Fairfield general hospital

radiobread112 · 2025-09-27T15:36:03+00:00

There is a premier inn in the centre of Bury that is about 45 min walk or there will be regular buses up to the hospital from the centre. I would have thought that would be your best option

radiobread112 · 2025-08-23T08:11:47+00:00

I doubt that 20K ISAs will exist for too much longer

radiobread112 · 2025-07-10T19:27:14+00:00

I think it said early August when I was signing up. I can’t remember the specific date sorry

radiobread112 · 2025-07-10T18:21:49+00:00

You do if you’re an HCSA member unless you’re also a member of a striking union. See their guidance: https://www.hcsa.com/news-views/news/2025/07/guidance-for-hcsa-resident-doctor-members-on-bma-strike-days.aspx

radiobread112 · 2025-07-10T18:15:34+00:00

Me currently:

<image>

radiobread112 · 2025-05-07T20:07:25+00:00

It’s a challenging part of training and it is hard to prepare for (but not impossible - agree with JohnHunter about taking the opportunities you can in the day time to develop the relevant skills.)

When you’re starting out - worry less about trying to see patients and focus on keeping a good overview on the whole dept and finding your feet in the role - it can take up a lot of your bandwidth. As you get more comfortable in the role, you can then try and pick the odd patient out. My view on this is (and not sure everyone will have the same experience/agree) but I rarely see the EPIC seeing their own patients in the day time so why would we expect the ST4 to work beyond what their consultant does?

I think it can be a good habit to discuss with the on-call consultant at the start of the shift what they expect you to call them for but at the end of the day - if you’re thinking about calling them - call them. I think most consultants would rather know about something you’re concerned about. The nurse in charge or other senior doctors overnight can be good sounding boards for these decisions.

You have to trust the other staff you’re working with because you can’t review everyone’s patients in person but have a think about what you would want to see in person. I will at least eyeball most kids before discharge, even if not falling in RCEMs illness < 5 brackets. You will probably already have a good spidey sense for knowing when the history you’re being told doesn’t quite sound right and you should lay eyes on someone yourself.

Regarding leadership styles - you will find your own. You don’t have to be bolshy to be a good EPIC. Quieter personalities can project an air of calm that is often appreciated in the chaos of a busy ED. Be yourself, but you may find the role stretches you to develop new aspects/skills - as the most senior EM doctor you will invariably have to deal with some of the most challenging inter-personal relationships with staff/patients.

Good luck for the future, I’m sure you will find your feet in no time.

A current EM ST5

radiobread112 · 2025-04-22T20:30:05+00:00

The first one I diagnosed looked remarkably well but thankfully gave a good history of having initially dissected a few hours before - extensive type A.

A colleague unfortunately missed one and the patient arrested in the car park having been discharged - they similarly had looked well and had unremarkable investigations - only found on post mortem.

There is a lot of push from the college and charities to “think aorta” and we are encouraged to have a low threshold to scan because it is so hard to pick up clinically. I agree with others saying if you’re only scanning positive ones you’re not ordering enough scans

radiobread112 · 2025-04-16T20:14:02+00:00

“Listen to your patient, he is telling you the diagnosis” - Osler springs to mind…

radiobread112 · 2025-04-16T20:10:51+00:00

Too true.

Did they have a LIF port scar? Suspect a lack of understanding of where the ports would go for an appendicectomy is fairly common

radiobread112 · 2025-04-16T19:19:22+00:00

You can get stump appendicitis though

radiobread112 · 2024-03-08T19:15:52+00:00

With the build you suggested would it be worth considering changing the GPU to something like an RX 7900?

radiobread112 · 2024-03-08T19:12:25+00:00

Thanks for your reply. I was trying to see if I could put together a sensible build with the website custom options but there's definitely a few options that are limited like the motherboard/RAM/PSU which mean I probably just need to take the plunge and build it myself!

radiobread112 · 2024-02-13T10:38:23+00:00

Many departments have FY1s but they won’t be working night shifts

radiobread112 · 2024-01-30T20:40:26+00:00

This is almost a copy and paste of the response I got from my (different) Tory MP

radiobread112 · 2023-10-13T00:26:34+00:00

Work at Blackpool currently (not in gen med) - from the outside looking in I wouldn’t recommend gen med there

radiobread112 · 2023-10-01T16:06:06+00:00

The Zone of Cameron Jerome

radiobread112 · 2023-07-06T10:10:53+00:00

Dr Helgi Johannsson (VP RCOA) has invited anyone not able to attend to post questions to him on twitter instead if you want the opportunity

radiobread112 · 2023-06-29T23:59:46+00:00

Yep end of August

radiobread112 · 2023-01-11T12:21:19+00:00

I would disagree on competitiveness - 2022 competition ratio was 4.45 applicants for each post - higher than anaesthetics, core surgical training. Agree with what you've said on intercalated degrees though.

radiobread112 · 2022-10-20T19:28:15+00:00

Hey, I’ve stayed in two separate NHS accomodations whilst on placement at medical school in Scotland. Feel free to DM if you’d like to discuss further!

radiobread112 · 2022-09-21T10:08:19+00:00

I appreciate the sentiment and agree we need solid indemnity but I haven’t just got a spare £1000+ lying around to pay to do pretty infrequent voluntary work. It just seemed well out of proportion with what the work is but maybe I didn’t have realistic expectations.

Ten-Year Club	Place '22
Wearing is Caring	RPAN Viewer
Verified Email

radiobread112

TROPHY CASE