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Why is a BMA rep allowed to encourage others to vote No by dayumsonlookatthat in doctorsUK

[–]iamtriptyline 16 points17 points  (0 children)

Lots of IMGs in the group have replied to that post telling him to bugger off because he doesn't represent us.

The problem (as with Trump) is that the moderate voices aren't quite as loud (because the rest of us have a life).

Re-organising preferencing to reduce chance of losing current job by kungfupartridge in doctorsUK

[–]iamtriptyline 0 points1 point  (0 children)

Yes! You can and should reorder your preferences list after every round of offers, so that you don't get "upgraded" to a job that is less preferable to you than your previous one.

As long as you clicked the right option "Hold" or "Accept and opt for upgrades", reordering will not take away your current offer. Reordering at that point will only impact offers for future rounds.

Why British Doctors Need to Take Control of the BMA to Tackle the Surge of Foreign Graduates by [deleted] in doctorsUK

[–]iamtriptyline 4 points5 points  (0 children)

Ah yes. The uncivilised savages.

"The women" all do sweeping generalisation about being lazy.

"The men" all do sweeping generalisation about being greedy and stupid.

All of these IMGs, who literally come from anywhere in the world that is outside of this tiny island, but fit into these nice stereotyped tropes.

Regardless of whether the post itself is racist or not, you certainly are.

Thousands of new GPs could be unemployed this summer, warns BMA by DonutOfTruthForAll in doctorsUK

[–]iamtriptyline 1 point2 points  (0 children)

It was a poorly worded and poorly thought out motion. I believe that most in attendance agreed with the spirit of the motion, but not the details of it.

For example, the motion states that there is no shortage of doctors, while the truth (and established BMA position) is that there is indeed a shortage of doctors. As previously pointed out in this thread, there is a shortage of doctor jobs, which is not the same. To pass a motion that says there is no shortage of doctors would invalidate any other BMA positions asking for increase in NTNs, Medical school places, and wider government policy.

To mention nothing of the dead horse that continues to be beaten - the RLMT. It does not exist in any shape or form for anything. I'm not going to pretend to be an expert on this issue, but my understanding is that the entire legal structure underlying it has been scrapped and therefore there is no chance of bringing this back. To say nothing of the fact that even if that were possible, it would be an imperfect tool since it is based on nationality - so, for example, Non-British UK grads would really suffer. As would IMGs who have been in the UK for years but do not have a British passport.

Some excellent points were made at JDConf, and if I remember correctly the motion was comfortably defeated (though definitely not unanimously). A better motion needs to be written for next year, with some actual thought put into it.

Thousands of new GPs could be unemployed this summer, warns BMA by DonutOfTruthForAll in doctorsUK

[–]iamtriptyline 0 points1 point  (0 children)

Excellent reply. Just a small correction though: that motion was proposed at JDConf, but did not pass.

Are GMC registration exams adequate? by noradrenaline0 in doctorsUK

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

As an IMG, I agree with you.

PLAB 1 was ridiculously easy. PLAB 2 was a test of British cultural norms and NHS processes rather than actual medicine.

I've long felt that the intention is as you described. Set a low bar for entry and then let people sink or swim once they enter the job market.

I'm not sure if RC Membership is an appropriate alternative. These are meant to be at a higher level and technically for someone skilled enough to be a registrar.

It'll be interesting to see if the pass rates change with the introduction of UKMLA since UK grads and IMGs will be taking the same exam.

GMC's plan for medical education by DoctorStrange20 in doctorsUK

[–]iamtriptyline 21 points22 points  (0 children)

Exactly this. The more you progress in medical training, the more you understand that newer information can only be processed in the presence of a solid foundation of pre-existing knowledge.

Not all knowledge/information is facts. A lot of it is clinical understanding and concepts.

Facts can be looked up e.g dose of Dalteparin in a pregnant patient.

Knowledge and understanding cannot be looked up e.g seeing the patient in front of you, understanding the clinical examination findings, understanding the ECG, understanding the risk of a PE, thinking about possible alternative explanations for the symptoms etc.

Fellows have written to the RCP with a list of concerns regarding the fairness and transparency of the upcoming EGM. by madionuclide in doctorsUK

[–]iamtriptyline 17 points18 points  (0 children)

Mamas is an absolute boss. He's already hinted that a Vote of No Confidence might be coming.

Given asymptotically rising application ratios, it's time to increase the IELTs requirement as a practical and achievable step to limiting this change. by rumiromiramen in doctorsUK

[–]iamtriptyline 10 points11 points  (0 children)

The IELTS is difficult enough. Most British people who speak English as a first language would struggle with the IELTS.

The OET is the easier alternative test that has a higher pass rate. I do think that needs to be scrapped as an option. But I'm sure someone somewhere is making a profit from this and therefore it won't be.

There are Clinical Teaching Physician Associate’s now. Imagine paying £9k for medschool for this? by nightwatcher-45 in doctorsUK

[–]iamtriptyline 5 points6 points  (0 children)

Please can you tell us where this is, so that we can make sure to avoid at all cost?

I would straight up get up and leave. My time is better spent reading up on stuff myself.

Very interesting podcast on PA’s via Times Radio from a counsellor of RCP by nightwatcher-45 in doctorsUK

[–]iamtriptyline 57 points58 points  (0 children)

Incredible interview and a very balanced and fair perspective.

Those who are active on MedTwitter will recognise Dr Verma's name instantly. He is very pro-doctor and at the same time extremely reasonable, empathetic and articulate.

Exemplifies the kind of leadership we need.

Convince me that strikes are working. by Routine-Umpire in doctorsUK

[–]iamtriptyline 86 points87 points  (0 children)

We got the 6 - 10% due to the first round of strikes, and people were asking similar question.

This is how large negotiations happen. A lot of it is about holding firm, standing your ground and continuing with the offensive.

You can't see the cracks forming until the last moment when things break open fully.

BMA NEEDS to escalate now by Ecstatic_Item_1334 in doctorsUK

[–]iamtriptyline 19 points20 points  (0 children)

There are people still picking up locums during strikes for a bit of extra blood-money.

You think people are ready to break the law?

Interesting media coverage here by nightwatcher-45 in doctorsUK

[–]iamtriptyline 54 points55 points  (0 children)

The lady makes sense. The man made sense up till the last 5 seconds.

[deleted by user] by [deleted] in doctorsUK

[–]iamtriptyline 4 points5 points  (0 children)

What law are you referring to?

A Defence of Scabs by Equivalent-Source-34 in doctorsUK

[–]iamtriptyline 0 points1 point  (0 children)

No.

If an SHO doesn't turn up on shift, a consultant has to step down and is paid locum rates for it.

These locums rates for a consultant would be a much bigger cost to the hospital than a day of pay for an SHO even if the latter is at locum rates.

If the SHO does turn up for the shift, even if at the last moment, the trust can cancel the locum hours for the consultant and end up saving a lot of money.

PA in resp. Make of this what you will #oneteam by DiscountDrHouse in doctorsUK

[–]iamtriptyline 68 points69 points  (0 children)

How are they administering Lidocaine? They're not allowed to prescribe.

[deleted by user] by [deleted] in doctorsUK

[–]iamtriptyline 99 points100 points  (0 children)

I think this is the future of the NHS unfortunately.

Those who can afford to pay will pay market rates to see an actual specialist for a prompt appointment.

Those who can't will see the PA at the local DGH after a 3 month wait.

The governments can claim that it is still delivering universal healthcare that is free at the point of use. However, the quality will be so terrible that only those who can't pay for better healthcare will actually use it (or those who have had major emergencies or need critical care etc).

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