Year 12s: what will be the first way you research your future options? >>

developments within NHS..

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Reply 20

Speedbird2008

Renal

It's the rest of your life, if you're lucky, wise the **** up.

Lol. That sums Renal up in one sentence. :biggrin:

Reply 21

n0b0dy

Renal

It's simply that there is less theatre time, less operating time, less experience. The same exists in every speciality but it's easier to demonstrate in surgery.

p.s. If I Recall Correctly

sorry for being a bother, so the new mmc gives you less experience? meaning it actually isnt that helpful.. :s-smilie:

Reply 22

lil groovy dude

It gives you less experience but that doesn't necessarily mean it isn't helpful because you still work 56 hour weeks (I think).

Reply 23

n0b0dy

ok, so overall it gives you the training you'd otherwise get in a shorter period of time?.. think ive grasped it at last.. thank yooo.. :biggrin:

ok, this is a new topic, ive read that GP contracts are being updated and apparently their incomes are going to be based on their services so surveying patient's about access to GPs and level of choice are going to be the basis for their income..

so this means GPs have more work to do in order to improve the health care system.. not necessarily good for the GPs is it, although overall it improves the health care system?

Reply 24

Renal

n0b0dy

oh btw does anyone have any magical ideas which ease the tension in the interview room, ive heard making jokes is a bad tactic, esp if the interviewers dont laugh with you.. youll just be down for the rest of the interview.. :s-smilie:

I assume you have some form of personality.

That usually does it fine.

If it doesn't in your case...

Reply 25

Renal

n0b0dy

sorry for being a bother, so the new mmc gives you less experience? meaning it actually isnt that helpful.. :s-smilie:

The only people to benefit are the government who are systematically breaking the medical profession to their political will.

The punters think they're benefiting - more consultants and all that - but they're not.

Nurses might be benefiting, but who gives a ****.

Reply 26

Saffie

well its surely "easier" for us to get to consultant level... we just wont be as experienced, thus a bit crap.

Reply 27

Speedbird2008

And also, there will soon be a very top heavy Consultant:Junior Doctor ratio, correct?

And also the Consultants won't be as experienced as their current day couterarts, correct?

All this from Doctors To Be: 20 Years on. :smile:

EDIT: Saffie said it before me, damn. :wink:

Reply 28

Renal

Saffie

well its surely "easier" for us to get to consultant level... we just wont be as experienced, thus a bit crap.

Well, maybe. There aren't going to be thousands of new consultant posts opening up across the country when we get there, just like there weren't thousands of HO posts opening up when the new schools started pumping out graduates.

Reply 29

Renal

Speedbird2007

And also, there will soon be a very top heavy Consultant:Junior Doctor ratio, correct?

Currently, most firms are a variation of one boss, one reg, one sho, one ho. There's no real hierarchical pyramid (except in maybe in some A&Es). Add in thousands of juniors (as HOs, SHOs, clinical whatsits, trust thingys, etc) and what are you going to get?

Reply 30

Saffie

pfft it's ridiculous :frown:

Reply 31

n0b0dy

so.. urm.. its way too complex to explain ill not mention the ratio thingy.. :redface:

Reply 32

Helenia

If you want to go on about something other than MTAS, you could start about nurses taking over the world/half the junior doctors' jobs and if this is a good thing or not.

Reply 33

Ataloss

Helenia

you could start about nurses taking over the world/half the junior doctors' jobs and if this is a good thing or not.

The fault of this lies much with the medical profession itself though. :frown:

The recent edict that FY1s should not do nights is a prime example of this. You actually learn a lot more and do a lot more on nights and weekends as HOs. Between 9-5 FY1s are little more than glorified medical students (maybe even glorified secretaries) - I am trying to be offensive when I say that but it is true.

Furthermore between 9-5 there is little opportunity to do much in the way of clinical skills - catheters, NG tubes, chest drains, ascitic drains, defibrillation etc.. as either specialist nurses will do or FY2s who have never done it trump you! The medical student style list of core skills to have completed by the end of foundation programme illustrates this. Sick patients are seen by a variety of people other than the FY1s (crit care outreach etc..) and in an arrest you might just get to put in a cannula or do chest compressions!

At night the situation is very different due to the tremendous shortage of medical staff and basically the learning opportunities and ability to practice medicine are vastly increased.

Added to this that many FY1s now do specialisms such as ophthalmology, dermatology etc....

Looking back I am really pleased I did nights as an F1 (am even more pleased did 6 months med and 6 months surgery). I feel sorry for the current FY1s and worry for their learning opportunities - I genuinely feel they are a lot worse than mine (and I am only an ST1 - not one of the in my day brigade). I am sure GMC after FY2 rather than FY1 is only around the corner.

Helenia, as always, touches on a vital issue. However it will progress who knows, but the edicts coming from many academics I feel are certainly not helping with training issues!

Reply 34

Sea-goat...x

Democracy

If you have no interest in medicine, and how it works in society, why are you wanting to study it at uni?

I defo want to stufy medicine because I would love to diagnose n treat ill ppl. I think my interest in the political kind of stuff will develop later, for now I want to study the subject.

Reply 35

GregoryJL

Well, just so long as you're going into it eyes open...

Reply 36

sunspoon

Sea-goat...x

I defo want to stufy medicine because I would love to diagnose n treat ill ppl. I think my interest in the political kind of stuff will develop later, for now I want to study the subject.

Fair enough, but what happens if a patient presents with symptoms that you can't diagnose, or a disease that you can't treat? Would you still like Medicine, if you can't 'diagnose n treat' them?

Reply 37

Democracy

Sea-goat...x

I defo want to stufy medicine because I would love to diagnose n treat ill ppl. I think my interest in the political kind of stuff will develop later, for now I want to study the subject.

Well bear in mind you'll need to know it now not later, for interviews.

Reply 38

Renal

Sea-goat...x

I defo want to stufy medicine because I would love to diagnose n treat ill ppl. I think my interest in the political kind of stuff will develop later, for now I want to study the subject.

What kind of NHS do you think you'll work in?

Reply 39

mouse_mat

Sea-goat...x

find it all really boring actually.

I can see where you're coming from, It's like having to know some EU legislation stuff for biology, totally pointless and not related to the subject. Doctors should be doctors, politicians should be politicians, managers should be managers, etc.