F1 doctor. Husband, dog dad, Geordie, adopted Yorkshireman. Proud member of the alphabet mafia. All opinions my own, but you’re welcome to pinch them. 🩺🏳️🌈
Our dog Angus is nearly 10 now, we’re his sixth home and he was abused or neglected for much of his life so he’s quite reactive. We’ve recently found a brilliant groomer and this video of his first appointment just makes my heart explode 🥰🥰
Part 1
You also had no university fees, free hospital accommodation, pay that was in real terms significantly higher, a much better funded path from junior doctor to consultant and worked with a population that was younger and less comorbid in a health service that was better staffed.
My student debt total is £113,448.26. I’m already repaying my “debt” to the nation and will be for the next 30 years.
Pay me what I deserve. Clue: it’s more than £15.53/hour.
@DrJCraneBatman
You can use the word Restoration until you are blue in the face.
All the British Public see is the word Greed.
I repeat, they are doctors in training and are in post to repay the nation/NHS for the time invested in them to obtain the basic level of competency they have achieved
You know why the narrative of junior doctors “putting patients at risk” really gets to me?
Because I distinctly remember crying into a maccies breakfast in 2022 after a shift in ambo control where it had at one point taken over an hour to get a vehicle to a paediatric arrest.
First night shift in almost 6 months tonight (and my first ever as a doctor). For the next 3 nights I’m covering urology, ENT, breast and trauma and orthopaedics. Here’s to hoping for no shenanigans!
P.S. it’s criminal that my hourly rate is £15.57
Despite paying £30 a month for a parking permit for the hospital I’ve turned up to work today to be told there are no spaces in the car park and I’ll have to park elsewhere. The only other car park nearby is a Q-park that will cost £££
Being a doctor in the NHS is just 🥰🥰
Tomorrow I’m working a 13-hour on call shift, during which I’ll be the lowest paid member of staff in the NHS.
In contrast to most NHS staff, doctors get no enhanced pay for bank holidays - I’ll actually be earning less than I did last year as an Emergency Medical Dispatcher.
Called the micro reg at 1930 on a Sunday and immediately after getting off the phone they’ve sent me this email.
Absolutely chuffed with this feedback, particularly given the time of the call 😂
Angus would like to know whether his newfound fame means he can have an increase in his treat allowance. He says inflation is mad these days and the price of being a Good Boy has gone up as a result 🐶
I have struggled to come up with the words for the PA doing neurosurgery & boasting about how they’ve no formal training and are just “learning on the job”.
For anyone who doesn’t know I trained as a PA and am now a doctor. I think this is patently ridiculous & dangerous.
How have I just got an email saying that we have a national shortage of salbutamol nebs*, a literal life saving drug for those with asthma and COPD, essentially asking us as doctors to ration its use?
We are truly through the looking glass.
I am a literal doctor that also has a first class honours degree in pharmacology and my husband STILL continues to buy branded medications like panadol and nurofen despite my very strong insistence that it’s a waste of money. Cba.
Your Easter Monday reminder that today the lowest paid members of staff employed by NHS Trusts in England are foundation year 1 & foundation year 2 doctors, earning £15.58 and £17.93 per hour respectively 🤦🏻♂️
Last night I was going through my phone deleting old photos and found this screenshot of the message my then 62-year-old dad sent me the day after the Brexit vote.
8 years on and I’m not sure either of us feels much differently. What an utter shit show.
I am absolutely FLOORED by reports of PAs being “senior registrars” in ITU.
I graduated from the PA MSc with distinction. I graduated my MBChB with honours. I also have a first class BSc in Pharmacology.
There is no way I am qualified to work as an ITU SpR
When I was 17, I went to the GP at my mam’s insistence cos I had a bit of back pain & a weird gurgling sensation around my heart.
My GP told me he thought I was having a pneumothorax & sent me to ED, where a CXR revealed he was entirely correct.
This table is not only insulting, it is inaccurate.
I am a foundation year 1 doctor. I am not “partially” registered with the GMC, I am “provisionally” registered. I am also quite able to prescribe controlled drugs and interpret ECGs because I went to MEDICAL SCHOOL.
I’ve seen two tweets today arguing that nurses can get on an ambulance and operate with equivalency to a paramedic with the “right training”. Two things:
1. Yes they can! The “right training” is a paramedic science degree
2. What is the obsession with doing each others’ jobs?
The absolute CONFIDENCE it must take as a first year medical student to post on here that being a GP is easy and anyone could do it
Good GPs make their job *look* easy because they’re incredibly skilled.
As an FY1 now working in GP I can confirm it is anything but “easy”
Back in August I raised concerns with one of the directors at my trust that junior doctors’ ID badges were poorly worded - they all said “trainee” and none said “doctor”.
Recently received this email and I’m genuinely both shook & delighted that I managed to make change happen!
Today I offered to supervise one of our 3rd year nursing students doing a cannula as I know they need them signed off.
She told me because she’s on a “make up” placement to get her required hours up she’s not allowed to get sign offs.
What in the NHS is this utter nonsense?!
It really grates on me when other HCPs (and in particular other doctors) denigrate or fail to respect GPs. They are expert generalists and I’m extremely grateful to my GP for spotting a diagnosis that was not classical in symptomatology.
My brother-in-law just rang my husband to ask me if his antibiotics are “strong enough” and then they had a discussion about how a twice daily regime doesn’t seem “strong enough”
Me, a doctor with a pharmacology degree:
Nah I actually just saw a FIRSR YEAR medical student on TikTok saying that medicine isn’t that complex theres just a lot of it
Hun let me tell you, medicine gonna HUMBLE you 😭
Bleeped the reg on ward cover this evening because I thought a patient might need an ascitic tap. Reg took the time to come down to the opposite end of the hospital and teach me how to do it under their supervision.
Absolutely love regs that take time to teach on call, legend
Hilarious that the earnings threshold to be classed as a “skilled worker” by the government is now £38,700… more than the salary of qualified doctors in their first two years of practice.
Guess we’re no longer classed as skilled 🤷🏼♂️
Gosh seeing some tweets about rent in London am so glad I live up North.
We pay £765/month for a three bed house with a drive, a garden and two full bathrooms, we’re allowed a dog and there was no ridiculous bidding war to get the tenancy
Thank the lord for Yorkshire
It was horrific, and I can only imagine how much worse it was for those waiting for help.
You know who didn’t care then? All these right wing commentators pearl clutching over strikes where patients are very safely being looked after by consultants.
Industrial action by doctors is a drop in the ocean compared to over a decade of systematic underfunding of our health and social care services by successive Tory governments.
If you want to be angry about something affecting patient safety, be angry about that.
You either care about patient safety all the time or not at all, & if you do care about it then you’d have been angry about ambulance delays, ED waits, GP underfunding & poor access to secondary care clinics for a long time - all of which long predate industrial action by doctors
I’ve had an interaction over the phone today where a registrar was so rude to me that I’ve actually left work feeling anxious.
Why do people think it’s acceptable to treat junior colleagues this way?
One step closer to leaving medicine.
One of the hardest things about being a doctor is trying to complete a task and getting interrupted (reasonably) by nurses, pharmacists, therapists, other doctors, a deteriorating patient, the prehistoric IT system and another more urgent task.
My brain is fried
And for clarity, doctors don’t belong to the public at all. I’m a private citizen and these undertones in the media portraying us as public property do not sit well with me
If I were a business person I’d seriously consider setting up a chain of 24-hour nurseries as close as possible to hospitals
The amount of NHS staff that struggle with childcare for unsocial hours is massive. There’s surely a profit in there somewhere
If you have a non-prescriber (of any flavour) on a doctors rota, one of the doctors ends up having to pick up the prescribing (and the associated risk)
This will often be an FY1 or FY2, getting paid less than the non-prescriber for whom they’re absorbing risk
NOT. ON. A. BANK. HOLIDAY.
I have been working in the NHS for nearly 10 years on both agenda for change and junior doctor contracts. I know fine well what I’m talking about, and on bank holidays FY1s & FY2s are the lowest paid staff employed by NHS Trusts.
This business of the North West having PAs on the Foundation Programme is absolute nonsense.
Take it from someone who trained as a PA and is now an FY1 - when I finished PA school I did not have the same breadth & depth of training, knowledge & skills as I do now
It does make me laugh when people say doctors should have to pay for their own training if we strike or leave the country.
If I’m not already paying for my own training, please enlighten me as to why I have £112K of student debt?
How are final year medical students supposed to plan and finance moving to their allocated F1 hospital if they don’t even know where it is with only 3.5 months to go?
This is an utter disgrace and a shambles. You all deserve better. The medical establishment should be ashamed.
I also earn more than either of my parents ever earned. My mam grew up as one of 11 children in a council house.
I am damn proud of having gotten to where I am, given only 6% of doctors in the UK are working class.
I STILL deserve reasonable working conditions
@doctor_dru_
And you were forced at gunpoint and dragged kicking and screaming to train as a doctor ? and yet you earn more than I have ever earned ( I'm 60 years old and earn less than £30k a year) and you go on strike for more money and better conditions ? SHAME ON YOU!
Just paid £5 to renew my Blue Light Card as it’s due to expire at the end of this month. I last paid £5 back in 2019 and the amount of money I’ve saved for that small initial outlay is insane.
Would strongly recommend any of my NHS colleagues who don’t have one invest pronto 😊
I’m sorry but the argument “you shouldn’t be using RPI to calculate wage changes” is patently ridiculous when the government are happy to apply RPI + 3% to my student loan balance.
I’ve accrued over £5K in extra student debt since April 2023 from interest ALONE.
Dave, you have misunderstood the way “on call” is used in medicine.
“On call” as a junior means physically on the hospital site, holding a bleep and covering multiple wards and/or take.
You are getting it mixed up with non-resident on call (NROC) where you may be at home.
For those in the UK asking for her details - she’s located in Swadlincote (Derbyshire, on the borders with Leceistershire and Staffordshire) and her business name is Phoenix Dog Grooming.
Give her all the business because she is a gem!! 💎
To summarise the state of UK medicine:
Our new doctors are getting sent to all 4 corners of the nation against their will for work, our post-foundation doctors have to sell their first born to get into specialty training & our Royal Colleges are doctoring data /1
I’m on nights tonight and I just *know* which ward is going to give me the most bother. I don’t mean the most work or sickest patients, but can guarantee any doctor who’s ever done ward cover nights knows *exactly* what I mean 😬
It’s amazing how on this website you can’t talk about doctors pay and conditions without being accused of elitism, punching down, claiming to be gods etc etc
I am literally just a regular person asking to be paid and treated fairly for my skills and experience. That’s it.
Over 1000 incidents of people who aren’t qualified/authorised to request ionising radiation doing so in ONE trust is wild.
Imagine if British Airways had >1000 incidents of people who aren’t qualified pilots flying planes. You would not get on one of their aircraft, would you?
I’m so glad we’re finally talking about PBL being absolute trash.
My GEM course used PBL (amongst lectures and tutorials +++) and not only was it frequently led by non-clinicians, they wouldn’t even correct people when they were wrong because “it’s about having a discussion”
I’m not “PA bashing”. I am intimately familiar with the differences between doctors and PAs as I have trained as both.
Requesting ionising radiation or prescribing when you know that it is unlawful is a major probity issue.
@xxsnzz
It's quite embarrassing that these medics clearly don't understand the referring system and legal obligations of all involved, and don't bother to check before shouting all over Twitter... but any opportunity for a bit of PA-bashing, eh?!
(Junior) doctors can’t partake in NHS fleet/car leasing schemes because we don’t work for one employer for long enough.
Also “extra duty pay” is literally pay at my basic rate of £15.53/hour for the additional 8 hours above 40 I’m forced to work a week.
@LiamFox
£29k is adequate for anyone STARTING their career. On top of that they get allowances, shift increases, extra duty pay, lease car scheme that gives them new cars at a fraction of what non NHS workers get. On top of a heap of discount to the NHS from retailers.
The NHS are very…
I am aware. That does not make me public property any more than it does a police officer, firefighter, teacher or border force agent.
It may surprise you to know that doctors are also taxpayers.
And this is why if I’m ever on a shift with a rota gap I do each of the following three things:
1. Datix
2. Exception report, marking “immediate patient safety concern”
3. Document in every patient’s notes I review “care delayed due to rota gap for XXX (eg. SHO/F1) doctor”
The problem here is there aren't enough consequences for managers who leave shifts unfilled.
Make employment unattractive, slash locum pay, you'll be praised for saving money.
Patients will suffer and die, but the link between rota gaps and deaths remains just ambiguous enough.
Prior to being a doctor I spent 12 years working as a combination of:
A barista
A coffee shop supervisor
Ambulance service call taker
Emergency medical dispatcher
Shelf stacker
Healthcare assistant
AND a *facilities worker* at a halls of residence
@idruprofen
Your choice. You could go and do some cleaning at a hospital instead if that pays more! Oh wait. No you won’t do that as cleaners are clearly below you lot.
Tonight whilst we’re sat in comfies chilling one of my husband’s friends has called him cos she’s out, too drunk and is struggling to get home. Despite it being over an hour round trip for him to go and get her, that’s immediately what he’s done.
The GREENEST green flag.
“You need to work more hours for free to prop up our health service, but we’re not actually going to let you evidence any learning or development you may get”
It’s pretty hard to get worse than the state of doctors training at the moment but I think this might be it
Professionals who aren’t medical doctors should not be using the title “doctor” in a clinical/healthcare setting*. It is at best extremely naive and at worst wilfully misleading.
Patients & their relatives/carers deserve clarity on the qualifications of their healthcare workers
The only people who should be performing neurosurgery are those who have gone to medical school, completed foundation training and are in or have completed specialist neurosurgical training.
There should be no exceptions to this. None.
How has medicine in the UK got to the point where we are reliant on an anonymous pizza on twitter to ensure doctors aren’t bullied, belittled and coercively controlled
Once again, we are not a serious country
Start work: 0900
Leave home: 0735
Get to queue for hospital car park: 0817
Finally get to front of car park queue to find it’s closed: 0837
Cost of alternate parking for my 8-hour shift: £18
This job does my actual bonce in 😤
During this rotation I’ve had my best friend & my sister’s weddings and my husband’s 30th birthday.
My fantastic rota coordinator (one of our SpRs who gets no additional time/money for rota coordinating) has made sure I’ve had leave on all of them, including the days either side
It really bothers me when female doctors talk about how they’re always assumed to be nurses and someone (invariably a man) pipes up “it’s because of your hair/clothes/voice/attitude”.
No, it’s because our society is still deeply sexist and clings on to gendered stereotypes.
Honestly US doctors would not survive in the UK
US MD: Just had the most incredible life saving experience with the crash team on ward 12!
NHS: There are six TTOs you need to do and a pigeon on the ward. The only available chair is a hazardous waste bin. Best wishes
Apart from anything else wrong with
#shoegate
, the idea being propagated by some that the main block on discharging older people is somehow FY1s not doing timely TTOs, and not the repeated and disgraceful under funding of adult social care in this country, is utterly ludicrous.
Honestly seeing the stories about the way junior doctors have been treated in the NHS on here today makes me glad I’m a little older as an F1.
Don’t get me wrong my mouth sometimes gets me in bother but at least I go to work knowing nobody will be confiscating my shoes 😭
All my vehicles that night were stuck at hospital unable to hand over, and I ended up having to pull a truck from a neighbouring sector to respond.
That night, it was taking ~8 hours to respond to category two calls, the category for suspected heart attacks and strokes.
Having to document a set number of reflections on your e-portfolio is such a folly. I reflect on things all the time, but documenting them is a ballache and frankly I’m not keen on the idea of seniors leafing through my inner contemplation and passing judgment on it
It absolutely drives me NUTS when people come up to me at work wanting to discuss “2C” or “side room 8”
I don’t know who is in 2C or SR8 off the top of my head. And I’m not giving a medical opinion without knowing the patient’s details… this is how mistakes happen.
I’ve just found out about that HEE England advice on dating apps for doctors
All I can say is that there was not a single gay man involved in writing that guidance… if these people found out about Grindr they’d end up on HASU with multi-territory infarcts 😬
Medical students, if you’re wondering who on earth the patient is in those passmed TFT MCQs playing fast & loose with their thyroxine then look no further, as my mam just confessed that if she’s going to have a “tough day” she doubles her dose.
I’m pretending it never happened.
The out-of-hours provision of decent food and drink for staff & visitors in NHS hospitals is scandalous.
At my current hospital after 5PM your options are vending machines or best wishes. It’s not bloody good enough
On an anaesthetic taster today & the theatre staff were discussing doses of ketamine
At which point the consultant vascular surgeon looked directly at me and asked me what kind of doses of ketamine kids are using on the street these days
Great to know I’m giving off ketty vibes
I don’t really get that video where someone talks about how junior doctors aren’t accessible enough.
I’m generally at work at least 15 minutes early, spend 95% of my day on my ward (including eating lunch there) and also carry a bleep.
How much more accessible can you be?!?
Today I managed a situation at work, emailed the relevant (off-site) consultant to explain how and why I had managed the situation the way I did and what would happen going forward.
The consultant RANG the ward just to tell me I’d done an excellent job and he was impressed!
This isn’t misinformation. Just because the truth is unpalatable or unfortunate does not make it any less true.
Both the junior doctor and agenda for change contracts and pay rates are publicly available, so anyone who doubts what I say can fact check me.
Additionally, any EDs allowing PAs to have a wider scope of practice than any doctor (yes even an FY1!) needs to give their collective heads a wobble.
What a steaming heap of 💩
Was completing a referral to another team yesterday and the form asked for my “contact details, including mobile number”.
Are the trust paying my phone bill? No? Then you can use the bleep or ward extension.
@HeidiGrantMD
She was excellent with him, I was so pleased. And a brilliant price too. Would happily recommend her to anyone - we live nowhere near where she works but had seen a previous video of hers where she did a reactive dog and decided it was worth the journey
@BBlowave
Exactly. Made her fully aware in advance of the appt. She booked a longer appointment - there was a (small and reasonable) extra charge. As he’s reactive she booked him at the end of the day and locked the salon from the inside so no other dogs would be there. Amazing service!
Yeah if you’re going to suggest being a PRHO in 1982 when the treatment for an MI was lucozade and best wishes is at all comparable to being an FY1 42 years later then I can’t help you I’m afraid
@doctor_dru_
I managed with 4 weeks notice in 1982. My original house job was removed and I had to re-apply whilst taking finals. I guess I had a lot more testosterone than you and didn't feel the need to bleat about it. I commuted from Wandsworth to High Wycombe as a result. The rota - 1/2.
It is genuinely disgraceful that a *trainee* ACP out earns an FY2 doctor by nearly £6500.
I don’t for a second think ACPs or tACPs are overpaid for what they do & I’ve been lucky to work with some brilliant ACPs.
But this comparison shows just how crap doctors pay has become.
Looking at some of the hoops you have to jump through to get into specialty training is so disheartening. I don’t want to compete in the olympics, set up a non-profit or solve world hunger for 5 points, I just wanna be a good doctor man 😭
The BMA very quickly need to open up a reporting system for doctors to log patient safety incidents and near misses related to poor staffing or resources on non-strike days.
We all know they’re a daily occurrence, even if the government is trying to pretend otherwise.
One of the biggest differences between PA school and medical school was in the preclinical sciences, particularly anatomy. I want to emphasise that the breadth and depth of difference in anatomy teaching between the two was exceptionally vast.
Board round: Mrs Smith is making poo balls and throwing them at the nursing staff, we’ve done a safeguarding as someone has attempted to recruit our 16 y/o patient into county lines drug dealing & the ceiling in bay 3 has fallen in on Mr Clark
Medical students:
It always amuses me when people ask me if my husband is also a doctor.
For reference, this is the man who until a year ago believed the stomach had two pipes coming off it for solids & liquids and sorted them by acting as a colander.
This is utterly disgraceful. A PA does not have the requisite training or qualifications to be on a medical foundation programme.
It’s doubly insulting that they’d be getting paid more than those that do.
Those in charge at EOE Deanery should reflect on this. Quickly.
Here’s an equal pay claim if you’ve ever seen one.
Use a new physician associate (only 2 years training) to join the foundation programme. Tell the doctors they have to have done at least 5 years of uni to join the same programme.
Pay the doctor £32,000.
Pay the physician…
This is not what the PA role was meant to be & for any PAs who aren’t or won’t be satisfied with the limitations of the role, you should do what I (and others) have done and go to medical school.
Another FAO final year medics about to become F1s.
If you’re staying late you exception report. None of this “but the problem is me, I’m slow because I’m new”.
New doctors have started the first week in August for decades. Trusts can and should plan to mitigate for it.
Yikes this is quite the take. Apparently GP specialty trainees are problematic for *checks notes* attending training whilst in a formal training programme.
I’m gonna just remind everyone that “IT blunders” are not the cause of people doing things they are not qualified or authorised to do (eg. prescribe).
It may make it easier for them to do so, but it is not the cause. The cause is individuals knowingly acting unprofessionally.