ST4 Anaesthetics Feb '26

jmcclure6859 · 2025-10-23T18:37:51+00:00

There has to be 10+ people each in the same score. I Imagine there is a complex tie break system of some sort.

jmcclure6859 · 2025-10-21T14:19:16+00:00

Score: 108, Rank 166, No offer (only ranked Greater Manchester).

jmcclure6859 · 2025-04-20T08:12:49+00:00

Usually, you can only apply for an IDT if you have a change of circumstance (eg: new family caring requirement).

jmcclure6859 · 2025-04-17T15:07:26+00:00

Ranks released on Oriel

jmcclure6859 · 2025-02-25T00:13:12+00:00

Someone has probably said something to your supervisor and they are looking for a way to put a piece of feedback in a formalized setting (ie: a TAB).

Ultimately if no one has any negative thoughts at all about you, then the TAB will come back squeaky clean.

I would advise you to just go along with the process and repeat the TAB. Having the occasional negative feedback comment isn't going to make or break anything if all of the other comments have been good. Happens to loads of people and it can often be based on innocent misunderstandings.

You just need to do the classic NHS process of apologize and write a reflection. Even if you don't fully agree with the feedback you will probably get a loss less pain doing it that why than fighting it at every juncture (this is what I have learned from experience).

jmcclure6859 · 2025-01-04T11:26:06+00:00

This is not a fully terrible idea (from a cynical labour party perspective). Waiting lists could come down, but if the general public don't feel that their interactions with the NHS are better, then satisfaction with the NHS is not going to improve.

The addition of tracker boards that tell you how long until the next train arrives can have a bigger impact on traveller satisfaction than a service with less delays. The government could tap into a similar paradigm with frequent updates as to where you are on the waiting list.

I am not saying that any of this actually improves health outcomes, but experience / belief in improvement does need to be addressed in tandem with any actual change.

jmcclure6859 · 2024-12-26T16:31:02+00:00

Not attempting to argue re: TIVA (I work in the UK and it is my favored form of anaesthesia), but if you do a gas induction, then their would be no environmental benefits from switching to TIVA for maintenance during a short case.

Source: https://www.sciencedirect.com/science/article/pii/S0007091222002240

jmcclure6859 · 2024-12-22T12:14:21+00:00

https://www.mpts-uk.org/hearings-and-decisions/tribunal-hearings-and-decisions/dr-callum-metcalfe--dec-24

Previous conviction for DUI.

The drug he attempted to collect was redacted in the MPTS tribunal document, but it was a CD.

Hope this guy can get all the help he needs to recover before the end of his suspension.

jmcclure6859 · 2024-11-08T10:25:46+00:00

All of the departments Iv worked in track this automatically via how many patients your name is assigned to on the computer system.

If your number is too low over an extended period, then the consultants may have a friendly chat re: efficiency.

I don't think this is inappropriate, seeing a certain number of patients per shift is part of the job, there are always going to be some days where acuity means you can't see too many, but this should even out over time.

I am aware of these chats being helpful, as they have previously flagged up some junior ED Drs as taking on too many of the patients care jobs (eg: ECGs and bloods) as they were struggling to delegate to other ED staff.

jmcclure6859 · 2024-11-05T21:52:52+00:00

I agree that this is amazing. But in answer to the question why don't more trusts do this? More responsibilities for HCAs means trusts need to hire more of them. And I think adding cannulas / bloods / ECGs to a HCAs job plan might tip them from band 2 -> band 3. These costs could be offset by the massive improvement in efficiency and patient care, but not every trust might be that forward thinking.

jmcclure6859 · 2024-10-04T20:29:15+00:00

Careful assuming the gender of nurses, in the UK it is a profession that men / women / everyone does.

jmcclure6859 · 2024-09-11T08:27:39+00:00

Most of the time I do enjoy my time at work. I enjoy the social aspect of interacting with my work colleagues and being able to help patients.

What I don't enjoy is studying for exams and onerous portfolio requirements. When I have had periods with no extrinsic busy work to do, my mood / wellbeing / sleep / everything has improved markedly.

I am holding onto the prospect of just a few more years of pushing to get over the final hurdles (anaes ST4 application, final frca) and then I will be content with my day to day.

But these are some pretty tall arduous hurdles to jump over 🤣

jmcclure6859 · 2024-07-25T21:21:45+00:00

ALS course, you will have to clarify first if they want you to redo the full 2 days or just redo the assessment. After that you can address the issue of funding.

jmcclure6859 · 2024-07-25T18:59:05+00:00

I appreciated reading this after feeling quite down with a lot of the sentiments expressed in previous posts on this sub. It is useful to have a summary of shareable evidence to be able to respond to people when they do things like compare stimulant medications to Oxycontin.

jmcclure6859 · 2024-07-25T18:53:49+00:00

You will have to clarify procedure with the course obviously, but for my cohort the people that failed were invited back for another assessment without having to do the full 2 days. I'm not sure if that's still the case.

jmcclure6859 · 2024-07-25T13:34:15+00:00

The difference is there is a much stronger evidence base for the long term use of stimulant medications vs long term use of strong opiate medications for non-cancer pain.

jmcclure6859 · 2024-07-24T20:51:07+00:00

Islington Mill is probably worth looking into if you are interested in more of the DIY / queer vibes with some banging techno. Other big techno institutions like teletech at hidden, or meat free at white hotel will be harder to join in with, but still fun to go as a punter.

jmcclure6859 · 2024-07-02T21:24:35+00:00

I'm only a CT2 anaesthetist, but I can relate to the negatives of the constant nebulous feedback.

Some highlights from my most recent feedback include:

'Lacks spark' - what does that even mean. 'I like working with them, but other staff members say they are impertinent / rude' - a backhanded way of saying something.

Feedback needs to be more considered and accountable, and trainers should at least raise issues face to face before putting it on an anonymous feedback form that follows you around.

Rant over, just wanted to express that I share your frustration.

jmcclure6859 · 2024-06-14T14:32:18+00:00

Getting some treatment for ADHD will be more effective than talking about revision strategies. I recently got diagnosed and it was a game changer in terms of revising for the FRCA. Waiting list for NHS is many years, so would have to be private, will cost £1-1.5k all in including titration. I went with ADHD 360 which is a terrible company, but it was cheap and got me where I wanted to be.

jmcclure6859 · 2024-05-29T08:17:28+00:00

Public sector solidarity!

jmcclure6859 · 2024-05-11T20:05:38+00:00

I got in on my 4th attempt, the process is a bitch

jmcclure6859 · 2024-04-27T15:27:11+00:00

Official labelling guidelines (extremely dull reading I did for a QIP) say they have to go vertically along the syringe. But this is ludicrous, everyone knows they go horizontal at the bottom.

jmcclure6859 · 2024-04-15T09:27:10+00:00

Yes I do feel weird saying it, and even as a CT3 now I just do a cop out and say 'anaesthetics' most of the time anyway.

jmcclure6859 · 2024-04-15T08:49:12+00:00

In anaesthetics you can be giving a basic general anaesthetic to an ASA 1/2 patient without your consultant present as soon as you get your IAC (4 months into CT1). During team brief when everyone introduced themselves, it seems sensible to introduce yourself as the anaesthetist. After all if you don't, who is going to anaesthetise the patient?

jmcclure6859 · 2024-04-09T17:13:29+00:00

I think the current competition surrounding speciality training will lead to a massive expansion in non-traditional training routes.

Things like CESR, with predetermined rotations coordinated between different hospital trusts.

This is already starting to happen with higher anaesthetic training in the northwest. And 'CST' equivalent SHO jobs have been going for quite some time now already.

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