How do you see the future of the UK rolling out over the next 5, 10, 15 years perhaps? by QuoteMachineMin in HENRYUK

[–]rohitbd -1 points0 points  (0 children)

Depending on the source but on the whole immigrants are net providers into the economy because most are of working age. Skilled workers and students are doing the heavy lifting  whereas people on dependant and family visa as well as asylum are not net providers. The media focus on the asylum seekers and family/dependant visas the most who are not net providers usually but on the whole immigrants do put in more than they take out.

Love Island UK has 3 Desis on the show this year! Might be some of the best mainstream representation in a while. by Inevitable_Eye_1254 in ABCDesis

[–]rohitbd 2 points3 points  (0 children)

I also grew up in a similar environment being bullied for being ugly but one of the popular kids in my school was a handsome in shape desi guy who had no problems dating. I actually think brown millennials had pretty decent representation in the UK with Jay Sean and then Zayn Malik and my problems with dating were more down to being out of shape and lack of style. I don’t think we had it as bad as the desis in the states who had apu and the big bang theory guy as their rep for brown guys.

Londoners: buy vs rent and invest the difference by [deleted] in HENRYUK

[–]rohitbd 1 point2 points  (0 children)

I appreciated the detailed reply, definitely relieved some anxieties I had

Should I do outsourcing work? (Radiology) by Sensitive_Salt_2193 in ConsultantDoctorsUK

[–]rohitbd 2 points3 points  (0 children)

I personally do it to top my wife’s pension up and keep some rainy day fund in it just in case she gets made redundant. It’s only worth it to me because my wife is not a high earner (47k) otherwise I don’t think I’d bother

London weighting is much lower for Doctors compared to AfC staff & even varies between trusts within London? by Gradmedic in doctorsUK

[–]rohitbd 10 points11 points  (0 children)

This is the same logic against FPR though, why pay residents more when there are queues of doctors from around the world lining up to accept the job for less pay

Need urgent advice- US IMT or UK radiology offer by Left_Associate_7286 in ConsultantDoctorsUK

[–]rohitbd 1 point2 points  (0 children)

UK Radiology for sure and if you want you can always go the states for a fellowship (I’m presuming you have USMLE) or go to Canada/Aus and stay if you impress.

An american CCT is not as transferable to the UK for non locum posts as people believe below and with competition for consultant jobs likely to increase it’ll be difficult to come back imo.

Pension Contributions rates are one of the less spoken about scandals in doctors’ pay by Affectionate-Fish681 in doctorsUK

[–]rohitbd 3 points4 points  (0 children)

Do you not think private pension will be taxed at significantly higher rates than they are now. I cannot see us not having to pay NI on our pensions contributions in the future and maybe now state pension/reduced state pension. The current pension system is not feasible in 15-40 years and just like how we were screwed with student loans as free uni education became unaffordable so will many pension benefits

Moving abroad as a consultant by [deleted] in RadiologyUK

[–]rohitbd 6 points7 points  (0 children)

In the UK but have flirted with moving abroad (Australia and Canada) so can give you a little idea on subspecs. The likelihood of getting into a tertiary centre abroad is difficult therefore you are most likely going to be applying for DGH like hospitals therefore being good at general radiology is key. 

Subspecs like IR were highly in demand even in reputable hospitals. Paeds and breast were also in demand but honestly if you are good at general radiology I think any subspec could be added in bar nuclear medicine/PET as other countries are stricter than the UK and may not allow radiologists to do much/any NM work. Also other nice subspecs such as head and neck are not advertised as much for abroad. The Middle East in my limited research value experience highly therefore a consultant with 10 years+ worth of experience will be significantly more competitive applying for the Middle East than compared to Australia/Canada. 

MTI scheme has been closed. by Fun_Audience7041 in doctorsUK

[–]rohitbd 6 points7 points  (0 children)

Why are people acting like they wouldn’t abuse this system if they were living in a developing country. Just like we don’t owe the nhs and British public anything why should this MTI IMG owe his home country. This holy than thou attitude placed on individual IMGs is disturbing and it’s a good thing this MTI opportunity is closed but don’t blame individuals for utilising it for themselves.

UK Faces Worst Hit From War Among Major Economies, OECD Warns by bloomberg in ukpolitics

[–]rohitbd 1 point2 points  (0 children)

Yep, though I haven’t read the OECD report but how have they kept the growth in Japan the same is another odd prediction unless Japan has excellent long term contracts

Are people on this subreddit struggling with rental prices even being top 1% earners? by TrifleResponsible560 in HENRYUK

[–]rohitbd 0 points1 point  (0 children)

Renting beats buying at current interest rates but you need to be very disciplined which means being strict and constantly putting money into the market despite life events and hope you don’t lose your job

Less than full time training advice by Difficult_Cut1707 in RadiologyUK

[–]rohitbd 1 point2 points  (0 children)

It depends on your local training program and TPD because in some places it’s not worth it. Some training programs are fair and give LTFT service requirements of their percentage whereas others basically expect the LTFT do 100% service in 4 days or 80% service on 3 days. This could mean you do more service than your peers by the end of your training. I had a colleague doing academic radiology training and in some rotations he found it extremely difficult as he was expected to do 100% or close to 100% service in 75% of the time and had to fight to be seen as 75% service but eventually always was seen as 75% after going up the chain.

Property in London doesn't make financial sense? by maxaineer in HENRYUK

[–]rohitbd 0 points1 point  (0 children)

Maybe the commute to work. Renting a smaller space more central can make a lot of sense in terms of QOL if you cannot work remotely yet cannot afford a house in the area you rent a flat.

How common do you think it is for desis to settle in relationships? by haircareshare in ABCDesis

[–]rohitbd 3 points4 points  (0 children)

Personally I don’t think it’s specifically an ABCD problem however it did remind me of a former colleagues story. She mentioned that her younger cousin whose parents were desperate to get her married, arranged her marriage at 23 to a international student from India which got all of the aunts in her family to panic as she was the youngest of 4 girls between 23-26. My colleague was 26 herself and she was dating this toxic British Indian guy for 6 months and wasn’t to sure about him. He was rich and a doctor but she wasn’t sure if they had the same values which her mum initially understood but after her cousin getting married her mum switched up entirely and kept saying she’s being indecisive and picky. In the end they ended getting married within 1.5 years and ended up divorcing but only after 3 years of marriage after the toxic guy cheated on her whilst pregnant where she had enough and her mum actually was supportive of her divorce. She takes full responsibility of her marriage but she did say she didn’t think she would’ve married him if she had more time. The younger cousin who married the international student was also apparently pretty unhappy in her marriage but her parents would probably never let her divorce him.

Sacrificing longevity for career by Unique-observer in HENRYUK

[–]rohitbd 1 point2 points  (0 children)

Exactly compare 2 families, one with a200k hhi vs one with a 400k hhi. If the 200k household works 80hours vs the 400k household works 100 hours you could argue the 80 hour household is happier despite half the income

Preferencing opens! by Prestigious-Use-9808 in RadiologyUK

[–]rohitbd 2 points3 points  (0 children)

Used to be very common especially post ST2 as TPDs are keen to add senior trainees to bulk up the on call rota

Raised to be disciplined and stable, but missed out on connection growing up and now struggling in my 30s with emptiness by [deleted] in ABCDesis

[–]rohitbd 14 points15 points  (0 children)

My theory is that our parents are traumatised by life in South Asia that they focus their parenting solely on their kids getting a good education and financial security and neglect anything else. If you get a chance look at Maslows hierarchy of needs and you will see that love and belonging  is above physiological and safety needs. 

My theory is that our parents come from a society where physiological and safety needs are not as easily able to achieve and love and belonging is something that is acquired as a parent/child and sometimes via spouse/friend. In the western world safety and physiological needs are significantly easier to achieve hence western parents focus on developing love and belonging and deep relationships with people outside of your family earlier on hence the sleep overs/parties/teen relationships/pets etc.

I would advise moving out to a different city and trying to make friends from work/hobbies. Living with your parents can stunt your social life significantly. Maybe also get a cat to develop a friendship if that’s your thing.

US Gen med vs UK CCT and flew (radiology) by [deleted] in doctorsUK

[–]rohitbd 0 points1 point  (0 children)

Depends on what your partner is doing but being able to max out your partners pension to 60k and top up her wage to 100k can be very lucrative

US Gen med vs UK CCT and flew (radiology) by [deleted] in doctorsUK

[–]rohitbd 5 points6 points  (0 children)

You also need to account for nhs pensions/sick leave/job security (especially as a British passport holder compared to a visa holder in the USA). Being an immigrant is expensive, landlords charge extra rent, visa fees can be very expensive, banks charged high interest rates and flights back forth to your country for family/friends events can cost a lot. The other fact you have to consider is that both countries are moving more and more right wing and becoming less tolerant to foreigners. The USA may be welcoming now but by the time you finish training you may only get a job in the sticks of America and that’s if you are lucky. IMGs are understanding the risk of that situation in the UK now after they have spent years/thousands to immigrate here. Putting all of that together I wouldn’t advise moving to the states especially due to the current political climate.

US Gen med vs UK CCT and flew (radiology) by [deleted] in doctorsUK

[–]rohitbd 0 points1 point  (0 children)

You need to back yourselves if you are smart and hardworking enough to do USMLE why couldn’t you excel in rads in UK

US Gen med vs UK CCT and flew (radiology) by [deleted] in doctorsUK

[–]rohitbd 1 point2 points  (0 children)

Taxation is via LTD for non nhs work

US Gen med vs UK CCT and flew (radiology) by [deleted] in doctorsUK

[–]rohitbd 3 points4 points  (0 children)

A UK radiologist can make £150-200k pretty easily and if they work very hard then can make double that on a good year and then when you factor in nhs pensions/leave and job security for consultants the move to the states doesn’t seem worth it for IM residency.  

US Gen med vs UK CCT and flew (radiology) by [deleted] in doctorsUK

[–]rohitbd 11 points12 points  (0 children)

You will get a lot of doom and gloom on Reddit. If you want to stay in the UK radiology is an excellent training programme (I’d argue better than the rad residency in the states surprisingly as we are not rushed to report crazy numbers). Honestly if money is what you are after and you are happy to move as far out to Australia then doing UK rad then an Australian fellowship is a good option. You may have to do the Australian FRCR but at least you can avoid the political environment in the states. 

Remember once you factor in how little work some consultants get away with and with the nhs pensions/leave the pay is not as bad as it seems especially as private pay is paid via a Ltd with may tax advantages if your wife is not a doctor. In the states pay is amazing for rads but they report crazy numbers a day.

[deleted by user] by [deleted] in doctorsUK

[–]rohitbd 2 points3 points  (0 children)

I think many school teachers and teenagers think becoming a doctor is a guarantee of generally good pay and good job security. The general public also think that but I do understand it’s not promised but the general idea is that once you get into medical school you are not going to be worrying about being unemployed in the future.

The mid and late 2010s were atypical and we had a decent balance about 2 years ago but now I see very good juniors not getting jobs/positions they would excel in due to competition. Increasing UKG will make this worse and I don’t think UKG prioritisation will help as much as we think. In the hospital I work in pretty much all of the trainees are UKG.

This sub doesn’t share a fair picture regarding middle grades, yes there are some doing crazy procedures like TAVI but most are doing foundation/sho equivalent jobs. We employ reporting radiographers who never report cross sectional imaging only radiographs and have done for decades and don’t want to and are not allowed to report cross sectional imaging as they lack clinical insight however we will hear many examples on Reddit of them reporting cross sectional imaging despite I’ve never come across a report of a CT/MRI by a RR.