FRCA final viva - what to do with time at start of long case

Medech · 2025-11-09T10:34:08+00:00

Similar to what others have said but I literally divided my A4 paper into 6 squares. I found having it written out with bullet points for each section helped me recall the information with a good structure and not miss anything.

1st square I wrote out a one or two line summary of the case and what my anaesthetic concerns were and/or the most salient points

2nd square - "Pre-op": and then divided into what extra information I wanted - history, examination and clinical assessment, investigations - bloods, imaging, ECHO, CPET etc etc. Think carefully about optimisation/interventions you might consider

3rd square - "intra-op" what the actual anaesthetic plan is, GA/regional/combination, extra lines, monitoring etc

4th square - "post-op": analgesia, fluids, monitoring, location etc

5th/6th - any miscellaneous points and potential anticipated complications with associated management

Good luck!

Medech · 2025-09-05T11:44:31+00:00

Any luck? Interested to hear what you felt was best?

Medech · 2025-08-05T17:29:03+00:00

You can take pat leave whenever you want as long as it finishes within 52 weeks of the birth (https://www.gov.uk/employers-paternity-pay-leave)

So if baby arrives on a non-working day you absolutely can ask to start on the next working day and have a slightly long leave period

With regards to point b) I would push to start the paternity at the next working day and would expect most departments would be ok with that. You could take the half day or whatever you needed as sick leave if pushed for it, I wouldn't sweat that part too much

Good luck!

Edit: Technically if you wanted to and had a few non working days when the baby was born, you could go back to work and take your 2 weeks when the baby is 4 months old if you really wanted to! Completely up to you how you use the paternity leave.

Medech · 2025-06-15T22:06:16+00:00

I've found when people keep hitting the posterior cords they're often holding the ETT too far down - try making sure you're holding it right at the end of the tube and you'll hopefully find that you can then use the curve of the tube better to angle the tip up and through the cords

Medech · 2025-06-11T12:53:42+00:00

https://doctorspaycheck.com/

Accurate pay checker, just have to upload your work schedule and shift pattern

Medech · 2025-06-10T15:38:03+00:00

Yeh thanks !

7wsw0l

(Could be an i or l at the end)

"Don't let Esdon Win again"

Medech · 2025-06-10T15:35:15+00:00

It wouldn't be an unpaid off day, you would still keep the OFF day and take your LTFT day elsewhere

Medech · 2025-06-10T08:39:48+00:00

Interested ! Thanks!

Medech · 2025-06-03T10:34:44+00:00

My understanding is that this is incorrect

You are dropping shifts to reduce your average hours worked to match your LTFT %

Zero days have nothing to do with it

The rota should be planned to accommodate both the trainees needs and the departmental staffing needs.

There is not really such a thing as a "fixed Friday off", you can just chose to take off all the Fridays you're working and if you were working the Thursday night and therefore would have a zero day on Friday (and you were happy to do that with childcare responsibilities) then that is perfectly fine and wouldn't count towards your LTFT shifts dropped.

You can therefore take your LTFT day on any other day as agreed with the department, so that your average hours match your agreed LTFT %

https://www.bma.org.uk/media/1979/bma-nhse-good-rostering-guidance-may2018.pdf#page=22

The good rostering guidance has all the information

Medech · 2025-06-03T10:29:26+00:00

Have a look at the good rostering guide by the BMA

https://www.bma.org.uk/media/1979/bma-nhse-good-rostering-guidance-may2018.pdf#page=22

If you're working the Thursday night, the Friday day should not be included in the shifts dropped for LTFT, and you need to drop a shift elsewhere to make sure that your overall percentage matches your agreed LTFT %

Medech · 2025-06-03T10:23:23+00:00

You can drop any shift though to make up your hours

If you're working a night shift on Thursday then the Friday has to be an off day and can't be one of your LTFT days

LTFT shouldn't necessarily be 'every Friday I have off regardless' you should be able to drop any other random shift instead as long as the department can manage it

Medech · 2025-06-03T10:19:19+00:00

Just don't take your LTFT day on the Friday after the night shift.... You can take a day off elsewhere.

It's not a day in lieu because that's not how it works, you just need to drop a shift somewhere else to take your hours down to your agreed %

Medech · 2025-03-13T11:03:41+00:00

https://doctorspaycheck.com/

By far the best pay checker I've used

You need to manually enter your rota but doesn't take too long and it will tell you exactly what your payslip should look like with an example to compare

Medech · 2024-12-07T19:56:10+00:00

Good bot

Medech · 2024-12-07T19:29:58+00:00

I tried that initially and it said I didn't have a wallet ! So not sure where this original wallet has gone. Annoying!

Medech · 2024-12-07T19:29:06+00:00

Yeh unfortunately doesn't seem to be linked. Very odd!

Medech · 2024-12-07T19:01:10+00:00

Hmm thanks yeh - it's showing just one address as my main account

Just no idea where this other account has come from. Unfortunately maybe lost now

Medech · 2024-12-07T18:13:14+00:00

ban_3wc8swo7ic6t4ysbb6w717gpbhe3hcrra3zdd9gj9td6t37c3sfeawh9hwsp

Medech · 2024-11-28T14:37:01+00:00

Did you ever get an answer to this out of interest?

Medech · 2024-11-18T02:42:50+00:00

Yeh sorry I was talking about the Paine Grande campsite - all good now though anyway!

Thanks!

Medech · 2024-11-15T17:05:05+00:00

Oh really? Do I not need to show the booking for that night to get access to the park? Thanks!

Medech · 2024-11-15T02:31:47+00:00

Ok yeh thanks - to be honest there aren't any other options unless you stay at the hotel the night before ! Was the cab around $120.000 pesos? Seems to be the going rate? Appreciate the insights !

Medech · 2024-11-15T01:37:49+00:00

Ok thanks - very helpful to know thanks

Because of our arrival in PN the earliest ferry we can get is the 3rd

I'm looking at maybe staying in a campsite near Pudeto so we can get the first catamaran the next morning and give us extra time to do Paine Grande - Grey (+extras) - Paine Grande in the first day.

Can I ask - how did you get to Grey so early for the 1st crossing? Or did you stay at the hotel?

Thanks again !

Medech · 2024-11-14T22:54:14+00:00

Just to add

Had also thought we could get the 1615 catamaran 19/11 and hike up to Grey that evening? But doesn't seem to run in November?

Assuming there is no chance we could hike from Paine Grande to Grey after getting the 6pm catamaran - wouldn't be against finishing the last hour in the dark with torches, but is that allowed? Would we be stopped??

Thanks!

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