TSR Doctors society

It wasn't all terrible, obviously I'm only going over the bad bits, nevertheless the overall experience of the job was definitely a negative one. Of the 4 trainees, 2 of us definitely hated it, 1 I don't actually know if she enjoyed it or not, although I suspect not, and 1 really enjoyed it and ended up putting psychiatry as her second option on speciality applications having never considered it before. I think she enjoyed the slow pace because she struggles with stress, so it perhaps suited her personality. It made me want to chew the walls

Thanks' for that. It's helpful to know the potential pitfalls. I would expect my trainee to spend a lot of time on the ward getting to know the kids and building therapeutic relationships. I probably will need to spend time explaining why this is required to minimise resentment for being made to play Bananagrams and Monopoly. The glacial pace may well be an issue as the average length of stay is around 12 months.

Was there anything that you wish you could have done to make this rotation more useful?

On another note, I feel seriously cheated to know that there is a ward somewhere with four trainees on it and people going bored with little to do as I don't have any junior support at the moment.

I saw that, but then they also said that ‘some’ modules require additional subscriptions, and I thought it a bit odd that I can access a few, so wondered if they were pulling a sly one. That’s why I wanted to confirm what access other people have

I have full access. Do you reckon you still have a medical student account?

Just don't be a crap supervisor and it'll be alright!

1) I learned of an interesting approach to BiPaP today. Apparently in our hospital the 4 bed unit is nurse-run, including decisions to titrate pressures and stop it, based on sats-style colourimetry based CO2 monitoring. However, as well qualified as they are, they obviously can't do blood cannulas or blood gases so the doctors get given all the menial tasks by the nurses in an interesting role reversal!

1) I learned of an interesting approach to BiPaP today. Apparently in our hospital the 4 bed unit is nurse-run, including decisions to titrate pressures and stop it, based on sats-style colourimetry based CO2 monitoring. However, as well qualified as they are, they obviously can't do blood cannulas or blood gases so the doctors get given all the menial tasks by the nurses in an interesting role reversal!
2) Further to my post about our hospital having a large number of beds shut due to fire safety concerns, I'm glad to announce they've found an ingenious solution. Just leave all the patients lining the ED corridor and waiting rooms! There are literally patients sat in the waiting room with IV fluids etc. There was loads of space there just left unused, who knew!

I had a student placement where the nurses on the BiPAP bay were able to do ABGs, and worked with outreach teams where the nurses can do both, so it's not outside the realms of possibility!

When I did Resp quite a lot of the nurses did ABGs, especially those who had trained in Europe. I remember this legendary Italian nurse who basically used to ring me in the middle of the night, tell me the patient's issues, the investigations she'd done, her plans based on those investigations and her suggestions for the morning when I handed over - was that alright with me? And she was never off the mark with any of it. It was honestly so impressive. The most awful thing was that nurse quit and I think went back to Italy because of Brexit-uncertainty related crap.

I had a student placement where the nurses on the BiPAP bay were able to do ABGs, and worked with outreach teams where the nurses can do both, so it's not outside the realms of possibility!