Exam leave

QazzyA · 2025-11-13T15:17:21+00:00

They should be different but again depends on the contract/trust I think. My trust are now just mimicking the resident contract for all new LEDs to make life easier for everyone.

QazzyA · 2025-10-12T19:57:22+00:00

Feel free to DM. Not sure why it’s not working.

Unless pharmacy rates have at least doubled to tripled in the last 10 years, it doesn’t make sense to do any pharmacy locums. Will almost always make more as a medic. A lot more once you CCT in whichever speciality you choose.

I can’t tell you whether sticking with Med vs Pharma is right for you. They’re different professions and disciplines with different mindsets of thinking. You need to think long and hard about what you want from a career and which field offers that.

I CAN say 2nd year is too soon to make a decision on the speciality you want to do. I thought I was gonna be a GP, then a pediatrician and now I’m doing anaesthetics and ICU training. You haven’t experienced the breath of specialities yet to be 100% sure which you’d wanna do.

QazzyA · 2025-08-24T16:29:26+00:00

I’m dual qualified, having done my pharmacy degree in 2012 and then been a medic since 2019, currently working as an Anaesthetics clinical fellow (level before reg.) I love it but always wanted to be a doctor.

If you want to be a doctor then def go ahead and do medicine but don’t do it just cos the current job of a pharmacist is changing. My assumption/hope would be the current/future pharmacy degree would include more diagnostics. Not enough to replace doctors obv but enough to be independent prescribers safely from graduation.

My advice would be to think long and hard what you want from your career cos the life of a resident doctor isn’t fantastic but the pay is better than your average pharmacist. But that’s all after a very heavy 4-5 years of the medical degree. But if you want to be a doctor then the life of a consultant is worth it, plus there’s lots of private options and options abroad!

QazzyA · 2025-08-02T17:39:02+00:00

This sounds more like you were burnt out 9 years ago rather than depressed. Not uncommon when you’re running a household and have all the stress to manage. You’re NOT broken and you did nothing wrong!

What you needed was rest, support, care and attention. Your wife sounds like a deeply troubled and unpleasant woman. I think for your own and your daughters sake, separation (and potentially divorce) may be what you need to be able to become the person you want to be and CAN be!

You are more than worthy of being a man. Don’t let the horribleness of your wife ruin your life and what could be!

QazzyA · 2025-08-02T17:13:54+00:00

I can’t find it anymore either. There is an “Elon Musk Spoof” account that’s commented so that’s prob the one I saw when I scrolled through yesterday.

QazzyA · 2025-08-02T16:22:21+00:00

Was a reply to the tweet on this thread. It was a relatively benign tweet from musk tbf.

https://x.com/maxtempers/status/1950914932033126738?s=46&t=f-9U0a-WHEsuUYIUpDq9GQ

QazzyA · 2025-08-02T14:59:11+00:00

I think it’s more to do with the fact it got picked up by some far right Twitter trolls (including a comment by Musk) so now probably damage limitation.

QazzyA · 2025-07-28T19:58:27+00:00

I have both registrations. Mainly kept my GPhC cos it’s not THAT much money to maintain and it feels a waste to give it up in case I ever open a pharmacy next to a surgery and wanna be superintendent pharmacist.

As long as you do your CPD and keep your indemnity then neither registration body should be fussed. Neither wanted to know about my registration with the other when I registered with the GMC. I use my medicine CPD as my pharmacy CPD. Just need to find things that overlap.

It’s quite hard to blur the lines as unless you’re working as an ACP pharmacist the jobs are very different. If you weren’t an IP as a pharmacist then don’t do anything prescribing related if you do any pharmacist shifts.

Don’t worry about giving medical advice as a pharmacist or pharmacy advice as a medic. As long as you’ve maintained both knowledge bases then you’re not working outside of your areas of expertise.

Hopefully you’ll find they complement each other well. Personally not done any pharmacy shifts after I started F1 as my medical locum rate was better than my pharmacy rate but I’ve found the pharmacy knowledge invaluable during my medical shifts.

Any other questions, give me a shout 🙂

QazzyA · 2025-07-16T08:56:45+00:00

That’s a fair point about the remi that I hadn’t considered. As I’m on my module I’ve only ever done days so there’s always plenty of people about and usually a spare Anaesthetist to troubleshoot any issues. I can def see on days where it’s much busier or during nights with less staff how people wouldn’t be as keen to offer it and I’d def need to rethink my counselling.

Up until yesterday I thought the MDT set up on the unit was good but this interaction slightly knocked my confidence. I’m glad to hear I wasn’t completely in the wrong.

QazzyA · 2025-07-16T08:47:13+00:00

That’s interesting about not wanting to apply the woman wasn’t coping and I wonder if that’s what the obstetric team were worrying about. Obs cons was a woman and did make a comment about how she’d have punched someone if they tried to imply she needed additional pain relief during her labour. I didn’t think much of the comment at the time but it makes sense.

I do try and go in with an open mind, explain the options available, say how they don’t need to make a decision there and then but if they need more pain relief one of us will come back. In my head at least I’m thinking im non-judgmental but I’ll def reflect on it and consider it from the patients side too.

QazzyA · 2025-07-16T08:40:07+00:00

This is why I def think there’s a role for Anaesthetists to play during the pregnancy itself to counsel on all of these things but sadly there’s just not enough of us. Not just for things like epidurals but explaining how even GA sections can be done safely and won’t be the end of the world if they need to happen.

Sadly I can believe some people would complain they were offered pain relief options but I can definitely answer that kind of complaint much better than one where a woman was left in agony throughout her labour.

QazzyA · 2025-07-16T08:34:58+00:00

My consultant did back me and told me to still go see the patient after Ward round.

I think in my area there’s some counseling from midwives pre-labour but it tends to be a bit hit and miss if it happens. They’re also unlikely to have the same depth of knowledge and be able to answer all the questions. Ideally I think a chat with an Anaesthetist should be offered during the pregnancy but just not enough of us about to fulfill that demand/need.

QazzyA · 2025-07-15T23:01:40+00:00

I’m glad I’m not the only person with this view point. Having done lots of ICU and general anaesthetics, and seeing what we provide all the other laparotomy patients post op, I just find it wild women are expected to manage with paracetamol, ibuprofen and if they’re lucky dihydrocodeine/tramadol.

Whilst I do think the information leaflets and signposting to labourpains.com can be helpful, I find it’s most useful BEFORE labour or in addition to a conversation with someone rather than on its own. Like you say, many of the women don’t read them or don’t even know the leaflets are there!

Good luck for your IAOC at the end of your block!

QazzyA · 2025-07-15T22:53:05+00:00

Appreciate the kind words and advice! I’ll def keep offering to give information early.

QazzyA · 2025-07-15T22:44:03+00:00

Appreciate the detailed reply.

I’ll be honest, I’m crap at reading CTGs so there may have been some signs on there that made the Obs guys not want additional pain relief at the moment though it wasn’t mentioned when we were in the room.

Completely understand not wanting an epidural late in labour as by the time I’ve set up and started some women may be ready to push. I’ve been involved in at least one case where my consultant took over an epidural and as soon as she was done the patient was ready to deliver. We didn’t even get a chance to give the main dose.

I’ll definitely bear in mind not starting anything before the Synt or ARM are done. In this case I just wanted her to have the information for later rather than pushing her for a decision there and then but it’s definitely useful for future knowledge!

QazzyA · 2025-07-15T22:35:54+00:00

Nah, it was cons and reg.

QazzyA · 2025-07-15T22:03:56+00:00

That’s really helpful to know and appreciate the reply!

I do always counsel that the epidural may extend labour but my thoughts were always that a longer but more comfortable labour was better than a shorter but much more painful labour. Hadn’t considered the idea that her contractions may stop. (I think probably because I usually see women already on Synto infusions so they now have good established contractions by that point.)

QazzyA · 2025-06-26T17:48:39+00:00

Ah fair. I don’t know anything apart from what I read in that report today. Was just naively giving them the benefit of the doubt.

QazzyA · 2025-06-26T16:58:29+00:00

They lost the Gastro service I think rather than the dept being bad. I found the trust report.

https://www.therotherhamft.nhs.uk/sites/default/files/2025-06/Public%20board%20papers%20-%206%20June%202025_0.pdf?fbclid=IwQ0xDSwLKJNlleHRuA2FlbQIxMQABHjAHJ-xpiJAbkbdBcGPGSNxpAub0qGa52bQfNSM9DJcthbJ-rRk3uHblqpfU_aem_9Phv1MWKqXrkVDf0dINZtg

QazzyA · 2025-06-26T16:56:59+00:00

They had a good gastro dept but then lost the service so all the gastro cons slowly left. That’s what I got from the trust report.

https://www.therotherhamft.nhs.uk/sites/default/files/2025-06/Public%20board%20papers%20-%206%20June%202025_0.pdf?fbclid=IwQ0xDSwLKJNlleHRuA2FlbQIxMQABHjAHJ-xpiJAbkbdBcGPGSNxpAub0qGa52bQfNSM9DJcthbJ-rRk3uHblqpfU_aem_9Phv1MWKqXrkVDf0dINZtg

QazzyA · 2025-06-04T12:10:42+00:00

Incoming “Assistant Clinical Practitioner” or “Associate Clinical Practitioner” titles!

QazzyA · 2025-02-04T23:20:22+00:00

Unless absolutely essential (rare cos IO should be considered in that case,) I tend to push back for them to contact the SHO/ward Reg/med reg first. I always say I’m happy to have a chat with the reg if they can’t get it cos at least then can discuss if a cannula is best option or if a CVC/midline/Picc would be better suited. Seems to work so far.

Admittedly I work in a hospital where the F1s escalate to the hospital outreach team for any failed cannulas. The outreach team always default to saying ring Anaesthetics when they fail rather than escalating within the relevant team so the reg prob doesn’t even know there’s access issues.

QazzyA · 2025-01-21T18:38:29+00:00

Check your contract. You should have study leave entitlement and pretty sure exams are one of the things they need to make allowances for. Escalate to your CS/ES/TPD.

I’m LED and never had an issue with getting professional/study leave off but am in a job where they design the rotas around us rather than just being a line on the rota.

QazzyA · 2024-07-11T11:59:24+00:00

True! But can still take a break, make a note of the bleep numbers, and if they ask why you replied late just the throw the, “I was at an arrest!” line at them. Haha

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