When a couple of consultants get together, it seems, the conversation inevitably turns to registrars and their shortcomings. This years crop of new ones – we\u2019ve just had a change over of RMOs here in the UK – are quite the disappointment. Rather than being senior and experienced, some of these have only been doing anaesthetics for three years! The overnight reg last Sunday night didn\u2019t bother seeing the first patients on the lists! OK, there wasn\u2019t a list that he could access to find out who was scheduled, but a bit of gumption on his part would have sorted it all out. And I can\u2019t believe that registrar today was worried about the airway – previous grade one, right there on the system! In our day, we had much more initiative, we didn\u2019t expect to be mollycoddled all the time. Last year our supervisor of training bought all the registrars a bottle of bubbly after they\u2019d finished their run, to show our appreciation for all their hard work. And what did we get in return? Six red flags in our online run reviews submitted by those very same registrars! Makes you wonder why we bother…<\/p>\n
The two registrars I\u2019ve worked with most since I\u2019ve been here have been terrific. One (the charming Canadian) was a pilot before his anaesthetist father persuaded him to study medicine. The other one was a qualified lawyer, and still works part time as a medico legal lawyer during his anaesthetic training. Makes my year of astrophysics seem like child\u2019s play. Their stories of being an RMO under the NHS are frightening. There was an RMO strike about pay and conditions last year that was a resounding failure, in part because the press were extremely negative about them. One of them said he actually got spat on by a member of the public as he was going to work during the strike. (I suggested this may have been because they knew he was a lawyer – in which case, fair play as far as I\u2019m concerned- and he did acknowledge this).<\/p>\n
The juniors and seniors work together but \u00a0don\u2019t seem to be being honest with each other. Is it the state of the NHS that\u2019s causing this unsympathetic attitude? I don\u2019t know but it\u2019s sad and I really feel sorry for the registrars. I hope our juniors feel better treated and are happier.<\/p>\n","protected":false},"excerpt":{"rendered":"
When a couple of consultants get together, it seems, the conversation<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[1],"tags":[],"class_list":["post-178","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"jetpack_publicize_connections":[],"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/sa8Ukf-juniors","jetpack-related-posts":[{"id":2064,"url":"https:\/\/accordingtokirsty.com\/index.php\/2019\/04\/01\/neophyte\/","url_meta":{"origin":178,"position":0},"title":"Neophyte","author":"Interloper11","date":"April 1, 2019","format":false,"excerpt":"Doing a case with two neurosurgical registrars, very relaxed, listening to my daughter\u2019s playlist, and looking at the Herald website. I read out the news about Mick Jagger needing cardiac valve replacement surgery, and one of the registrars said \u201cwho\u2019s he?\u201d These guys work far too hard - they definitely\u2026","rel":"","context":"Similar post","block_context":{"text":"Similar post","link":""},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":142,"url":"https:\/\/accordingtokirsty.com\/index.php\/2018\/08\/10\/surgical-time-extended-by-at-least-two-hours\/","url_meta":{"origin":178,"position":1},"title":"Surgical time extended by at least two hours","author":"Interloper11","date":"August 10, 2018","format":false,"excerpt":"The neurosurgical registrars here have discovered Stealth for drainage of chronic subdurals as well as placement of intraventricular drains! Way to make two tiny acutes fill your entire day.","rel":"","context":"Similar post","block_context":{"text":"Similar post","link":""},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":3083,"url":"https:\/\/accordingtokirsty.com\/index.php\/2019\/08\/13\/different\/","url_meta":{"origin":178,"position":2},"title":"Different","author":"Interloper11","date":"August 13, 2019","format":false,"excerpt":"How come when registrars work with me, they\u2019re very keen and proud to show off the new crackpot techniques that they\u2019ve learnt from other consultants, but when I try and impart the novel and innovative ideas that I\u2019ve built up over many years of experience, they just shuffle their feet,\u2026","rel":"","context":"Similar post","block_context":{"text":"Similar post","link":""},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":2902,"url":"https:\/\/accordingtokirsty.com\/index.php\/2019\/07\/15\/culturally-appropriate\/","url_meta":{"origin":178,"position":3},"title":"Culturally appropriate","author":"Interloper11","date":"July 15, 2019","format":false,"excerpt":"The surgeon I\u2019m working with today is in a good mood. He has two senior registrars with him who are doing most of the work. They are both of Chinese extraction, although from Malaysia, and my surgeon has decided he\u2019s going to learn a few hundred words of Chinese that\u2026","rel":"","context":"Similar post","block_context":{"text":"Similar post","link":""},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":2979,"url":"https:\/\/accordingtokirsty.com\/index.php\/2019\/07\/30\/the-youth-of-today-2\/","url_meta":{"origin":178,"position":4},"title":"The youth of today","author":"Interloper11","date":"July 30, 2019","format":false,"excerpt":"One of the registrars I was on with over the weekend never replied to a couple of texts I sent him. It wasn\u2019t a problem, because he was carrying the duty anaesthetist phone as well, so I just wrote it off as typical millennial behaviour. But it turns out it\u2026","rel":"","context":"Similar post","block_context":{"text":"Similar post","link":""},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/accordingtokirsty.com\/wp-content\/uploads\/2019\/07\/7EE76B21-F324-45D7-BFF6-5A0B0562E81C-300x279.jpeg?resize=350%2C200&ssl=1","width":350,"height":200},"classes":[]},{"id":3392,"url":"https:\/\/accordingtokirsty.com\/index.php\/2019\/10\/02\/intellectual\/","url_meta":{"origin":178,"position":5},"title":"Intellectual","author":"Interloper11","date":"October 2, 2019","format":false,"excerpt":"CME opportunities far and few between for me at the moment it seems. Missed out on last night\u2019s journal club as I was working in theatre (well, supervising a couple of registrars who were \u00a0doing the work, but it amounts to the same thing). The most interesting paper presented, although\u2026","rel":"","context":"Similar post","block_context":{"text":"Similar post","link":""},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/accordingtokirsty.com\/wp-content\/uploads\/2019\/10\/F3255262-9E82-4C47-B3DA-BFC7E826FF32-1024x709.jpeg?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/accordingtokirsty.com\/wp-content\/uploads\/2019\/10\/F3255262-9E82-4C47-B3DA-BFC7E826FF32-1024x709.jpeg?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/accordingtokirsty.com\/wp-content\/uploads\/2019\/10\/F3255262-9E82-4C47-B3DA-BFC7E826FF32-1024x709.jpeg?resize=525%2C300&ssl=1 1.5x"},"classes":[]}],"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/accordingtokirsty.com\/index.php\/wp-json\/wp\/v2\/posts\/178","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/accordingtokirsty.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/accordingtokirsty.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/accordingtokirsty.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/accordingtokirsty.com\/index.php\/wp-json\/wp\/v2\/comments?post=178"}],"version-history":[{"count":0,"href":"https:\/\/accordingtokirsty.com\/index.php\/wp-json\/wp\/v2\/posts\/178\/revisions"}],"wp:attachment":[{"href":"https:\/\/accordingtokirsty.com\/index.php\/wp-json\/wp\/v2\/media?parent=178"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/accordingtokirsty.com\/index.php\/wp-json\/wp\/v2\/categories?post=178"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/accordingtokirsty.com\/index.php\/wp-json\/wp\/v2\/tags?post=178"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}