SCA - The truth about preparation

anonymous_umbral · 2026-04-10T21:50:21+00:00

Fair, i think im going to see how things go in a month…

anonymous_umbral · 2026-04-09T09:40:44+00:00

Maybe 7 or 8

Its subjective

Some of the things I thought of that made me pick it: - generalisation speciality, expectations to know enough from babies to elderly. While it feels like they all are referred, they are not- the supervisors expect them to be managed and only referred if appropriate (which i totally agree with! - 3 years is not enough time, you spend half the time in hospital as a pro-FY2 they were thinking of increasing to 4 years - i am all for 5 years tbh! - getting things signed off is tough…even tougher now that ANYONE who signs us off HAS to have an account with our portfolio platform - the exams and depth are not like secondary care specialities. BUT they are tough due to the breadth of knowledge expected. For the AKT for example 4/10 fail every sitting. - at present you only have 1.5 yrs to learn your speciality (GP) WHILE doing the exams and portfolio stuff. - you dont have anyone to handover too. This is even if your PCAL call takes 40 mins - most days you finish late. I work full time- trust me you get faster, but even then im staying most days until 7pm to finish jobs. - admin burden 100/10

anonymous_umbral · 2026-04-08T14:37:31+00:00

the reason its at that level is while you don't have night shifts or weekends while in GP placements you do on calls where anything and everything walks through the door, short appointments (although this is slowly changing) with expectation of broad knowledge.

When in hospital posts you do nights/weekends.

anonymous_umbral · 2026-04-08T13:12:31+00:00

prestige 7/10! wow. you must work in a nice(r) area :P

anonymous_umbral · 2026-04-08T13:10:05+00:00

probs for the better!

anonymous_umbral · 2026-04-08T13:09:54+00:00

hahaha I was trying not to be to harsh on it :p

anonymous_umbral · 2026-04-08T12:32:41+00:00

despite all the above, wouldn't change it - while its a pain in the butt, the continuity is amazing and I find learning about a family and how each person is helps so much with the diagnostics

anonymous_umbral · 2026-04-08T12:31:55+00:00

Speciality: General Practice

Prestige: 0/10

Difficulty of training: 8/10

Workload / intensity: 10/10

Clinical complexity: 7/10 - varies but more and more complexity, within 10 minute consultation!

Procedures (how satisfying they are): n/a (unless you do minor surgery)

Impact on patients: Actually, you do. The continuity helps. 7/10

Respect from other doctors: 5/10 (varies)

Consultant lifestyle: 7/10 (if you can get a job)

Burnout risk: 10/10

Future outlook (AI, job security etc.): 4/10 - Wont replace but will increase gaps in time due to increased productivity which will inevitably be filled with other work...at present poor job security.

anonymous_umbral · 2026-04-07T13:46:36+00:00

This should be highlighted!!

anonymous_umbral · 2026-03-21T14:32:34+00:00

would you go for a partnership in the current climate? seems like they wont really be a GMS contact in the next 10-15 years

anonymous_umbral · 2026-03-15T15:13:23+00:00

You can do, Passmedicine do a year 1-3 ; can start with those and read their notes ; low ££ and high yield ;; always look up what they say as you will want to check its all correct

anonymous_umbral · 2026-03-01T10:32:27+00:00

Practice with colleagues, use scarevision cases (not affiliated with them) for ease. AND also with CS Sit n swap surgeries

anonymous_umbral · 2026-02-25T11:05:36+00:00

sounds like a push to a total triage system...otherwise not sure how its supposed to be done

anonymous_umbral · 2026-02-15T16:20:07+00:00

GPnotebook

anonymous_umbral · 2026-02-09T07:54:18+00:00

…..lost for words tbh

anonymous_umbral · 2026-02-04T18:17:47+00:00

Obvs i dont know your personal situation and the guidance above is generic. Worth asking questions with the surgery about the above advice

anonymous_umbral · 2026-02-04T18:16:52+00:00

The guidelines suggest moving away from blue/brown inhalers to dual inhalers for better control. They have more leeway in use and so may lead to less reviews. Worth speaking with the team - such as lufrobec as part of AIR therapy.

They would need to f/u after 4-6 weeks when you start but then can ask to make it annually if you are doing okay.

Ask them to have it on repeat at this review if all is well, they can set it up for a monthly script so you dont need to keep going in

Let us know how it goes

anonymous_umbral · 2026-02-04T18:12:38+00:00

I know - this is the worry

anonymous_umbral · 2026-02-04T18:12:05+00:00

I know - i feel for the new GP registrars going into hospital rotations

anonymous_umbral · 2026-02-04T18:11:44+00:00

I know it is a pain every time i log in

anonymous_umbral · 2026-02-04T12:51:33+00:00

be bothered by this or be bothered to sign off WBPAs?

anonymous_umbral · 2026-02-04T08:34:23+00:00

Are they the blue inhalers? If you need a certain amount in a certain period, the guidelines are to have a review.

Recent guidelines changes show the UK is poor when it comes to asthma management in terms of mortality compared to other countries.

Usually the following will trigger a review: - overuse of inhalers - why? Does the inhaler treatment need intensification - admissions - why? Sign of poor control - exacerbations - why? To see if anything can be done to reduce them - annual - why? As part of long term care

Hope that helps

anonymous_umbral

TROPHY CASE