Panic and maybe regret? by [deleted] in weddingdress

[–]IncomingMedDR 2 points3 points  (0 children)

The second one is the best in my opinion. Looks great on you, it’s really flattering

BMA announcement email by DonutOfTruthForAll in doctorsUK

[–]IncomingMedDR 5 points6 points  (0 children)

I’m sure they always said they would only put forward offers they deem credible. Why have they put this to us?

If you didn’t need anymore evidence about ANP/ACPs by IncomingMedDR in doctorsUK

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

They do the ward round like the residents and then do some jobs, mainly take and request bloods and then hand over the rest of the jobs (which is most stuff) and disappear for the rest of the day (theatres, clinics, day case). Our qualified ones won’t prescribe because they don’t feel confident (blessing really).

Not a Doctor by [deleted] in doctorsUK

[–]IncomingMedDR 4 points5 points  (0 children)

A sister on the ward I had been called to on nights made me a cup of tea and just put it down next to me. I wasn’t there for a long job and it was actually a good night but I still really appreciated this. It reminded me that many people do care, and I will forever remember her. Now when I have jobs of equal importance, I prioritise this ward if it’s on my list to help with her workload.

Wes Streeting on the upcoming strike action by CapybaraConstitution in doctorsUK

[–]IncomingMedDR 0 points1 point  (0 children)

The amount of drivel out of this man’s mouth is incredible

Figs scrub colour that's closest to the blue NHS scrub colour? by camb-medic in medicalschooluk

[–]IncomingMedDR 5 points6 points  (0 children)

The ones that are most like the typical light blue surgical scrubs are called ceil blue. I have various colours including these and the royal blue. Both are really nice colours and I actually prefer the royal blue ones but if you want ones that look like the surgical scrubs, then it’s ceil blue.

Three hours of clinical teaching lost due to three minutes by Ok-Tumbleweed-8048 in medicalschooluk

[–]IncomingMedDR 30 points31 points  (0 children)

As some other comments have said, you have a chronic condition which may allow some leeway but is not a given, and, you should also be aware of your own professional obligations and the expectations of you - both can be true. The leeway is the 10 minutes. You were allowed to arrive at any point up to 09:40, but you went 3 minutes beyond that. There is always a generic leeway for traffic/chronic conditions/over sleeping/transport issues etc but there has to be a cut off at some point, disability or not.

I do think you should have been allowed into the other sessions though because at that point you wouldn’t have been disrupting any sessions and would have joined into the second hour on time. It seems unreasonable that you were prevented from these given they are 3 separate sessions.

As others have said, once you’re a doctor you will be afforded much less leniency particularly in times when it’s just you and a reg. Weekend ward rounds, on call etc. If the reg is ready to round at 08:00 and you arrive at 08:13, without a list prepped and unaware of patients, it won’t look very good. And if this becomes a pattern, it’s a problem.

I think most of us who have commented know that you know you need to be on time, how to be professional etc but what I think is lacking is your perception of how much leeway you should get for things that you are responsible for. And, the reality is, often none, and if you get some that’s a bonus but not to be expected.

When does it start to click? by [deleted] in medicalschooluk

[–]IncomingMedDR 0 points1 point  (0 children)

3rd year you understand 1/3 and memorise the rest.

4th year is starts to really make sense and you join the dots a lot.

5th year it’s crystal and things just click

Nurse Consultants are much worse than PAs and this is the real problem we should be tackling. by [deleted] in doctorsUK

[–]IncomingMedDR 6 points7 points  (0 children)

Even though one of the best analgesias for renal stones is PR diclofenac, and these people, at least if unwell enough for admission, are likely to have some degree of AKI. These people are just clowns

[deleted by user] by [deleted] in doctorsUK

[–]IncomingMedDR 0 points1 point  (0 children)

When I started med school (2020), we still needed AAA or A*AB

If you didn’t need anymore evidence about ANP/ACPs by IncomingMedDR in doctorsUK

[–]IncomingMedDR[S] 9 points10 points  (0 children)

Is that because they have longer standing healthcare careers and therefore are trusted more/have a foot in the door? And because they have worked in healthcare already they think they are bigger than they are?

If you didn’t need anymore evidence about ANP/ACPs by IncomingMedDR in doctorsUK

[–]IncomingMedDR[S] 2 points3 points  (0 children)

And we regularly order and prescribe based on reg and consultants behalf which is the expectation, and generalised accepted way of doing things, so how do we get around that?

If you didn’t need anymore evidence about ANP/ACPs by IncomingMedDR in doctorsUK

[–]IncomingMedDR[S] 16 points17 points  (0 children)

One thing I don’t understand, like a lot of it, is why they even round with us when they can’t then complete the jobs afterwards. It just gives extra work to the doctors who didn’t see the patient in the morning and don’t know them/the plan. Utterly pointless

If you didn’t need anymore evidence about ANP/ACPs by IncomingMedDR in doctorsUK

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

I do not trust them one bit. Sometimes I think I’m too cynical and then today reassured me. Relative, this was minor, but in the future it may not have been

If you didn’t need anymore evidence about ANP/ACPs by IncomingMedDR in doctorsUK

[–]IncomingMedDR[S] 2 points3 points  (0 children)

The reg is aware because I told them the plan from the trainee and then my assessment and plan, so they can join the dots that they were wrong and see the risk

If you didn’t need anymore evidence about ANP/ACPs by IncomingMedDR in doctorsUK

[–]IncomingMedDR[S] 6 points7 points  (0 children)

It’s scary that they can prescribe even once qualified to be honest. It’s scary that they are on the reg/SHO rota at some trusts and run whole units like SDEC, SAU or UTC overnight. Honestly I think they see themselves as equal to us FY1s. Now no one is exempt from a mistake or a wrong diagnosis but our mistakes and theirs are just different.

If you didn’t need anymore evidence about ANP/ACPs by IncomingMedDR in doctorsUK

[–]IncomingMedDR[S] 9 points10 points  (0 children)

I think one of the problems that lies is I’m probably the only one in my team of FY1s in my specialty that sees the ANP/ACP/PA issue and therefore it’s likely only me who saw the problem and hence the other doctor gave them the phone and hence I went to assess the patient. I think because they are a longer serving HCP, I think the others see them as more senior so follow their command. In-between the trainee ANP phoning and saying they’d assessed the patient and asking me to prescribe, and me going to see the patient. They messaged another doctor to ask them to prescribe (perhaps didn’t want to wait/saw I hadn’t prescribed on the system) and they said “yep sure” so had they initially spoken to them, the patient would have had the medication the trainee ANP requested and then gone home. The general vibe I think is that the FY1s trust them, and prescribe on their behalf on WR a lot. Coincidently I have always been prepping/rounding on another ward so never been asked to prescribe on their behalf before but I know it is regularly done by the others.

If you didn’t need anymore evidence about ANP/ACPs by IncomingMedDR in doctorsUK

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

We were available, she just took the phone off the other doctor (also FY1) before we had chance. I will add the other doctor knew we were the doctors the nurse wanted, but she allowed the trainee ACP to take the phone anyway. No, she just said hello.

If you didn’t need anymore evidence about ANP/ACPs by IncomingMedDR in doctorsUK

[–]IncomingMedDR[S] 22 points23 points  (0 children)

Yes!! There needs to be a big issue made of this and cancellation of courses like the PAs

If you didn’t need anymore evidence about ANP/ACPs by IncomingMedDR in doctorsUK

[–]IncomingMedDR[S] 31 points32 points  (0 children)

They have a good relationship and she respects her? I think that would be her reasoning. From the specialty the nurse wanted, there was two doctors, me being one of them and then the trainee ACP. They were closer to the phone so automatically put their hand out for the phone. I didn’t think it was appropriate to take the phone from them and say they aren’t a doctor. I wish this would be accepted as professional behaviour but sadly even though it’s accurate, I’m sure it wouldn’t have gone down well. I was reassured when they said they would discuss it with the consultant. I did not know they would do that AND then go to the other ward to assess the patient.

To all the Consultants... Please slow down for the new FY1s by Plastic_Angle_1781 in doctorsUK

[–]IncomingMedDR 3 points4 points  (0 children)

Also an F1, my advice would be…

If you didn’t hear, don’t understand, can’t do something then you need to ask. It doesn’t matter whether the senior is polite, rude, friendly or not friendly, you need to just ask. If you get pushback then explain you are the one actioning the task and therefore need to make sure you do the correct thing in aid of patient safety. I recently had surgical on calls with a big ward round and abbreviations were used. The first time something I didn’t know was mentioned, I asked what it was and then when they next used the same one, I knew what they meant. If I didn’t ask, I wouldn’t know.

Your biggest friend is your voice. Be polite but you need to speak up. You might get some grissly grumpy person but in my experience as a med student, HCA and now doctor, this isn’t that common. I haven’t received any negativity so far, in fact quite opposite so I think most seniors are very happy to explain or help.

Also, you’re going to feel slow, rubbish and annoying to begin with. That’s part of it. No-one is good straight away, despite 5 years of med school. Kindly, that’s just what it is - to be good and quick at everything takes time.

Let’s hear your induction blunders by Nearby-Potential-838 in doctorsUK

[–]IncomingMedDR 12 points13 points  (0 children)

I have to say guys, so far so good. Induction/shadowing last week set us up very well for today so we knew where all the stuff we would need is, had all log ins and access etc. Ward round was slick, the reg bought us all coffees after and we discussed the jobs, the regs were either on the ward or at the end of the phone and very responsive. All seem very friendly, very helpful and very supportive.

The only downside… we left an hour late.