CQC provides criticism saying “you don’t listen to staff who tell you you’re making their lives miserable”. Trust response: “We take pride in aspiring to listen better”. Meaningless lip service, dressed up in C-Suite-ese. If you’ve seen it once, you’ve seen it everywhere. Ineffective, hopeless.

Career update: got my first couple of bits of green in the donut.

An unspecified number of days ago, I gave my first start to finish anaesthetic with the boss in the (very close) coffee room. Probably not much to some, but it’s a reflection on how every day since starting this job has been a collection of small wins and it is just great.

End of week 1. I really *really* love anaesthetics. It is an utter breath of fresh air. A brilliant department which has been nothing but welcoming, proper support and tailored teaching. Just perfect.

Did a practice anaesthetics interview for somebody yesterday. My main takeaway from the experience is that it’s an absolute miracle that I got a job at all if this person is any indicator of the quality of the other people applying. Humbling.

Been pretty burnt out recently. Spending a week doing something hopefully a bit restorative, which for me looks like sunsets like this, decent food and a whole lot of nothing. T-9 days to the next chapter.

An absolutely fascinating 2 days at the Institute of Prehospital Care’s Resus Science Symposium. Eye opening experiences from Patients, clinicians and scientist all sharing in the goal of pushing patient care forward.

I am quickly discovering that the worst part of leaving my current training programme for a Feb start in another is trying to get all the ducks in a row for a January ARCP. What fresh hell is this.

I have decided that although I don’t believe in Heaven or Hell, there is definitely a purgatory and it is called SDEC.

Why bother locuming when this is the result?

If there’s anything to make me feel a little bit less shit after a truly horrendous day at work, it’s the arrival of a #Rule4 mug which pretty much embodies the theme of the day.

Once again recruitment to UK medical training proving itself to be an absolute joke. More arbitrary cut-offs and computers saying no meaning high quality applicants seeing themselves facing potential unemployment. Fubar.

Well that back pay on the payslip is rather nice…

Today has included teaching dad (Oncologist, MRCP 1996) the latest iteration of ALS ahead of his course. Quite why he’s putting himself through this when he last led an arrest before I was born (and when 1st line in MI was Streptokinase) escapes me. But it’s been a good laugh.

Glad to see more people here. Going to jump on the train of intros. I’m an early-career (PGY-3) doctor in the UK. My interests are in Anaesthesia, Prehospital Medicine and ICM. After a brief pit-stop in EM, I’m starting as an anaesthetic trainee in February in Essex. Good to see you all.

Sharing some positive life news for those who aren’t still in the other place. Nervous, but in an excited way.

Another week’s schedule published, and another week of pure service provision on a high turnover holding unit without seeing daylight. Scribing for ward rounds. No decision making. “Training”. Not a huge fan of this to be honest.

Taken the leap of faith and will be trying to move over here increasing amounts. Fingers crossed for fewer antisemitic bots and more of the med Twitter vibes of old. Where are all the other MedTwitter Exiles at?