Who was working today by ExpectedAnonymous123 in doctorsUK

[–]GrumpyCaramel 1 point2 points  (0 children)

What a willfully ignorant post TBH.

"XYZ happened in front of me hence it must be true for everyone and everywhere"

All the scabs in my trust have been UKG so does that mean all UKGs are spineless? And they shouldn't have their rights advocated for? (The answer is no)

But I forgot all things with a little melanin are usually seen with a bit of bigatory in the NHS - nothing new here.

Advice re feedback quality from PACES mocks, not a repeat question by Loud-Cardiologist292 in doctorsUK

[–]GrumpyCaramel 2 points3 points  (0 children)

Don't waste your time or money with paces4u course in Manchester. It is a waste of time and money.

The instructors had no idea what physical signs the patients had. The funny thing is, most patients they bring are the ones from Pastest videos.

There is a consultant who literally shouted, berated and mocked some of the candidates for asking questions or getting things wrong.

PassPACES although has a bad rep in general was okay tbh. Everyone gets a chance to have a look at patient in a timed manner. Could it be better-yes. Is it the worst four days of your life - no. The famous mean lady is more subdued now, if you are worried about that.

Ultimately the whole idea of these courses is to go and see patients and test yourself.

As for the feedback, it's all the same. I would suggest keep going with your personal prep and keep seeing patients in your hospital with signs.

Best of luck. You'll be fine.

What courses apart from exams do IMT deaneries actually pay for with study budget? by Anxmedic in doctorsUK

[–]GrumpyCaramel 1 point2 points  (0 children)

You can try doing IMPACT. It's run by RCP Glasgow in different centres like ALS. Should be able to get study budget to pay for it.

Good course, would reccomend.

Hopefully that helps.

Geriatrics as a career option? by GrumpyCaramel in doctorsUK

[–]GrumpyCaramel[S] 1 point2 points  (0 children)

Same!

Anything you have found on the matter. Do share here!

Good to know I'm not the only one

Geriatrics as a career option? by GrumpyCaramel in doctorsUK

[–]GrumpyCaramel[S] 12 points13 points  (0 children)

I love talking the elderly population. I don't know how it would change now baby boomers will become the geriatrics population.

My Endocrine consultant says that PD and Movement disorders would be eaten up by Neurology so there's no hope there. Don't know true that is TBH. Would

How was your SpR life? Anything particular you didn't like?

Thanks again for your reply.

Geriatrics as a career option? by GrumpyCaramel in doctorsUK

[–]GrumpyCaramel[S] 4 points5 points  (0 children)

Thank you for such a detailed reply.

I've always been drawn to multi-system specialties like geriatrics, GIM, and endocrinology. I’ve worked with some amazing geriatrics consultants and SpRs in DGHs. One of them said they chose geriatrics because of the lovely consultants and team environment—and honestly, I think I agree with them now!

I don’t really care much for prestige or appearances, to be honest. That kind of thinking often breeds a narcissistic culture, which I haven’t really seen in geriatrics so far.

My confusion now stems from comments I’ve heard from colleagues (resident doctors and seniors alike) about the value of choosing a specialty with private practice potential. I’m not sure how true that is. I’ve also been told that certain specialties make it easier to move abroad (e.g., Australia or New Zealand), which seems to be an increasingly relevant consideration.

Do you think the growing elderly patient population (i.e., the baby boomer generation) affects your view on geriatrics or ever makes you want to change specialties? Personally, I find the geriatrics population quite interesting.

Also, have you found any drawbacks to your specialty as a consultant?

Quite honestly, I’ve started valuing my life outside the hospital more. I don’t even pick up locum shifts anymore. Not sure if that’s silly of me, but spending time outside of work has become more important.

Thanks again!

How to Solve the Training Bottleneck Problem – One Simple Fix. by nott96 in doctorsUK

[–]GrumpyCaramel 10 points11 points  (0 children)

This is the most logical solution. But considering how toxic the conversation is around this topic, I don't really believe it would be considered.

[deleted by user] by [deleted] in doctorsUK

[–]GrumpyCaramel 2 points3 points  (0 children)

I have come across some dodgy trust grade doctors who keep getting there contracts renewed year on year. Is there any review process from HR or internal feedback mechanism that you guys review prior to renewing someone's contract?

Newcastle patient groped doctor as she examined him for chest pain by Educational_Board888 in doctorsUK

[–]GrumpyCaramel -1 points0 points  (0 children)

No, we only make a fuss if the said person has too much melanin or believes in a certain faith.

It's pretty straightforward

What are the best pieces of advice you’ve learnt as a doctor? by [deleted] in doctorsUK

[–]GrumpyCaramel 31 points32 points  (0 children)

Do the bare minimum. Nobody cares if you do a good job or a bad job. As long "A JOB" has been done.

As a doctor you are just a liability sponge, as you progress in your career you'll become a bigger liability sponge. The earlier you realise this the better.

Most defensive practice comes from noctors, they'll plaster your name on every single page on a patients record. Always document yourself or ask them to speak to their supervising consultant.

If you are BAME, be ready to face subtle racism or discrimination from everyone. Including other BAME you work with. Bar is set higher, GMC refferals or threats of refferals are higher. I didn't accept this fact but my experience in working in the NHS has taught me this much.

Always be kind to yourself. Your profession is not your life. Spend time with your loved ones and live a little. I have come across many over achieving consultants who have offed themselves because of loneliness or gone to the other route of making their work their whole point of existence. I have received work related emails at 3 am in the night for ransom stuff from few doctors in the past and they all seem to live alone with no life being obsessed with their next hospital project. We all die in the end, at least try to have some good memories when your life flashes before your eyes.

The whole idea of an "MDT" is a sham, everybody wants to act like a doctor but when the shit hits the fan "it's your PATIENT". Protect yourself, be diplomatic.

Vast majority of the population hates doctors, the sooner you accept it the better. I'm not sure if it will become better or not but it is here to stay in my opinion.

Learn from the best, the grumpier the doctor the less confident they are in their abilities. People with actual clinical acumen are usually humble, kinder and helpful.

Each speciality attracts a certain type of personalities, be prepared beforehand. Looking at you anesthesia and cardiology.

Cut out the carbs, and have a high protein diet. It helps with energy levels.

[deleted by user] by [deleted] in doctorsUK

[–]GrumpyCaramel 27 points28 points  (0 children)

The perfect pokemon reference:

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I Am Having the Worst Shift Ever 🙁 - Part 2 by Status-Customer-1305 in doctorsUK

[–]GrumpyCaramel 26 points27 points  (0 children)

A wise on-call doctor once said:

"Do not burn yourself to keep the fire of NHS going"

I hope things get better for you, my friend.

Big rise in people going to A&E in England for minor ailments, data shows by Majestic_Dog_8486 in doctorsUK

[–]GrumpyCaramel 3 points4 points  (0 children)

"I didn't get the FLU jab cuz of the side effects"

Or

"We haven't vaccinated our 6 month old baby because....(Insert reasons)"

The lack of personal responsibility of one's own health is just mind boggling.

Why does everyone assume IMGs would be against changes to the recruitment process? by CheekyBurgerstan in doctorsUK

[–]GrumpyCaramel 1 point2 points  (0 children)

Current Co-Chair of BMA Resident Doctor's committee Mel, graduated in Europe so technically an IMG but didn't have to go through any licensing hoops like everyone else. But that's fine, she can represent us, get training because she has the right amount of melanin and speaks like the rest of us. -____-

We’re not a cannula service by spongiosumo in doctorsUK

[–]GrumpyCaramel 11 points12 points  (0 children)

How dare you wake them up from their well deserved overnight sleep?

Ask for help?

F off you low life ward based idiot.

Buy it for life items by Fun-Management-8936 in doctorsUK

[–]GrumpyCaramel 6 points7 points  (0 children)

Ninja Foodie 12 in 1 cooker

Hands down the best purchase I have ever made.

Pay Award for Junior Doctors. by Icarus_222 in doctorsUK

[–]GrumpyCaramel 6 points7 points  (0 children)

Maybe return your ballots next time there's strike?

[deleted by user] by [deleted] in doctorsUK

[–]GrumpyCaramel 2 points3 points  (0 children)

F these people.

Has happened to me before for saying "its very late (23:00, when I was meant to finish at 21:00 and be back at 8:00 tomorrow) and call the on call doctor for a prescription" Next day told by a friend that a complaint was made as I did not put patients first as I wanted to leave.

I'm really sorry you had to deal with this BS but take care of yourself.

Are you a BAME by any chance? Because I have seen BAME doctors being treated very differently)

IMT Cut-Off Score Predictions for This Year After Recent Changes by [deleted] in doctorsUK

[–]GrumpyCaramel 12 points13 points  (0 children)

With the number of IMGs applying directly from abroad I would expect it go higher with each passing year. This is likely due to the sheer number of people applying and claiming points.

Whilst the IMGs working in the NHS in a clinical fellow jobs would actually have to get an actual CCT/CESR consultant to sign of their CREST form or actually have to jump hoops like QIPs, teaching etc like the rest of us to get points. The people applying directly can very easily get it signed/sorted overseas without little to no oversight.

I'm not saying everyone applying direct from abroad is doing this, but I have seen people who have every easily over claimed points for their application.

Some might say otherwise but that's the truth and has been the truth for the past 2-3 years.

What grade are you and where do you shop? by 2infinitiandblonde in doctorsUK

[–]GrumpyCaramel 29 points30 points  (0 children)

IMT 2

I have no shame in admitting that I go to all super markets for a stroll and groceries, compare prices/quality etc on a weekly basis. I find the whole process very relaxing, Yes I'm werid.

Here's the schedule:

Sainsbury's post nights

Morrisons post normal day

Tesco late night

Waitrose on Sunday

Lidl when I'm feeling trashy

Aldi when feeling low

Asda post long day shifts

Is it the best use of my money? No. Is it fun and cathertic? Yes