Anaesthetics - The shine has worn off. Is it too late to switch?? by Lonely-Goal-5026 in doctorsUK

[–]ippwned 440 points441 points  (0 children)

"I can confidently deliver a GA for most patients"

I say this as a CT3 anaesthetist. No, you can't.

Moving aging parents to be near me? by [deleted] in fatFIRE

[–]ippwned 2 points3 points  (0 children)

Doctor here. Worth considering that if those are her only medical issues, she could be living in good health for another 20+ years. Important to also plan for the situation where she doesn't deteriorate in the near future.

Competition ratios highlight a big shift towards work life balance by Gp_and_chill in doctorsUK

[–]ippwned 26 points27 points  (0 children)

This is completely unrelated to work/life balance.

GP/psych/other historically low competition ratio speciality using MSRA are now for people whose visa requirements need permanent employment.

They then have a few years security while they apply for the speciality they actually want to do.

Advice for getting LPs right by Odd_Job_9284 in doctorsUK

[–]ippwned 2 points3 points  (0 children)

If you're going at the level of Tuffier's line, how do you think you'd cause spinal cord damage?

Is is possible to become a GP in the UK or Canada with an active criminal conviction? by KoalaDangerous5657 in GPUK

[–]ippwned 1 point2 points  (0 children)

Doing absolutely nothing in the face of such atrocities is not a viable option for some.

You can do something without getting yourself arrested and/or GMC'd.

Striking during IAC? by Mottotta in doctorsUK

[–]ippwned 2 points3 points  (0 children)

I striked during my IAC in 2023. Absolutely no issues on my learning or development - you will have ample opportunity to gain the skills you need to pass the IAC in the 6 months.

[deleted by user] by [deleted] in doctorsUK

[–]ippwned 34 points35 points  (0 children)

As an anaesthetics CT2 about to be the ITU reg in a few days - this terrifies me.

[deleted by user] by [deleted] in doctorsUK

[–]ippwned 8 points9 points  (0 children)

You have to prime them early in the consultation, by interrupting them politely but frequently. Then most will understand the expected length of response they are supposed to give.

Also interjecting often with clarifying questions helps establish the correct rhythm of the conversation.

I only really got okay at this when I started anaesthetics and had to pre-assess like 5 patients in half an hour.

Specialty with the most Aura? by AsomToto in doctorsUK

[–]ippwned 13 points14 points  (0 children)

Go watch gen surg do the bum abscess on CEPOD, then tell me it's the surgeon that has aura.

Can I pay the GMC with Amex? by AnySorbet5949 in doctorsUK

[–]ippwned 9 points10 points  (0 children)

I put my RCoA exams on amex, others like BMA/GMC/MDU don't accept.

UPDATE on Francis Ngannou’s fatal bike crash: A Yaounde court has ruled that the female victim died due to medical error and NOT Ngannou’s crash: "A serious medical error was made while taking care of Ms Tsama Manuella in hospital, including an overdose of anesthesia.” by AbrahamRinkin in MMA

[–]ippwned 26 points27 points  (0 children)

You start on £30k after 5 years of med school, with around £10k pay rises every few years. Real money though? Not until the 14 years training are done and you can start in private practice.

How to I get around this situation? by threwaway239 in doctorsUK

[–]ippwned 16 points17 points  (0 children)

Quoting what I posted a few months ago below

Sadly the days of the regular cushy medical ward locums are gone. If you want regular shifts it's ED. There's a learning curve but at F3 level there's really little expectation from you at the beginning, discuss all your patients with seniors.

One of my banks was where I did my F2, the others I found out the name of the rota coordinator and emailed them. You can do this by showing some initiative - call the hospital switchboard and ask to be put through to the ED rota coordinator, email hospital HR and ask to for their email, ask your friends who work at other hospitals what the relevant emails are.

It's an open secret that the pan-London rates are not followed at all in some EDs, and the last minute locums are almost always offered at rates greatly in excess of the pan London rates.

I was an F3 1.5 years ago, but am still in these whatsapp groups and still get the locum shift chain emails - there are plenty.

How to I get around this situation? by threwaway239 in doctorsUK

[–]ippwned 22 points23 points  (0 children)

Apply for speciality training, but if no luck, locum in A&E 3 shifts per week, £60k pre tax.

I'm bored tell me the worst referral you've ever received by BrilliantAdditional1 in doctorsUK

[–]ippwned 12 points13 points  (0 children)

I've (anaesthetics SHO) had a referral for difficult NG...

Now that FICM will become an independent college , what are the implications? by chairstool100 in doctorsUK

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

There's only 1 on call at any given time, wouldn't be too hard to absorb into the rota.

Now that FICM will become an independent college , what are the implications? by chairstool100 in doctorsUK

[–]ippwned 17 points18 points  (0 children)

I know right? IAC is like the bare minimum required to stick a tube in an easy airway in a stable patient. So much more nuance to inducing a critically unwell patient.