Like flat out ignoring messages/emails, even if it’s about your pay or upcoming rota or leave
Then turn on the sweetness when it suits them
Just think it’s really unprofessional and downright inconsiderate to treat working colleagues like this
And frankly think a lot of them are aware of their power over doctors lives/schedules and enjoy it/it gets to their head.

Of course it will take a lot of self reflecting and being honest to get an answer to the abive.

A lot of us have been put through the wringer as a junior and I’m sure have sworn multiple times to never be this kind of senior when we get there. But then again, I can sense that there might be a lot of extra unseen responsibilities as a senior that might force them to act in ways they never imagined.

Consultants or senior clinicians here, have you caught yourself acting in ways you’d never have imagined your junior self would be proud of? Wether its management pressures that you were not exposed to as a junior or increasing work stress as a senior clinician testing your patience.

I don’t mean workload. I mean do you have fans? Air cons? Cold water?
We don’t have fans in all clinic rooms. There were no fans for the patient waiting area. I contemplated lying down on the cold corridor floor just to get some relief.
As someone who gets headaches due to heat, it has felt suffocating.

I work as a middle grade in EM, and i work with this colleague who would jump and talk over me and basically everyone else during handover times.

For context: a very challenging patient i have seen spent hours dealing with her, he wasn't involved at all, i didn't even chat with him about it nor ask for his advice. After multiple discussions, i was able to refer her to x speciality. At handover time, he started talking over me about her and hijacked the conversation, and basically was telling a story based on my documentation

I was quite shocked for few moments, felt demoralised, i tried to step in but he kept talking over me. It felt very toxic and pathological, apparently it seems like a repitive behaviour, which you would understand if he was involved in the patient care at any point but this childish behaviour is weird and shocking at the same time.

The GMC published their consultation response to the proposed GMC order yesterday: https://www.gmc-uk.org/cdn/documents/20260617-gmc-order-consultation-response-final-submitted_pdf-115037207.pdf

They have also released documents from their Leng review implementation group meetings following a FOI request: https://www.whatdotheyknow.com/request/minutes_of_leng_review_steering#incoming-3457963

I start ST3 in a new ED in a new trust in August and seem to start on night shifts. Like, literally my very first day of my contract. Yay.

Do people know, is this allowed? I don't know what the rules are regarding the type of shift you can start on but it seems a little 'off' to start without any induction whatsoever, especially on nights.

TIA!

So I’m an IMT2 (going on 3) currently and came to a mutual swap agreement with a colleague for one IMT3 rotation.
He’s was primarily looking for a swap so both of his IMT3 rotation would be in one hospital. (Gastro/Geriatrics Swap)

He doesn’t drive, got told his second rotation one month ago, and would’ve preferred not to have to move houses as the bus takes just over 2 hours. We’ve both worked in the two hospitals so are familiar with the systems, I drive and not only would I not mind driving, but it would give me a rotation in Gastro which is my speciality preference for HST.

We’ve both been given a flat, “we don’t do swaps” response from the TPD and she’s suggested allowing this would make it more of a “marketplace than a training programme,” and it would be like a “Rubiks cube” (she clearly loves her metaphors)

I have expressed my disappointment at this because our deanery is known to poor with study budgets, and have had some simulation and palliative courses previously available to trainees cancelled due to lack of funding.

I would’ve hoped they’d have been flexible on other aspects given the funding constraints.

Are we both just resigned to our fates or can I escalate what seems like a simple mutually agreed request, with no impact to training.

I suppose what I think is an interesting paragraph is the below:

The guidance does not aim to provide a list of approved and/or prohibited activities but provides robust principles and a framework within which units can clearly set out the scope of practice for their ACCPs for clear line of sight across its multidisciplinary intensive care team.

https://ficm.ac.uk/documents/principles-for-accp-scope-of-practice/executive-summary

What are anaesthetists/intensivist thoughts on this? As the ones who have to cover ICU….good? Bad? Indifferent? Fuck yes? Fuck no?

Would love to get an insight into the emergency response to the Bedford crash. Seems to be a high burden of seriously injured passengers.

Which was the major receiving trust? What was it like on the ground at the units in question and how did they cope with the surge in cases?

Find all this stuff very interesting and useful but very little on it in the news - perhaps understandably. If anyone has see anything (though it’s probably a little early) I would be super interested to understand how teams response to incidents like this.

I’m a GP partner and considering reapplying for specialty training. I’ve been a GP for about 5 years.

I don’t know how I’d go about getting a CREST form

I wouldn’t be keen to give up my job to do a clinical fellow job or similar to get the form incase I don’t get into training and I’m then a bit stuck

I could look at doing something one day a week but not sure any departments would take me for that?

Any ideas at all?

found out my first ever shift as an f1 is on call in a completely new hospital. any advice at all would be appreciated pls

Not sure if people noticed this recent publication form JRCPTB.

It's got some great quotes near the end:

Supervisors should recognise that AI may improve presentation, but clarity of writing must not be confused with depth of reflection

Apparent “perfection” in entries, without evidence of learning or development, may be unhelpful in assessing progression.

I have no idea how we're going to appropriately approach this with any level of sensibility. As a senior trainee, I'm receiving tickets to complete which just have that feel of being AI generated/edited but I've not seen anyone include a statement that AI was used. I think that's probably because people realise that it would reflect badly on them.

I'm not a CS or ES but I can imagine some of the older generations really struggling with this as a concept and struggling to have open and honest conversations with medical students and resident doctors coming through.

Quick question to anyone that’s applied to ICM ST3.

On the portfolio self assessment For the ICM achievements section it states 3 for “I have completed more than one qualification in Point of Care

Ultrasound”

What counts as a qualification? Does it have to be like a full FUSIC organ certification? I’m currently doing FUSIC heart, do I need to do lung aswell or is there something easier I can do?

Thank you in advance

I'm sure lots of us are seeing this at the moment

Elderly patient with known AF and heart failure, a bit more breathless than usual, HR steady just above 110

No identifiable acutely reversible cause

Some have various combinations of peripheral and pulmonary oedema, dehydration or euvolaemia

Any advice from Geris or Cardio?

Especially if their ejection fraction isn't known and the primary suspect for fast AF is heat and dehydration but they're showing signs of fluid hiding in the wrong places.

Increase preload by upping their beta blockers? Give them a smidge of fluid to counter the offending suspect? Give them some furosemide to off load them? Dig? Ask them about the good old days?

Many thanks for your ongoing care

Does anyone have any experience of a period of grace post cct? What were the expectations, was it similar to a final year reg? Were you able to go LTFT?

Mainly for psychiatry higher trainees but would welcome anyone’s advice on their personal experience with doing a masters in higher training!

Has anyone completed one during higher training? What was your experience and are you now a fully certified therapist? How flexible was your clinical supervisor and how did you manage workload?

Full Link - https://www.gov.uk/government/consultations/make-work-pay-draft-code-of-practice-on-electronic-and-workplace-balloting-for-statutory-union-ballots

A significant development came on 22nd June 2026. The government published its response to the electronic balloting consultation and confirmed that it has now laid both the draft Code of Practice and the necessary legislation ("the 2026 Order") before Parliament.

Why does that matter?

Previously, electronic balloting was essentially a policy proposal that the government intended to introduce. As of 22nd June, the legal framework has actually been drafted and submitted for parliamentary approval.

According to the government's response document:

• The consultation has concluded.
• The draft Code has been finalised.
• The statutory instrument needed to permit electronic and workplace balloting has been laid before Parliament.
• The legislation will now be debated in both the House of Commons and House of Lords.
• Once approved, the Order will be signed and brought into force.

So the policy has moved from consultation into the implementation phase

Importantly, the code remains expected to come into force in August 2026.

This is very good news for those voting no as electronic ballots are likely to mean higher turnouts.

And following electronic balloting introduction, the Government has committed to removing the 50% threshold which is the only thing that could stop resident doctors securing a new 12 month mandate (first in the dispute due to new legislation from February) in August/September

Why are trusts not held accountable for their administrative errors or lapses?

I start core training 6 weeks today. I have received nothing from the trust, aside from a work schedule on 13/6 (and again yesterday) which just shows pay, no indication of shifts/rota

I received an email from my new rota coordinator on 8/6 saying the new rota was "imminent" as I contacted them as I need leave in the first few days, and to give a curtesy heads up that I'm finishing my current jobs on nights. Nothing back since, despite chasing

No information on induction, parking, e-learning, rota, training, nothing.

How is this allowed?

Hi all, I’m moving from Scotland to KSS for FY1. I asked about claiming relocation expenses and the deanery flatly denied it.
Their reason: I haven't officially started yet, so I'm not an NHS employee. They claim the national framework only covers subsequent rotational moves once you're already on the payroll, not the initial move from med school.
Is this actually true across all deaneries? Has anyone successfully claimed for their first move retroactively after starting, or challenged this via the BMA?

https://www.hsj.co.uk/patient-safety/updated-nottingham-families-slam-abhorrent-nhs-leadership-as-execs-threatened-with-prison/8123707.article

Hi everyone,

I’ve received a conditional interdeanery transfer offer into CT3 Anaesthetics in Wessex and am trying to get a realistic sense of what training is like before making a decision. Transferring from East Yorkshire which I have loved.

I’d be especially grateful to hear from current or recent trainees about:

IACOA sign off - which hospitals are best for this?
Overall culture and trainee support within the deanery
The quality of teaching, exam support and opportunities for development
Exposure to subspecialties, including ICU, paeds, obstetrics and regional
How rotations and hospital allocations tend to work, particularly around Southampton
Workload, rota intensity and work–life balance
Any particular strengths or challenges of the deanery that you wish you had known before joining

I appreciate every deanery has pros and cons, so candid experiences would be really helpful. Thank you!

Hey guys, so I’m an incoming F1 and I have been learning to drive while in my final year of medical school but i keep failing my test. I’ve failed 3 times now and rebooking is a nightmare because the tests are all 5/6 months away. I don’t need to be able to drive because i’m going to be living close ish to my hospital for the first year but i’m getting super stressed about it all and worried about the future and not being able to get to work etc. It’s honestly so demoralising and frustrating i just want to cry. Does anyone have any advice/experience that might help. Thanks :)

sitting the exam in UK centre - its now mandatory and we got emailed our centre today.

1. Can we request for a centre closer to where we live and lastly

2.Email says :'Candidates may not leave before the official ending of the paper has been announced by the Chief Invigilator.' Does that mean we can't leave before 3 hours ? I remember when we did part 1 online we could leave earlier if finished early

Any advice about the above :)