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Showing posts from November, 2018

How to support your foundation doctors

As you all know, foundation year 1 doctors are at the lowest rung of the career ladder. Their pay is the lowest and their job is the toughest when they are on call - especially on ward cover. They are bleeped constantly to prescribe pain relief, dose warfarins, gentamicin, catheterize, do cannulas, take bloods, see sick patients ( who are not EWSing every minute in one hour. It is very important that their SHOs support them whenever possible. This is how SHO's can help: 1. Give your FY1s your mobile number - ask them to message you with any problems they are having. They SHOULD NOT give any patients details. Examples include - Cannulations - ABGs - Catheters Ask them to message you something along the lines of " ward 34, bed 12 needs a cannula please- on IV Abx and fluids" No further detail is required. If they bleep you, you may not be able to answer immediately. Ask them to message you and then they DO NOT need to stick around if they are bleeped to the other wards/see...

Social media and the NHS

Read these useful links first: https://www.gmc-uk.org/ethical-guidance/ethical-guidance-for-doctors/doctors-use-of-social-media https://www.bma.org.uk/advice/employment/ethics/social-media-guidance-for-doctors As international medical graduates, we may find this difficult to understand. However most things should be clear by reading the aforementioned official guidance. Here are a few scenarios: WHATSAPP A few trusts use WhatsApp to communicate. Here are a list of a few groups you may be familiar with: Foundation year trainee groups- used to spread information about foundation year teaching, interesting conferences and arranging mutual swaps for shifts. SHO groups -  Used to spread information about teaching and any mutual swaps for shifts. The rota team may also post on these groups asking doctors to cover any locum shifts. Ward WhatsApp groups-  These are used to communicate within the team especially on wards where there are a lot of outlier patients like the renal w...

Guidance on getting reviews of hospitals

There are a few websites which can guide junior doctors on what the best trust and department in that trust is to work in. Here are a few: https://messly.co.uk/ https://www.juniorreviews.com/ Some doctors use this website as well: https://www.cqc.org.uk/category/sectors/nhs-trusts International medical graduates use this Facebook group: https://www.facebook.com/groups/IMGs.in.the.UK/ And follow the guideline here: https://www.facebook.com/notes/international-medical-graduates-imgs-in-the-uk/how-to-search-for-reviews-of-hospitals-imgs-are-working-in/1695393023827065/ However all these reviews can be misleading at times. As we all know, foundation year doctors, core trainees and rotate every August. Some registrars rotate every October. The medical directors may change every few years. A hospital may be taken over by another trust and thus completely change its management. Some positive reviews are based on the fact that the junior doctor had an amazing team of fellow FY1s, FY2s, core...

All about IMT

Core medical training (CMT) is now being replaced by "Internal medicine training" from 2019. Here are some official websites: https://www.jrcptb.org.uk/new-internal-medicine-curriculum https://www.imtrecruitment.org.uk/ https://www.jrcptb.org.uk/training-certification/new-internal-medicine-curriculum/new-im-curriculum-faqs https://www.jrcptb.org.uk/training-certification/arcp-decision-aids DIFFERENCES The main differences between these 2 programs are: DURATION CMT was for 2 years. However the recruitment team did introduce some 3 year core medical training programs (CT1, CT2 and CT3). If core medical trainees working in a 2 year ( CT1 and CT2) program were unable to get a good outcome in their ARCP or did not complete their MRCP, they could possibly extend their training program to CT3 (But not beyond it). IMT is for 3 years if you are working in the following specialties: Known as GROUP 1 specialties Acute Internal Medicine, Cardiology, Clinical Pharmacology & The...