Kat @KatPaton13 Twitter profile

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Kat

@KatPaton13

2 years

I, a lowly FY1 with a simple ultrasound machine cannulated a patient on first attempt that anaesthetics had failed 12 times on. Pinnacle of my medical career and I will never stop bragging about it

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Kat

@KatPaton13

2 years

This is my pay for December, for 167 hours of work (plus I finished over an hour late on at least 3 shifts this month, 1 of which turned my 13 hour Sunday shift to 14 hours, and I was back at work less than 10 hours later) and 36 hours of annual leave

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Kat

@KatPaton13

6 months

I really don't know how I feel about private patients in NHS hospitals. You're paying loads of money but you're cared for by NHS juniors, nurses, physios, etc who get no extra money. You're taking an NHS bed. Using NHS funded equipment (obs machines, cannulas, etc)

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Kat

@KatPaton13

2 years

People are turning up to ED in their normal numbers (rather than thinking 'can this wait?') And I think that's largely down to the general public thinking that junior doctors are always supervised and aren't actually the majority of doctors that patient's see

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Kat

@KatPaton13

2 years

Shout out to the HCA who had a go at me for not having done a discharge summary yet. It was 4.30, my shift is 8-4 and I hadn't stopped yet (I ate while requesting things)

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Kat

@KatPaton13

2 years

Stopped me and said "I really want to apologise for yesterday, I felt terrible afterwards. I shouldn't have assumed that you weren't a doctor, it was wrong of me" 😭

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Kat

@KatPaton13

2 years

The irony that I'm doing a locum today and getting unsocial hours pay (£40/hr), yet if I was simply scheduled to work I'd be getting the usual £14/hr

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Kat

@KatPaton13

2 years

Had a pt (genuinely really lovely lady) say to my male reg yesterday "Ooh I was wondering when I'd see a doctor!" To which my reg explained that I am also a doctor. She apologised, we moved on, it happens most days anyway. Today I saw her again and just as I was leaving she

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Kat

@KatPaton13

4 months

I've got a month to find a job before moving back in with my parents and applying to retail jobs

The NHS Whistleblower

@ItsnotrightUK

4 months

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Kat

@KatPaton13

3 months

The biggest con about LTFT is that you can still work a nearly 40 hour week but will lose 5 days of annual leave

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Kat

@KatPaton13

2 years

Not only do the general public not understand doctor pay, I'm pretty sure they don't understand what a junior doctor is either. I'm the one who gets called for all medical ward issues overnight, I'm the one who does your ward round 3 days a week and makes decisions about yourcare

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Kat

@KatPaton13

5 months

Lol same trust that rejected me without an interview

platinumpizza™

@Xeon4f145d96s1

5 months

There is no agenda to replace doctors with physician associates. This is just one hospital. This is just one 6 month period. Credit u/sildenafil_prn @MedReddit .

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Kat

@KatPaton13

1 year

It is slightly annoying that the PA gets theatre and clinic time whereas none of the FY1s do 🙃

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Kat

@KatPaton13

2 years

PLEASE stop incorrectly trying to inform me about how I'm paid. I've been a doctor for 5 months, I know how my payslip works.

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Kat

@KatPaton13

2 years

Can't strike because we have to ensure there's always a safe level of staffing???? Wow I wish I could be that ignorant of the current state of the NHS

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Kat

@KatPaton13

6 months

The good work-life balance is a kick in the teeth for doctors thrown into 48-hour average weeks randomly anywhere in the country

@medicalmodelwithabriochebun

@medicalmodelbri

6 months

Of course we get called nurses *rolls eyes *

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Kat

@KatPaton13

8 months

Apparently the hospital I'm at is prioritising PAs attending ALS over FY1s (PAs are not part of the crash team, FY1s are. As an FY1 on the crash team last year I only had BLS training)

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Kat

@KatPaton13

2 years

Since people are complaining about comparing fy1 wage with barista.. as someone who has worked both, I can wholeheartedly say that even my worst barista shifts were nowhere near as awful as many of my fy1 shifts

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Kat

@KatPaton13

10 months

Can we stop using the "we don't rotate" as a selling point for PAs when the vast majority of doctors in training hate how frequently we rotate.

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Kat

@KatPaton13

1 year

Complaints of 2 hour wait at ED due to the junior doctor strikes... I waited 12 hours and it wasn't a strike day so what's your point? Strikes aren't causing anymore harm to patients than the usual chronic understaffing and funding.

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Kat

@KatPaton13

2 years

*cries in junior doctor*

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Kat

@KatPaton13

2 years

Just asked switch to put me through to the on call anaesthetist and they put me through to the consultant. At home. For a cannula request. I'm never living this down.

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Kat

@KatPaton13

1 year

I also don't understand why it's so controversial that a D1 FY1 shouldn't get paid at least the same as a D1 PA.

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Kat

@KatPaton13

2 years

I was FY1 on call and was handed over by a ward team to review one of their outlier patients because they didn't have time to see them at all today.. anyone else think that's not an appropriate handover job?

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Kat

@KatPaton13

2 years

Why are Labour promising more medical student places like that's going to fix the problems? For the past 2 years there have been more FY1 applicants than places. There's bottle necks at all training levels. Without pay restoration, a good proportion of those are going to leave.

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Kat

@KatPaton13

2 years

For £2100 in November I worked a 50 hour week of nights where I cover all medical patients, plus 4 further 12.5 hour on call shifts. I worked 172 hours this month, actually across 3 weeks because I had a week of AL

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Kat

@KatPaton13

10 months

Every junior I know would rather have pay deducted and more days off. I think if we get full pay restoration, there is going to be a mass shift of doctors working LTFT. I would rather get paid what I am now and work 40 hour weeks than get paid more and carry on at 48 hours.

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Kat

@KatPaton13

2 years

Unless my calculator is wrong, that's a take home of £10.79 an hour, excluding the additional unpaid hours and including the crem form pay. I worked 9.5 hours on Christmas day for just over £100.

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Kat

@KatPaton13

2 years

@emerpod And that's exactly why there is a severe lack of doctors in the uk

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Kat

@KatPaton13

4 months

House hunting as a doctor is impossible. You're telling me I've got like 6 weeks to find, view and secure a dog friendly house 5 hours away in a notoriously difficult area to find a home whilst working >40 hours/week?

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Kat

@KatPaton13

5 months

Someone tell me what the 25+ hours of part time work a week whilst commuting >1hr each way every day for uni that put me in nearly £100k of debt for 6 years, followed by 2 years of hell on the foundation programme, working 70+ hour weeks for as little as £14/hr, was for?

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Kat

@KatPaton13

2 years

Are nurses really so out of touch with the role of an FY1? Had one make me administer a slow IV drug because they were too short staffed so didn't have the time. Meanwhile I am the only gen surg doctor in the whole hospital. I get that nurses are busy and IVs are a pain, and I

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Kat

@KatPaton13

8 months

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Kat

@KatPaton13

1 year

The whole argument that junior doctors shouldn't be paid more because one day they'll earn loads is the stupidest take every. Okay let's pay everyone apart from CEOs and managers 50p an hour because one day they might be a manager themselves and earn more!

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Kat

@KatPaton13

2 years

@Fraser04956279 No its not, not for 203 hours and for being responsible for people's lives. There, you got your response.

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Kat

@KatPaton13

6 months

I thought you couldn't use paramedic prescribing to prescribe as a PA? In the same way if I picked up a shift as a HCA, I couldn't start making medical decisions about patient's care?

Keith Siau

@drkeithsiau

6 months

@ExplosiveEnema2 @RCHTWeCare @FPARCP @BritSocGastro @UKGastroDr @parthaskar @DrAsifQasim @DrLKVaughan @DrSteveTaylor @AlisonGeorge10 @Dr_Done_ @Doctors_Vote As the training lead for @RCHTWeCare , and having signed off this PA, let me respond. Non medical endoscopists provide a significant and important contribution to endoscopy procedures in the UK whether we like it or not. They all have to go through a robust certification process

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Kat

@KatPaton13

2 years

I love how many patients seem to think I'm a nurse even after introducing myself as a doctor and yet a kid in the lift yesterday managed to figure that I'm a doctor with no introductions

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Kat

@KatPaton13

5 months

Second job rejection without an interview. Unemployment sounding very real now.

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Kat

@KatPaton13

2 years

Too qualified to train as a PA, not qualified enough to be employed as a PA. Does more than a PA with more responsibility, gets paid less

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Kat

@KatPaton13

2 years

@Harry121212786 Yes, if I had a normal hour job. Not for 206 hours. Not for weekends/evenings/Christmas day (no nights this month). Not for the responsibility.

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Kat

@KatPaton13

1 year

FY1s are so supernumerary that between 5pm and 9am all medical inpatients are the responsibility of 1 FY1 (who also carries the crash bleep).

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Kat

@KatPaton13

3 months

Why are people so pressed about me saying £32k isn't a terrible wage. Yes doctors deserve more for the length of training, skill and stress of the job BUT my point was you can live on £32k, and many families live on a lot less.

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Kat

@KatPaton13

2 years

Prescribed my first med today and signed off a TTO. Still feels not real

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Kat

@KatPaton13

1 year

I think the saddest thing about the fact I don't want to be a doctor anymore is the sheer number of barriers I crossed to get here. First gen uni student (my parents and older brothers all left school before 18), growing up with a disabled brother, yes I went to a grammar school

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Kat

@KatPaton13

7 months

What's the consequences of quitting mid-FY2? Am I contracted to finish the year? Because honestly? 👉👈 this close

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Kat

@KatPaton13

2 years

@EllieBou @ConsultantOT Doctors don't get Christmas hours or extra hours

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Kat

@KatPaton13

2 years

@ConsultantOT Literally says period end date 31 Dec..

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Kat

@KatPaton13

1 year

*I* want to work 8-4 (vs 8-5), be supernumerary, get allocated theatre and clinic time, not work on calls and weekends, and get paid more.

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Kat

@KatPaton13

7 months

I'm tired of being treated like rubbish and paid rubbish whilst having to jump through all the hoops with no actual support. I shouldn't have to fight to attend core teaching which, by definition, I'm supposed to be able to attend

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Kat

@KatPaton13

2 years

Surgical rota is so short staffed I did 8am-11.30pm yesterday when I'm meant to be 8-8, which has now swapped to 11-11 for the rest of the week, doing 2 separate jobs 11-8 with another junior doing 2 separate jobs and the ward at least 1 junior understaffed

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Kat

@KatPaton13

2 years

This is including the fact that I worked 8-5.30 on Christmas Eve and Christmas Day, and including the £82 for a cremation form.

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Kat

@KatPaton13

2 years

@_Angelo_90 But doctors don't get additional Sunday, Christmas and Bank hol pay.

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Kat

@KatPaton13

5 months

"Ample opportunities" say that again to all the FY2s facing unemployment from August

St George's Urology

@GeorgesUrology

8 months

4/4 There's ample work and training opportunities for everyone while keeping patient safety at the heart of what we do. Ours is a success story that we encourage everyone to embrace and emulate. @StGeorgesTrust @ASiTofficial @SWLNHS @BAUSurology @FPARCP @NHSEngland

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Kat

@KatPaton13

5 months

I was a bit down at work today, senior nurse checked in on me, and they couldn't believe that I was down because I couldn't get a job

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Kat

@KatPaton13

5 months

Ive prided myself on being a team player the past 2 years, picking up rota gaps, checking in on people, constantly going above and beyond for both patients and colleagues, but the reality is it has always been at the expense of my health and learning. Is medicine really that cut

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Kat

@KatPaton13

2 years

The BMA are really highlighting the fact that FY1s are only paid £14.09/hour without actually acknowledging the impact these strikes are having on us. 3/4 days pay is a *lot* when you're on a small amount and potentially struggling anyway. "Pick up locums!" They say, like it's

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Kat

@KatPaton13

6 months

This is my occasional reminder that I'm not actually anti-PA. I've worked with some really good ones and, when used appropriately, find they are of use to the team. Do I think the money spent on PAs would be better spent on doctors? Sure. Am I infuriated at their pay , working

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Kat

@KatPaton13

6 months

Was on medical nights and called to review a rash or something at 3am. Whilst in the bay, glanced at the patient opposite. I asked them immediately to do obs on them. Gone from NEWS 2 at 10pm to NEWS >10. Couldn't work out why they were worried about this other persons rash when

Donnchadha DB

@DonnchadhaD

6 months

Few weeks ago we walked into RAU and my crewmate said to me “Jesus that guy looks really unwell I’d bed his sats are in the 70s” the ED ACP overheard and said “nah he’s fine I was just in there” about 5mins later a student nurse shouted for help from inside the room, Sister and

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Kat

@KatPaton13

2 years

Yes we're "training" but that doesn't mean we're constantly shadowing or being told what to do. In fact, at a DGH, it's rarely that.

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Kat

@KatPaton13

2 years

@martinpschranz Not sure what your point is given the anaesthetist also used ultrasound.

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Kat

@KatPaton13

2 years

The variation in med schools across the UK is shocking. From what I hear from my housemate, I would not have ever graduated from her med school. Who's a better doctor? She is. Am I a bad or unsafe doctor? Absolutely not.

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Kat

@KatPaton13

2 years

Thursday morning spent first 2 hours dealing with someone with haematemesis whilst consultant went and discharged 9 patients. Continually until I did them I got bleeped from the ward and discharge lounge to get the discharges done, despite saying that I had been dealing with an

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Kat

@KatPaton13

2 years

If you're having chest pain and we think it's an MI at 3am, it's me that gets bleeped. Cardiac arrest? I'll be there. Need some pain relief? BRB just prescribing it. Ward round on the non-consultant days? Gotcha.

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Kat

@KatPaton13

5 months

Looking forward to sacrificing my ban hol for £17.93/hr tomorrow whilst looking after >30 orthopaedic patients by myself

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Kat

@KatPaton13

2 years

@andyrugbyref I'm still a qualified doctor 🤷‍♀️

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Kat

@KatPaton13

7 months

So tired of the never ending cycle of service provision and then portfolio being inadequate. Make it an actual training programme, or service provision. Not both

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Kat

@KatPaton13

2 years

Can people stop (incorrectly) trying to explain my pay to me

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Kat

@KatPaton13

3 years

I still can't quite believe I got the exact foundation job I wanted???

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Kat

@KatPaton13

5 months

I've got an iBSc, good range of foundation jobs, national teaching programme, presented at a national conference, multiple QIs and audits, loads of teaching. How am I not even getting an interview?

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Kat

@KatPaton13

2 years

@LucindaPoulton Doctors don't get that

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Kat

@KatPaton13

2 years

Or we could properly fund medical students so that we don't have to work 20+ hours a week alongside our studies?

NHS England Workforce, Training and Education

@NHSE_WTE

2 years

People wanting to train as a doctor could achieve their degree by an apprenticeship route from September 2023. HEE has supported partner organisations to develop the Medical Doctor Degree Apprenticeship standard which NHS organisations can now use. 👇

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Kat

@KatPaton13

2 years

@Cazbat1978 @vikingstadt I do understand my pay slips and rotation, and I understand I'm on slightly more an hour than you. But I don't think it's wrong to expect to be paid more for 6 years at uni, unsocial hours and looking after peoples lives.

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Kat

@KatPaton13

1 year

@CleoKenington They certainly aren't supernumerary. On surgery here it's only F1s (plus 1 F2 and a PA). Foundation rotations are important to get a good breadth. Suggesting we aren't entitled to learning opportunities is a bad take given that we are the future registrars and consultants.

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Kat

@KatPaton13

4 months

So at 18, when I was studying full time at medical school, and working 25+ hours a week in retail and bar tending to afford uni, I'm also supposed to have time for compulsory volunteering??

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Kat

@KatPaton13

1 year

It's an actual joke. I would 100% not become a doctor if I did this all over again.

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Kat

@KatPaton13

4 months

Guess who has a job next year! Can't wait to move back home to Cornwall. See you soon Hayle 👀

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Kat

@KatPaton13

4 months

I dont know why people are so upset about the fact that I'd rather take a year out of medicine and refresh my mindset than do a medical job I have little interest in for a year after struggling through a year of rotations I'm not interested in 🤷‍♀️

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Kat

@KatPaton13

1 year

I am so exhausted and I'm only a month into FY2. Can we stop normalising working >40 hours/week?

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Kat

@KatPaton13

2 years

Try and help out when I can, but what am I supposed to do when the patient needs the medication, and while there's another 3 that need reviewing and another in ED to clerk? I finished 45 minutes late tonight too Do they just genuinely not know?

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Kat

@KatPaton13

10 months

Pharmacists to offer advice and treatment for earache, impetigo, infected insect bites, sinusitis, shingles, sore throat and uncomplicated UTI. Okay but how are they diagnosing these? Ruling out differentials? Deciding what is causing the earache?

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Kat

@KatPaton13

1 year

Tbh who do I actually raise this with because it's mad. I have a lot of respect for PAs and worked with many fantastic ones (and this also isn't the PAs fault at all) but opportunities like this should be shared.

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Kat

@KatPaton13

2 years

To clarify: this is definitely my pay for December. I haven't done any extra shifts, just my contracted hours. We don't get paid extra for working bank hols.

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Kat

@KatPaton13

6 months

Talking about job options for next year today Lots of seniors were shocked that I haven't had any interviews following applications considering I have an iBSc in crit care, led a national teaching programme and presented at a national conference

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Kat

@KatPaton13

2 years

@IanWhit61049182 And that is also atrocious and I imagine very difficult. I'm grateful for the job, but it doesn't change that it's hugely underpaid.

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Kat

@KatPaton13

1 year

@lozzlemcfozzle Absolutely not. My future pay shouldn't dictate what I get paid now. Given how difficult training places are, what if I remain an SHO forever? My pay would forever be below a PA.

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Kat

@KatPaton13

4 months

@mstotty88 @Dr_Rajiology There's loads of F3 crit care jobs. There aren't lots of medical or ED SHO jobs available either. I've been looking. Heaven forbid I want to do something I'm vaguely interested in after a year of jobs I've not been interested in

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Kat

@KatPaton13

6 months

Even more complex if they go to an NHS ICU/HDU for post op monitoring

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Kat

@KatPaton13

5 months

So done with F2, I dont want to do this anymore

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Kat

@KatPaton13

2 years

Whenever I read pt:Dr ratios I find it wild that we have 1 fy1 covering all medical patients at night (& arrest bleep) (with the support of reg... if reg isn't caught up in ed/at a stroke call)

Elisabeth Mahase

@emahase_

2 years

"Just 3 juniors were covering 500 patients," London junior doc @abrams113 told @WHO_Europe at the workforce conference. "A patient told me I was a bad doctor & should be ashamed of my work...I left crying and sat in a broom cupboard." @bmj_latest

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Kat

@KatPaton13

1 year

The fact that I used my TSwift code to get my assigned med student (and 2 of her friends I dont even know) tickets rather than going to 4 shows by myself means I should win FY1 of the year

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Kat

@KatPaton13

2 years

@Dr_BellaR The only explanation is: surgeons Like why would you not do that?? Every doctor I know from FY1s through to consultants do that

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Kat

@KatPaton13

3 months

Jesus the whole point was in retaliation to a doctor saying £32k is impossible to live on and all I'm saying is £32k is a dream salary for many people. I'm not saying it's easy, I'm not saying it's an appropriate wage for anyone (incl doctors)

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Kat

@KatPaton13

3 months

My literal point is yes it's a terrible wage for a doctor, but it's not a terrible wage itself.

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Kat

@KatPaton13

2 years

Interestingly if I started med school this year, I'd be entitled to >£6000. How did student finance drop from £4500 to £3000 over the 4 years when my household income didn't change?

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Kat

@KatPaton13

6 months

@russellbarber78 The point of my tweet wasn't about NEWS, it was about listening to your gut feeling of when someone looks unwell

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Kat

@KatPaton13

9 months

Well my expectations have lowered further post-MSRA. Really enjoyed the grand total of zero questions relevant to my specialty.

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Kat

@KatPaton13

2 years

Getting a CEX or DOPS completed is impossible.. noone ever watches me do things

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Kat

@KatPaton13

2 years

For context it was calcium gluconate for hyperkalaemia (k=7) so I didnt feel like it was something that could wait

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Kat

@KatPaton13

7 months

@NawalYousaf_ @UKFPO I swear they said they wouldn't do a waiting list if they do random allocation what the hell?? This is not okay

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Kat

@KatPaton13

1 year

Not me emailing a certain festival medicine service asking what I should apply for as an FY2 and them saying they don't take medical students 🙄

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