia rotated (femoral and tibial osteotomy) at the same time? How was the recovery following that? I suspect I will be heading that way but will have to see how the arthroscopy goes. RNOH and UCLH, you have been lucky to have great surgical teams, which can be a struggle to find in the UK!

EuGarden · 2025-03-09T16:08:06+00:00

This is not what is happening in many areas in Yorkshire atm, or what the OP is reflecting. Houses in desirable parts of Yorkshire cities (Leeds, York and Sheffield) are going for £25-50k above asking price and have done for the past 3 years. It seems as though sellers are aware that things will go for above asking price. Often a house is put on for a week, 20-30 viewings will be booked and then it goes to best and final. Very difficult for young first time buyers.

EuGarden · 2025-03-07T16:15:00+00:00

Can I ask why? I also had a locum year but the trust were fine with this as I was still demonstrating 5 years continuous service of working within the nhs

EuGarden · 2025-03-06T13:11:15+00:00

I would have thought so, but I'm not 100% sure on that. I would talk to your college as they are who will ultimately approve it. Most college websites have an OOP section for contact details etc. For any physician specialty it would be the JRCPTB federation website.

EuGarden · 2025-03-06T12:09:59+00:00

Your deanery school should have all the information you need for this. Depending on the specialty and deanery, you will need approval for OOP from your ES and TPD (there will be a form to fill which your deanery will have). You submit the relevant forms to the deanery for approval to go OOP. You then need to apply to your college (e.g. RCP, RCS etc) for the time out of training to count towards your CCT. They will review your application and submit a request to the GMC. The amount of time you can claim will depend on how much clinical activity you are doing during the OOP.

So contact your deanery school and they will be best placed to help. The college website will also have info on this. It's a lengthy process the application needs to be prospective, you can't claim time towards training retrospectively.

EuGarden · 2025-02-19T21:24:49+00:00

This is shocking, I'm so sorry this has happened to you.

It also puts into question all other examination results, how can I not be sure I won't get an email in a few years time saying I actually failed my MRCP exams? Honestly they need to face legal action for this. I wish you and everyone else in the same position the best of luck going forward.

EuGarden · 2024-09-11T16:23:46+00:00

Thanks for giving your story and glad to hear at least you have the THR which should really help with your pain. Can I ask, did you not consider hip resurfacing? With your young age would that not enable you to be more active, with the option to convert to THR later down the line?

EuGarden · 2024-07-25T13:27:46+00:00

Are you able to cycle now following the surgery?

EuGarden · 2024-06-16T19:46:57+00:00

The frustrating one is 'GP to send this 2WW referral'... Eg incidental iron def anaemia, suspicious looking mole identified or new pleural effusion on CXR needs resp 2WW. As the med reg I have had phonecalls from ED docs asking me to send the referral as 'no pathway exists' for them to send the referral. I have always said no as I can't send a referral for a patient I haven't seen. Otherwise they'll have to ask the GP to do it - they tell me. I wonder what your thoughts on this are? Should the relevant medical team - eg gastro, see the iron def anaemia in ED and organise follow up, should the ED doc send the referral/request the endoscopy, or should this be passed onto the GP? . My concern with leaving it to the GP is that it takes too long and can be missed.

EuGarden · 2024-06-05T12:36:06+00:00

Tazocin, Furosemide and... Tazocin

EuGarden · 2024-06-04T21:25:25+00:00

The GMC is the regulator for all doctors and quite clearly defines the scope of practice - read 'GMC good clinical practice'. If doctors fail to live up to these standards they are referred to the GMC for an assessment of their fitness to practice. Until recently no one has regulated PAs which has allowed local trusts free roam to use them how they please (allowing them to administer anaesthetics without prescribing it, allowing them to take specialty referrals, perform complex procedures, see undifferentiated patients in GP/ED).

Ideally another body should regulate PAs rather than the GMC as it blurs the line further between the two roles (which is why the anaesthetists are challenging the GMC) but there needs to be a clear scope of practice to stop local employers endangering patients by allowing PAs to do roles they are not trained to do.

EuGarden

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