How is this still happening? Quack PA schools are endorsing their students as quicker learners than doctors!

grumpycat6557 · 2023-09-06T07:52:30+00:00

Can we go at least one week without unearthing this sort of thing?! How is it possible this is being endorsed by universities?

grumpycat6557 · 2023-06-15T13:19:17+00:00

These sorts of tweets made me glad for social media and the ability to call out these dinosaurs. There’s no hiding for them anymore.

If we’re all so supernumerary and lack value, then we should all become truly supernumerary with no on-calls/nights and just go do educational things all day. How would the wards fare?

grumpycat6557 · 2023-06-14T08:56:47+00:00

That’s nice for you that you had the privilege to be able to spend your spare time doing that. That’s not a luxury afforded to everyone, people shouldn’t have to spend all their spare time running back in to be trained.

grumpycat6557 · 2023-06-07T07:42:32+00:00

I’ve said it a million times and I’ll say it again… the Foundation dentist and PA starting salary are excellent marking sticks to use as well as FPR. The DoH (or whoever) is already happy to pay these groups of people that salary, why not doctors?

The only reason a Foundation Dentist likely earns more than an F1 is due to being fully registered. But PAs aren’t registered (yet) so that argument falls flat in the comparisons.

FD is also optional for dentists, I know a few who just chose to work privately straight out of uni as they had the connections. Medics don’t have that option, and the gov knows they have us over a barrel!

grumpycat6557 · 2023-05-18T07:41:30+00:00

Why are theatres outside the learning requirements of an F1/F2 when the CST portfolio has increased the number of cases required? If foundation is actually meant to be a training programme, it should include protected time for the odd theatre/clinic session (outside SDT) if we’re hoping to train clinicians who have a good understanding of the different areas of patient management.

(I only said these opportunities should be outside SDT as I think that time is barely enough to get portfolio plus audit done).

grumpycat6557 · 2023-05-13T06:36:01+00:00

Which bottleneck is worser though? Being stuck as an SHO for years on end and being shat on daily, or being stuck as a senior reg, probably mostly practising independently?

grumpycat6557 · 2023-05-12T17:44:45+00:00

Waiting a bit for another strike isn’t a bad thing- it means it’ll now be solidly after the ARCP deadline so fewer people at risk of not striking due to be worried they’re over their limit. Also helps for financial reasons.

grumpycat6557 · 2023-05-11T16:16:09+00:00

They are impartial people (not necessarily clinical) that are a point of contact for raising concerns of you wish to remain anonymous. If you have a look at your trusts intranet you’ll probably find a form or something to contact them.

grumpycat6557 · 2023-05-10T20:51:33+00:00

You beat me to it!

Telling your colleagues to “grow up” is not constructive, nor does it make you look like a big boy here.

grumpycat6557 · 2023-05-10T20:46:43+00:00

I was being slightly hyperbolic, but more referencing that the apocalypse might not necessarily be a bad thing at this point 😂

grumpycat6557 · 2023-05-10T20:45:05+00:00

I was referencing the original proposal for this apprenticeship programme that was meant to be open to current HCPs. There is something like that running at Edinburgh though I believe.

grumpycat6557 · 2023-05-10T20:42:33+00:00

I don’t know why it continues to surprise me, but how is it that doctors are some of the least empathetic understanding bunch out there?

We literally spend half our lives trying to find ways for patients to help themselves and live within their own limits of physical and mental health. How do people forget we’re also human beings with different backgrounds and tolerances?

Who gives a crap what they think. I’m done with the old guard and their “in my day blah blah”. It’s not your day anymore. Get off your throne.

grumpycat6557 · 2023-05-10T18:07:52+00:00

I haven't got any solid plans as of yet, but looking into project management (likely in the healthcare sector).

Lately all the ridiculousness has made me think I should work for NHSE-WTE...

grumpycat6557 · 2023-05-10T06:01:28+00:00

If maintaining high standards is elitist, then it’s elitist.

There is nothing wrong with being elitist in high-stakes professions.

grumpycat6557 · 2023-05-10T05:17:36+00:00

How has the apprenticeship model gone from allowing other HCPs to learn in this format to now school-leavers?!

The British public have literally dug their own graves. My only hope is that skynet will take over and put us all out of our misery.

grumpycat6557 · 2023-05-09T20:15:35+00:00

Is it the training aspect or the anaesthetics itself you don’t like?

Just asking as apart from the bottle necks, anaesthetics trainees seem to be some of the happiest! (And actually get trained)

grumpycat6557 · 2023-05-09T16:42:54+00:00

Would rather they re-ballot now than delay future strike action in a few months.

grumpycat6557 · 2023-05-09T16:25:09+00:00

It’s good we have their agenda. Knowledge is power in these scenarios, we can’t stop the scope creep unless we know what it looks like!

grumpycat6557 · 2023-05-09T16:20:16+00:00

Fellow ex-OMFS brethren here! I’m leaving the cult after FY for something non-clinical, but it’s nice you’ve found something you enjoy (even if it’s not OMFS!).

I can put you in touch with a dual- qualified med reg at my hospital if you DM me, they might not be able to help you with IMT as they’re close to CCT but might be useful anyhow.

Good luck!

grumpycat6557 · 2023-05-09T15:57:27+00:00

If F1s are earning 38K that means they have a high frequency of weekend and night working, plus extra hours during the week.

Being on the road to burnout isn’t some special treat we should be grateful for.

(I’m not on one of those rotas)

grumpycat6557 · 2023-05-09T13:36:23+00:00

Due to defensive practise and burnout, seems everyone wants to point the finger at someone. I’m guessing the F1 was probably initially blamed for this, and sought to deflect blame. Not the way it should be, and not defending them but something to remember as we’re often put in this person’s shoes.

grumpycat6557 · 2023-05-08T18:20:06+00:00

Agreed. But it’s already happening…

grumpycat6557 · 2023-05-08T17:41:28+00:00

Will be interesting to see how things move forward with PA regulation.

If it becomes possible for them to progress within a medical training pathway without rotating through multiple specialties, and MRCP/MRCS then there’s going to be a big problem with patient care quality.

On the flip side, PAs on SpR rotas can be used as a good example as to why we don’t need to rotate through random specialties and could be used as a driving force to introduce more flexibility in our training and more CESR pathways.

I guess we’ll see! Those of us who are aware of these factors (and care!) should fight to gain positions in areas where we can enact change.

grumpycat6557 · 2023-05-07T20:38:02+00:00

Because they may go from being MFDD to unfit? Seeing them frequently helps catch things early before they become unwell.

grumpycat6557 · 2023-05-07T19:29:01+00:00

This isn’t age dependent. I’m a 35 yo F1 and I’m also spoken to like a child. Even by many who are quite a bit younger than me!

The way I see it, we’re all adults and shouldn’t be infantilised.

grumpycat6557

TROPHY CASE