@UKGastroDr
Unfortunately I've not come across the same courtesy when I have been too a and e as a user. Even got told off by one triage nurse that my 'nhs badge' won't get me anywhere with her or in this ED. Where as I always make it a point to see colleagues/ staff quicker.
Brilliant training day earlier this week with
@ArthrexUK
@ArthrexMedEd
at their world class facility in Solihull - attending the shoulder fellows forum. Excellent insights from the faculty on treating instability, labral pathology, cuff tears and arthritis
#fellowship
#training
@RobJimFleming
@doctorhelgi
@RobJimFleming
this has got to feel exhausting at some point! Kudos to you for reminding every other person on twitter. I applaud your commitment to SAS/SD and LED! Not a single consultant or junior doctor now remembers this group, as are not needed to work through strikes
A junior Colleague asked me - how are you pursuing a post CCT level fellowship aged 32.
I replied - I came to UK in 2019 - 1 year SHO level job and 3 year reg jobs later - completed MCH with dissertation, MRCS an FRCS TrOrth before applying. And I don't have hobbies anymore 😭
@MedCrisis
@scullingmonkey
You're both right, I don't agree with it. I myself am working as a fellow on this contract, as this is what I was offered. On call provision adds some banding - varies on frequency and odd working hours.
Perhaps this is why I'm just not surprised enough looking at the advert :)
This is exactly how trained orthopaedic surgeons are exploited in India in the name of
#fellowship
in some of the biggest hospitals
Stipend of 300£ (INR 30k) a month for a year, no accomodation or meals, cover 3 hospitals in return for exposure
#MedTwitter
#OrthoTwitter
opinion?
@EMManchester
@MStott88
It took me half a day to get a much needed and indicated MRI scan in new delhi, followed by specialist consult same day, where in still waiting for appointments for months, let alone MRI being requested!
Another year gone by, another year older, none the wiser.
Brilliant cake baked by
@tanyasinghmalik
to celebrate the day!
A good start to turning thirty three with lots of love and light around :)
#birthdaycelebration
@parthaskar
And by BMA. Recently was told by BMA that they won't help me nor be able to support Me to protect my pay when moving jobs and trusts because I'm "not in training ". Been a member over three years!
@hhjhammond
I don't think telephone consults work very well. Personally not a fan of those... If the wait times were better they might make more sense, but a telephone call in 4 months , and if not resolved another appointment in further more weeks - seems like a waste to me
@emmdechen
Wonder when was the last time people showed such support and concern for LED doctors, SAS colleagues. This is a systemic devaluation of doctors. And most senior doctors and policy makers are complicit in systemic devaluation of their own profession.
@rahttled_doc
@NHSEngland
@NHSScotland
I worked at North east at
@CDDFTNHS
for less than a year in ortho. Left job due to so many issues with the work environment as a "non trainee" registrar. Never had an exit interview. One fine day over a year after I left I got a call from HR asking for feedback.
@JoanneYounge
@sas_collective
I did thank you - because it is post CCT level fellowship as I am post FRCS - however I am now back on MN37 pay scale - with a cap on remuneration, since I am now an LED - with even lesser rights 😅 but yes the department I work in and consultants I work with are awesome :)
@RobJimFleming
There is a massively negative connotation and intonation when this term is used universally in every trust I have worked. Often they are synonymous with "non trainee" and most often used by consultant body. most job adverts for specialty doctor say - looking for "middle grade"
@fatima_medic
This is just terrible work ethic. Most calls to request are generally made after discussing with reg/consultant anyway. duty radiologist can simply verify by asking if this has been discussed. Refusal to take a call based on rank is is just unprofessional IMO.
Had a lovely evening at the alumni meet today from my Alma mater
BHU Doctors association
#BHUDA
Met all senior stalwarts and veterans of medicine in UK- making the college proud!
This is the unfortunate reality of a system riddled with apathy towards doctors, blame culture and systemic racism - no intent towards staff retention, no incentives for junior doctors to specialise towards surgical fields and making it unfairly harder for IMGs (1/3)
@RobJimFleming
@AntonEmmanuel2
I think this culture will continue to exist as long as doctors who are "not in training "exist. We can try to make people aware and as you rightly put it - talk about "parity of esteem". This division exists not only for voting rights etc, but for fellowships, career progression
@AgirigaChi75848
@qatarairways
@gtbank
Unfortunately you're not the only one cheated by
@qatarairways
.. just see the tweet replies.. it's a common occurrence, myself being a victim too, of their incompetence or rather purposeful malice to cheat for financial gain
To enter specialist surgical training posts, and making CESR in surgical fields extensively convoluted without much formal college support ( such as deanery) with no structure / external pressure. The future will be an NHS run by "doctors not in training" - , PAs and SFAs (2/3)
Some waiting times for specialist clinics in the
#NHS
are 18 months.
What is the point of that.
By that time, either the condition will be gone, or the patient will have suffered for a year and a half, or they might even be dead.
That is no service at all.
@NottsShoulderDr
@VictoriaAtkins
You see why I do what I do Amit?
Someone has to care enough to try and make this correct, or a huge group of marginalised doctors will continue to be miscategorised or insulted on a regular basis.
Miss the ease of specialist access and service in India when I see this, things in India that we take so much for granted and actually end up shopping for specialists.
Wait times to see specialists in NHS is from months to years. Remember that.
#nhs
#medtwitter
#uknhs
@MedCrisis
@scullingmonkey
And yes, I did seek help from BMA however - for advice regarding pay protection before moving to this contract offered - was just reminded that being a "non trainee" - BMA can't do anything and you're on your own to negotiate your pay scale🤯
@HarleyShah
My wife's driving instructor told her how doctors are doing the public a disservice by striking and they chose to enter the profession knowing what the pay is. He charges 40 pound an hour for a class. Guess how much I get ?
#JuniorDoctorsStrike
#PayRestoration
#MedTwitter
@DrSanjay277
Specialist needed. However the downside Is lack of team based MDT care. As long as patient belongs to a doctor and not a practice - MDT patient centric approach will be less likely - however I do think niche knowledge is needed to cope up with ever growing research
#MedTwitter
I think it's high time all LEDs and clinical fellows in the UK should just quit and leave. This is systemic devaluation and just another reminder that IMGs and doctors 'not in training' in LED roles are even less important than "rota fillers".
#systemicdevaluation
Physician associates support the wider clinical team, reduce workload pressure and enhance patient experience.
The NHS Long Term Workforce Plan sets out how to build the right staffing and skills mix for the future, including expanding roles like these.
The junior doctors operating on your appendix are paid just £66.55 between them. For a potentially life-saving procedure, which lasts about an hour.
Is this a fair price to put on high quality healthcare?
#PayRestoration
#JuniorDoctorsStrike
Answerable to managers and consultants - focus being on numbers rather than quality of care. At some point doctors not in training will also stop caring and going above and beyond and do just the bare minimum needed - ie, service provision by hours.
#SaveTheNHS
So weird that a
#MedTwitter
outrage is needed to bring back decency and induce a cultural change for it's doctors in
#NHS
What a world we live in now !
Perhaps it is time we are kinder to our hard working residents and junior colleagues.
Like everywhere else, culture and mindset need to change - to be more empathetic to our future doctors. Let us pledge to
#BeKind
this new year, especially to our own fraternity
#medtwitter
Already tired seeing posts by doctors taking about “ your 31st v my 31st”. You want a pat on the back / sympathy for showing up?
Somebody pushed you into medicine??
@satvik_khaddar
@DrShauryaGarg
That's so refreshing and in such a contrast to BHU. We must acknowledge that only difference between trainees and consultants and everyone in between is time spent in profession. Everyone must have the same respect with no one role higher or lower than the other !
@morefluids
@Xeon4f145d96s1
4.5 years med school
1 year internship
3 years of MS ortho (specialty training and dissertation)
1 year senior resident training
0.5 year SHO job in UK
4 years a registrar
MCH degree and dissertation in orthopaedics from wrightington
MRCS ed
FRCSed
Now a post CCT level fellow
Not a great time to be SAS / specialty doctor I suppose. No deanery, no structured programme, no external training goals, self driven career,BMA busy elsewhere,service provision is the need, providing specialty care whilst minimal support to be a specialist
#SAS
#IMGs
#medtwitter
@RobJimFleming
@Lamboozler
These exams massively disadvantage people in non training posts. It took me two attempts at MRCS.
To get signed off for FRCS - I was completely at the mercy of the consultants in my department. One boss in previous employment told me my previous overseas training counts for (1)