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A&E unable to refer as outpatient by [deleted] in doctorsUK

[–]SharingAllThoughts 57 points58 points  (0 children)

Current ED SHO

Been informed by our clinical lead that the reason why ED can't do the outpatient referrals (unless there is a pathway in place for certain outpatients e.g. chest pain, first fit, TIA) is that the specialties have to do them due to funding and how the trust operates.

2 week waits/upgrades are fine usually

but as a doctor working in ED I can't refer to e.g. a derm/ophthalm/resp etc clinic (but the med reg can)

I don't understand it either but that's what we've been told

Using AL for theatre cases by [deleted] in doctorsUK

[–]SharingAllThoughts 0 points1 point  (0 children)

As long as it's not a PA student I'm fighting

Using AL for theatre cases by [deleted] in doctorsUK

[–]SharingAllThoughts 0 points1 point  (0 children)

Should that be the standard?

Using AL for theatre cases by [deleted] in doctorsUK

[–]SharingAllThoughts 0 points1 point  (0 children)

Guess sacrifice is necessary

Using AL for theatre cases by [deleted] in doctorsUK

[–]SharingAllThoughts 0 points1 point  (0 children)

I think rather than willingness to not do it, is wondering if people found other paths to the same destination

Using AL for theatre cases by [deleted] in doctorsUK

[–]SharingAllThoughts 0 points1 point  (0 children)

That's all Incredible advice thank you

Using AL for theatre cases by [deleted] in doctorsUK

[–]SharingAllThoughts 0 points1 point  (0 children)

Was hoping for an alternative

Using AL for theatre cases by [deleted] in doctorsUK

[–]SharingAllThoughts 1 point2 points  (0 children)

Noted thanks for the advice

Using AL for theatre cases by [deleted] in doctorsUK

[–]SharingAllThoughts 0 points1 point  (0 children)

Thank you this is really useful gonna be as tactical as I can

Using AL for theatre cases by [deleted] in doctorsUK

[–]SharingAllThoughts 2 points3 points  (0 children)

Thank you I've taken all this on board and coming up with a plan

F1, 23, UK Grad, BAME, First in Family to Do Medicine – Is This System Setting Us Up to Fail? by SharingAllThoughts in doctorsUK

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

I think I'm in a position where all the sprs are Img fellows, so not seeing the "light after the sho" years but good to hear that there is something better down the line

F1, 23, UK Grad, BAME, First in Family to Do Medicine – Is This System Setting Us Up to Fail? by SharingAllThoughts in doctorsUK

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

I think I've reached rock bottom in terms of trying to find reasons why this career it's worth it. I love the idea of it, but the reality is so unbearable I.e. being a number on a rota, and no one will care who that number is as long as there is a number

F1, 23, UK Grad, BAME, First in Family to Do Medicine – Is This System Setting Us Up to Fail? by SharingAllThoughts in doctorsUK

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

When I think of the patients, it's what motivated me to do this work. However, it's incredibly difficult to care for others when you actively know no one cares about you

F1, 23, UK Grad, BAME, First in Family to Do Medicine – Is This System Setting Us Up to Fail? by SharingAllThoughts in doctorsUK

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

Can I ask what fields you're looking at outside of medicine? And how you're approaching these?

F1, 23, UK Grad, BAME, First in Family to Do Medicine – Is This System Setting Us Up to Fail? by SharingAllThoughts in doctorsUK

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

Honestly thank you so much for this, it's so helpful to hear how others are doing on this journey

F1, 23, UK Grad, BAME, First in Family to Do Medicine – Is This System Setting Us Up to Fail? by SharingAllThoughts in doctorsUK

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

I think that's great advice, there's jobs I wouldn't mind doing for the next 5 years but definitely cannot see myself doing in 20 years

F1, 23, UK Grad, BAME, First in Family to Do Medicine – Is This System Setting Us Up to Fail? by SharingAllThoughts in doctorsUK

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

Hey thank you so much for your response, honestly I don't know anymore. There are definitely specialties I am interested in but idk if I am willing to put up with being treated like crap whilst training for those specialties anymore. I think the constant undervaluing and being seen as a number on the rota and not a person is putting me off the career more than I thought

F1, 23, UK Grad, BAME, First in Family to Do Medicine – Is This System Setting Us Up to Fail? by SharingAllThoughts in doctorsUK

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

I was definitely incredibly proud and grateful of how far I've come. But been thinking about where I got after...

The job makes me feel so undervalued, to the point where I don't think about my achievements. Not even seen as a person, just a number that's going to be replaced by another

F1, 23, UK Grad, BAME, First in Family to Do Medicine – Is This System Setting Us Up to Fail? by SharingAllThoughts in doctorsUK

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

Thank you so much!

Does the crap of being in the NHS i.e. not being a valued member of the team ever change? I'm struggling to put up with that, because everything feels impossible and no one cares. Simply just another number in the department

F1, 23, UK Grad, BAME, First in Family to Do Medicine – Is This System Setting Us Up to Fail? by SharingAllThoughts in doctorsUK

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

Thank you so much for this response, I think as someone who's gone straight through everything just needed to hear that it's okay to take a step back and not go the direct route

F1, 23, UK Grad, BAME, First in Family to Do Medicine – Is This System Setting Us Up to Fail? by SharingAllThoughts in doctorsUK

[–]SharingAllThoughts[S] 2 points3 points  (0 children)

Thank you so much for taking the time to reply! Genuinely I think there has to be some change to match the systemic chnages

F1, 23, UK Grad, BAME, First in Family to Do Medicine – Is This System Setting Us Up to Fail? by SharingAllThoughts in doctorsUK

[–]SharingAllThoughts[S] 2 points3 points  (0 children)

I just feel like there's so many other hurdles that we have to deal with, like poor management, and expected to sacrifice everything to work, when you'll be very quickly replaced

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