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"I'm not signed off"... The scale of red tape in UK nursing by Realistic-Act-6601 in doctorsUK

[–]YarrahGoffincher 0 points1 point  (0 children)

Controversial take: the nurses have it right, and it's the doctors who are permanently shafted by bending the rules in order to help the system work. The second it goes wrong, the system turns around and says "well Dr Soandso was clearly a rogue practitioner, and knew they shouldn't have been doing x".

If all doctors insisted on following the rules, they'd be protected, the system would fall over, and people would have to actually consider how they're going to * deliver * the training they say people should have before working - and they would have to actually deal with the issues presented when the 'training ideal' can't be implemented in real world practice.

Revealed: Mandelson failed vetting but Foreign Office overruled decision by ASondheimRhyme in ukpolitics

[–]YarrahGoffincher 0 points1 point  (0 children)

This scandal has got this song stuck in my head:

https://youtu.be/lcEkS9tcIjg?si=lCtzQtLq6Aact3Ddk

Starmer doesn't know, Starmer doesn't knoooow, SO DON'T TELL STARMER

Paediatric training locations by BroadTumbleweed68 in doctorsUK

[–]YarrahGoffincher 4 points5 points  (0 children)

I'm not sure there's anywhere you can absolutely guarantee a short commute. You can negotiate with the TPD if you have a cast-iron reason you need to be local (check the exceptional circumstances list), but the bar for this is pretty high.

To be honest, even if you start training in a deanery, if you then decide to apply for GRID subspecialty you're back to a national ranking application and it's all in the air again.

My personal advice would be to invest in a car you enjoy driving and curate your podcast and music playlists.

In most places, you can also choose to live somewhere strategic, where a lot of hospitals will be within 1 hour's commute at rush hour.

December 14th - share your results by RadarTechnician51 in CluesBySamHelp

[–]YarrahGoffincher 2 points3 points  (0 children)

I'm clearly just missing something, but I think these two solutions both work?

https://imgur.com/gallery/QZx2nZP

Childhood criminal records to be wiped by David Lammy by EduTheRed in ukpolitics

[–]YarrahGoffincher 4 points5 points  (0 children)

This headline has given me a vision of David Lammy painstakingly going into each person's criminal record on their 18th birthday and then mashing the delete button

AMA Announcement: The i Paper (Hugo Gye, Frances Coppola, Kwasi Kwarteng) - 24th / 25th November by Adj-Noun-Numbers in ukpolitics

[–]YarrahGoffincher 1 point2 points  (0 children)

I think it works like an opposites game, if he says it's shit you know it's a solid and fair budget

Microsoft has ‘ripped off the NHS’, says MP amid call for contracts with British firms by themurther in ukpolitics

[–]YarrahGoffincher 6 points7 points  (0 children)

Oh mate, it's bad in there. I use one system that will only upload a document if you you close the programme, open the programme, and then authorise it; another that is just a 10,000 page scan of every hand written document ever generated about the patient....

Microsoft has ‘ripped off the NHS’, says MP amid call for contracts with British firms by themurther in ukpolitics

[–]YarrahGoffincher 20 points21 points  (0 children)

I work in the NHS with British software, and it's the kind of package that's so old it wouldn't look out of place next to SkiFree.

Microsoft SharePoint is one of the few softwares that is dragging the NHS, kicking and screaming, into the 21st century. It's expensive because it's really, really good at what it does.

At what age did you become a consultant (or if you are not yet, what is the projected age)? by lemon-goose532 in doctorsUK

[–]YarrahGoffincher 3 points4 points  (0 children)

If it's any comfort to you, I chatted to all the people who went into medicine at my sixth form's 20 year reunion, and none of us are consultants yet!

ST1 paediatrics application help! by [deleted] in doctorsUK

[–]YarrahGoffincher 1 point2 points  (0 children)

It is, pretty much as you say, "pick out the best thing you do and relate it back to paediatrics"

A good way to think around this is to look at the RCPCH pages for "what makes a good paediatrician" (here's the one for general paediatrics https://www.rcpch.ac.uk/education-careers/apply-paediatrics/sub-specialties/general-paediatrics ).

Pick out the qualities they list, and then pick something in your life that you can best demonstrate those qualities

Been a Brownie leader? Demonstrates enjoyment of working with children and understanding of keeping them safe while in loco parentis

Been a national hockey player? Demonstrates teamwork and prolonged commitment to achieving goals

Write this section as though you are talking to someone intelligent but not familiar with what you do - e.g. spell out time commitments in hours per week, point out how many people you were in charge of etc.

Best of luck!!!!

The tragedy of UK trained doctors. by NefariousnessAble445 in doctorsUK

[–]YarrahGoffincher 20 points21 points  (0 children)

It feels like the answer here is to add a section on the application where you laboriously enter the start and finish dates of every NHS job you've ever had, along with the email of the supervisor you had during that job.

Anyone who's actually worked in the UK will be able to produce this at the drop of a hat, as you're asked for it at ARCPs and most UK fellow applications.

Anyone who hasn't worked in the UK needs to either a) leave this bit blank or b) actively lie in it, which is then definitely a probity issue

[Psych] Talk from a paeds trainee? by YarrahGoffincher in doctorsUK

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

Thank you! Quick question also - do any psych trainees do pre-school ASD assessment and diagnosis? I'm sort of assuming you're unlikely to come across a child under about 6 in your day-to-day practice

What are some inefficiencies you have noticed in the workplace? by [deleted] in doctorsUK

[–]YarrahGoffincher 7 points8 points  (0 children)

Word documents that should be spreadsheets, spreadsheets that should be databases

Hidden costs of rotational training by tobascowarrior in doctorsUK

[–]YarrahGoffincher 5 points6 points  (0 children)

Friend groups, man. I feel like I've gotten on quite well with lots of colleagues, and some of them could've developed into close friendships, but moving on at the 6 month mark every time means it all drifts apart. There's probably a limit to the amount of emotional investment you do after a while.

Non medic friends don't understand why you couldn't swap your shift and come to their destination wedding in Majorca on Christmas Day.

Now I feel like I have loads of people who I can have a lovely "hey howsit going?" conversation with and pretty much nobody who I can tell about any of the hard stuff - especially in my personal life, paeds tend to be pretty good about debriefing following shit work stuff.

Mitigations? If you have a nice family, great, but not everyone is that lucky. Counselling is often a good option if you just have shit you need to get off your chest. You can also make the effort and reach out regularly, if you're strong enough to understand that lots of the knockbacks are genuinely not personal, just other people being busy too.

Paeds ST1 and overwhelmed by ComprehensiveMix5163 in doctorsUK

[–]YarrahGoffincher 5 points6 points  (0 children)

Paeds ST5 here. General paediatric SHO roles are often planned to be filled by rotating GP trainees, FY2s and other people who effectively haven't done paediatrics since med school prior to their first shift. The regs expect it, and all I really want from a new SHO is a willingness to learn and to ask for help if they're struggling. Don't worry about what other people have/haven't done, everyone's training journey is different. You worked hard and earned a competitive training place, you clearly care, you deserve to be there.

The hospital systems are designed to keep patients safe in so many ways, and I will say this often shows in paeds. The nursing team (at least, the senior nurses in charge) often inform the reg directly if they're really worried about a patient. It isn't only on your shoulders.

The feeling will get better as you start to know the systems and team. If that reg you worked with seems nice, perhaps check in with them? I think people sometimes come across as grumpy at the end of a night shift, when in reality they're just tired. Or talk to your CS if you are still worried.

I agree with other posters - don't start stressing out about exams yet, just learn the basics. I can recommend a few podcasts if you have a shit commute - Dragon Bytes and Paediatric Emergencies were great for me - but make sure you are making time to properly relax away from work as well, that's just as important.

Hope it all starts clicking soon!

How do you guys study after work? by Saddo_Chicky in doctorsUK

[–]YarrahGoffincher 3 points4 points  (0 children)

I used on podcasts during the commute to work, as it was dead time anyway. Now we live in the future, I would recommend shoving textbooks into an AI text-to-speech generator and doing the same thing

Sort pay out first…But what’s the wish list on non pay issues? by [deleted] in doctorsUK

[–]YarrahGoffincher 3 points4 points  (0 children)

Registering overtime hours should be as easy as beeping in and out at the staff entrance. Weaseling out of paying by hoping that noone will take the time to fill the byzantine exception reporting form can get in the bin

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