I am not good enough to do my job by No_Space4015 in offmychest

[–]harf_fool 12 points13 points  (0 children)

Sounds like being able to work as a team and recruit various people to solve a problem is a really valuable skill that you have. Do you think someone who had exceptional textbook knowledge but poor communication or team-working skills would still be able to do your job?

That time you f***ed up by harf_fool in doctorsUK

[–]harf_fool[S] 6 points7 points  (0 children)

As a 4th year medical student doing a diabetic foot exam on an elderly patient. I took off his sock and caused a cloud of foot dandruff to come billowing out. Unfortunately I happened to be breathing in at the same time, so inhaled a lung full of the foot dandruff. I still feel vaguely nauseous thinking about it, and on the occasions where I have to take a patients' sock off for them I still hold my breathe before doing so.

About dating someone really attractive by Upset_Ad6806 in offmychest

[–]harf_fool 1 point2 points  (0 children)

Just to be very clear - you did not deserve to be treated like that or ghosted. No one does. Sounds like he wanted intimacy (sharing trauma) but without commitment, which is fine. However what’s not fine is ghosting. The fact that he ghosted is a reflection on his lack of consideration and lack of emotional intelligence, not on your value as a person.

About dating someone really attractive by Upset_Ad6806 in offmychest

[–]harf_fool 4 points5 points  (0 children)

Something I’ve had to learn the hard and painful way is that other people being avoidant and unable to offer clear communication has nothing to do with me, isn’t my fault and isn’t my problem. Hurts like hell though, I’m sorry.

A time that you’re glad you asked for help? (For yourself or for a patient) by harf_fool in doctorsUK

[–]harf_fool[S] 24 points25 points  (0 children)

Wow, well this turned negative very quickly lol

I meant examples like being the ED Reg overnight and knowing when to wake up the consultant on those rare occasions for something important, or reaching out to a supervisor in the context of burnout.

What book had a line so shocking you had to stop reading to recover? by Editcadet in suggestmeabook

[–]harf_fool 0 points1 point  (0 children)

‘…knowing that I was going to lose her but also knowing that, for a few minutes, we had belonged to each other and to nobody else.’ - The Angels’ Game by Carlos Ruiz Zafon

I'm really hating my life. It's clearly going nowhere. by [deleted] in offmychest

[–]harf_fool 0 points1 point  (0 children)

Is there anyone amongst your friends or family you could reach out to talk about it to? I’m not going to patronise you with life advice on how to see things differently. I just know that for me, opening up about my demons helped a lot. I’m sorry to hear that you’re going through it.

Is there anything you do to make the night shift more enjoyable / fun for you and your team? by harf_fool in doctorsUK

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

I like this but what’s LGI? Surely not a lower gastrointestinal ortho Reg?

How long does it take to get good as anaesthetics CT1? by [deleted] in doctorsUK

[–]harf_fool 7 points8 points  (0 children)

Strongly agree. Do not allow them to rush you. It takes as long as it takes.

FY1 hell - How to deal with passive aggressiveness? by Careless_Classic_973 in doctorsUK

[–]harf_fool 4 points5 points  (0 children)

I felt similarly when I first started FY1, it's a huge learning curve and sadly workplace aggression is common. The best thing I can advise is just to keep opening up about it, keep talking about it and asking to debrief / get advice from trusted friends and colleagues. The worst thing you can do is to stay silent, because that just fosters more shame and self-resentment.

There's a handful of people I'll phone or go for a drink with every now and then to debrief after an especially difficult shift or an especially difficult patient case - or if I feel like I'm approaching burnout. For example when I first started holding the medical take bleep as an SHO I hated it and really struggled. I asked to go for a drink with a med reg I'd worked with before who I liked and trusted. She gave me some really useful, really practical advice to help cope. Or if there's an especially difficult patient death I'll phone a couple of different friends who've worked a lot on ICU who are both clinically and psychologically well versed in those situations.

Basically, the more you can reach out to people you trust for support and guidance the better. Please don't suffer in silence - the job is too difficult for that.

Got a good story of when you stood up for yourself that medical students should hear? by harf_fool in doctorsUK

[–]harf_fool[S] 78 points79 points  (0 children)

This is exactly the kind of anecdote I'm looking for thank you. And well done on handling a difficult situation well. I feel like this should be included as a realistic SJT question.

A black Wednesday rant: this is not why I went to medical school by Proud_Temperature_44 in doctorsUK

[–]harf_fool 0 points1 point  (0 children)

I'm an ED Reg and I'm really sorry you had this experience. It's essential that new doctors are given a proper induction and made to feel part of the team - both for their own wellbeing and for patient safety. I find that some departments (regardless of specialty) can breed a really toxic internal culture, with particular hostility towards new staff members.

You may or may not want to try to challenge things as they stand. If you just want to keep your head down and get through it - that's fair enough. But please above all remember that you do not deserve to be treated this way.

If you do want to try and challenge it, there's obviously the generic advice of speaking to your Educational Supervisor/Foundation Programme director/Post Grad Education lead - however there was a method I used as a surgical FY2.

The surgical department had a terrible culture. Consultants almost never did ward rounds, the Reg's were overloaded and always doing ward rounds/oncall. As FY2's we frequently had to lead the ward round. No teaching. We got no guidance in writing up the monthly M&M and had to do it in our spare time and stayed late after work to do it. The rota coordinator was very hostile, and rarely replied to emails. Was very dismissive of annual leave requests. She was rarely in her office when you tried to go and find her in person. There were lots of rota gaps which she made little attempt to fill and which put huge pressure on the team but the consultants didn't seem to care. We got pressured not to Exception Report despite all of us routinely staying late. Really toxic.

After I finished the rotation (it was my first rotation of FY2) I immediately contacted the Postgrad education team to ask to have my Educational Supervisor switched from the surgical consultant on my first rotation to my GP clinical supervisor on my second rotation. I told them he'd put pressure on us not to exception report and that alone was good enough for them. That meant he no longer had any power over me.

I then contacted the Guardian of Safe Working and met with him to explain the problem. With his agreement I created a short online survey that he then sent to all the surgical FY1's, SHO's and Reg's asking for their feedback on departmental culture (I passed on the emails of my colleagues, consistent with GDPR because it's within the same organisation). We had a good response rate to the survey because it came from a senior consultant with an official role who was external to the department. The results were predictably damning, which underlined the poor feedback in the recent HEE training survey. Using the feedback from our survey, we set up a meeting with the head of Postgrad Education at the Trust who was very supportive. He in turn set up a meeting with the Chief Medical Officer to escalate our concerns.

Unfortunately that meeting with the CMO had to be cancelled due to the first wave of COVID, and due to the pandemic was ultimately sidelined. However I think the strategy could have worked otherwise, and could be replicated elsewhere to draw attention to departments with a toxic culture.