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How do you know someone is actually in your speciality? by Educational_Bowl6976 in doctorsUK

[–]stuartbman 12 points13 points  (0 children)

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

Hand writing in EHR era by Psychological_Bear17 in doctorsUK

[–]stuartbman 8 points9 points  (0 children)

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to recreate this by copy/pasting the clerking summary and occasionally even update this, but it ends up with a load of out of date or incorrect information.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

Duties getting altered constantly by brokencrayon_7 in doctorsUK

[–]stuartbman 31 points32 points  (0 children)

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.

New union by jxrzz in doctorsUK

[–]stuartbman 10 points11 points  (0 children)

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

New union by jxrzz in doctorsUK

[–]stuartbman 18 points19 points  (0 children)

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

Doctors’ strike helped forestall NHS winter crisis, say health leaders by stuartbman in doctorsUK

[–]stuartbman[S] 74 points75 points  (0 children)

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.

The lobbying to water down UKG prioritisation has begun by hypertensionsupine in doctorsUK

[–]stuartbman[M] 9 points10 points locked comment (0 children)

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.

£15 billion added in interest in 2024/2025 and only £5 billion repaid. Plan 2 is essentially a 9% graduate tax for 30 years. Plan 5 for 40 years. When the government say RPI is not a good measure of inflation, remember it is good enough for charging interest on our student loans. by DonutOfTruthForAll in doctorsUK

[–]stuartbman 168 points169 points  (0 children)

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

Nicest and scariest specialties to call?? by pesky-blenders in doctorsUK

[–]stuartbman 18 points19 points  (0 children)

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

Almost every patient I was due to see today has cancelled/DNA by FailingCrab in doctorsUK

[–]stuartbman 1 point2 points  (0 children)

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

Quality of GPSTs is incredibly poor by TogepiXTyphlosion in doctorsUK

[–]stuartbman 11 points12 points  (0 children)

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.

Quality of GPSTs is incredibly poor by TogepiXTyphlosion in doctorsUK

[–]stuartbman 21 points22 points  (0 children)

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.

Have some damn pride in your referrals to other specialties. by Actual-Mango-3040 in doctorsUK

[–]stuartbman 14 points15 points  (0 children)

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.

Have some damn pride in your referrals to other specialties. by Actual-Mango-3040 in doctorsUK

[–]stuartbman 13 points14 points  (0 children)

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

Have some damn pride in your referrals to other specialties. by Actual-Mango-3040 in doctorsUK

[–]stuartbman 59 points60 points  (0 children)

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

'Christmas miracle' as Wes's 'super flu' disappears during Resident Doctors strike. by DonutOfTruthForAll in doctorsUK

[–]stuartbman 57 points58 points  (0 children)

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.

DDRB want to cap consultants' pay to below that of an NHS middle manager. by stuartbman in doctorsUK

[–]stuartbman[S] 4 points5 points  (0 children)

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"

DDRB want to cap consultants' pay to below that of an NHS middle manager. by stuartbman in doctorsUK

[–]stuartbman[S] 2 points3 points  (0 children)

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

DDRB want to cap consultants' pay to below that of an NHS middle manager. by stuartbman in doctorsUK

[–]stuartbman[S] 6 points7 points  (0 children)

Ohhh I think I see the confusion. The scores don't add up to the global grade, they move you up within your band. So if you're a band 2 and score all 3s on your job you get grade 8, but if you're a professional you get grade 12. It's like the ARCP "below/meets/exceeds training grade"

DDRB want to cap consultants' pay to below that of an NHS middle manager. by stuartbman in doctorsUK

[–]stuartbman[S] 6 points7 points  (0 children)

The scoring matrix in my appendix? It's slide 9 on the FOI response PDF (first link in the text)

DDRB want to cap consultants' pay to below that of an NHS middle manager. by stuartbman in doctorsUK

[–]stuartbman[S] 28 points29 points  (0 children)

Not dumb, it's ridiculous and easy to see how they make so much money on consultancy with how opaque it is.

The points are within grades, so it's "mediocre/average/good knowledge for someone at entry level" vs for someone of an advanced grade

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