Surprisingly feeling remarkably chirpy today. Yep still on night shift but feel quite well rested and also had some quality time with Ian which was desperately needed and much overdue. Granted it is still early in the night but so far okay...weekend was nightmarishly busy, several of the patients I admitted are still on the 'pending' list for theatre!
Looking forward to finishing nightshift and the weekend ahead. We had been planning on going away as I really need to run and hide somewhere the only issues with that were
a) small white and grey furry sharp thing.
b) GUSCDC Annual Ball (issue as I will be lynched if i don't go, Ian may never forgive me (well he might..) and we would both really enjoy it.)
c) oh ywah and don't forget MTAS!!
So new soloution..go away firday afternoon to somewhere nice overnight. Come back saturday so (a) isn't left alone too long. Attend (b) and hopefully get so very pished afterwards that I know longer care about (c). Now all we have to do is find somewhere to stay!
MTAS...now for those of you not currently familiar with the horrifying acronyms MTAS, MMC, UoA, ST1, FTSTA be very very glad! MTAS is the NEW and improved?!? medical training application system. Currently unbeknown to the majority of the population the very basis of medical training and careers are being overhauled. "MMC is expected to take several years to implement but when complete it will support models of care where service is delivered by trained doctors instead of doctors in training." I agree that sounds great but how is it going to work..the BMA arent conviced
Patient care could be affected by interview process for new junior doctor jobs, BMA warns (issued Wednesday 20 Dec 2006)
This improved system means, as far as i can understand, that if they need three neurosurgical consultants in scotland in 10 years time then they will train only 3 people for these posts...cunning plan unless any of these people are (a) hit by a bus (b)rubbish at the job (c) decide they don't want to work/want a family etc. This is because there are currently too many SHOs leading to a bottleneck at SPR level (so thus the solution is say they are introducing a new training programme..oh and oops there don't seem to be enough jobs for all the doctors.)
The idea of the MTAS is that you can apply for up to four UoA(unit of application)s meaning you apply for
i) up to 2 specialties/specialty groups, each in up to 2 regions
ii) 1 specialty/specialty group in up to 4 regions
iii) up to 4 specialties/specialty groups in 1 regions
Now that sounds quite reasonable...so you'd think if I wanted to be a GP I could apply to be a GP in 4 regions say maybe Glasgow, Ediburgh, Stirling etc. But no...you'd be missing the fact that Scotland is a region. In total I think there are 18 regions. So thus I can apply for GP in Scotland and maybe Core medical training in Scotland. and then if I'm lucky specify a deanery (north, east, eoutheast, west)
Thereafter the jobs are failry vague covering areas such as (remember these are likely 4 month rotations!)
* East of Scotland - based in Dundee, Aberdeen with placements in Fife and Lothian
*West of Scotland - based in Glasgow hospitals with placements in Ayrshire & Arran, Dumfries & Galloway, South Lanarkshire, Renfrew and Inverclyde
*National Programme - based in Glasgow with placements in Edinburgh, Aberdeen +/- Newcastle
Doesn't it sound appealing...I mean you didn't want to stay in one place maybe buy a house, settle down with someone etc.
So anyway the applications with the usual blurbing creative writing rubbish (*C2 Give an example of a time when management of a patient was complex. What strategies did you use to identify an appropriate solution? How effective were these strategies?, *A3 Provide evidence of activities/achievements over and above your regular scheduled daily activities that demonstrate your personal commitment to the specialty (or development of relevant skills). Indicate date and place relating to the evidence.)
The application system opened on the 22nd of January and closes at 2pm on the 4th of February - the fact that I have been on night-shift for 50% of this time I feel may limit the quality of my application. Nevermind my small breakdown prior to nightshift and my desperate need for R&R post night shift before a week on hell back on ward cover. heh heh heh fun.
Anyway I felt I had to rant about this...the system sucks, lots of people are going to australia in view of this, many of us will be either out of a job or in a non training waste of time post or on a career path we don't want. It' s all fun!
anyway rant over, still feeling pretty chirpy and a bit hungry which is unusual for me on nights.
Anyway I will leave this be at the moment and go for a wander. Don't like hospitals at night they are quite eerie.
ttfn