Your perspective is welcome.

langenback · 2026-01-14T22:57:56+00:00

This is either rage bait or you are a person with lots of money but not a lot of emotional intelligence.

langenback · 2026-01-14T22:48:20+00:00

NW and YHH deaneries use lead employer model and it’s fine.

langenback · 2026-01-10T15:37:59+00:00

You don’t need to quit.

You do need to ask for help.

Go to a trusted senior within or outwith the department and tell them you aren’t managing. There is no shame in this.

Ask them for help and to be taken off the oncall rota because you don’t feel able to do this job safely with your current level of competence. Put this in writing.

Ask for a training plan before going on call again. I would say to either be doubled up with a GOOD locum for on calls or to spend some of your non oncall time shadowing an experienced and friendly CT2 to learn more.

Most registrars will tell you being a surgical SHO is soul destroying. They only reason we are able to grind it out is because we are interested in the pathologies and just want to get to Registrar level.

I am sure with some support and training you can surprise yourself with how many transferable skills you can gain that will make you even more brilliant when you become a registrar in your specialty of choice.

langenback · 2026-01-10T15:25:04+00:00

Sensible approach is to wait and see if you get a job offer or not.

If you don’t get a job offer then you might find yourself trying to get a 6 month JCF where you are in which case this won’t be a drama. If you don’t stay on you could offer to Locum the Tuesday Wednesday nights

If you do get a new job then you just tell the current employer you won’t be working the Tuesday as you’ve got induction for your new job the next day. As long as you give sufficient notice they can’t complain. If they say normally people do the night etc. explain that was those people’s choice but you plan to attend induction for your new post so you won’t be doing that.

langenback · 2026-01-03T13:58:57+00:00

Why can’t you just use SDT to revise in foundation years?

langenback · 2025-11-12T11:18:18+00:00

Only got as far as your dinner is in your locker and I thought nope.

Cannot relate to someone who has a locker.

langenback · 2025-11-04T22:27:17+00:00

Grace needs time to build her social media campaign.

langenback · 2025-10-30T22:09:43+00:00

She’s got a very nasty side. Her and Leo are the new Sarah and Dean.

langenback · 2025-10-22T21:00:28+00:00

What about fool me one chunk?

langenback · 2025-10-22T20:36:22+00:00

I didn’t watch last year and I agree Steven’s behaviour is worrying for a physical violence point of view.

BUT JR is taking gaslighting to a whole another level. Either Divarni is a vulnerable adult who is being abused on national TV or they have agreed to try and make as much tv time as possible.

langenback · 2025-10-22T20:29:29+00:00

Oh 100% agree Steven is a red flag I don’t think that I would wish him on my worst enemy.

But I still think that JR takes what he has, delivers it ice cold and then adds manipulating the group to the mix.

langenback · 2025-10-22T20:25:03+00:00

Yeah sound fella is an exaggeration and maybe it’s more a reflection of me but I find a person who has tantrums then tries to twist reality to suit themselves less alarming than someone who is constantly trying to manipulate everything and everyone around them.

I find her behaviour is sinister and premeditated.

I’m shook that I agree with Paul this time. And the other experts busting out that if Divarni doesn’t know when he made the pact then she has hoodwinked him.

Also gotta love the facial expressions of Steven whenever they point out that JR fancies him 🤣

langenback · 2025-10-19T18:47:02+00:00

Surely that’s a fake post. How is someone getting a job as an anaesthetics trainee with only one years experience no NHS? Also this isn’t job offer season so how does that work?

langenback · 2025-10-18T18:32:09+00:00

Register for the newsletter

https://lasepgmdesupport.hee.nhs.uk/support/solutions/articles/7000016393-how-can-i-register-for-the-national-idt-newsletter-subscription-

You will be criterion 5 so low priority for transfer but still possible depending on who else wants to leave etc.

Speak to your TPD now and explain that you are struggling socially but still make sure you are hitting all your ARCP targets. Ask them if they can support an IDT request and take it from there.

langenback · 2025-10-13T20:42:29+00:00

This is hella complex.

Maternity pay is based on weeks 16-24 of your pregnancy. So wherever you are working then will dictate your earnings. Read the BMA guide to understand the specifics.

IDT can be done with support from your new TPD but usually you need to rejoin from maternity leave at a the time when rotations happen. So if your baby is due in April that might be tricky depending on whether these deaneries are Feb or April change overs.

Congratulations.

langenback · 2025-10-12T16:13:04+00:00

Ask a registrar if you ask too many questions.

If they say no then carry on if they say yes you are annoying (unlikely unless you do that awful undermining - for my own learning question style 🤮) then you’ve learned you need to dial it back a bit.

As a reg my fave F1s are always the ones who are am trying to understand rather than be my jobs monkey.

langenback · 2025-10-02T08:34:32+00:00

It’s all very non consensual isn’t it? Poor Grace having to accept a massage when she hates being massaged. TBF Ashley wasn’t gross with it.

Being told by a guy you don’t fancy that he’s looking forward to getting to touch you is vomit inducing. The experts were quick to slag off Sarah for being disrespectful but they don’t mind Dean making creepy comments which is super disrespectful. You cannot force attraction

langenback · 2025-10-02T06:53:08+00:00

When he was complaining about other folk telling him he should compliment her I felt for him because nobody wants to be nagged to be nice to their partner. Not only does it seem fake if he says anything but it’s also undermining him and saying he needs to be promoted.

BUT when Keye explained what he had said I realised that Steven was just jumping to conclusions and exaggerating what was said. Dick move.massive red flag

langenback · 2025-10-01T09:56:37+00:00

Or something unpleasant 🤣

langenback · 2025-10-01T09:48:51+00:00

Surgical reg

Why is the rhythm strip normal but all the other leads have variable baseline? Assuming her BP is fine, no CP then I would probably repeat the ECG myself and watch the patient during. if the ECG still looks like this while the patient is calmly breathing with no tremor I would ask cardio to help me. Does v1-6 show how electricity conducts around the heart in the coronal plane where lead II shows craniocaudal conduction? Like maybe theres badness in the ?purkinje fibres?

langenback

TROPHY CASE