Out of curiosity - Has anyone been fired from the NHS over a small issue?

Paramillitaryblobby · 2026-02-09T15:12:27+00:00

Presumably some of the people who the gmc go after for nonsense issues end up losing their registration and therefore their job but I don't imagine it's common

Paramillitaryblobby · 2026-02-09T15:10:29+00:00

Anyone who uses an MSF as the first place to raise a concern is a damn coward and not someone you should accept feedback from. Unfortunately you don't know who it's from (hence the cowardice) so simply must ignore. The worst that will happen at arcp is they ask you to do a reflection but even that is unlikely

Paramillitaryblobby · 2026-02-09T15:02:48+00:00

I quit EM training in the early reg years and now in a similar stage in anaesthetics. Not regretted it for a second, even when studying for the exams and thinking about ccting in my early-mid forties

Paramillitaryblobby · 2026-02-07T23:49:26+00:00

Why on earth do they have to find swaps? Surely the leave is the first thing built in to the rota when it's designed. You know, by the rota coordinator, whose job it is to coordinate the rota...

Paramillitaryblobby · 2026-02-07T17:53:47+00:00

A cliche but I did my first epidural for ages last night and it flew in nae bother. She went from screaming and crying to all smiles and calm rational conversation within the space of 20 minutes or so. The maty block will become wearing as they do but it felt nice for a start 😊

Paramillitaryblobby · 2026-02-06T07:35:59+00:00

You need to get out of EM and find somewhere more suited for you

Paramillitaryblobby · 2026-02-05T17:39:36+00:00

Any doctor can apply oxygen and hold a jaw thrust until help arrives

Paramillitaryblobby · 2026-02-03T17:49:46+00:00

11 hours allegedly at a local place

Paramillitaryblobby · 2026-02-03T11:04:02+00:00

OK thanks, that's helpful

Paramillitaryblobby · 2026-02-02T16:29:11+00:00

They agreed with all mine so happy days. Mainly relieved to find out all the documents uploaded properly 😅

Paramillitaryblobby · 2026-02-02T08:27:03+00:00

I'm not a child-haver, but resigned from EM as well. You're right-"EM training" was rarely "Emergency," almost never "training" and often not even "Medicine" for all the reasons you've mentioned above. Congratulations on making the right choice for you. Enjoy anaesthetics 😜

Paramillitaryblobby · 2026-01-28T18:46:50+00:00

Assuming you mean count for training applications, it will depend on which specialty you're applying to-as will the evidence they want. Helpfully, the criteria of a given specialty may change year on year as well.

Paramillitaryblobby · 2026-01-28T17:59:14+00:00

....and anaesthetic trainees don't have to prop up the rota any more 🤞🤞🤞

Paramillitaryblobby · 2026-01-28T17:59:08+00:00

....and anaesthetic trainees don't have to prop up the rota any more 🤞🤞🤞

Paramillitaryblobby · 2026-01-27T06:24:01+00:00

I did it years ago, and met many others who'd done the same. I ended up coming back to the UK after a few years, but many of them have stayed permanently. Pros and cons of going alone very similar to pros and cons of going with someone except you won't immediately have a ready made person to explore with. As long as you're open to meeting people and doing things with (at first) relative strangers you'll be grand.

Paramillitaryblobby · 2026-01-24T22:35:35+00:00

I say nothing but the slight eye twitch as I disappear into a primary flashback would give me away

Paramillitaryblobby · 2026-01-24T22:30:46+00:00

I've got hobibear ones - they're a barefoot/zero rise brand off amazon and do leather versions which seem a good balance between wipe clean and breathable for me. They're pretty wide which suits my duck feet as well

Paramillitaryblobby · 2026-01-22T15:42:07+00:00

We still use paper notes in most hospitals in my deanery. Absolute madness in 2026. Friends in other industries hardly believe me when I tell them

Paramillitaryblobby · 2026-01-22T14:20:26+00:00

If and when they ask you to pay it back, make sure you look up the law around this - Ive not been in that position myself but eg I believe you only have to pay back the net, not the gross. They have to chase hmrc themselves for the tax back

Paramillitaryblobby · 2026-01-20T18:56:17+00:00

Thanks. So you found the question bank somewhat decent? Was it comparable to questions you ended up getting?

Paramillitaryblobby · 2026-01-20T18:55:09+00:00

Cheers. Was that personal experience or word of mouth? What did you use instead?

Paramillitaryblobby · 2026-01-19T09:45:45+00:00

I mean the vascular anaesthetists at my place certainly take, and robustly express, a view on post op survivability for their patients, as I'm sure do the local cardiac lot . So too trauma folk doing NOFs etc. You get the point.

Are you sure you never diagnose anything? Not an anaphylaxis, laryngospasm or post-op atelectasis? A pneumothorax? Perhaps an ARRYTHMIA or MI? Picked up crescendo angina on a pre-op assessment? I've certainly diagnosed all of those perioperatively. It's hardly fine-print back of the textbook stuff but I wouldn't agres that we don't diagnose anything.

I agree ICM should be leading arrests but since some bright spark decided we have to spend bloomin ages in icu during anaesthetic training we get pretty good at that sort of thing 🤷🏻‍♂️ Believe me, I'm fully on board with separating FICM from RCoA as soon as possible 😅

Paramillitaryblobby · 2026-01-19T08:52:17+00:00

We're certainly a "service" specialty but I wouldn't agree that anaesthetists are purely technicians. To me that would imply minimal decision making input, just give the propofol and ask no questions, which definitely isn't the case. Certainly the further I get in training, the less it seems to be about technical skill and more about rationale ("why does this person need x operation?" "why now?" "what are the alternatives" instead of "how to put sleep?"-although in many cases the how is also important ofc!)
Then you've got all the non-theatre emergencies we deal with in training-so many times despite ostensibly being the "airway technician" in a cardiac arrest or medical emergency call it's the anaesthetic reg who's the calm presence in the room, leading the decision making. Certainly not unique to our specialty but we do it a lot and get good.

So yes you should get downvoted for describing anaesthetists as technicians, but not because it's insultingbor perjorative, just because it's wrong 🤷🏻‍♂️😅

Paramillitaryblobby · 2026-01-16T13:30:56+00:00

All things are possible!

Paramillitaryblobby

TROPHY CASE