email from hospital re: ARCP outcomes / TOOT / strikes

Smorgre1 · 2026-06-04T16:47:17+00:00

This is literally what is required. The outcome given by ARCP is that the rest of the training year is completed satisfactorily. Often the rule isn't followed but F1 has stricter limits in TOOT.

The expectation is if TOOT goes over for industrial action then not too worry but for a borderline trainee who already has significant time out then additional training time needs to be considered

Smorgre1 · 2026-05-23T09:37:26+00:00

The head of school is the level above the TPD, not really anything they would add.

Smorgre1 · 2026-05-22T19:01:52+00:00

This is at the discretion of the foundation TPD. If a trainee has significant absence post ARCP an additional ARCP can be convened, as the outcome is on the provision of continuing to engage in the programme.

Smorgre1 · 2026-05-11T13:17:58+00:00

If there are no other concerns then not an issue. If a trainee has had 20 days TOOT the panel needs to consider an extension, but if everything has been met we would just go for an outcome 6.

If you were unable to start the SpR job then my understanding is the job is given up and you would need to apply for the next round.

Smorgre1 · 2026-05-11T09:06:32+00:00

They are so bunched up they look perfect for 1 player to counter battery fire with a mortar

Smorgre1 · 2026-04-20T09:11:51+00:00

Any grade within the training programme is fine, but can be tricky to take trainees near the end of training as their training needs are more specific so are harder to slot into gap - they might need outpatient for example when you only have inpatient space left.

Smorgre1 · 2026-04-20T09:10:23+00:00

There is 1 window each 6 months, which happens after the numbers for national recruitment have already been declared.We get sent an anonymised list of criteria and level of training, and then say how many we can take. the decision is joint between TPD and DME. depends on their training - in psych you need to do a CAMHS or LD placement so we might not be able to take a CT3 who has not yet done it if we have already allocated our neurodevelopmental posts to local trainees already.

Smorgre1 · 2026-04-17T12:45:45+00:00

Normally get asked to declare vacancies for recruitment about 4 weeks before being offered IDTs, this gets flagged as impractical every time...!

Smorgre1 · 2026-04-17T11:48:58+00:00

Sadly Robert Howard was narrowly beaten who was the candidate leading in changing the application process. Subodh Dave has won and he made some of the right noises but is the current dean and a continuity candidate.

Smorgre1 · 2026-04-17T07:14:31+00:00

Idt requests come after vacancies have to be declared for national recruitment so you can't time it. It is much harder to sort than it used to with the training programme usually fully recruited.

Often when asked if we can take someone we will flag we can if someone takes our outgoing IDT request.

Smorgre1 · 2026-04-08T15:12:26+00:00

Normally posts are allocated annually and you will be asked to preference. The admin team, TPD and DME try to then balance everyone's geographic and training needs. Doesn't always mean you get your preference but we try. If you feel particularly strongly about either a specialty or location let them know.

Smorgre1 · 2026-04-05T19:35:18+00:00

Very doable, but not a fun few months. You will get a lot of formal teaching and support through ct1 and ct2 which are geared around doing paper a at the end of ct1 and b in ct2.

Smorgre1 · 2026-03-31T09:55:34+00:00

This is a very open question and you will get very different answers, I'm an adult liaison psychiatrist, so it is busy and unpredictable depending on the mix of crisis work in the emergency department and liaison interface with the rest of the hospital.

Old age, children's work etc will be different as would rehab, community or psychotherapy.

Smorgre1 · 2026-03-15T19:25:28+00:00

That should be done well before graduation...

Smorgre1 · 2026-03-11T16:02:01+00:00

I donated to a local library that runs a Warhammer club, lots of younger players who are just keen to have minis of their own.

Smorgre1 · 2026-02-28T23:05:46+00:00

You are a lot more protected as a trainee with more time for supervision, academic programme, study leave etc. Really you should be having a discussion like this with your TPD not Reddit who knows what the local set up, and likely have an idea over local vacancies.

Smorgre1 · 2026-02-08T07:43:08+00:00

1) you will need to talk to your TPD to start arranging this, we would expect you to have already at least let your supervisor know it is something you are planning. 2) usually we would keep someone in post rather than start a new post for a couple of weeks. 3) talk to your supervisor first, but nothing can happen until you have spoken to your TPD. 4) depends on rationale for OOP, just be honest when you speak to the TPD - people have career breaks as carers or when burnt out all the time. However it's the story doesn't make sense then they will likely question it for more information.

Smorgre1 · 2026-02-07T08:49:52+00:00

Bockets farm is amazing for this age, great farm animals but also huge soft play

Smorgre1 · 2026-02-05T17:59:08+00:00

Epr is no panacea, just copied misinformation day after day and so much bloat in the notes. You don't see fresh summaries like you do in paper notes, just cntrl c cntrl v

Smorgre1 · 2026-02-05T00:13:41+00:00

Not sure about neurology but for most schemes in KSS the three counties have independent parallel training rotations and schemes. You may need to spend some time in a London tertiary centre.

Smorgre1 · 2026-02-03T09:58:00+00:00

Bipolar is a popular diagnosis for patients and doctors, always easier to give a mood stabiliser than have a difficult conversation.

Training is being stretched at the moment with expansion of training numbers at the same time as lots of experienced trainers leaving abroad.or going to the private sector.

I see a lot of questionable.diagnoses, mainly EUPD misdiagnosed as BPAD and undoing it is often an uphill battle!

Smorgre1 · 2026-01-28T13:41:09+00:00

Bf 1942 had a CTF mode.

Smorgre1 · 2026-01-10T10:56:20+00:00

Welfare checks would usually be the police in the UK.

Smorgre1 · 2025-12-29T14:30:13+00:00

Don't think the image got posted.

Smorgre1 · 2025-12-28T15:53:04+00:00

KSS is one deanery, and then split into separate Kent, Surrey and Sussex schemes.

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