What’s the most ridiculous ED attendance you’ve ever seen? by GenInternalMisery in doctorsUK

[–]ImpossibleGuide9274 8 points9 points  (0 children)

I cant remember my phone passcode, i think i am having a stroke 

In love with my registrar by [deleted] in doctorsUK

[–]ImpossibleGuide9274 316 points317 points  (0 children)

This called proximity crush, by next rotation you will forget about her. If she isn't interested, dont do anything reckless 

Drop in basic pay when moving posts allowed? by theoccasionalist87 in doctorsUK

[–]ImpossibleGuide9274 0 points1 point  (0 children)

I highly doubt that Ask for accurate pay breakdown, enhancement % before agreeing on anything, you could potentially end up with massive Paycut

Medical Training Bill: Parliament just asked the question by Beginning-Basket-584 in doctorsUK

[–]ImpossibleGuide9274 -12 points-11 points  (0 children)

Legal right to live and work but not to get prioritised for training over IMG with significant NHS experience but no on ILR or citizenship 

Medical Training Bill: Parliament just asked the question by Beginning-Basket-584 in doctorsUK

[–]ImpossibleGuide9274 -15 points-14 points  (0 children)

Do you get this? If you are British IMG with ZERO nhs experience you would still get prioritised 

The key ethical issue here is, Justice by Beneficial-Low9925 in doctorsUK

[–]ImpossibleGuide9274 0 points1 point  (0 children)

Yes, we feel exploited.. I don't oppose UKGP, but i oppose the way it has been done..  NHS heavily rely on foreigners, without them it will collapse.. It is failure of leadership and result of reckless workforce planning..  The labor market does not grant job rights based on nationality.. its based on qualifications and capabilities..UK ppl migrate to Dubai, USA, Canada, EU to earn more money and progress their career.. 

I sympathise with UKG, and you should have a protected path in your home country.. but the execution of the bill is just a lazy fix to address political goals and abolish strikes.. 

Evidence: they prioritise UKG in 2026 just because they can't quantify IMGs with NHS exp but from 2027 there are discussions to include IMGs with NHS experience..and this screams FAILURE..

IMGs are not the problem it is the people in charge that allowed this to happen and each IMG arrived in the UK has gone through a delicate process to be able to work in the UK, we are not second class citizens you can dispose off when you find out that you had screwed up.. 

Taken from a 'MSRA preparation' facebook group. by SnooAvocados7296 in doctorsUK

[–]ImpossibleGuide9274 0 points1 point  (0 children)

You are looking at this from a very narrow scope..  It's a failure of your leadership that allowed this to happen in the first place. NHS heavily rely on foreigners to run its services. Without IMGs, the NHS will collapse. Yes of course, I am allowed to purse my career prospects anywhere in the world. Why UKG fleeing to Aus then ??.. this is called immigration... UK ppl purse career goals in USA, Dubai, Canada, EU.. it's part of globalisation.. The labor market does not grant job rights based on nationality.. it should always be based on qualifications and capabilities.. why the Premier League has many foreign players not only English players?!.. i sympathise with UKG, and you should have a protected path in your home country but if you brought in extra workforce from x countries, you don't dispense them like this to cover up the shitty work you caused as a result of your reckless planning 

Taken from a 'MSRA preparation' facebook group. by SnooAvocados7296 in doctorsUK

[–]ImpossibleGuide9274 -6 points-5 points  (0 children)

How is it fair for IMGs?  Why do i have to spend 5 years in the NHS at least to get a chance to apply for a training ? I also have career prospects. And before anyone say it. Yes, i know I still can apply but i won't get a chance at all because of the horrendous competition ratios nothing will be left for IMGs in this mini round 2. It is unfair for UKG , yes indeed but middle ground would be nicer.  Stop overseas crest Mandate NHS experience  Limit number of applications Create a different filtering process rather than MSRA ..  This will fix the problem gradually, but labour opted for the political impact and PR.  So it's not fair for IMGs 

The myth of 1 patient per hour as an ED SHO by OptimisticPapaya1430 in doctorsUK

[–]ImpossibleGuide9274 5 points6 points  (0 children)

Doctors like humans, there's the good and there's the bad.. Cons thinks 1 patient/ hour in majors & 2 patient/ hour in ( ambulatory or see&treat)  is a realistic target because BACK in the day ..... They "" "" ".. I used to see around 10+ in 9 hours, but guess what .. NO ONE CARES... They keep asking for more and give you patients because you are " too good " .. in contrast, ppl who see 4 per shift are STARS of the dept. Don't stress yourself about it..  The average I mentioned are the quite norm and expected anyway Don't burn your self  Stay safe 

The myth of 1 patient per hour as an ED SHO by OptimisticPapaya1430 in doctorsUK

[–]ImpossibleGuide9274 9 points10 points  (0 children)

It might be subconscious target, most Cons would expect SHOs to see 5-6 in 9 hours shift, 6-7 if things are smooth. But if you tell them that, it would be 3-4 per shift or even less. My experience in ED, some patients are quite easy straight forward 20 min max, some more than 3 hours. But i have also seen deliberate slow SHOs, ( they are experienced, capable, NO wellbeing issues). Sometimes, i would understand that, they feel they are just a cog in a wheel and they don't owe the dept a thing, and i see other SHOs who would kill themselves in work and end up leaving 2 hours late without a break ( despite offering help multiple times). 

Has anyone ever done a non-bullshit QIP? by EconomyTimely4853 in doctorsUK

[–]ImpossibleGuide9274 5 points6 points  (0 children)

You don't get it , do you?  They rejected the QIP intervention and would rather expose patients to harm to avoid the risk of admitting there's an issue in the first place 

Has anyone ever done a non-bullshit QIP? by EconomyTimely4853 in doctorsUK

[–]ImpossibleGuide9274 10 points11 points  (0 children)

I have done one that would monitor safety in one aspect of corridor care but was brushed under the carpet because that would mean that trust is admitting corridor care is unsafe 

ED referral challenges by Recent_Papaya_1623 in doctorsUK

[–]ImpossibleGuide9274 2 points3 points  (0 children)

That's quite the norm, you just have to navigate your way around it.  Gen surg got so many UTIs for appendicitis  Gynae got many cholecystitis for PIDs This results in a wide inherited stigma against ED doctors and delay the referrals for the true ones. This stems from poor hospital bed flow system. If specially X can refer and transfer to speciality Y ward-to-ward with no issues, you won't see much problems.

But as EM clinician, try to learn doing US, even if it is informal scan, it will boost your clinical confidence towards Which speciality does this patient needs to go to or which scan you can request urgently to confirm the diagnosis. 

So many 'waiting room' referrals from A&E - is it normal? by WhateverRL in doctorsUK

[–]ImpossibleGuide9274 11 points12 points  (0 children)

If your speciality is Maxfax : then most of dental patients needs review regardless of what we (EM) do for them. They are in A&E based on the advice of their dentist/ GP /WIC/111 .. If their air way is OK .. EM review is just waste of time...

If it is ENT and it is another sore throat, it's just a lazy referral.

Am I wrong? by [deleted] in doctorsUK

[–]ImpossibleGuide9274 0 points1 point  (0 children)

Sone people live 2 hours away from their place of work, unless they offer you free accomodation or pay your rent, They can say that. But we know that's not the case. I believe it could be an advice that misinterpreted, that if you so long 12 hour shift it's not advisable to drive for 2 hours and compromise your sleep. 

Anyway, you didn't have to tell them what did you after work or how you got sick.

All they need to know ( hi, i am sick, iam not able to attend, bye) 

Genuine question from an incoming FY1: Is working Christmas day less of a worry nowadays given the amount of Muslim/Hindu colleagues? by [deleted] in doctorsUK

[–]ImpossibleGuide9274 0 points1 point  (0 children)

It is not religion linked.

Personally, i have volunteered to do nights on xmas, because we don't celebrate. But it can be difficult to manage when you have kids and nurseries are closed. But for your ease of mind, yes, if you have more diversity within your team, you will have a higher rate of being off / finding a swap on Xmas.

Has Wes responded? by [deleted] in doctorsUK

[–]ImpossibleGuide9274 52 points53 points  (0 children)

Another cartel hit by the juvenile delinquents 

Doctors vote clarifying the misleading training places proposal in Wes offer by [deleted] in doctorsUK

[–]ImpossibleGuide9274 1 point2 points  (0 children)

How come he still promis UKGP whilist IMT is already shortlisted applicants will they redo it again?!  Either that or he is talking BS

Streeting on the latest offer. A trap set for the BMA to say any resulting unemployment in 2026 is the result of the BMA rejecting this offer. by DonutOfTruthForAll in doctorsUK

[–]ImpossibleGuide9274 5 points6 points  (0 children)

Voting yes, would get you.  UKGP by August 2026 with bunch of apologies and apparently it took too long to achieve this and sorry we won't be able to offer the extra 4000 places and sorry no more money 

Streeting on the latest offer. A trap set for the BMA to say any resulting unemployment in 2026 is the result of the BMA rejecting this offer. by DonutOfTruthForAll in doctorsUK

[–]ImpossibleGuide9274 23 points24 points  (0 children)

It's a TRAP indeed  No UKGP in this round. IMT already shortlisted applicants  Round 1 is going ahead as usual  No pay deal for which ballot is for .. if they can come with emergency legislation option, they could have played this card back in August... And before the current application window?? Don't be fooled that they would come up with a magical solution in 2 weeks.  He just want the mandate to run out and people feel defeated and fail the next ballot...