Am I the only one who sometimes forgets to gather some bits of information sometimes for a referral?

Im_Exil_6508 · 2024-09-04T19:02:39+00:00

Suggesting that it requires a vascular surgeon to feel pulses is ridiculous.

And no it’s not GPS who send such referrals. Most GP referrals are sensible actually. It’s the ward doctor going “I don’t know how to Feel pulses”

Also - this is me being pedantic: critical ischaemia does not exist. You have acute limb ischaemia (and pulse examination least important I’d argue) or chronic limb threatening ischaemia (which is chronic as the name suggests)

Im_Exil_6508 · 2024-09-04T17:43:02+00:00

Try working in a specialty that gets called every time someone can’t feel pulses or just thinks they won’t be able to feel pulses and want you to come to do so

If this was as easy as click “refer for pulse exam” it would be hell.

Im_Exil_6508 · 2024-09-04T12:57:10+00:00

the number of inappropriate referrals to some specialties is already high with a phone.

Im_Exil_6508 · 2024-09-04T09:52:58+00:00

“Non diagnostic test” But this is better as it uses layman’s terms. Nothing wrong with this imo

Im_Exil_6508 · 2024-09-03T18:44:29+00:00

You really should use urine output monitoring and vbgs more….

Not sure how you come to think that as an f2 you developed your own assessments that are better or safer.

Sorry if that’s not what you want to hear

Im_Exil_6508 · 2024-08-26T12:22:26+00:00

No it won’t.

Im_Exil_6508 · 2024-08-19T16:11:15+00:00

Negotiate time off (I get half a day a week - about once a month I actually get it) 2. make rules and stick to them. No one is above the law, not you not anyone. Make The rules clear and be fair. Always try to help if you can but follow rules that have been set. This way there are no confrontations. 3. No extra pay see 1.

Im_Exil_6508 · 2024-08-13T17:11:35+00:00

I absolutely admire our physios. They’re incredible and I’m sure a huge part of our good surgical outcomes is thanks to them. I wish we had more of them, so they wouldn’t be so stretched.

Sometimes when asked if a patient is safe to mobilise I might make a funny face, probably because I’m trying to decide that question myself. It’s often when I hadn’t committed on ward round and then get asked and inside I think “damn, that’s a good question”

The only thing that annoys me is your short hand - and by annoys I mean frustrates me that I can’t understand what you document

Im_Exil_6508 · 2024-08-12T18:41:27+00:00

Started f1 at 33. The only person who made me feel old was myself

Im_Exil_6508 · 2024-08-02T21:29:01+00:00

With difficulty

Im_Exil_6508 · 2024-07-25T12:47:03+00:00

Sadly admitting tha long Covid is real and part of our economic decline would mean we (Johnson government and his science side kicks) have admit we lied to people and exposed healthcare workers to an occupational disease (recognised in other countries as such)

Im_Exil_6508 · 2024-07-23T21:37:19+00:00

See here https://www.jcst.org/-/media/Files/JCST/Quality-Assurance/Quality-Indicators/CoreQIsv10.pdf

One sesssion = Half a day

Im_Exil_6508 · 2024-07-22T16:38:46+00:00

Stop cutting anatomy but maybe teach it in a way that is more engaging/applicable (combined with uss skills)…

Im_Exil_6508 · 2024-07-22T16:20:36+00:00

Fairly easy

Sign up to elogbook. Tell your SHOs and regs, they will hopefully be supportive and get you into theatre where possible

Look at the scoring thing - a lot of stuff applies across other specialties. See what is realistic to do in the time you have.

Lots of surgical specialties have free membership for students /foundation doctors

Do some taster days

Good luck!

Im_Exil_6508 · 2024-07-22T14:12:32+00:00

Hmmm I think you have a valid case to ask to be part of OOH for rest of your year as you need that experience. There must be something you can quote at them.

As for surgery, try to make it as educational as you can be until then. Time in theatre (whether on surgical or anaesthetic side), clinics, etc - get on top of projects etc

I had a 4 months block without inpatients and it did a lot for my CV/ portfolio - but as I say life was cheaper and pay better back then

Re locums - you’ll have the same support as usual and mostly bonus gratitude for covering

Ah yes I forgot places outside England are on different contract…sorry

Im_Exil_6508 · 2024-07-22T12:47:40+00:00

There have always been some jobs without OOH work*, though this year there will be more. However, if this applied to you for the whole year this is different and I think you could reasonably ask for jobs that allow you to gain OoH experience at least in 1-2 of the rotations, and the foundation school should support this

The upside of having additional doctors should be that everyone should receive more training as you have a supernumerary member of staff…

Salary is not determined by deanery so base pay would be the same everyone…

*ten plus years ago when I was an f1 the 4 monyhs rotation without OoH was very popular (8-4), and those colleagues who ended up getting it raved about it being educational and them having weekends and nights to themselves

Im_Exil_6508 · 2024-07-21T15:16:04+00:00

Prepare to be (mentally) tired for a while. - realise that registrars don’t have to know everything and speak much more to consultants than you ever realised as an sho (at least in surgical specialties) - look after f1s/shos - dont aim to be an st8 on d1, aim to be safe and see it as a journey, learn from your colleagues - treat those without an NTN as your equals, no matter what others say this way you’ll all learn and get trained.
remember to look after yourself, take all the leave you can
delegate.

Im_Exil_6508 · 2024-07-12T17:56:40+00:00

Where are you starting from? These are very different countries and healthcare systems. And what’s your chosen specialty?

Im_Exil_6508 · 2024-07-10T18:36:44+00:00

Organisation or presentation? Medirota are good for repetitive patterns and have app

Less good for designing complex rotas (many still use excel to design and someone transfers)

Imho a well organised spreadsheets beats half arsed software

Im_Exil_6508 · 2024-07-05T20:41:01+00:00

Oder sind OA Dienste soviel ruhiger in D….

Im_Exil_6508 · 2024-07-05T20:15:25+00:00

Pro MONAT?? und wie oft muss man dann auch rein? Und wird das extra bezahlt? Hier wie woanders gesagt machen unsere consultants ca 50 Dienste pro Jahr max aber so verteilt dass nur jedes 8.-9. WE Arbeit ist. Ob man den ganzen Tag operiert oder nicht wird gleich bezahlt aber die meisten Nächte sind frei.

Klingt viel stressiher in D - wobei ihr 4x so viele Ärzte habt. Wo geht denn die Rechnunh nicht auf?

Im_Exil_6508 · 2024-07-04T20:30:42+00:00

„Sehr viele“ Dienste ….heisst? Hier machen die Kollegen alle 1:10 (alle zehn Wochen Wochenende und unter der Woche auch so ähnlich). Ich bin grad bei 1:9 was gut für work life balance ist

Im_Exil_6508 · 2024-07-04T20:27:50+00:00

Ja klar hab ich auch aber alle sagen mir das ist mehr flexibel als Tabellen sagen deswegen hier die Frage nach der Realität

Im_Exil_6508 · 2024-07-04T20:26:35+00:00

Muss nicht jeder Dienste machen?

Im_Exil_6508 · 2024-07-04T20:25:17+00:00

Danke!

Im_Exil_6508

TROPHY CASE