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Showing posts from January, 2020

Bullying and stress in the NHS

Bullying exists in every organization everywhere in the world. Some teams admit it, some just sweep it under the carpet.  However when things go wrong - ie members of the organization call in sick due to stress, or worse- commit suicide it wakes everyone up.  The NHS is no exception - we do have amazing people who go way beyond to help others and hearing their passionate stories is very motivating. However, there are some bad people. Bad people exist everywhere - in our families, in our workplace, on the road- we know who these toxic people are but sometimes, we just 'let it go' as we 'cannot be bothered': This attitude is what destroys an organization. This IS our home. We are the future of the NHS and hence it is our duty to look after it and the people working in it.  I am going to explain different ways we can raise concerns and make the NHS a better place. BULLYING: Unfortunately, not a lot of people are aware of systems which have been put in place to spea...

My role as associate college tutor

This post is about my experience as associate college tutor ( ACT). HOW I WAS SELECTED: When I started as ST3 trainee registrar in Acute Internal Medicine in August, 2019, I wanted to help my trainee SHO colleagues in every way possible. I had done core medical training and hence was used to the NHS e portfolio and ARCPs. A colleague who was working with the TPD of my deanery asked me if I was interested in delivering a teaching session on the induction day for IMT trainees and I was eager to get involved. On the induction day, there were not only IMT trainees, but the TPD, deputy TPDs and other consultants who are involved in the training of IMT trainees. I gave a talk on what I learnt from my training, my tips and tricks, how to get through ARCP and other pieces of advice based on my recent experience as a CMT ( This was replaced by IMT in 2019). After the session, the TPD suggested that I apply for associate college tutor. I had no idea what this involved however I was willin...

My 4th year in the NHS

I came to the UK in January 2016 as a non trainee SHO and worked at Wexham Park Hospital , Slough till July, 2017.  I then joined Harrogate District Hospital in August, 2017 as a core medical trainee year one ( which is now replaced by internal medical training) and worked there till July, 2018.  I moved to York District Hospital and worked there till July, 2019 as a core medical trainee year 2.  I am now working as a ST3 trainee registrar in Acute Internal Medicine since August, 2019.  I have spent 4 years in the UK now and I am now working in the 4th trust. I would like to discuss the different aspects of what I have learnt so far: CAREER PROGRESSION FROM A NON TRAINEE TO A TRAINEE  I spent 18 months as a non trainee SHO. This was the best decision I have made so far!  1. I had plenty of time to get used to how the NHS system worked 2. I had plenty of time to get used to on calls- I started my first on call shifts after 6 months after a few weeks...

A day in the life of a medical registrar - on call

I am working as a trainee registrar ( ST3) in acute internal medicine in a District Hospital. I am going to go through my day shifts and night shifts. DAY SHIFTS ( 0830 to 2130) WEEKEND 1. I wake up at 0630 AM , have breakfast and after a shower, leave by 0800 AM 2. I pick up any colleagues who are working with me on that day and arrive to work at around 0810 AM and go to the AMU doctors office where we have our handover. 3. I check my emails and get the admission e- board up on my computer ( we have an arrivals board which shows all the admissions from last night with their EWS score). I then have a general idea of what happened with the patient - in my trust, all patients are admitted via ED and usually the medical team clerks the patients in ED. The ED clerk then scans the clerking proforma onto the computer system prior to the patient being transferred to the medical ward ( and I can view them). 4. If there are any doctors from the night team, I ask them about any issues...