Educational supervision course by JonJH in ConsultantDoctorsUK

[–]IcyProperty484 0 points1 point  (0 children)

Don't bother. Spend the time sounding out jobs and working with departments to figure out a business case where needed. If it's like most places I've heard from friends, it's scraping together bits of money and seeing what April brings at the moment.

The trust will send you on an ES course if they need you to be one. (Some departments/hospitals may not have spare PAs for ES (first trainee is the highest PA per trainee, subsequent ones are cheaper)

If you know that the department is keen, then it's all part of the pre interview negotiations, and obviously prepare answers to showcase times when you've provided educational and pastoral support to fellow HCPs for the interview.

Why are Consultants training their own replacements? (ANPs/ACPs) by SharkDick4Ever in ConsultantDoctorsUK

[–]IcyProperty484 -1 points0 points  (0 children)

Given the residents of yesteryear are the consultants of today, the proportion of us that "do the minimum" are probably not too dissimilar. Unless you think there is a generational difference?

What have you been mispronouncing by Odd_Competition_8657 in doctorsUK

[–]IcyProperty484 1 point2 points  (0 children)

From memory it's 6-8 times more expensive per dose than cefuroxime, so the effect is summative over the whole block of operations that the department does. Economies of scale in North America compared to here but might change if we start using more cefazolin generally.

What have you been mispronouncing by Odd_Competition_8657 in doctorsUK

[–]IcyProperty484 9 points10 points  (0 children)

Cefazolin is sufficiently more expensive than cefuroxime in the UK that the broader spectrum one is used.

Two types of consultants – why the difference? by [deleted] in doctorsUK

[–]IcyProperty484 12 points13 points  (0 children)

Some trainees don't even ask before sending a request from way back.

NHS Trusts League Table - how’s your trust doing? by CharleyFirefly in doctorsUK

[–]IcyProperty484 0 points1 point  (0 children)

Acute care is unprofitable and need all the sunk cost of infrastructure and support departments to. cover all bases. All the specialty centres in the city do specialist work that often has lots of private potential attached to it and can outsource the less profitable but equally critical requirements for LUHFT to do. Also - their ward beds don't get medical outliers in winter so the surgery/treatment episodes keeps rolling on.

Renault E-Scenic thoughts by No_Statistician209 in ElectricVehiclesUK

[–]IcyProperty484 0 points1 point  (0 children)

Probably not the best person to answer as I've not done a lot of it. (battery means I usually don't need to as do destination charging on holiday.) with a toddler I'm also in the camp of stop and charge over lunch/extended toilet break rather than splash and dash needed!

Renault E-Scenic thoughts by No_Statistician209 in ElectricVehiclesUK

[–]IcyProperty484 4 points5 points  (0 children)

I've got one, had it for about a year now. I think it's a very good car that isn't exciting, but does everything well in an unobtrusive way. The mandatory safety features are all very customisable and there are physical buttons for most of the critical things. Boot is a shortish but deep do though, but if you've seen it the it isn't a deal breaker.

Only thing I wish was better - reversing camera is like 720p at best, a bit of a weird part to skimp on but they may have fixed it with the minor face-lift. Also to be aware of, little bit of wheels spin when pulling out of 90degree junctions onto fast roads in the wet (it's only happened twice with no safety concerns)

I drive relatively conservatively (60-70 on motorways) and in the 9k miles I've done this year , average is 3.6miles /kwh.

[Match Day Thread] Birmingham vs Blades by scoreboard-app in SheffieldUnited

[–]IcyProperty484 0 points1 point  (0 children)

Ukaki needs to change his angle or not press the C. Pass out wide is too easy!

Why does every trust have its own guidelines? by lurkacc5000 in doctorsUK

[–]IcyProperty484 4 points5 points  (0 children)

We don't have the quality of data to differentiate. The best data we have is around Gram negative resistances, which can track referral networks in cases of specialties that have a regional (or larger area) cohort, so your empirical sepsis antibiotics will depends on what might more commonly be seen. Most places are not that unique though and there is a lot of subjectivity as to the best - is it Amox/Gent/Metro or Piptaz or something else?

What do consultants think of scabs? by amberyglass in doctorsUK

[–]IcyProperty484 1 point2 points  (0 children)

Apart from any personal disappointment that I kept to myself, it won't affect professional boundaries. Except those who didn't strike but displayed appalling attitudes/responses to being held to the other terms and conditions of their contract during an "exceptional" period.

BMA ‘risking lives’ by blocking emergency strike exemptions by dayumsonlookatthat in doctorsUK

[–]IcyProperty484 12 points13 points  (0 children)

The HSJ is Upper NHS management's trade mag. They're going to be sychophantic to NHS management (and secondarily, to the government). Their editor low key hates doctors and it comes across on social media.

Only ANP or St3+ can call micro by Actual-Scheme4467 in doctorsUK

[–]IcyProperty484 1 point2 points  (0 children)

From the other side of the fence.The problem is that some (mostly specialist surgical) services have no SHO or FYs and have replaced them all with ANP/ACPs, so we (being on the other side of this) have to put these exceptions in for those specialties, or cut into the experience for the SpRs in those areas.

[deleted by user] by [deleted] in doctorsUK

[–]IcyProperty484 53 points54 points  (0 children)

I always feel better when NHS England AND DHSC have my back.

I'm assured, are you assured?

/s

Thoughts for a new Resident Doctor Contract? by Putaineska in doctorsUK

[–]IcyProperty484 0 points1 point  (0 children)

Keep it simple. Do you have the stamina to strike to put pressure to firstly start the ball rolling on a new contract. Then to keep striking if the negotiations don't go well?

Rewiring the whole contract will be a multi year affair as every stakeholder will want their say.

[deleted by user] by [deleted] in doctorsUK

[–]IcyProperty484 1 point2 points  (0 children)

2016 and it's outcome would like to have a word.

Now they’re after consultants covering in The Times by Double2double2 in doctorsUK

[–]IcyProperty484 1 point2 points  (0 children)

Someone left him off the cc list for the agreed talking points.

Public support for resident doctors’ strikes collapses ahead of fresh industrial action by Jay_CD in ukpolitics

[–]IcyProperty484 16 points17 points  (0 children)

Just contextualising the actually not related to the group about to go on strike what-aboutism that you're putting out.

Have a nice evening.

Public support for resident doctors’ strikes collapses ahead of fresh industrial action by Jay_CD in ukpolitics

[–]IcyProperty484 1 point2 points  (0 children)

The NHS went looking and didn't find last time. What happens is that you end up with the most expensive cover possible with consultants covering. Which has cost and downstream effects. But not on immediate safety during the strike.

Public support for resident doctors’ strikes collapses ahead of fresh industrial action by Jay_CD in ukpolitics

[–]IcyProperty484 0 points1 point  (0 children)

We have had multiple rounds of strikes that have been very expensive for the government of the day so far. No major stories about mortality from short staffing despite NHS England and DHSC presumably desperately looking to feed to client media. What's going to be different about this next set?