One of the PA students on my ward informed me that her uni provided her with a Littman Classic III for placements. Engraved and all.
Would be nice if medical students got anything at all from med schools 🙄🙄🙄
As a FY1 doctor, I have to have 60 hours of logged CPD to pass ARCP and progress to FY2. That’s just the first year of being a doctor.
That’s on top of working 48 hours a week (20% more than PAs).
The scale of our requirements are vastly beyond those of PAs. False equivalence
UKFPO is taking all control away from medical students. First they randomise the normal FP allocation. Now they plan to randomise SFP allocation.
SFP applicants work hard to apply to the regions which suit their academic interests best. This undermines all their work. Ridiculous
We fundamentally disagree with the decision by the UK Health bodies to move the Specialised Foundation Programme into the PIA system from 2025 and will fight for students by resisting this change in any way that we can.
Read the full statement 👇
I feel like a mug for doing grad entry medicine when I could have done PA instead
2 years PA vs 4 years
Better starting pay
No rotational training and training bottlenecks and MORE opportunities to gain specialist skills early
What’s the point of having a medical degree at all?
UKFPO is taking all control away from medical students. First they randomise the normal FP allocation. Now they plan to randomise SFP allocation.
SFP applicants work hard to apply to the regions which suit their academic interests best. This undermines all their work. Ridiculous
My heart breaks for the final years today.
If I was allocated anything lower than my 5th rank, I would have left medicine. A system that does not respect doctors doesn’t deserve our labour.
Stop this nonsense
Be kind to Medical Students Day
UK FPO Allocations out today
First year these have been RANDOMLY allocated
A lot of young talent being sent places for their first job they’ve never been, worked or chosen
This is terribly unfair
#MedTwitter
Definitely keen for these as my trust have omitted my title on my ID and have put “F1” as my role. No mention of Dr anywhere.
All for more clear identification of staff roles!
Regarding the recent BMA MAP scope guidance
“Unfortunately, the RCP was offered no involvement in shaping the document and, in our view, patient safety is better served by collaboration”
Not like the RCP have had 20 years to produce such guidance or anything 🙄
@SaraTon08500527
A new graduate is still a doctor who has done over double the training of a PA but is unable to work/Locum in GP until GPST.
Terrible take
Overheard PA students
"Our PA training is intense, essentially doing what medical students in 2 years"
"No one wants to do F1 F2 jobs, just pure service provision. They have no choice. Our first months will be like that until the consultants notice us & let us do regs stuff"
A first for me today. I had a patient who only spoke Vietnamese. I’ve never had to speak my native language professionally before but I could see his relief at being able to converse freely with me.
Extremely grateful to my parents for teaching me my mother tongue today 🇻🇳
The changes to CST applications are a joke this year. I have been preparing a portfolio for the past two years. This is so discouraging for when I have to apply in a few years time
Are there any UK doctors on here who have made the move to Aus and gotten onto orthopaedic/gen surg training?
Looking for some information and trying to keep my options wide open!
Interested in Academic Surgery?
Join us at the Northern Universities Academic Surgery Evening - a FREE virtual event providing a quickfire guide to academic surgery and how you can get involved as a medical student!
🔗Register here:
@STARSurgUK
I’ve realised how much I enjoy providing explanations to patients and their families
I’ve spoken to many patients who were unable to follow their clinical care and being able to help them understand has been so rewarding to me.
It’s an immense privilege to do what we do
Would be interesting to see what the GMC think of PAs independently practicing surgery with no supervising Cons.
Regulation also means repercussions for practicing illegally beyond your scope
Dunning-Kruger in full effect. Unconscious incompentence.
Would it be acceptable for F1/2s to see pregnant patients completely unsupervised? Then why is it ok for a PA with less training to do so multiple times before finally referring to an obstetrician?
It’s not just me. My wife - she had a constant chest infection and asthma flare up between weeks 12 and 29 of pregnancy. She attended the GP multiple times including the aforementioned PA on several occasions and was constantly dismissed.
🧵The updated
#GoodMedicalPractice2024
uses the term ‘medical professionals’ as a collective term for doctors, physician associates (PAs) and anaesthesia associates (AAs), rather than listing out each individual role for every reference. We haven't removed doctors from the…
@SnowFake3
@CTAbdoPelvis
Yes if they go to medical school like all of the doctors and surgeons. Then they wouldn’t be PAs any longer. What’s your point?
@SnowFake3
@CTAbdoPelvis
You cannot apply for surgical training as a PA. If a PA goes to medical school, they are then a doctor and can apply. Hence PAs can’t be surgical trainees. You following?
@mgbmarkb
Mark, I am a first class BSc graduate. I have the significant education that you are talking about. I could have easily gotten into PA instead of graduate entry medicine because the requirements are LESSER for the former.
@SnowFake3
@CTAbdoPelvis
It is not snobbery to ask for clear delineation of roles. The PA cannot directly become a surgical consultant without first becoming a doctor whereas the surgical trainee is directly training to become one. Training should prioritise the latter, which is the point of OP.
@RCSEd
1300 students entered
230 got into the second round
38 finalists, from every part of the UK, took part in the skills session today
All are winners
Congratulations to you all
Definitely this. The most valuable preparation I did was twice weekly prep with a fellow applicant. Would also recommend the Medical Interviews book for personal questions and Dr Mo's videos on YouTube!
What did I use for AFP
❌️No expensive courses
❌️No personal tuition
✅️ How to read a paper book by Prof trisha
✅️ Dr Ollies free afp YouTube series
✅️practice with fellow academics (🙏🏻🙏🏻🙏🏻)
Second week of my ortho SSC. I got the opportunity to do some suturing on a hemi hip replacement! The reg was so patient and encouraging. It’s these little things that keep my motivation high!
#orthotwitter
#medtwitter
@JonnyGucks
The comments don't seem far off the mark regarding foundation training. I want to be a surgeon. Why should I spend two years rotating around jobs learning nothing of use when I could be doing the specialities I want to do instead.
I love medicine but seeing tweets like these so regularly is starting to make me question my reasons for staying. If I can't comfortably meet my basic needs, how can I even begin to find any job satisfaction? Time to book USMLE perhaps
One of the biggest misconceptions I had about being a dr would be that I’d earn enough of a wage to be comfortable. Not rich of course, but enough to pay bills, pay off some credit card & to treat myself from time to time…
…Not using emergency credit on the gas/electric meter
@lhoyle_
I was given two sets for free. When I required more in final year for 5 days of placement a week, I had to purchase them myself. Seems like this wasn’t a unique experience
As I near the end of F1, I've been reflecting on experiences with seniors
As the most junior doctor in the NHS, it's made me think about how *I* want/don't want to be when I'm a senior
Please add your own experiences! What's shaped you?
#MedTwitter
#MedStudentTwitter
🧵 1/12
Performed my first procedure in theatre today! Removal of a K wire in a child’s distal tibia. Feels amazing to get hands on rather than just observing! So grateful to have a great reg who’s willing to let me get stuck in 😷
@ellennelsonrowe
Honestly, same. Some of the best parts of being an F1 for me has been helping patients pass away with dignity.
Too often we neglect to have these uncomfortable conversations but it’s always better that we do and that we do so early whilst capacity remains.
A reminder about our academic surgery evening!
It is a good opportunity to hear from two academic surgeons with Q&A time at the end! Will be useful to anyone looking to get into academic surgery
@STARSurgUK
@NCLSurgSoc
Interested in Academic Surgery?
Join us at the Northern Universities Academic Surgery Evening - a FREE virtual event providing a quickfire guide to academic surgery and how you can get involved as a medical student!
🔗Register here:
@STARSurgUK
@Medic_Mermaid
From my understanding, you first need ECFMG Certification of your medical qualifications to be eligible to sit the USMLEs. After passing Step 1 and 2, you’re eligible to apply for US residency programmes.
@kt__hutchinson
anything else I’m missing?
@ollieburtonmed
It’s like they forget that they were once SHOs who needed to be trained.
Ladder pulling at its finest with no concern for upholding professional standards in medicine
@liamlfc64
@XelenX1
@JujuliaGrace
Many medical students are graduates with prior degrees which brings their total to 7-8 years (7 in my case).
A bioscience BSc is insufficient as a base for clinical medicine. The 4 year Grad Entry MBBS programme exists already for those who want a quicker route to medicine.
My afternoon clinic at GP was solely skin lesion presentations. I enjoyed it so much more than I thought I would! Maybe I should look into dermatology a little more 👀
#dermatology
#MedStudentTwitter
#MedTwitter
For all my gym people. This beef protein isolate is INCREDIBLE. 27g protein, 0g fat, 0g carbs and tastes like squash.
Game changer for getting that high protein intake in when busy!
@DrEilidhMaria
I actually prefer this but I work in a hospital with electronic records so I can literally just sit in the doctor’s office and churn through basic prescription tasks and blood requests/reviews
@mgbmarkb
I have done a total of 7 years of university education (3 years BSc, 4 years GEM). The GEM course is highly competitive with only 2.5% of applicants getting a spot in my application cycle. Cream of the crop
To do all of this to start on LESS pay and MORE hours isn’t on
@dannyjnwong
This rationale will be fine once regulation and defined scope are in place. Until then, they are just taking shortcuts to do what doctors do without any of the dedicated training and study. Very dangerous if abused as we have seen examples of recently
@mevparekh
@JonnyGucks
My fears are that FY docs rotate so frequently and the experience is so department specific. I know plenty of doctors who claim to have deskilled during their time on certain rotations. Too much time doing ward admin tasks with no educational support from seniors
Can’t wait to start FY1 in 6 weeks time 🙃🙃
Rotational training makes life worse for permanent teams and rotating trainees alike. All in the name of superficial breadth and no real training. No wonder most of my cohort have exit plans before they’ve even started in the NHS
@DocDoLi
@DrEilidhMaria
I think this is a case of false causation.
I reckon that FY1s don’t have the highest pass rate because they are FY1s but rather because only highly motivated aspiring surgeons would sit the exam so early and thus have dedicated much more to the exam. That is the case for me!
@VishwajeetP4t3l
Things are clearly getting worse rather than better. It’s hard to be optimistic when the NHS is collapsing and postgraduate medical recruitment is abysmal. Especially worrying as I’m one of a minority of new doctors who plan to remain a doctor here. Most of my peers plan to leave
@RajMaan_
Already signed up! This is what prompted my tweet.
I’d even consider giving up on surgery and doing IM or primary care in the US at this point
My excitement for my first presentation has been quickly crushed by the £627 fee to attend the conference 🙃 Getting a taste for the cost of portfolio building early it seems
@mattharrisdr
@MStott88
@JonnyGucks
I appreciate your opinion. I’m probably just a bit burnt out and sick of medical school. I hope my foundation yard will be as educational as yours. Thank you for your input.
@james_bedford
Stuck between a rock and a hard place. Thank you for trying to do the right thing for your trainees even when the system is against you. You clearly care and I hope my bosses in the future are like you, Mr Bedford!
@uinseann87
The very first PA I encountered was in GP where I was assigned to shadow him. He didn’t properly introduce himself and didn’t correct the patient when they called him doctor.
My experience with PAs has been much the same ever since.