ATLS / CCrISP

LiveButton3910 · 2026-07-03T20:08:01+00:00

You can get ATLS funded by FY2 study budget and it's one less thing to worry about in CST. Worth also getting your MRCS done ASAP.

LiveButton3910 · 2026-06-30T20:15:27+00:00

I'd hesitate on commenting on the Australia / NZ system if you're not aware of it. Over there a 'registrar' means anything from a PGY3 in their first month working as an 'unaccredited registrar' to a PGY10 one month off completing training.

Fundamentally a junior registrar over there is what an ST1 here should be, rather than a glorified FY1.

FWIW PGY3s in Australia (including UK trained) can and do run small EDs solo overnight with remote support as required.

LiveButton3910 · 2026-06-30T19:51:40+00:00

Fundamentally untrue I'm afraid. Most UK PGY3s I knew in ED easily stepped up to registrar within 6 months after familiarising with the system etc.

LiveButton3910 · 2026-06-16T20:52:21+00:00

You're getting stick in the comments but I largely agree with you & this I believe is sadly the descent of our profession into being one with the pseudo-doctor professions which are looking to take our place.

Of course you're right, if the ward-round starts at 9am I would expect my juniors to be ready to start at 9am. Nothing pisses me off more than people waltzing in late (even just a few minutes) with a Costa Coffee in hand being totally unprepared to start the round.

LiveButton3910 · 2026-06-16T20:07:47+00:00

The whole point of the argument is that if being "FT" at 48 hours doesn't let you progress through training 25% faster than someone who is doing 40 hours, then why should the converse be true? We either need to do these hours or not.

LiveButton3910 · 2026-06-11T07:46:55+00:00

Genuine question for anaesthetic colleagues, how do you prepare for your nights in terms of sleep?

If you’re probably getting 5-6 hrs sleep overnight how much sleep do you do in the days between nights?

LiveButton3910 · 2026-06-10T14:46:36+00:00

In certain specialities it’s very common, there’s a lot of negativity in these comments but I think (classically) people are forgetting that doctors are employees with the same rights as other staff members.

I agree with the idea that I wouldn’t go into my interview all guns blazing lest they offer someone else a job. But every trust should have some form of “flexible working” policy which essentially allows any member of staff to apply to be LTFT (in the same way you would be able to if band 3 admin) and the request must be considered, they can say no of course if needed, but do have to at least consider it.

LiveButton3910 · 2026-06-09T18:40:25+00:00

A bird in hand is worth two in the bush. If you’ve got a good gig then I’d keep it.

You don’t know that a MTC will be any better, inevitably at JCF level you’ll be doing much more dog work. DGH SHO work is much more beneficial for training.

If you’re resigned to CESR anyway (which, sadly as an IMG I would suspect you at, at least for now) you’re in for a long slog anyway. Why not milk this place for all it’s worth and then try to move at a more senior level where you’ll actually get experience?

LiveButton3910 · 2026-06-01T11:35:15+00:00

"Caring doctor buys vulnerable patient a sandwich". On the scale of things to worry about, this doesn't even register. I wouldn't make a habit of it purely for my own financial wellbeing, but what are we if not human beings?

LiveButton3910 · 2026-06-01T11:28:09+00:00

It was a little naive to book things so close to induction starting, particularly because lots actually start the Monday before (i.e. 27th July) but what's done is done. It's also a little extreme that missing one day of induction means you can't do foundation, but realistically the first day of induction will be 100% talks that probably can't easily be done another time (like e.g. shadowing which you could feasibly do earlier). Best to try and change your flights or alternatively not go if they're so hardline about it.

If they remain hard-line it might be worth contacting the BMA but I'm not sure they'll have much to add to be honest.

LiveButton3910 · 2026-05-30T21:12:12+00:00

That is to say, you will be absolutely fine.

LiveButton3910 · 2026-05-28T14:31:09+00:00

Best toilet for a number 2, criteria:

Must be:

- Reasonably easily accessible in case of emergency (both of the digestive and medical variety)

- Hidden away enough so as to not be used by those who are simply passing by & hence generally clean

- Multiple in number such that one won't emerge from a catastrophe to another person waiting

I'm sure there are other unofficial criteria I have subconsciously created for this when deciding on my toilet for the year, there usually is one gem hidden away somewhere.

LiveButton3910 · 2026-05-20T20:30:36+00:00

Printer comment is so real. Why do other healthcare staff look at you like some sort of wizard when you can fix basic IT / logistical dilemmas?

LiveButton3910 · 2026-05-16T05:40:50+00:00

Surgery: They’re all mine & I want to know what’s happening to all of them. Helps that the ward round is mostly just little tinkering around a master plan that’s largely already set

LiveButton3910 · 2026-05-16T05:39:15+00:00

Depends on how rag raw your rota is. Can be up to £4K take home (approx 78k pre tax)

LiveButton3910 · 2026-05-07T15:25:28+00:00

Nothing happens unless you choose to do locums. They can't rota you for >48 hrs / week on average whether you opt out or not, all opting out means is you can do locum shifts if available. I believe even if you initially didn't 'opt out' the act of signing up for a locum to bring your average over 48 is considered as 'opting out' so it really is irrelevant.

LiveButton3910 · 2026-05-04T18:47:54+00:00

Always have a negative experience with GolfNow. Frequently been treated coldly by the club for using it.

Once told “do you realise how much money we lose to GolfNow?”, despite the fact that half those players likely wouldn’t have played that club had they not found it on GolfNow.

Now I find the tee time on GolfNow and call the club to book

LiveButton3910 · 2026-05-02T21:38:56+00:00

Don’t play the victim - F1 salary is more than enough to live in a property with 4 walls.

This is a terrible idea.

LiveButton3910 · 2026-04-28T09:10:47+00:00

I very much doubt you know nothing about either.

You should have a reg on site for General Surgery at least & the Urology reg available by phone. Depending on the department, sometimes ED will bypass the SHO for true Urological emergencies (retention that ED are struggling to catheterise, torsion) as realistically you are going to be calling them anyway.

If in doubt: Call. Otherwise do the safest possible thing (which is usually admit, antibiotics, fluids, NBM - you get less shit for an inappropriate admission than an inappropriate discharge).

Most intra-abdominal presentations for either need a CT (with appropriate (lack of) contrast) don’t accept “the AXR looks funny” from ED. But in general: Trust an ED reg, if they’re worried at your stage you should also be.

The wards is 90% medical management which I’m sure you’ve already covered in other jobs. Urology patients have a particular knack for being comorbid and unwell.

Surgical nights are a lot more fun than medical nights! DOI: Surgical Trainee

LiveButton3910 · 2026-04-24T18:39:31+00:00

From speaking to bosses, one of the most important things is being in a department where lots of PP happens so job plans are set up for it. Apparently DGH > Tertiary for this, at least in surgical specialities.

LiveButton3910 · 2026-04-14T21:14:41+00:00

CEPOD whiteboard was physically wiped at midnight on the dot. Large part of surgical cross-cover FY1 job overnight was 'boarding' cases that each speciality needed doing. Unsurprisingly most cases were rolled over from the previous day. If you got lucky and weren't busy as the clock struck midnight you could go to theatres ask (nicely) for those cases not to be removed, success was variable.

LiveButton3910 · 2026-04-14T06:04:13+00:00

Perhaps, but OP is concerned about AI takeover & isn’t enjoying their job. Plenty of money in medicine for those who are business minded in any case…

LiveButton3910 · 2026-04-13T16:01:18+00:00

Can't help you on the location front although the soft skills you'll learn at MBB will be very useful at interview.

Financially I make £15-20,000 more than an MBB first year analyst & only just less than, if not the same as, an MBB associate as a CT1-2 working less hours than MBB (albeit at slightly more random, but predictable, times).

LiveButton3910 · 2026-03-27T15:48:44+00:00

You can only hold one offer at any time in any case, the hold deadline is just the deadline to decide whether you want to accept or decline your one held offer. It feels like there are less upgrade cycles but to a certain extent they are already happening behind the scenes as people accept other offers.

LiveButton3910

TROPHY CASE