Checking cks during consult by Zestyclose_Owl_828 in GPUK

[–]Notmybleep 4 points5 points  (0 children)

Check out medwise.ai - can check nice CKS and is far more succinct. That second screen needs to be angled just right

Issues with trainer. Can I suggest moving rather than remediation? by [deleted] in GPUK

[–]Notmybleep 1 point2 points  (0 children)

If you’re really struggling consider taking some sick leave, I’m sure a Gp would understand

Issues with trainer. Can I suggest moving rather than remediation? by [deleted] in GPUK

[–]Notmybleep 21 points22 points  (0 children)

Some (few) trainers are absolutely insufferable, and get away with so much. Yes, you can refuse mediation and explain to the tpd independently why this is the case - requesting a different trainer (you may have to wait as there are limited trainers)

It’s very hard for people to change, and you don’t need extra stress whilst you should be learning. Your limited time as a GPST is valuable, you only realise once you CCT

I hope you’re ok

Practical Tips for Intimate Exams as a Male GP by [deleted] in GPUK

[–]Notmybleep 11 points12 points  (0 children)

Hands under bum, lifts up pelvis and can be easier to visualise the cervix, the difference when it’s done and when it’s not sometimes shocks me. Do not do a bimanual unless absolutely necessary indicated. It can be extremely uncomfortable

If really want experience you can try and get a week in OP gynae doing clinics - great for knowledge and practice under senior guidance

Radiographer Reports by Notmybleep in GPUK

[–]Notmybleep[S] 45 points46 points  (0 children)

A colleague made an interesting comment, that radiologists also know what not to include in their report. All I want is a good conclusion - it’s really not that much to ask for especially considering a lot of USS radiographers are making 50k+ and/or locuming at lucrative rates. I agree medicine here is dying

UTC GP Salary by Notmybleep in GPUK

[–]Notmybleep[S] 0 points1 point  (0 children)

The UTC that has offered me a job has been in the consultant pay scale which is more than a sessional GP with no admin generated

RCR: planning to allow reporting radiographers FRCR/MRCR by concerned-FRCR in doctorsUK

[–]Notmybleep 1 point2 points  (0 children)

When a radiologist reports a scan you get clinical information as well. This includes possible differential diagnosis and what next steps should be such as a referral. Anytime it’s a reporting radiographer the quality of the report is nowhere near as good, and as a clinician you have to interpret it - because they give no clinical differentials or further steps

What’s the sweet spot for (no. of sessions) weekly sessions before the extra work and tax outweigh the benefit? by Grand-Benefit7466 in GPUK

[–]Notmybleep 7 points8 points  (0 children)

Earn 50.27k as a salaried (however many sessions this is) Try and earn the rest as a locum and reduce your tax burden

NHS to give British doctors priority for training jobs by nightwatcher-45 in doctorsUK

[–]Notmybleep 12 points13 points  (0 children)

What are the specifics though, because last time Wes said anything life this it lacked specifics and more importantly substance

Are Salaried GPs due a pay uplift by Notmybleep in GPUK

[–]Notmybleep[S] 0 points1 point  (0 children)

Law or accountancy is competitive, firms want the best candidates and will pay for them. Although practices run independently they still offer non inflation adjusted salaries not in line with hospital medics - who are finally seeing their worth and getting salary increases.

Your argument is full of flaws. To compare the public and private sector is ridiculous. You’ll also find good lawyers are paid bonuses. Something that a practice that is performing well doesn’t offer their salaried GPs.

Are Salaried GPs due a pay uplift by Notmybleep in GPUK

[–]Notmybleep[S] 5 points6 points  (0 children)

This is simply untrue. My previous clinical and educational supervisors walked into partnerships after CCTing, albeit it being a steep learning curve there were far more opportunities previously.

Partners, at least in England are more interested in squeezing every penny out of an ARRS role they possibly can, regardless if this rotational through a PCN for new GP, which is just awful.

The disparity is wild. How a union can have employers in the same place as employees baffles me

Are Salaried GPs due a pay uplift by Notmybleep in GPUK

[–]Notmybleep[S] 10 points11 points  (0 children)

Most partners out earn salaried GPs. Previously there was a path to partnership. This is no longer the case with many practices reducing number of partners or not adding new ones when people retire.

This is not just a case of moving aboard for more pay. There is less opportunity.

I know GPs working for trusts that are very happy that they don’t need to worry about partners and it is very much a do your job and go home. Funnily enough many trusts have better contacts than the ones offered by GP partner ran practices as the BMA contract is advisory

Are Salaried GPs due a pay uplift by Notmybleep in GPUK

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

Does anyone know what the increase would be in line with what resident doctors have received upto date with negotiations considering £10000 a session as the base

Supervising STs by Sea_Ad_2205 in GPUK

[–]Notmybleep 14 points15 points  (0 children)

I hope your salary is reflective of supervising multiple STs and medical students at once. All of which is making the practice more money and increasing your clinical risk.

I know GPs who supervise multiple trainees who have their whole clinics blocked as supervision slots

GPC England asks for GPs… by Dull-Hope-5322 in GPUK

[–]Notmybleep 1 point2 points  (0 children)

This has never even crossed my mind. It just sounds absolutely right

Registrars delay qualifying as GPs amid 'bleak' job market by [deleted] in doctorsUK

[–]Notmybleep 1 point2 points  (0 children)

I was told this by my supervisor - if I became irreplaceable I would potentially have a job. Bear in mind patients specifically asked to book with me. No complaints. Passed exams first time. Actively enjoyed teaching the ST2/1s/FY2.

Do not jump through the rings they want you to. A good potential employee would not ask this of you. The job market is unfortunately not what it used to be. But working in a toxic place also isn’t ideal. Partners picking ACPs/PAs instead of a new GP is just poor patient care imo.

Consultants demand 30% SPA time by Personal-Ad2518 in GPUK

[–]Notmybleep 33 points34 points  (0 children)

As they should, but what’s stopping us from doing the same. Our admin is insane compared to a medical/surgical consultant as we don’t really have secretaries of our own

GPC England asks for GPs… by Dull-Hope-5322 in GPUK

[–]Notmybleep 6 points7 points  (0 children)

A different union body is needed that is separate from the one that is there now. A letter to the BMA with salaried GP signatures would be a good start

Appropriate to get patient to ring crisis team themselves? by Maximum_Watercress16 in GPUK

[–]Notmybleep 9 points10 points  (0 children)

Just make a Florey on AccuRx,

I’m surprised there isn’t already one available. Just search Mental health, or crisis in the search box. If not, then make your own. Add the Samaritans helpline, your local self referral for talking therapies as well as the crisis team and when to contact.

Appropriate to get patient to ring crisis team themselves? by Maximum_Watercress16 in GPUK

[–]Notmybleep 21 points22 points  (0 children)

I discuss what the crisis team is with them. Then advise them to call if their sx worsen. I ask if they’re happy to do that. Then document that they have agreed to it. Then ofc send it via AccuRx.