r/doctorsUK

Not sure how it was at other universities but my foundational knowledge of pathophysiology pharmacology any other ology was poor coming out of my medical school anyway, working in nhs so far has brushed that even further to the side in place of seeing and treating patients with basic pattern recognition and referring to specialist teams at the first sign of anything that requires a deeper understanding. I have become incredible at typing WRs for consultants and carrying out their plans with my very few years of experience- if I am not coming back from work and picking myself off the floor to study there is next to no decent learning going on.

Have standards dropped generally? How to not give into imposter syndrome with the set up like this?

I was speaking to a colleague who has acquired a new health condition, essentially means they cannot do nights. Said colleague is a med reg. It got me thinking, do doctors who don't do nightshifts (even for anaesthetics or surgery) become worse of for it in terms of exposure, learning, management skills that they cannot compensate for during the day shifts?

The biggest lie told to us doctors about the UKFPO system is that it’s only 2 years of your life. So what you got your 167th choice, it only two years then you can get into training or apply for another hospital.

Lies, lies, lies.

Competition ratios means a lot of people are unemployed or accepting job offers so they can have a taste of security. For the unemployed, we are searching endlessly on Trac jobs for to get experience in rotations we should have done in FY1/FY2 but didn’t, because luck wasn’t on our side. Trying to get any real experience in a rotation you didn’t get is near enough impossible as everywhere wants previous experience or worse, internal hire.

How am I, an FY2, meant to have experience in ICU for the JCF role if I got my 167th job thanks to the UKFPO. And when I’m trying to leave my shitty DGH, everywhere half decent (aka Tertiary centre) is only doing internal hire. I feel like I wasted two years of my life as I’m no closer to getting into training. What is the actual point of foundation training. I’m now joining banks and trying to play the systems so I can be a “internal hire”.

I almost feel forced to go to Australia as it feels easier for me to get the job I actually want, better pay, better lifestyle, and better weather.

starting to think we are losing the momentum now, we haven’t had much word at all and the government have done nothing but smear us on the news. why aren’t we proactively announcing the next set of strikes - if the government finally start coming to the table they can always be called off?? seems entirely reasonable. what’s with the delay BMA?

NAD, but hoping to hear opinions from doctors and other healthcare professionals who know the system. One of the things that I find perplexing here as an immigrant from the EU is the structure of maternity care. Specifically, midwife vs doctor-led care. In my country of origin, we don't really have the separation of midwife-led and doctor-led care, and our delivery suites are all hospital-based, with full facilities available for each patient, similar to what you get if you go for an MLU. You are observed by both midwives and doctors during pregnancy and birth. Here though it seems like it's a fairly large trade off during delivery, where you get better facilities if you go for a midwife-led unit vs delivery suite, but worse access to monitoring, Drs, or pain relief, among other things.

There is constant quoting of research saying that midwife-led care leads to fewer interventions, but how much of it is correlation vs causation (fewer interventions resulting from them not being as easily accessible / available on MLUs; MLUs transferring anyone requiring an intervention out to the delivery suite etc.)? I have found it difficult to inform myself on the reasons behind MLUs existing, especially alongside actual delivery suites. Is it a money thing and the NHS simply can'tafford to provide the same level of care regardless if you're deemed high vs low risk? Would appreciate thoughts from people who know more about this as I feel like I am missing something.