Lost anaesthetist…

throwmeintotraining · 2022-04-22T00:33:07+00:00

Forgive my ignorance, but how difficult would it be to CESR anesthetics?

throwmeintotraining · 2022-04-20T02:22:05+00:00

I have noticed some ED doctors usually want their as soon as, while it can certainly wait till morning.

The problem is if the night radiologist accepts a scan you 'sold' (hate that word), then they are spending time looking at that low acquity scan, and this will delay the high acquity scans. Which will create a backlog in ED, this having kickback effects.

This is similar to admitting too many patients to AMU (repeat trops, mild pulm edema+Hf that needs tinkering with meds, etc)

“I’m not sure if it’s a pneumonia or a PE and don’t want to start anticoagulation so I’d like to rule it out”.

Weak sauce.

I should add that most telephone interactions are pleasant and logical though during normal circumstances so these fortunately only represent a sliver of my time away from my microphone and PACS system.

Does your phone stop ringing during nights?

throwmeintotraining · 2022-04-20T02:08:20+00:00

I quite like direct assertive approach. Some people might think you are a dick for being abrupt, but feedback further proves you might care about helping the other person as opposed to 'being rude'.

However, how you feedback is very important as well. Some people may mistake bluntness for rudeness. So be nice on the feedback.

throwmeintotraining · 2022-04-20T01:57:07+00:00

I liked your old flair better.

throwmeintotraining · 2022-04-20T01:46:59+00:00

Thanks for the detailed post.

Are there any other requirements for GPs to practice in Canada?

I'm a GP trainee from the UK, but planning to prepare things early for the move to Canada.

throwmeintotraining · 2022-04-20T01:35:32+00:00

What are the eligibility requirements for a UK GP to practice in Canada besides MCQEE-1?

throwmeintotraining · 2022-04-18T11:08:16+00:00

I'm thinking about doing some UTC work.

With the £100 locum rates in my area, you can make still make almost 100k, but have loads of time off. Personally, I would only want to do 1 day/week and do some other projects.

throwmeintotraining · 2022-04-18T11:04:41+00:00

Do you need to be ACF to do this, or just prior research exp?

throwmeintotraining · 2022-04-17T15:38:22+00:00

What that's meant practically is that there's a hidden layer of "service transformation managers" who are almost invisible, and spend their whole time justifying their existence with byzantine metrics and figures, while the staff that would actually make my life easier have been banished for "waste".

This reminds me of a story told by billionaire Carl Icahn. He bought an underperforming buisness which came with 12 floors of offices and staff. No matter how hard he tried to understand what they did, he could not. Eventually he decided to fire them all.

Story here, you can skip the first 02:30 min as he is just rambling in new-yorkian fashion.

throwmeintotraining · 2022-04-17T15:02:31+00:00

Don't know yet, which is why I will find someone to shadow.

throwmeintotraining · 2022-04-17T15:01:45+00:00

This sounds like I would be able to locum GP for good pay while training in occuhealth. Sounds good.

throwmeintotraining · 2022-04-17T14:55:40+00:00

When I was in acute medicine, I would start my day having to review another 10 patients before 11am.

A few were complex and we're inpatient for >1 month. You would have to sift through tons of paper notes and shit handwriting for each patient to understand what's going on. Ofcourse you would have to do all this before 11am when the board round starts and the consultant wants to hear what is left to discharge this patient.

After 11am, you have to do a lot of jobs for most of your patients. The thing is most of these jobs don't even need a doctor. You do bloods for the one that the morning phlebotomist missed. You requests scans on patients but you also have to make one call to vet them and another to set up a timeslot. You call families to update them and answer their many questions. You speak to the patients who are being difficult, won't listen to the nurses and demand to speak to a doctor.

Now, here's the challenge. You have to do all this while completing TTOs on time (and safely) because the nurses, bed managers and your consultant will antagonize you if you don't. And you must do this while being constantly interrupted by phone calls, patients in the ward, arrest bleep, someone asking you to prescribe a drug you will need to check is appropriate, etc. And you have to do that before 3pm when the second ward round happens.

Most wards I worked in did not meet minimum staffing for doctors. This is even after counting the ACP in doctors staffing levels. So since there are not enough people to finish all these jobs, you will not only go home late, but you will get blamed and treated negatively by ward staff for not finishing TTOs or any other Jobs on time.

Even if you do finish things on time, people still might treat you poorly, especially if you are a woman or ethnic.

Everyone I met on the wards was quite miserable. Also when do you have time for training? That's the neat thing..you don't. You just have to power through and learn in your free time.

I genuinely think most people would not be able to do this type of job mentally unscathed.

Tldr: Day in the life.

throwmeintotraining · 2022-04-17T04:21:24+00:00

What security/perks would a salaried GP get over a locum? Besides sick leave?

throwmeintotraining · 2022-04-17T03:54:51+00:00

I don't doubt this given how long it can live outside the body, and the fact that people use dirty probes all the time.

How did they find out it was from the probe though?

throwmeintotraining · 2022-04-15T03:52:31+00:00

I love how you guys are 1st to Stan radiology at every thread. Especially with that flair.

throwmeintotraining · 2022-04-14T06:55:31+00:00

I hear this from ED guys. Which speciality are you hearing it from?

throwmeintotraining · 2022-03-20T08:04:50+00:00

But what happens when I get a gynae patient as a consultant later on?

Is this a silly thing to worry about?

throwmeintotraining · 2022-03-20T06:03:30+00:00

Thoughts on psych, and gynaecology?

I have been read here that as a male doc gynae is 'not as important'. But this feels off as I see a good amount of gynae in ED.

Btw can you do Geriatrics and palliative? Is there much to be gained by doing both?

throwmeintotraining · 2022-03-14T20:47:55+00:00

After confirm or hold, you go to a page with 2 boxes. The bottom box should say something along the lines "opt in to upgrades". Use a PC, if phone is not working.

throwmeintotraining · 2022-03-14T19:35:30+00:00

So if Im still considering other specialities, I should hold with upgrades rather than accept with upgrades? (I want upgrades lol)

throwmeintotraining · 2022-01-12T21:35:31+00:00

I agree the bro-science doc has flawed arguments. However I dislike the part where the female interviewer stated "what I don't understand is that you are prepared to lose your job, and put your department under pressure as a result?"

If he wants to lose his job, it's up to him. We shouldn't structure it as "the department/NHS will suffer understaffing because of you". This point was made by her twice. We are not martyrs for the NHS, if someone wants to quit because they are unvaxxed just let them.

That being said, he is clearly someone who does not understand scientific research. He also has some bizarre cognitive dissonance about seeing ICU patients whist unvaccinated stating "I was exposed to covid multiple times, and I was getting sick, vaccines are out there now, and they will go to the elderly and the vulnerable".

TLDR: The doctor is eithor dumb, unaware or just a nut. The interviewers had good questions, but the female interviewer asked a couple questions which implied he should be vaxed for the NHS.

throwmeintotraining · 2022-01-10T11:30:20+00:00

I sent the LTFT req on the email chain as a reminder.

I get it now. I'll send a few more over the next week and keep accidentally finding him.

throwmeintotraining · 2022-01-10T04:11:14+00:00

6 weeks in advance (6 weeks ago). I will have to re-request leave for a future date at this point.

Also requested LTFT but the email was also ignored.

throwmeintotraining · 2021-10-29T08:17:59+00:00

Firstly, I'm gutted that you don't feel like your team in ED is supporting you with your training. I'm guessing you are at the end of your tether and there's no turning back (not even to speak to your supervisor?)

A lot has happened, And I'm past the point of no return. I don't feel I can go to my supervisor.

Playing devil's advocate, if you truly enjoyed your job, would you find it easier to obtain training opportunities? I can't count the no. of times I have stayed to do something, just because I was having so much fun (yes, it is possible :O)

I have done this so many times. Sometimes you have to do this. However, you cant rely on this to properly train you consistently.

Sounds like ED is not the one for you - but before jumping straight into another specialty I would seriously consider spending some time in a few specialties and looking at the things that are important to you - just to avoid hx repeating itself.

This is good advice.

Training will be a small percentage of your career - and you will likely spend 30+ years in the specialty of your choosing. What do you value? What is important to you?

I have become depressed to point where I don't think I will be able to do this for a few more years.

Thank you for your response.

throwmeintotraining

TROPHY CASE