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Original post by nexttime
. Don't ask, tell.
This. This a thousand times over.
Work isn't school, you don't need permission to leave class to go to the bathroom - you are a professional, offering your services as a doctor to the trust. When you have important needs like looking after your own health, you tell the trust when you won't be able to work. Obviously you don't be a **** about it, but you have to act in your own interests, because no-one else will.
Original post by lorry:)
How do you guys manage to see your GPs and getting prescriptions etc? I take daily meds and from experience when you change practices most GPs won’t just continue a repeat script from your old practice without seeing you first - in the town I’m living in for my first F1 job all of the practices are completely full so you have to apply to the city and be allocated one at random when it becomes possible, and none of the practices offer extended appointment times/evening or weekend appointments. I’m working 8:30-5:30 mon to fri until mid September and we have fixed leave so I couldn’t really take a day off to go see the GP even if I wanted to. Getting a bit concerned as to how I’m supposed to get my medication :/
My GP opens Saturday mornings and also does a few days a week until 8pm. I actually think quite a few practices do extended hours especially in cities/big towns. Maybe you'll end up not having a problem? Otherwise I fully support just telling people you're going to a GP appointment. Maybe make it at the end of the day so you only end up having to leave a little early. Loads of times I/the rest of the team have been asked by somebody I'm working with if we mind them leaving a little early for an appointment and nobody has ever had a problem with it.
I've always gone on my zero days or post-nights, but obviously if you're working only standard hours Mon-Fri then that's not really possible.
I have to have 4 monthly hospital appointments and I just told occupational health I was taking half a day off eevery 4 months - no annual or sick leave, just let your team know you won't be in for that part of the day.
Original post by OnionRing
I'm also an incoming FY1 and i had a hospital appointment booked before my rota came out and i asked them to book me annual leave but they rejected it. Can i re-submit it for sick leave then as i really wont have time to see them again as i've been referred
ok thanks guys i will make it clear to them i won't be able to work that day or i can at least work half day
Original post by nexttime
The hospital will function without you. You don't even need a whole day - maybe like an hour.
You make it sound like you 'apply' for sick leave. You have a hospital appointment booked months ago - they have to let you go. Don't ask, tell.
You make it sound like you 'apply' for sick leave. You have a hospital appointment booked months ago - they have to let you go. Don't ask, tell.
Original post by Spencer Wells
This. This a thousand times over.
Work isn't school, you don't need permission to leave class to go to the bathroom - you are a professional, offering your services as a doctor to the trust. When you have important needs like looking after your own health, you tell the trust when you won't be able to work. Obviously you don't be a **** about it, but you have to act in your own interests, because no-one else will.
Work isn't school, you don't need permission to leave class to go to the bathroom - you are a professional, offering your services as a doctor to the trust. When you have important needs like looking after your own health, you tell the trust when you won't be able to work. Obviously you don't be a **** about it, but you have to act in your own interests, because no-one else will.
thanks - they did say i couldnt have annual leave because it would leave only 1 FY1 on the ward which will be unsafe, that's why i backed down initially
Hi guys I was wondering if any of you could help me out with a query regarding the necessity of higher medical degrees for certain specialties. Namely cardio and also gastro.
1. How necessary is it to do it in orderto be able to work in a hospital where you specialise enough that you dont have to take part in the acute medical take
2. When are they normally done
3. Where do you draw a salary from during that time and is it compulsory to do funding.
A bit of background about me im an f3 who has an IMT place next year which I picked by a hairstring, and if im honest the changes to the curriculum have made me not look forward to it, im not a fan of gen med as its never "clicked" with me and thought id power through and get to a specialty which is a bit more hands on (which i think is more suited to me).
With the changes to the curriculum and push for breadthening of training plus the likely extension of indicative training length. Im worried about the need for a higher degree further lengthening training and the pragmatics of that.
Ive tried to find answers for this online but I cant seem to find anything
1. How necessary is it to do it in orderto be able to work in a hospital where you specialise enough that you dont have to take part in the acute medical take
2. When are they normally done
3. Where do you draw a salary from during that time and is it compulsory to do funding.
A bit of background about me im an f3 who has an IMT place next year which I picked by a hairstring, and if im honest the changes to the curriculum have made me not look forward to it, im not a fan of gen med as its never "clicked" with me and thought id power through and get to a specialty which is a bit more hands on (which i think is more suited to me).
With the changes to the curriculum and push for breadthening of training plus the likely extension of indicative training length. Im worried about the need for a higher degree further lengthening training and the pragmatics of that.
Ive tried to find answers for this online but I cant seem to find anything
Original post by Anonymous
Hi guys I was wondering if any of you could help me out with a query regarding the necessity of higher medical degrees for certain specialties. Namely cardio and also gastro.
1. How necessary is it to do it in orderto be able to work in a hospital where you specialise enough that you dont have to take part in the acute medical take
2. When are they normally done
3. Where do you draw a salary from during that time and is it compulsory to do funding.
A bit of background about me im an f3 who has an IMT place next year which I picked by a hairstring, and if im honest the changes to the curriculum have made me not look forward to it, im not a fan of gen med as its never "clicked" with me and thought id power through and get to a specialty which is a bit more hands on (which i think is more suited to me).
With the changes to the curriculum and push for breadthening of training plus the likely extension of indicative training length. Im worried about the need for a higher degree further lengthening training and the pragmatics of that.
Ive tried to find answers for this online but I cant seem to find anything
1. How necessary is it to do it in orderto be able to work in a hospital where you specialise enough that you dont have to take part in the acute medical take
2. When are they normally done
3. Where do you draw a salary from during that time and is it compulsory to do funding.
A bit of background about me im an f3 who has an IMT place next year which I picked by a hairstring, and if im honest the changes to the curriculum have made me not look forward to it, im not a fan of gen med as its never "clicked" with me and thought id power through and get to a specialty which is a bit more hands on (which i think is more suited to me).
With the changes to the curriculum and push for breadthening of training plus the likely extension of indicative training length. Im worried about the need for a higher degree further lengthening training and the pragmatics of that.
Ive tried to find answers for this online but I cant seem to find anything
So you seem to be being a bit cryptic - are you talking about doing a PhD?
Not many gastro docs do PhDs tbh. The proportion is rather higher in cardiology, but I doubt the majority have one. And if we're honest due to the increasing desperation for qualified consultants that proportion drops each year - even oncology it's not necessarily expected that you do a PhD any more, contrasting to yesteryear.
If you do one you normally do it at some point in your reg training or at the end.
You get paid a stipend from whatever your funding is.
Yes, you do need funding. It's quite hard to fund lab equipment/experimental drugs/research clinic time off your own back! I suppose that small retrospective observational studies don't necessarily need many resources, but most PhDs are more ambitious than that!
I agree that the IMT changes are a big negative and risks deterring people like yourself who just wants to get on and do some cardiology. I guess these days though, you just have to sacrifice 3 years of your life if that's what you want. I do not think you will need a PhD. Even for the most competitive places, there are other ways to build a CV.
Of course, talking to a few cardiology consultants and TPDs might give you a better idea about this, and getting your name 'out there' definitely has its advantages.
Apologies if I came across a bit cryptic. I am talking mainly about MDs as most of the consultants at the trust I’m working sign of their names with MD and occasionally PHD on their clinic letters. So I just wanted to know a bit more about how they get these as there is scant information online especially in regards to the basic practicalities of how it’s achieved eg where you draw your salary during that period (I’ve heard your salary is in keeping with your st nodal point for example but don’t understand how that would work). I’m just acutely aware that I am due to enter a core training programme for which the royal college is yet to publish details about the second part of the training programme and the 3rd year of training as it is (and by entering the core programme I am In some way commiting to the subsequent changes in training which they are yet to announce) So if I would like to know if I needed to do any further time out of training/research/fellowships to do what I actually want to do, what effect that would have on my life as I’ll be close to middle age by then.
Original post by nexttime
So you seem to be being a bit cryptic - are you talking about doing a PhD?
Not many gastro docs do PhDs tbh. The proportion is rather higher in cardiology, but I doubt the majority have one. And if we're honest due to the increasing desperation for qualified consultants that proportion drops each year - even oncology it's not necessarily expected that you do a PhD any more, contrasting to yesteryear.
If you do one you normally do it at some point in your reg training or at the end.
You get paid a stipend from whatever your funding is.
Yes, you do need funding. It's quite hard to fund lab equipment/experimental drugs/research clinic time off your own back! I suppose that small retrospective observational studies don't necessarily need many resources, but most PhDs are more ambitious than that!
I agree that the IMT changes are a big negative and risks deterring people like yourself who just wants to get on and do some cardiology. I guess these days though, you just have to sacrifice 3 years of your life if that's what you want. I do not think you will need a PhD. Even for the most competitive places, there are other ways to build a CV.
Of course, talking to a few cardiology consultants and TPDs might give you a better idea about this, and getting your name 'out there' definitely has its advantages.
Not many gastro docs do PhDs tbh. The proportion is rather higher in cardiology, but I doubt the majority have one. And if we're honest due to the increasing desperation for qualified consultants that proportion drops each year - even oncology it's not necessarily expected that you do a PhD any more, contrasting to yesteryear.
If you do one you normally do it at some point in your reg training or at the end.
You get paid a stipend from whatever your funding is.
Yes, you do need funding. It's quite hard to fund lab equipment/experimental drugs/research clinic time off your own back! I suppose that small retrospective observational studies don't necessarily need many resources, but most PhDs are more ambitious than that!
I agree that the IMT changes are a big negative and risks deterring people like yourself who just wants to get on and do some cardiology. I guess these days though, you just have to sacrifice 3 years of your life if that's what you want. I do not think you will need a PhD. Even for the most competitive places, there are other ways to build a CV.
Of course, talking to a few cardiology consultants and TPDs might give you a better idea about this, and getting your name 'out there' definitely has its advantages.
Original post by lorry:)
How do you guys manage to see your GPs and getting prescriptions etc? I take daily meds and from experience when you change practices most GPs won’t just continue a repeat script from your old practice without seeing you first - in the town I’m living in for my first F1 job all of the practices are completely full so you have to apply to the city and be allocated one at random when it becomes possible, and none of the practices offer extended appointment times/evening or weekend appointments. I’m working 8:30-5:30 mon to fri until mid September and we have fixed leave so I couldn’t really take a day off to go see the GP even if I wanted to. Getting a bit concerned as to how I’m supposed to get my medication :/
Depending on what your script is for (ie unless controlled drugs) then most GPs would just continue a script based on info from your old GP - we do not have the appointments to see all new patients routinely when they are on what seems to be sensible meds. Otherwise, most will offer a telephone review for this sort of thing, though if there are QOF points involved, they may want you in to see a PN/HCA for relevant checks.
The GP contract now insists routine, pre-bookable appointments are available 8am to 8pm and at weekends for just this type of scenario. We do our own during the week and farm them out to OOH at the weekends, so our receptionists can book people into appointments for routine problems over the weekend at the OOH site about 6 miles away. Others in our locality let our (generally excellent) OOH team do all of them but appts are made by each individual practice and there is a data sharing agreement to ensure that medical records can be reviewed - the one thing they struggle with is e-referrals, so those come back to base practice to be forwarded on. So you can get appts outside of usual working hours, but it may not be with "your" GP. It would however, be perfectly acceptable for a standard medication review. In fact, our OOH team employ prescribing Pharmacists to do just this (and far better than most GPs!). They also have NPs, PNs, HCAs, etc as the contract is a little woolly on who the appt actually has to be with!
Just put together my updated CV. Gosh it's bare. Quite depressing really. I expect the locum bank won't care though
Original post by Ghotay
Just put together my updated CV. Gosh it's bare. Quite depressing really. I expect the locum bank won't care though
Medical degree [tick]
Valid GMC registration [tick]
Passed ARCP [tick]
List of rotations done thus far [tick]
Original post by purplefrog
Medical degree [tick]
Valid GMC registration [tick]
Passed ARCP [tick]
List of rotations done thus far [tick]
Valid GMC registration [tick]
Passed ARCP [tick]
List of rotations done thus far [tick]
Ooh well you're making me feel fancy. I have assisted in THREE audits, and done TWO bits of formal teaching! They should throw jobs at me
Original post by Ghotay
Ooh well you're making me feel fancy. I have assisted in THREE audits, and done TWO bits of formal teaching! They should throw jobs at me
They will throw jobs at you! They recently discovered one of our local long term locums was not even a qualified Dr! Several years after they employed them. You look good to me!
Original post by GANFYD
They will throw jobs at you! They recently discovered one of our local long term locums was not even a qualified Dr! Several years after they employed them. You look good to me!
Howwww did that ever happen???
Original post by Ghotay
Howwww did that ever happen???
Was actually an issue with the GMC who just took at face value the fact that they said they had qualified abroad and put them on the medical register, but still, makes your CV look most excellent!
Original post by Ghotay
Ooh well you're making me feel fancy. I have assisted in THREE audits, and done TWO bits of formal teaching! They should throw jobs at me
Medical recruitment is just really random anyway. The cardiology unit in my previous hospital employed some IMGs that were, to be frank, absolutely awful. Truly bizarre decision makers. Then two really good CT2s apply, great CVs, done lots of acting up, great candidates... rejected.
Conversely, I got rejected from the main oncology recruitment for a job miles away. Then an academic post (which I'd prefer) in my local region comes up, I'm definitely not very 'academically' qualified at all and local region was more competitive... I get the job.
Sometimes, it just makes no sense, for better for worse!
Original post by nexttime
Medical recruitment is just really random anyway. The cardiology unit in my previous hospital employed some IMGs that were, to be frank, absolutely awful. Truly bizarre decision makers. Then two really good CT2s apply, great CVs, done lots of acting up, great candidates... rejected.
Conversely, I got rejected from the main oncology recruitment for a job miles away. Then an academic post (which I'd prefer) in my local region comes up, I'm definitely not very 'academically' qualified at all and local region was more competitive... I get the job.
Sometimes, it just makes no sense, for better for worse!
Conversely, I got rejected from the main oncology recruitment for a job miles away. Then an academic post (which I'd prefer) in my local region comes up, I'm definitely not very 'academically' qualified at all and local region was more competitive... I get the job.
Sometimes, it just makes no sense, for better for worse!
i agree, it's all very random. having a great CV has no correlation to being a good doctor or decision maker either.
Original post by Anonymous
i agree, it's all very random. having a great CV has no correlation to being a good doctor or decision maker either.
Well arguably that's true in all industries
Original post by GANFYD
They will throw jobs at you! They recently discovered one of our local long term locums was not even a qualified Dr! Several years after they employed them. You look good to me!
Given the discussion about the lack of correlation between CV and and competence I'm interested to ask, was the long term locum any good? Would you have noticed if you hadn't been told that they didn't have a medical degree?
Original post by Omar_Little
Given the discussion about the lack of correlation between CV and and competence I'm interested to ask, was the long term locum any good? Would you have noticed if you hadn't been told that they didn't have a medical degree?
Took a while, but when they fraudulently got themselves mentioned as a beneficiary in a patient's will, it pretty soon unravelled! (and I am not talking Dr Shipman, despite the similarities, he was fully qualified)
(edited 4 years ago)
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