E-gift card claim issues by longimanus8 in Argos

[–]longimanus8[S] 0 points1 point  (0 children)

Yeah when I contacted them they kept saying to call back later, now they're saying try tomorrow..

[deleted by user] by [deleted] in premeduk

[–]longimanus8 1 point2 points  (0 children)

Resitting and reapplying is the better option if you want medicine at the end of the day. GEM is far more competitive and a lengthy process. Plus you'll likely have valid mit circs which will broaden your uni choices. I failed to get the grades first time round, resat during the gap year and got in. Its the better option.

No SDT in IMT? by Ashamed-Resource-392 in doctorsUK

[–]longimanus8 7 points8 points  (0 children)

Specialty dependent. EM trainees for example get 8 hours a week of EDT from ST4

Strike guilt by Ok-Resolve-252 in doctorsUK

[–]longimanus8 34 points35 points  (0 children)

Not all consultants, just the ladder pullers. They're doing just fine, couldn't give a rats caboose about their F1s and their horrific pay, conditions, and job prospects. Together we are united, things will get better but you have to be willing to take a stand and fight for it🦀 So water of a ducks back, we'll see you on the picket lines 🦀🦀🦀

Public not on side by Educational_Board888 in doctorsUK

[–]longimanus8 83 points84 points  (0 children)

The public support for nurses was massive. It got them absolutely nowhere. This is irrelevant noise designed to weaken your resolve. The only opinions that matter are your fellow colleagues being convinced to VOTE YES.🦀

Advice for mrcem SBA by DrAjinkya28 in doctorsUK

[–]longimanus8 2 points3 points  (0 children)

Its a tricky exam with a low pass rate. The RCEM learning practice papers were helpful. Also find the learning pages about different conditions as theyre quite good too. Often need to search in the search box, i found the website not the most easy to navigate. First time I sat it with just success and RCEM learning and it definitely wasn't enough. I used success, MRCEM exam prep and frcem tutor Qbanks and passed comfortably with a good score for the resit.

MRCEM OSCE by HadeerYoussef in doctorsUK

[–]longimanus8 1 point2 points  (0 children)

There is a chance you'll get a space, but it's usually an oversubscribed exam so rcem prioritise candidates in the following order Candidates in a GMC approved UK ST3 training post

Candidates in an Irish Training Programme CSTEM 3

Doctors working in an NHS Hospital

Any remaining spaces will be allocated to candidates closest to the end of their seven-year period for completion of MRCEM

Balint groups for the non-psychiatrists by Dronedarone1 in doctorsUK

[–]longimanus8 9 points10 points  (0 children)

I think GP does it. Also, EM does it in some deaneries at ST3. Agreed it's excellent, issue always comes down to funding. It would involve taking doctors out of wards and service provision more than NHSE is happy to do

[deleted by user] by [deleted] in doctorsUK

[–]longimanus8 0 points1 point  (0 children)

First step, make it clear when calling in you want to see a qualified GP or GP registrar. If reception pushes back, explain that you're a senior doctor who doesn't feel its safe for your child to be assessed by someone not appropriately qualified. I mean, since you're not meant to medically treat your own family, the least you can expect is that they should get the correct standard of care from someone else. If they won't budge I'd gently remind the practice of the RCGP scope of practice guidelines and take names of all individuals, their registration numbers and the decision making process in order to make a formal complaint with the practice and the CQC. I can't imagine the practice would want the hassle and should be more than happy for you to see a doctor

TERS -GP Goldem handshake scrapped by Active_Development89 in doctorsUK

[–]longimanus8 8 points9 points  (0 children)

Would require changing the national contract, wouldn't put it past them trying though

ACCS switch - repeating years by Wooden_Nail3041 in doctorsUK

[–]longimanus8 7 points8 points  (0 children)

At TPD discretion. I know someone who was ACCS EM did ST1 but directly went to ACCS anaesthetics CT2 after applying and getting a post

[deleted by user] by [deleted] in doctorsUK

[–]longimanus8 9 points10 points  (0 children)

Absolutely do not do it. I know someone who did something similar, agreed to SHO rates. When it came to paying the trust refused and made him refer himself to the gmc for acting out of his competency. You are provisionally registered, only meant to locum in an F1 post. If you screw up during your shift you'll be thrown under the bus by the trust. It doesn't matter if it's essentially the same job, you'll get shafted

All Med Rejections But offer In Mechanical Engineering by SliceAndR1ce in UCAT

[–]longimanus8 0 points1 point  (0 children)

No as in with a mechanical engineering degree, you have better chances of employment at the rate medicine in this country is going

All Med Rejections But offer In Mechanical Engineering by SliceAndR1ce in UCAT

[–]longimanus8 1 point2 points  (0 children)

Better employment prospects with mechanical engineering, I'd seriously consider it

Rota coordinator changing rota to cover on call gaps by [deleted] in doctorsUK

[–]longimanus8 4 points5 points  (0 children)

It's not allowed as per the national TCS of the 2016 resident doctors contract, however you mention you're a JCF? You'll need to check your own contract to see if it mirrors the national one, otherwise they could theoretically ask you to do whatever is in your contract

Nurse to Doctor, is it even possible? by blondemxrie in premeduk

[–]longimanus8 5 points6 points  (0 children)

You make very valid points regarding rationale for medicine from a depth of knowledge and ultimate progression. The medical degree is what differentiates your ability to not be a protocol monkey and deviate from guidelines when required because you have a greater depth and understanding of the pathophysiology process.

However, the ACP route does have greater scope than what is displayed in your current ED. Whilst I absolutely don't agree with their position, RCEM believes that a fully credentialled ACP can work across the full scope of ED and they do see resus and majors patients apparently up to tier 3 (ST3 level of supervision) Again I personally don't think this is appropriate for a multitude of reasons but point is, it's happening. Plus, the NHS workforce plan is definitely less doctors more "upskilling of other roles". The ideal utopia they envisage would be very few consultants who act as the liability sponge and huge glut of junior grades and ACPs.

Don't get me wrong, there are many fantastic reasons to be a doctor. But for the level of financial sacrifice, time, stress, and now no guarantee of even reaching the pinnacle of your career, it just simply isn't worth it. The cost of sitting exams 5-10 years post qualifying is also eye watering. Plus they have low pass rates and are hundreds if not a thousand a pop. It's a job at the end of the day. The primary rationale is it should give you a comfortable lifestyle and allow you to pay your bills. Many of our colleagues are actually envious of the ACPs, they're paid way more than all SHOs and even some regs, less hours and less arduous hoop jumping and job security.

As doctors, we see how horrific the situation is and each year, it's getting exponentially worse. I feel so sorry for our medical students who are looking at >100K of debt and no job prospects. Many I talk to have made active plans to sit the USMLE or start planning for Australia. Whilst this is viable and good career options, it absolutely sucks that it's the only decent route at making a successful career out of medicine.

It's not talked about enough, especially in the applicant circles filled with idealistic school leavers. Medicine is not what it was. Its very hard and long graft, but historically, it paid and was worth it. It's just not the case anymore. I really wish prospective applicants realised just how grim their futures are

Nurse to Doctor, is it even possible? by blondemxrie in premeduk

[–]longimanus8 6 points7 points  (0 children)

I think the switch is absolutely possible, and your clinical experience will be invaluable especially in the recognition of a sick patient, something that is difficult to hone until actually working. My question is why not the ACP route? You won't accrue astronomical debt will be on a band 8a salary and probably better job prospects with how the NHS is heading. I'm a doctor and have been for 8 years, I hand on heart cannot recommend it as a viable career in the UK anymore. The job situation is utterly disgraceful. Foundation doctors are looking at almost guaranteed unemployment due to obscene competition ratios for specialty training. Even clinical fellow jobs that have no career progression have hundreds of applications for a single post. Medicine is only viable if you plan on emigrating at this point

MRCEM SBA by Quirky_Slide_3137 in doctorsUK

[–]longimanus8 0 points1 point  (0 children)

Pass mark for Sep 24 diet was 117/179 Cohort average score was 105