A friend of mine (won't name or suggest hosp/grade/anything identifiable) received this HR response when asking for cover. Their grandmother was dying and they wanted to be by their bedside.
This is what forces great (as they are) doctors out of the NHS.
#MedTwitter
I just got emailed an Aus F3 ED junior reg job, £53,000 yr with 5wks paid AL, 3wks study leave with study budget…. Honestly it’s amazing we retains trainees at all
I'm an Fy1 on a community job. This month I got paid £1650, I live in NE London, my rent is £1100, cost of MRCP (an exam needed for progression) was £448. You do the math.
We will never succeed in improving working conditions if seniors continue with this sanctimonious BS
#MedTwitter
am I the only one that sees staying 7 hours past end of shift, into middle of the night, as a bad thing? Opportunities to learn should be provided in hours, not at the expense of sleep/life. The whole push yourself until bust that medicine encourages is pathological
The Venn diagram of those who tell striking JDs to leave if they want better pay and those complaining about not getting a doctors appointment is a perfect circle
Guys this weird thing happens in Exeter... every day, the consultant buys you coffee... EVERY DAY.
I've had more consultant coffees in 3wks here than I've had in 4 years of medical school.
Everyone looks at me like I've badmouthed their mother if I refuse/say I'll get them.
Guys guys guys... the accommodation where I'm being sent to, 4 hours from home, with only one other student that i barely know, in the middle of a pandemic, during lockdown, just before finals....
DOESN'T HAVE WIFI.
AHHAHAHAHAHAHAAHAHAAHAHAHAHA (i hate this)
Too ballsy to email medical HR to state that if I’m carrying F1 and SHO bleep overnight I should probably be paid for both roles?
One F1 covering all medical wards in a busy LDN DGH for £10ish/hr… they must be laughing their heads off
and a lapse of humanity from the admin (how I'm trying to avoid despair).
I've received some responses quoting policy. I have no issue with policy, but honestly who gives a f***. This is about humanity. We would all cover gaps for grieving colleagues no q's asked, but the burden
and this s*** is pervasive. CARING FOR YOUR PATIENTS AS WELL AS YOURSELF AND YOUR COLLEAGUES ARE NOT MUTUALLY EXCLUSIVE. IT'S NOT A RACE TO THE BOTTOM. WE WANT SOCIETAL CHANGE AS WELL WHY DO WE HAVE TO EXPLAIN THIS YOU ARE INTELLIGENT PEOPLE BLOODY HELL
Tomorrow when my
@BMA_JuniorDocs
ballot arrives I will be voting for IA.
Next year I will be work in NZ.. This strike is about pay. But if we do not get a satisfactory agreement, AND if quality of care that I am able to provide within the NHS does not improve, I may not return
Today was my last day working with these 3 (sorry Mohit not there for pic), what a lovely group of very smart, kind, hard working people. I have been very lucky and I’m very grateful
#MedTwitter
I am amalgamating advice for new Fy1/2s on tips, tricks, and advice on how to perform an effective medical take clerking. If you have any bugbears or key advice please share. I'll put together as a document & it'll be shared as part of an informal MTB lecture
of seeking cover shouldn't be placed upon the grieving.
Also, not that it matters, but knowing this person and their clinical abilities. They are a HUGE asset to their trust, so pushing them away is very much not in their or their patients' interest.
@timricketts_
Resp - ABG
Gen surg - CTAP
Endo - paired osmol, urinary Na, morning cortisol and TFTs, the juice of the right nipple at 7:43AM but only if the patient has never ever taken steroids (if they have taken pred, left nipple only)
Med school is funny because one week you’re passing the PSA and the very next week you have a headache and you’re taking an unmarked pill that has been in the bottom of your bag for >1 month in the hope it’s paracetamol
@G__Halliday
Email clin supervisor, email on call consultant for that evening, state that this is clearly a patient safety issue. New F1s should not be asked to do this, it’s not something any of us should want for them or the patients they care for
@Lamboozler
Whilst i think its brilliant that you gave them the opportunity, do we not see any issue with this? Go home, rest, have a life... the system should provide opportunities for this without having to stay 7 hours past end of shift into the middle of the night
These boys did it, going to be a bloody fantastic group of Doctors that can look after my parents any day.
What an absolute pleasure it has been being dragged through by them.
#Georges
#graduation2021
#doctors
1/2 I can't keep up with all of the replies here. Thank you all for your kindness, I've passed on your words to them.
The stories I'm reading in this thread and others are just awful.
I think, at least this time, we can attribute some of this response to great system strain...
I have somehow tricked LaKSS into giving me my first choice AFP. This is the best morning in a very long time.
If anybody has any North London living suggestions for a young couple please do share.
#AFP
1. Can’t afford my rent
2. What do you think the foundation programme is
3. Extortionate student debt
4. I love the NHS, pay me a decent wage with reasonable working conditions and I, like many others, will stay for life
This terrifies me. There are always that subgroup of patients that refuse to accept the fact that we are working with probabilities and not absolutes. I’m scared that inevitably when the probability does not fall in my favour my patients, and regulator, will have no sympathy
Just read a thread about someone’s experience of having a stroke, with symptoms seemingly being isolated to upper limb coordination difficulty & headache. Reading the thread & replies I’ve realised one of the reasons I don’t think I can do medicine any more is the weight of 1/n
@DrBenSpencer
See also “Tory MP disagrees with and disenfranchises the vast majority of junior doctors who are standing up to the conditions that were imposed by his party”, don’t you dare question the morality of this decision. Tory policies harm our patients every single day
I ran away post finals taking not much more than my partner, my dog, and my running trainers.. think this is the least stressed I’ve felt in quite a while
It's all very negative on MedTwitter atm. However today many final years receive their SFP offers, and if the cohort I have worked with are anything to go by then there are many many reasons to feel positive about the next generation of (academic) doctors. Good luck to all!
All the final years I helped got their SFPs, this is the best day ever... congrats all.
For those that didn't, it will make no difference at all to your future career.
Virtual pat on one’s own back… doing MRCP in first FY2 rotation whilst on ED rota was challenging. I’m not sure I’d recommend it. But today it feels all worthwhile, I’m off for a 🍺
#mrcp1positive
Had a patient tell me at 11pm last night that I should "go back to school" because I suggested that maybe the Plastics consultant was right for suggesting that he keep his arm elevated.
SIR I AM STILL IN SCHOOL, I HAVE BEEN FOR 9 YEARS, PLEASE JUST LET ME LEAVE SCHOOL, PLEASE
One step closer to a London AFP job that I'm absolutely desperate for. If anybody has any AFP interview tips please please please feel free to share
#medtwitter
#MedTwitter
@joefd
I strongly disagree with this. The policy may be the same, but the response should be different. This is about humanity. The correct response would be to grant leave and offer to seek cover, or put out for locum. The burden of cover should not be placed on a grieving staff member
Would any Anaes Cons on here (ideally LDN area) be willing to have an enthusiastic F1 for a taster week for WC 4 July? Will buy you daily coffee in exchange for a strong argument to choose anaesthetics > medicine as a target for dual training
#MedTwitter
#MedTwitter
we have >100 students with
#specialisedfoundationprogramme
#SFP
interviews desperate for interview prep.
Anybody with past experience of AFP or clinical academia willing to help out? Even an hour or two of your time would greatly help!
@highyielduk
@alexrichards97
.Tip
#1
Any interview/application prep course charging is exploitative, discriminatory, and should be avoided at all costs.
There are hundreds of successful candidates willing to help for free. Just ask
We shouldn’t even have to argue about worthiness. My generation of doctors will leave in droves for better pay and conditions, hurting the NHS. Because you do an altruistic job, doesn’t mean you should have the same approach to your pay and working conditions
#Payrestoration
@timricketts_
Peri-arrest call under (yes, under) the hospital that involved a screaming intoxicated woman, and bleeding patient (that was fine before I have a pile on), and a pretty p***** off dog at 11pm. I was the Fy1, so my job was calming the dog, obviously
This time last week we started a patient on BiPAP as a bit of a holding measure as we made a last ditch attempt to prevent what seemed inevitable.
Today we had a chat about Arsenal, Arteta, and his family whilst I did hopefully his last gas of this admission.
I love my job
This is the headline. This doesn't just affect consultants, this will impact the future generations of doctors. I support
@BMA_Consultants
not just because it is clearly right, but because this will impact my future and those behind me. (1)
4/ Since 2008, consultant pay has fallen by 28% against inflation. This is the greatest pay erosion of any group of workers across the public or private sector. This is despite having an independent
@PayReviewBodies
- the doctors and dentists remuneration body (DDRB)
@DrBenLovell
This was the point I was trying to make (but doing a bad job). It’s a locum job with the benefits of being a trainee plus a whole heap more money
@DrLKVaughan
@mancunianmedic
If it helps (it probably doesn't), I imagine those reading your tweets are the silent, supportive, majority. Please continue to do so!
It really did take 2 heavily supported intubations and a quick chat on physiology and pressers for me to be sat here on a Sunday googling the ACCS anaesthetics recruitment matrix.
Anaesthesia/crit care:
Since starting in critical care i've been nervous about meeting one particular member of staff. Today I overcame that as I met him for the first time. His body language suggested he liked me.... but he said very little
Postgraduates should not be made to study content that isn't directly beneficial to their specialty/work. If you want to use academic performance, make specialty examinations mandatory for the first recruitment cycle.
I know it's not much, and yet whoever has put me forward for this (one has already owned up)... you have no idea of the lift it has given me. Thank you, I hope you follow me so that you can see this!
@WhitHealth
Oh boy. Don’t 🌟 encourage🌟 students 🌟 to 🌟 take 🌟 exams 🌟 when 🌟 unwell 🌟.
I would love to hear about the circumstances that made this one okay
Feel very privileged to have had the opportunity to present at
@pedsig
today on behalf of
@PaediatricFOAM
and talk about some of the novel research we’ve been doing. A fantastic meeting with brilliant speakers and attendees... I’ll be back