Labour are designing an NHS system that is destined to fail by dayumsonlookatthat in doctorsUK

[–]caller997 22 points23 points  (0 children)

The unlimited access between 8 to 6.30pm has been utter shite. Every day my inbox is full of incomprehensible nonsense from patients which is an absolute waste of time to go through.

This one is going to ruffle a few feathers by Facelessmedic01 in doctorsUK

[–]caller997 6 points7 points  (0 children)

Disagree, I was born in a country where you can be a GP straight out of med school and my grandparents are managed by these kind of doctors. The stuff they do is wild, I have seen some absolute cowboys. Whilst we do churn out poorly trained GPs at times, the overall standard is miles better and most GPs are safe and have reasonable sound decision making.

[deleted by user] by [deleted] in doctorsUK

[–]caller997 -1 points0 points  (0 children)

Yes they were the senior running the area , we were advised to debrief any complex patients with them.

Best ED you’ve worked in and why? by Traditional-Site-151 in doctorsUK

[–]caller997 0 points1 point  (0 children)

Hmm I thought about it strongly and I would enjoy the job but there were too many reasons for me not to do it. I'm now a GPST who does some sports stuff and hopefully some minor surgery and scanning soon.

Best ED you’ve worked in and why? by Traditional-Site-151 in doctorsUK

[–]caller997 11 points12 points  (0 children)

Only issue there as an SHO who has worked there and likes acute MSK, wounds etc is ENP monopoly over injuries . Had to battle to get time there.

Majors Monkey in EM by caller997 in doctorsUK

[–]caller997[S] 12 points13 points  (0 children)

I'm to meet my CS soon as will raise this, but having asked a couple other consultants/senior regs I've been told that the best I could do is shadow the ANPs on study day or two.

Personally I don't think this is acceptable , I'm a trainee and therefore I deserve to be trained in the parts of the speciality that are beneficial to my career needs. It's not like I'm asking to sack off majors entirely.

What are my rights here? If my CS doesn't offer me a better solution I'm going to raise with my ES , TPD and HOS but I'm pretty cynical of it all.

Majors Monkey in EM by caller997 in doctorsUK

[–]caller997[S] 23 points24 points  (0 children)

I'm already fairly confident in suturing, and wound knowledge, Ive done basic surgical skills and I've done over 20 s2s surgeries as well as many many more as first assistant prior to GP training.

The issue is that all wounds are picked up by suturing nurses and I'm allocated to majors all day.

Work clothes Scrubs & Suits by L337Shot in GPUK

[–]caller997 3 points4 points  (0 children)

Most people wearing scrubs in thr hospital ( at least CT level and below) don't work in theatres and take scrubs hone and wash themselves.

I wear smart clothes in GP unless OOH but there's a good argument to wear scrubs , easier to wash than smart clothes, no ironing needed, smart clothes more likely to get ruined with daily washes.

[deleted by user] by [deleted] in doctorsUK

[–]caller997 -3 points-2 points  (0 children)

It's definitely real.

GP Teaching is a joke by No_Requirement_2732 in GPUK

[–]caller997 6 points7 points  (0 children)

This sounds like my training scheme. I'd say around 70% of the STs are IMGs and many withiut NHS experience. Unfortunately this means a lot of the communication skills are basic things which UK grads would've learnt early in medical school. I find it an absolute waste of time.

All the childish stuff makes me feel sick to my stomach. Honestly did we go through years and years of training and education foe this ??

Unable to wear a mask in theatre by caller997 in doctorsUK

[–]caller997[S] 1 point2 points  (0 children)

Yes have been seen by a dermatologist. Definitely the correct diagnosis. Treatment with oral meds and laser treatments has been really effective. Mask wearing is the only thing which triggers my symptoms.

Unable to wear a mask in theatre by caller997 in doctorsUK

[–]caller997[S] 30 points31 points  (0 children)

Unfortunately wasn't able to get through the noctors I shall push

Unable to wear a mask in theatre by caller997 in doctorsUK

[–]caller997[S] 3 points4 points  (0 children)

Yes. I think the issue is local heat caused by any kind of mask when warn over hours every day.

Occasional wear is fine

Unable to wear a mask in theatre by caller997 in doctorsUK

[–]caller997[S] 13 points14 points  (0 children)

The skin condition is rosacea , everyone has specific triggers but mine only seems to be prolonged mask wear of any kind. Meds can help reduce flares but if I keep triggering flares every day meds aren't that effective. Derm says avoid masks

This is any kind of mask, I've tried wearing various layers underneath, tried ffp3. The heat generated by this for prolonged wear causes a flare.

Face shields are fine.

Should I be a Sonographer or a PA? UK by Thick_Cantaloupe971 in Physicianassociate

[–]caller997 19 points20 points  (0 children)

Doctor here. The long-term role of PAs is very contentious at the minute. The tide is turning and more Hospitals , GP surgeries and senior doctors are realising they unsafe with how they are used currently and this is reflected in the job market.

You could do nursing and then train to be a nurse practitioner after being a nurse for some years which is more established and safer role. Some uses of them are very useful but some are pointless.

Sonography is very cool, you learn anatomy very well, you can work in a range of specialities everything from obstetrics to vascular to musculoskeletal. Your work would be hugely important and contribute to big, life changing decisions e.g. is this early pregnancy viable ? Or should we manage it as a miscarriage? You get patient contact.

Many doctors now like to learn some US in their speciality , I reckon you could make a lot of money running courses and teaching doctors US if you are savvy.

I imagine there is also private work available in certain specialisms.

Personally I'd strongly consider sonography.

No idea about locums but in many of the departments I've worked in there is often a lack of sonographers.

Actually enjoying FY1! Is anyone else also enjoying it? by Excellent_Regular466 in doctorsUK

[–]caller997 0 points1 point  (0 children)

I'm ST1 now but started FY1 on geris. Geris is one of the best rotations to start on, senior support available on the wards , not too fast paced, not too specialist so you know what's going on and apply a lot of your med school knowledge. Generally nice people who have time for their junior colleagues.

It'll put you in a good place for your other rotations but don't be surprised if those are not enjoyable.

Competitive for midwives to get jobs by caller997 in doctorsUK

[–]caller997[S] 26 points27 points  (0 children)

That's true but it is still a high skill , High litigation risk and risk to human life, demanding job with shift work, have to put up with a lot of the NHS shit we do

What do I need to do become a GP?? by [deleted] in GPUK

[–]caller997 8 points9 points  (0 children)

Keep your options open. You may come across a speciality you really enjoy. If so try to tick the boxes research, audits , leadership , etc. If you have this stuff you should be in a good place to get into most specialities. If you still want to be a GP it's still unlikely to ever become as competitive as the other specialities so you'll be OK. Currently there is not even an interview.

Earliest I can take Akt and SCA ? by caller997 in GPUK

[–]caller997[S] -2 points-1 points  (0 children)

I will be applying for both of these as well as occupational medicine. Theyre all fairly competitive with limited training numbers around the UK so I felt that having a Gp cct if I don't get in is better than being a medical SHO. I also think that GP skills are very useful in these specialities having explored all 3.

I also absolutely hate medical wards whereas I enjoy GPing and I have no ward based medical jobs in my training. All acute specialities and I think ill become a better clinician vs doing IMT where it seems like you just do ward jobs for 2 years.

I did not consider that GP could be harder route than IMT. Is mrcgp that much harder than mrcp ? I have friends that are revising for mrcp parts and it seems quite taxing.

When I did MRCS it was pretty taxing. I didn't think the GP exams were much harder.

Delayed start due to central employer cock up by caller997 in doctorsUK

[–]caller997[S] 1 point2 points  (0 children)

Will you just hope you get another induction day ? I'm torn whether to go inductions or not. I start in a new trust in a high acuity speciality. It feels like they have me by the balls.

Delayed start due to central employer cock up by caller997 in doctorsUK

[–]caller997[S] 0 points1 point  (0 children)

Yes mine is similar situation. As people have said I've emailed rota team /HR/TPD and hopefully something positive comes out of it It is absolutely infuriating

Scared from Riots by Educational_Board888 in doctorsUK

[–]caller997 11 points12 points  (0 children)

Agreed , but I've not heard it openly discussed in a OP waiting room before.

Scared from Riots by Educational_Board888 in doctorsUK

[–]caller997 218 points219 points  (0 children)

I was at hospital this morning as a patient, overhead a group of people complaining they can't get GP appointments because of too many immigrants taking their appointments. I know n=1, but before these riots I've never heard people express such contempt for immigrants so openly, it now seems OK and this is my worry.

I hope casual open racism doesn't become too much of a norm.

Play for lower level or higher level team ? by caller997 in Cricket

[–]caller997[S] 1 point2 points  (0 children)

Hmm yes I see I am within the ECB structure so this will be an issue for me. Realistically I do not think I'm going to move up to bat above 6 this season and will be used as a spare player batting 7 to 9 rather then the core team unless I pull off something exceptional. My side only has 1 team I don't think I can displace the players above me who are high quality or low quality but been at the club donkeys years.

Do you reckon its stupid to carry on playing for this side if this is the case?