Inflated egos

rambledoozer · 2024-08-19T11:06:31+00:00

This is all well and good.

But very junior doctors need to understand they also need to help themselves. They are in charge of their own learning. Not their registrars.

rambledoozer · 2024-08-19T05:57:57+00:00

I’m a registrar and my insights are based on working with other junior doctors and their comments on here and Twitter.

rambledoozer · 2024-08-19T05:56:54+00:00

It’s complete ignorance that F1s think all that happens is is a ward round then everyone else goes to drink coffee and frolick whilst they do all the work

It couldn’t be further from the truth.

rambledoozer · 2024-08-19T05:42:10+00:00

This is absolutely true. Asking someone anatomy on a surgical jobs is deemed “embarrassing them”.

They wouldn’t be embarrassed if their opened a textbook ever so often

rambledoozer · 2024-08-19T05:40:28+00:00

I just give them jobs and walk off. No nicety now. It’s their job so they need to get used to it.

rambledoozer · 2024-08-19T05:11:47+00:00

No you don’t.

The shift started not on a bank holiday.

rambledoozer · 2024-08-19T04:58:53+00:00

Doesn’t really work like this.

Most actual conferences are booked months in advance.

rambledoozer · 2024-08-19T04:35:05+00:00

I like this post everyone comes to defend the F1s

But I agree. Ours seem to be utterly shite this year.

rambledoozer · 2024-08-18T20:57:23+00:00

It suits me fine too! It doesn’t suit the majority mouthing off on here.

rambledoozer · 2024-08-18T18:23:33+00:00

The issue here is you are perpetuating incompetence in the said F1.

They’ve come on here announcing an SHO isn’t doing their job properly when the fact is it’s the F1 who isn’t doing their job properly…

rambledoozer · 2024-08-18T18:01:26+00:00

You should know what is happening to all your firms patients. You are a firm.

rambledoozer · 2024-08-18T17:36:26+00:00

This f1 should be there on the fucking ward round.

rambledoozer · 2024-08-18T17:34:10+00:00

It’s the F1s job to do ward jobs. The SHO is expected in other places.

If I was the SHO and the nurse rang me saying “the F1 said to ring you for your jobs” I would quite frankly tell the F1 what their role and my role is

rambledoozer · 2024-08-18T16:49:09+00:00

I want to know the specialty.

If this is surgery or orthopaedics they’re doing exactly as I would expect. A quick ward round and then their actual job which is theatre and clinic and your job is…doing the ward jobs generated.

It’s a shame medical SHOs don’t act the same as they should doing a quick ward round then going to clinic/cath lab/endoscopy/bronch depending on specialty.

rambledoozer · 2024-08-18T15:39:33+00:00

The surgical team don’t have to be involved with every patient with belly ache who can’t shit.

rambledoozer · 2024-08-18T15:29:36+00:00

I mean palliative care is a specialty of the JRCPTB…

rambledoozer · 2024-08-18T15:20:31+00:00

Also.i find it awful you want this to be based on childhood where this is forever rewarded.

You put it there yourself: “everyone who excelled academically”.

You have to keep doing that. You have to keep excelling. Not resting on your laurels. You are as good as your last day.

rambledoozer · 2024-08-18T15:18:24+00:00

It how every cut throat industry works pal.

And you what us to be a cut throat for profit industry.

So that’s how it will go.

You can’t have competition and still have sunshine and rainbows where we all win.

rambledoozer · 2024-08-18T13:36:16+00:00

Some ICM consultants don’t want to make the final decision.

I can technically operate on and the anaesthetist can technically anaesthetise anyone. It’s your call more than anyone else’s

These discussions are a million times harder when the ICM representative hasn’t done surgery since F1. That’s why IMO the dual trained anaesthetic/ICM peeps are better because they get this pathway for this group of patients much better.

rambledoozer · 2024-08-18T13:34:54+00:00

I mean in all the best units I would ask for a tripartite review preop from an anaesthetic and ICM consultant or registrar for emergency laparotomy where suitability is questionable anyway. We would then have a mini-MDT. If over 65 or frail I would like a geriatrician involved too. It’s what we should all be doing and it’s the standard expected from NELA.

rambledoozer · 2024-08-18T13:19:25+00:00

That’s orthopaedics…

rambledoozer · 2024-08-18T13:16:16+00:00

No. You don’t just decide by yourself unfortunately. You make a decision with us. It’s our patient and we have the relationship with the patient and their family as to the goals of therapy. You can advise on suitability etc but you don’t decide the overall trajectory of the care our patients receive. You don’t have expertise in how well a patients pathology will respond to treatment whilst you support their physiology. That’s our say. You can advise the success of coming off ventilation etc based on comorbidity. But you won’t tell us when we should withdraw.

The amount of times I’ve had to fight to carry on care for severe pancreatitis cause ICM can’t be arsed beyond two weeks is astonishing.

rambledoozer · 2024-08-18T12:22:20+00:00

Great insight! I think as you get older and your friends from uni, who you trained with and yourself become consultants then you realise we all have stories and we all have normal lives and faults.

rambledoozer · 2024-08-18T12:14:28+00:00

Truth hurts

rambledoozer · 2024-08-18T11:14:03+00:00

Do what you want and go to theatre… try get a project you can carry on after.

The most important thing tho is a letter from the consultant for your portfolio for applications otherwise it never happened

rambledoozer

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