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Showing posts with label Locums. Show all posts
Showing posts with label Locums. Show all posts

Wednesday, July 13, 2016

Some unique experiences in my locum posts

The last month and a half have seen me hopping from one trust to another, gaining experience working as first on-call with them, seeing patients before they are seen by registrars, starting IV lines, attending delivery calls, and so on. There has been some addition to my savings as well, and that is definitely not something to be scoffed at. The result of these peregrinations has been satisfying. I have made new contacts at different hospitals. I have gained insight into how things are done. My practical skills are improving. The one other thing that has kept me interested in doing locums is that I am seeing a more diverse range of illnesses and learning more about how to manage them. 

To a layman, the prospect of seeing more illnesses and suffering might be intimidating. To a doctor who is learning on the job, it is very exciting to see newer problems and learn how to tackle them. In the process, I have enriched my knowledge. To give you a few examples, I worked at a tertiary care centre in Manchester. There, I saw a whole range of children with complex problems. I was able to, for the first time since I came to the U.K., understand what happens to children we refer to the tertiary centres from our own trust in Blackpool; in fact, I even met a few of Blackpool's patients receiving their treatment in Manchester. It was very educative. 

In Bolton, a few days ago, I met the first Bohri family with their sick infant. In fact, this family was the first Bohri family I have met since I came here to the U.K.! I was humbled. It was an unique experience. They were as happy to meet a doctor who is Bohri himself. Of course, it is nothing dramatic to meet a Bohri - in fact, it is normal to meet our community's people almost anywhere on the planet. But for me, on this particular occasion, it was the first time ... and so, unique.

My work at a trust in Greater Liverpool was another highlight. This is the hospital at Whiston. They have the most fantastic facilities for on-call doctors - a fully furnished room to spend the night in. No other trust offered that opportunity, and it was definitely something that was unique.

Were there other memorable things? Of course, there were. At every place I worked, I found something or the other that was different from my own place in Blackpool. Not everything elsewhere was always better; however, most registrars and consultants I worked with were very cooperative and willing to support me. That was very surprising to experience, since, in my past, when I was in India, team work and cooperation at this level is unheard of. As they say, Indians often try to pull each other down than lift each other up when facing a difficult situation. I learned a lot here. 

If I had to describe the above post in just one line, I would say that working in the NHS is an opportunity no one should miss if they can help it. It is not perfect, and it is facing a lot of difficulties, but the work culture here is so beneficial for one's personal development that it has to be experienced to be believed.

Thank you for reading this post. Do share your thoughts in the comments section by clicking on the "Comment" button. I shall eagerly await your input.

Monday, May 30, 2016

A week down the line, and I am beginning to change ...

One of the wisest things I have understood is that Change must begin with one's own self. This is something that, despite knowing about it, does not get readily accepted by many who nurse their ego instead of recognising that this is the ONLY way to develop oneself. With me, it has been a gradual process that began about 4-5 months ago as I continued to struggle with the skills of a middle-grade doctor. At that time, I thought that I would improve merely by watching others at work and by being humble and willing to learn. I read a lot, took online courses on different topics pertaining to paediatrics, and, at times, stayed after duty hours to continue to learn on the job. 

How little I knew at that time that while these were good methods to acquire knowledge, they weren't enough. What I needed was to be able to handle the required tasks myself, with professional supervision, so that my skills improved. Yet another insight that I got over the past few months was that I had perhaps been wrong to accept a middle-grade job without mastering skills of a more junior grade doctor. All the things I had been doing were nothing compared to the essential need to perform tasks that described my job in a competent way. 

It was at  that point that I decided to really think hard about where I was going. I was assisted in this by my consultants who shaped my thinking and made me accept that I should probably be better off seeking to work as a more junior grade doctor and then climb back up. The process led me to meet my line manager and submit a letter of resignation with a plea to allow me to look for a job elsewhere, since, according to him, there were no vacancies at the junior level in Blackpool.

I began to apply for a new job about a fortnight ago; so far, I have appeared for a few interviews and am still waiting to be accepted by one of them. I do not know if this effort will, or will not, be successful. However, I will keep on trying till someone, somewhere, recognises my abilities and is willing to supervise me to work in their institute as a junior doctor.

An Indian medico friend of mine asked me why I was struggling this way when I could well be a consultant in India. I told him that this was an effort on my part to work in the UK with the NHS, one of the world's best, most rigorous health care system. Yes, it is true that the NHS is reeling from financial difficulties, and the managers are looking to rejuvenate it by a) cutting expenses and b) partly privatising it. None of this has come to pass as yet, but this is where the thinking is at the moment. My desire is to be a better doctor professionally. I am not worried if I have to return to India at some point in my life, as I know that the skills and training I acquire in the NHS will only make me a better doctor and be looked upon as being so.

I have also been working as a junior grade doctor on weekends. I did two night duties a couple of weeks ago, and have just done a few day duties this weekend. Both these were at the Royal Preston Hospital's department of Neonatology. This hospital has an advanced neonatal unit that looks after the smallest and the sickest of the sick newborns in the region. The experience has been really eye-opening. The work was not very taxing, but I have learned a lot of new stuff while listening to the consultants and watching them, the registrars, and the expert neonatal nurses go about performing their tasks. 

And that's basically it, for now. Thanks for reading. I will welcome your comments and feedback as usual.

Tuesday, May 17, 2016

Strung between the rank of a registrar and a house-officer

This is a very candid admission that I am finding the job of being a registrar in the NHS pretty difficult. Although, yes, my skills are improving, I am still not there. I mean that I am still struggling to be recognised as a safe registrar in my department. Things have come to a stage where my departmental head wants me to downgrade to a house-officer level so that I am able to carry on. I have agreed to do so. To help me to understand the complexities of NHS. 

I have even begun to do locum jobs as a house officer. I did two nights in Neonatology at Preston last Friday and Saturday. This was an enjoyable experience for two reasons. I have always enjoyed working in neonatal units - just a personal preference, really. Secondly, the consultant who was with me on both the nights was a real nice guy by the name of Dr. Egbeama. He is a Nigerian Neonatology consultant. I was happy to be guided by him as his entire demeanour was very good. He is supportive and shows the right approach for doing things. The interesting thing is that I was supposed to do just Friday night, but the department needed me for one more night, so I ended up coordinating the second night with my locum agency. This worked out right. I even got a room on the campus to stay the day out. I probably will make some money from these two nights' extra work, but more than the money, it was the exposure to a new setup that I will cherish in time to come.

On Saturday morning as well as on Sunday morning, I spent some time to travel by bus to R K Sweets, the "gujju" eating out place on Plungington Road near the Lancashire University complex. Now, I have reviewed this place on Tripadvisor and on Google Maps, and I must say that it continues to be a top favourite with me. I usually end up purchasing stuff to take back with me to Blackpool. Also, I always have their masala dosa. This time, though, I had a breakfast of Idli sambar chatni on Saturday, and their full lunch thali on Sunday. Both these were marvellous. The lunch thali had kadhi, pulao, puris, 2 vegetables ( I chose paneer mutter and undhiyu) as also a serving of savoury (I had an onion bhajiya) and a sweet (which I exchanged for another savoury, a batata wada). It was a delicious meal.

In other news, back home, it looks like my younger daughter Hannah, who was between jobs for the past month has found herself a new job! She will be working as a social media content writer for a company called Insomniacs. It's good news indeed. Inas and my wife Nishrin are on their usual routines. Mom continues to be all right after a short period of illness last month for which she had to be hospitalised for a few days.

And that's about it. Do continue to visit my blog and comment!