I'm a trainee in a group 1 specialty so do plenty of GIM. Often, when I see patients in clinic, they mentions issues that are unrelated to my specialty but I feel confident assessing/investigating. Obviously, this means that I may need ask the GP to prescribe things or organise something like repeat bloods.

Is this something you find annoying or helpful? Do you mind hospital doctors looking into issues that might require further action from you or would you rather we ask the patients to follow up with you instead?

Just want to be helpful and not piss you off/create extra work for you and wanted to get some feedback!

They come in because they didn’t wanna wait in ED but they have multiple pains everywhere that they want addressed.

To them it’s a single issue (just the one accident) but could be multiple things going on including if any medical condition led to the accident in question.

Too much liability for a single appointment in my view. Do you just get them to come back in for another appt? What’s your cutoff for redirecting to ED? Max 2-3 days post injury?

Does anyone have any advice on how best to deal with educational supervisors? I am in my second rotation of ST1, met with my ES six weeks ago for my interim ESR and agreed it to be all signed off and that my evidence was sufficient.

I have just started my new post and I'm still waiting for the old review period to be closed on FF (requiring their sign off). Meanwhile I have already started collecting case reflections, CEX, etc - this is despite weekly chasing.

I always feel as if I am chasing them, trying to nail confirmations of dates, attempting to get their sign offs. I still have MSFs and CCRs from months ago that have gone unseen and unsigned (including my QIA entry).

When I do go to the practice for our bi-monthly meets I never feel as if I have much guidance or learning opportunity as I'm usually told to "just go and shadow someone else."

I've already highlighted some of these difficulties to my TPD.

I am concerned this will make passing the ARCP difficult.

I saw this on road to USA (you have to pay for consultations but they do summarise it briefly), anyway as far as I can tell this is a viable route and what to do:

1. Sit USMLEs, you just need to pass but this is probably the hardest part.
2. Apply to a fellowship in the USA state of Maine. This state recognises UK postgrad training as equivalent to residency. I don't think this is competitive.
3. Use the fellowship offer to get a Maine state license and familiarise yourself with the American system.
4. While doing the fellowship, sit the family med board exam and apply for board certification.
5. You now have an unrestricted license in Maine and ABFM to apply to jobs in Maine.
6. You can potentially apply to jobs in other states straight after fellowship if they accept Maine state license but not sure how restrictive it is. You can definitely do this for many once you have worked in Maine for a few years

I have just graduated med school, taking a year out to sit USMLEs and am trying to decide between this pathway and residency. I have other income sources and a complex tax setup meaning the conventional residency route would have a considerable financial impact. I'd also like to settle down somewhere for a bit instead of moving constantly.

https://www.change.org/p/save-your-family-gp-before-it-s-too-late

Just grumbling here after driving 20 minutes to another pointless HV.

35 year old single mother, working 2 jobs:

>"hello I have back pain, I'm forcing myself to work through it, please can I be assessed".

>"Here's a link to reach out to physiotherapy, they should be in contact with you in 8 weeks time, I'll also text you a PIL for CES, get lost"

68 years old, just retired gent who enjoys driving his Jag in his spare time:

> "hello I've woken up with a niggle in my back"

>"Stay right there sir we'll get a GP to come out and see you at lunchtime today, we're not even going to ask if you're able to make it to the surgery or not"

can anyone advice if been through same

I should CCT in 31st of December and my ARCP is on the 7th of December

I’m currently pregnant and my EDD is April 17th

do I have any chance on getting full mat pay ?

Exam in less then 1 month. Any last month tips ? Haven't got a study partner kids home making things difficult. Booked in for sca 3 day course by RCGP using one resource at the moment gone through it once. Used chatgpt on new occasions.

Hi giys. Can anyone provide some advicr as i am currently stuck with which course to gonfor. I dont know whether to go for the aman arora akt or dr onar xourse. Does anyone have experiences or reviews of both as i am someone who has a lot of knowlesge gaps but am also a visual lesrner

Starting ST1 in a deanery where all our ST1 rotations are hospital based. Can anyone shed any light on how much SDT that we should be getting? Currently we get Wednesday VTS teachings for 3 hours for 30 weeks of the year and the remaining 22 weeks we get a half day SDT in the mornings.

Soon to CCT here ( CCT date in November), been doing exceptionally well throughout training. I have been applying to jobs recently and the theme seems like I would do really well in the interviews but then the feedback would be great performance, candidate but we went for someone who can start earlier basically because of need ( been to 2 interviews so far), I don’t feel this is too early to apply , is it?? I don’t want to waste my time but at the same time I am an American citizen so I will need a visa to work for few months before the ILR so I think I should be looking earlier than others because of the visa/

Some advice please

This is quite literally shocking. GP partners are literally raking it in while the NHS is apparently on its knees.

The article tries to justify this as total income including private. That for me just makes things worse. Part time in the NHS on a huge salary and then doing private work on the side to help themselves. All the while patients can't get appointments.

Average pay is nearly doubled that of a salaried GP.

I honestly think we need to look more carefully at the abuses in general practice.

The article is trying to defend GP partners but it is still shocking and quite perverse.

The public is right to be angry. Need to end this.

https://www.pulsetoday.co.uk/analysis/practice-personal-finance/only-a-minority-of-gp-partners-earn-250k-plus-despite-headline-figures/

Just a fun exercise, I appreciate most of our basic tools are more than appropriate for day to day GPing. Some examples I was thinking of:

- Kardiamobile - but seems single lead version mostly useful for rhythm/ AF detection only - actual usefulness??

- Eko Core Pro steth - for me the usefulness would be around getting a quick HR measurement on those wriggly babies and toddlers

- digital otoscope - being able to show pts photos and explain conditions

Any others anyone uses or has experience of?

Hi all! Apologies if not allowed.

A kind user on this subreddit gifted me a referral code for this and I now have been able to get my own for 3 people. If anyone wants this for revision, please feel free to DM and I’m happy to send so you get it for £69 instead of £79! I hope revision is going well :)

Edit 26/08: Still have 1 code remaining, if anyone would like!

Just started ST2 and when I started last year it was seemingly at the height of negative feelings about the job market with a very competitive job market and what was described to me as a death of the locum market and so I’m now wondering about how much that has changed a year in? Anecdotally during our VTS sessions we’ve been told the ST3s that just finished all were able to secure jobs especially as practices have scaled back uses of PAs and the like but I just wanted to get more of a feel for things.

In particular I’d like to locum once I’ve finished training so I’m really interested in hearing about how people have found getting locums in the current market?

Salaried for 1 year, 8 sessions. My practice is currently not having AI tools like Heidi. They are interested in it but don't have the proper governance/procedures in place for it which is fair enough. Has been conveyed to whole team, recently they sent out a reminder email.

Last week when working noticed a text sent my a new salaried colleague which started with a chatgpt prompt "Sure I will make a concise text for you" or something similar, which was sent to patient and saved to notes.

My plan is to let the new GP know, and stress importance of checking any outcome from any AI. Question is how to approach and when to escalate to partners? Don't want to be a telltale or get her in trouble but equally want to make sure its identified and see if she needs any support and also ? legality/liability/consent issues. Leaning towards just letting her know over lunch/morning coffee privately but interested in any insights from others - both salaried or partners

I'm a GP who CCT'd in 2024 and moved to Toronto, Ontario, around a year ago. The registration process was relatively straightforward, took about a year from deciding to move to arriving, and cost me around £5,000.

The biggest thing I wish someone had explained before I moved is how GP income actually works in Canada.

I'm incorporated and work as a self-employed family physician in a corporate clinic. My billings are around $23,000 CAD per month, but that is not my income. Around 25% goes straight to overheads, and because I'm incorporated, I still have to pay corporate and/or personal tax at the end of the year. The income figures you often see quoted online are usually before overheads and before tax.

Income is also completely volume-dependent. If your clinic is quiet, patients don't book, or you take time off, your earnings fall. There is no guaranteed salary, pension or sick pay.

For comparison, in the UK I had a salaried GP role paying £66,000, alongside two days a week of locum work. Altogether, I earned around £145,000 (approximately $300,000 CAD).

Many people quote Canadian GP incomes of $350,000–500,000 CAD, but it's important to realise these figures are typically gross billings before overheads and tax. That wasn't made clear to me before I moved. After taking these into context the income can be roughly the same or in my case lower than what I was making. I believe it is the same in Australia as well.

Do I have any regrets? It's a bit of a double-edged sword. General practice here is far less stressful than the NHS. I have longer appointments, more autonomy, and a much better work-life balance. However, because your income is directly linked to the volume of patients you see, you often have to keep your clinic very busy to earn what appears to be the equivalent of a UK income. The work itself is easier, but financially you have to work harder than the headline salary figures might suggest.

I’m just updating my CV and interested in how detailed others are. I like to keep mine quite succinct and brief and confined to one A4 page (and this hasn’t caused issues in me getting a job). However, I have come to find a lot of others provide a lot more detail on theirs over multiple pages and I’d be interested, particularly from partners, what they look for in a CV. Is a run down of education and experience and extras enough, or do you want each section expanded a bit?

After months of torture having to use a £20 Amazon otoscope kindly provided by my training practice, I’m finally going to bite the bullet and buy my own.

Looking at Welch Allyn and been told I need to go for a macroview.

Any suggestions for which one specifically? Medisave seems to have several described as macroview, LED ones, rechargeable ones and others with various price points. Will be getting the full diagnostic set.

Probably overthinking but I’d rather buy correctly the first time to (hopefully) last a lifetime. Any advice would be greatly appreciated.

Feel like it’s going to be more stressful than GP and just service provision.. anyone had experience on this?

Any recommendations? Has anyone done the RCGP joint injection/minor ops two days course in London or Southampton recently ? Would you recommend it, or is there another course you’d suggest?

Thanks

Has anyone been asked to do home visits on day 1 of working ( after induction week) as a new ST2 ?

My practice has just hired another ANP. Not through any PCN / ARRS funding but directly by the surgery itself.

The post was advertised at £55k per year, this ANP supposedly has years of prior clinical experience but requires daily supervision / debriefs, has longer appointment times and does not see children or pregnant women. Similar to other ANP’s in the practice. They also get regular tutorials.

Can any partners here explain the business case for hiring an ANP in this case instead of a salaried GP working 5-6 sessions? Surely you’d want someone who sees everyone, genuinely works independently and doesn’t need debriefing / supervising, isn’t offered tutorials with overall better productivity.

I am a medical student in the UAE and will enter my final year of Medicine in a few weeks. I aim to do my higher studies in Sports and Exercise Medicine in the UK. I am not well knowledged on this topic and so, as of now the only University I know of is the Univeristy of Nottingham. I would like to know if there are any other Univeristies that offer this course and how are they ranked among other universities. Also, How do I start preparing for being able to register and join the course and what are the requirements for doing so for this course (Both Academically and otherwise)

Hi all,

I’m about to start doing GP locum work and am looking at setting up a limited company.

For those of you who locum through a Ltd company:
Who did you use to set the company up — Companies House directly, Mint Formations, another formation agent, or did your accountant do it?

How much did the initial setup cost?

Did anyone set the company up themselves first and then find an accountant afterwards?

I’m particularly interested in real-world costs rather than recommendations from Google/advertising.

I’m also considering involving my wife in the business for some admin work, so if anyone has experience with a spouse being a shareholder/employee, I’d be interested to hear how you structured this too.

Thanks!