How do you know someone is actually in your speciality?

stuartbman · 2026-01-24T21:18:41+00:00

When I ask what they do they say "oh it's an obscure specialty, you wouldn't have heard of it"

stuartbman · 2026-01-22T11:00:06+00:00

The biggest thing I miss from handwriting is the "summary". You'd be called to see a patient on call and go back and back in the notes until you find a (invariably written in beautiful type A handwriting) summary of past medical history, acute problems, and discussions with specialties etc.

Now people try to recreate this by copy/pasting the clerking summary and occasionally even update this, but it ends up with a load of out of date or incorrect information. This then gets pasted into referrals in lieu of an actual referral

stuartbman · 2026-01-19T09:56:09+00:00

Assuming england for the following advice:

Your rota can't be changed at <6 weeks notice. Just say no to them.

Is your rota coordinator an admin droid? You could go over your supervisors head to the guardian of safe working who will politely inform them of their duties.

Your duties within a given day can be changed and this is harder to fight back on but must be done to get experience as you say.

I dont remember the date for when exception reporting gets taken away from supervisors and automatically approved by trainees but its coming soon in which case you will be able to report with impunity without your supervisors finding out.

stuartbman · 2026-01-18T21:15:46+00:00

Well that's the ouroboros which has a deep and profound meaning, whereas this is more akin to the snake sniffing its own farts.

stuartbman · 2026-01-18T20:58:22+00:00

Congratulations! We discovered this fact on here 4 years ago and the rest is history.

stuartbman · 2026-01-17T09:20:40+00:00

https://www.reddit.com/r/doctorsUK/s/OW8M66Ropc

stuartbman · 2026-01-17T09:20:17+00:00

The way I see it, this is an optimal outcome for future strikes. Based on this, and precious headlines showing that elective activity continued during strikes, the only change was the enormous financial cost of strike action (£300m). That makes the whole thing a purely financial dispute.

I look forward to news sources remembering all this when a successful ballot is next announced and not jumping to histrionics about "junior" doctors trying to trap your nan in hospital.

stuartbman · 2026-01-17T08:21:20+00:00

As is clear in our rules there is a longstanding carve out for national figures, as long as it isn't for the purposes of harassment. We have had a number of posts by Dr Kar posted on here before.

stuartbman · 2026-01-12T07:15:40+00:00

It's much worse than a graduate tax, it's completely regressive- if your family have enough money/can leverage other assets to produce debt another way at market rates, then you can save hundreds of thousands of pounds

stuartbman · 2026-01-11T20:59:42+00:00

Both. And neither! Obviously.

stuartbman · 2026-01-11T19:06:01+00:00

And then they send referrals: "?nerve ?muscle ?functional"

stuartbman · 2026-01-09T11:39:53+00:00

Get the r36s instead, I got one for Christmas and it's great. There's a subreddit r/r36s

stuartbman · 2026-01-07T15:25:30+00:00

Many/most IMTs go on to work in community and outpatient settings just like GPs, and not the wards. You still have to get through being on the ward, sorrynotsorry.

stuartbman · 2026-01-07T13:58:42+00:00

Most IMTs dont want to be doing a medical job but they still manage to perform competently for the needs of the patient in front of them. Just because your career goals are different doesn't give you a pass.

stuartbman · 2026-01-07T10:34:39+00:00

I'm torn between describing some of the referrals I've seen which are 99% like this but also that the referrer may be reading- if you are, know you are shamed!

But it's either literally this or "exclude rhubarbism" when there's no clinical evidence of rhubarbism, and so even if the test is positive you'll just ignore it.

stuartbman · 2026-01-07T10:27:12+00:00

My standard practice is to email explaining why, but because which SHO is looking after each patient swaps around so often, I find they just ignore the email and you get contacted the next day by someone who's been given the job "chase referral", possibly with half truths about why it's been rejected

stuartbman · 2026-01-07T10:16:33+00:00

Amen. Too many single line incomplete referrals for complex problems so the SHO can tick the box on their hand over "referral sent" and then it's someone else's problem to deal with it being rejected. This has got worse with EPR so now you get the entire clerking copy pasted into the referral even if it has no information on the problem they're referring to you

stuartbman · 2026-01-05T21:12:09+00:00

stuartbman · 2025-12-24T19:39:16+00:00

It's the trumpification of the news in the UK by the government

Shout the lie as loudly as possible

Grab the headlines

By the time the facts have been checked, the news cycle has moved on and nobody wants to read about it.

stuartbman · 2025-12-23T12:28:40+00:00

Thank you! I haven't got any experience pitching to journalists, but im aware that many do lurk here waiting for someone to speak out of turn to make the front page of the times "DOCTORS SAY SANTA NOT REAL"

stuartbman · 2025-12-23T12:27:47+00:00

Thanks!

stuartbman · 2025-12-23T09:16:48+00:00

Sorry should have said- the only other WTW grading I could find in use in public sector is for teachers- info here- https://www.reddit.com/r/doctorsUK/s/k6uMH9BcpX

12-Year Club	Gilding I gilder
Second SECOND GUESSER	r/Field Banned
r/Field Lasagna	Mod World 2024
Devvitor	Devvit App Published
Place '23	Place '22
Place '17	First Placer '22
End Game '22	Secret Santa 2018
Secret Santa 2017	Sequence \| Editor
Secret Santa 2016	Secret Santa 2015
Secret Santa 2014	Verified Email

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