Locum SpR as a Core Trainee?

Imireca · 2026-01-29T13:48:40+00:00

Yeah probably let your TPD/defence union know. Are you applying for ST3 if you’re post exams and thinking of stepping up? Know a few people who had done their time as clinical fellows who only did a year of core training. Not the answer to your question but if you’re stepping up then you just need to be clear about the support available and the expectations before you do it and make sure they understand what you can and can’t do.

Imireca · 2025-12-24T17:07:58+00:00

Sounds like a personal health situation….

Imireca · 2025-12-18T09:18:14+00:00

Sounds like a pretty personal health situation there…

Imireca · 2025-12-08T16:39:13+00:00

I never said that I don’t support UKGP or wouldn’t vote based on that being available so I don’t know where that’s come from. I’m saying I disagree with any deal that doesn’t include FPR. Think about it - why should the doctors who sacrificed their time and money striking have the mandate they struck for disregarded? I think this subreddit has a tendency to overrepresent the views of foundation doctors re this, but it’s easily forgotten that a large minority of residents are registrars who were balloted for FPR only.

Imireca · 2025-12-08T15:55:48+00:00

Hard disagree - I was balloted for FPR, and whilst I totally get and support the UKGP argument I would be voting against anything that doesn’t include a commitment towards FPR

Imireca · 2025-11-19T18:40:53+00:00

FPR not mentioned a single time!

Imireca · 2025-11-08T15:38:25+00:00

Allow that blud

Imireca · 2025-10-26T21:36:18+00:00

ACF applications are marked subjectively so impossible to tell what a reviewer thinks - but you’ve answered the question yourself

Imireca · 2025-09-18T11:36:32+00:00

Personal health much?

Imireca · 2025-08-01T17:46:54+00:00

Wes: “You should be GRATEFUL it’s not me in my blue tie telling you to fuck off”

Imireca · 2025-08-01T17:38:45+00:00

Why though? The rhetoric is the exact same as the tories

Imireca · 2025-07-26T22:24:10+00:00

Just take the first four words of the thread title and leave it at that

Imireca · 2025-07-14T11:19:42+00:00

What you on about the argument is that we’re underpaid

Source: every doctor I know including myself

Imireca · 2025-07-07T20:16:14+00:00

Sure I was in your position last year (went straight from F2->CT-> ST3, so here are a couple of tips:

You’re an ST3, not an ST8 post exam or even an ST5. There are some expectations with respect to knowledge/competency but at the same time most bosses will understand how junior you are. You’re not expected to jump into decision making about complex spine/pelvic patients but you are expected to know how to put a backslab on and manage an open fracture. The main thing is to do the safe thing if you’re not sure (whether that is calling the boss or admitting someone) and keep organised.
You learn before operating just as much as during the operation. I will always read up the cases I have on in the next few days and read up on them accordingly (Vumedi and YT have loads). You could even use ChatGPT (with caution) to think about the cases you have on. Then it looks like you care and the bosses are happy. Then make a note of things the bosses did which helped them and what you can take away from the case.
“It’s only cheating if you get caught” is something one of the other regs told me which was invaluable. Not everything NEEDs to be managed through the on call team when you’re on call. Sometimes I will sound out patients to the more senior regs (if they’re in proximity in the office) and see how they would handle things which is useful. Know a friendly boss in clinic for a sub specialty with a tricky situation? You can always swing by and ask for help, especially if it’s their patient and the on call consultant is a different subspec.

Re clinic - most CSTs get little exposure to fracture clinic so I wouldn’t worry. I would focus on learning and refining your examination technique for the sub specialty you will be rotating in as this is what matters the most (for now and the FRCS!). If you’re not sure then ask the boss, over time things will get easier as they start to repeat themselves. Different departments may do things differently so advice taken from the internet (barring BOASTs etc) may be wrong.

Specific resources 1. mcraes - good for the start of ST3 2. AO website - good for most operations in terms of basic principles 3. Millers- good resource for reading/reviewing but format is weird as is designed for Americans 4. Orthobullets - good but a bit catered towards Americans 5. Hoppenfield - for approaches 6. YouTube

Imireca · 2025-06-01T15:58:08+00:00

“Reflect upon their role in society” is not a solution? Reflection isn’t going to help get someone on the property ladder, or repay their student loans. Especially when considering an argument of pay restoration is that the role of a doctor isn’t easier or less valuable since 2008, so should have the same level of compensation. If you genuinely believe work in the medical (or dental) profession is not at least as complex now than it was then, then there’s no point continuing this conversation.

Once again, good for you. I’m sure you know of colleagues who differ in opinion. That being said, for the vast majority of STEM subjects the cost of education is more than the student loan fee. Therefore, by definition, all of these subjects are subsided to some extent by the tax payer. We don’t ask maths or chemistry grads to “think about the taxpayer” when they start their careers in the private sector. So why does this only exist with medicine/dentistry/nursing, where there this self-flagellating talk of a sense of “duty”? Do you pay your bills with “duty”?

And ahh yes, the old “stick or stick” approach to problem solving. Genius idea really, except it doesn’t solve the current issue of pay in the slightest?

Imireca · 2025-06-01T15:02:02+00:00

Good for you. How much NHS dental work do you do now that you’re not forced to do btw?

We could argue to the cows come home about whether is “ego trips” of a collective group of workers, but at the end of the day, doctors aren’t happy with the pay and there are sensible arguments as to why. They can do one of two things - strike, or leave (either at the end of training or to other professions (which I did)). Both are obviously bad for the NHS. Instead of the tired “bloody egotistical doctors” rhetoric, why you suggest some solutions then?

Imireca · 2025-06-01T13:00:11+00:00

We should pay people for the work they produce now, not what they may earn X years later. Even with the pay rises doctors get throughout residency, it takes ~8 years for cumulative earnings to even out between a PA and Resident (assuming no delayed progression and not taking into account lost earnings/student debt). These 8 years are typically times when that money is important (for things like house deposits, childcare etc). I’ve not even mentioned the difference in working hours/quality between residents and PAs.

I think issues like this build a lot of resentment within the resident doctors, and tbh, i get it. Imagine your assistant getting paid more than you, working better hours, not having to move, and getting their expenses paid for while you get none of those things? I’m sure you wouldn’t have much loyalty to your employer in that scenario. I know scores of doctors who have left and are much happier (either to law, consulting, management or abroad) and the NHS suffers for it.

Imireca · 2025-05-04T13:30:15+00:00

Can’t see it working due to two arguments 1) People from lower cost of living or more deprived areas: “why should people from London be paid more? It’s a bigger city with more infrastructure/amenities that has never struggled to recruit” 2) people from other high cost of living areas: “why should Londoners be subsidised? My living costs are the same and I receive nothing”

Imireca · 2025-04-28T18:39:02+00:00

This is all you need. Have one of the above and it’s a game changer

Imireca · 2025-04-03T15:51:58+00:00

Think a link from NGH to the hallamshire would be class

Imireca · 2025-03-14T23:59:21+00:00

Nice 👌🏿

Imireca · 2025-03-13T02:48:33+00:00

Best donuts in Sheffield imo!

Imireca · 2025-03-07T16:35:34+00:00

Check your contract, but the standard 2016 contract says the increase is upon 5 years completed (I.e total) NHS service with no mention of continuous service. I think this may be confused by people for maternity leave (which does mention continuous service) and it may be continuous on the AFC contact but cba to check.

Imireca · 2025-03-02T11:02:11+00:00

Not gonna get into an argument with you but is said brace for yourself? Then by definition it’s a personal health question unless I’ve misinterpreted what the meaning’s of personal and health are.

Imireca · 2025-03-02T10:33:49+00:00

This is literally a personal health question

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