Statement: MWF Supports Junior Doctors' Concerns

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09 September 2016

The Medical Women’s Federation (MWF) supports the junior doctors’ concerns. Sir Bruce Keogh commented to the HSJ (2016) that Doctors in training “currently feel like itinerant workers: they move from institution to institution rapidly, sometimes only spending four months in an individual placement”. This leads to a lack of continuity in support, mentorship and effective educational training.

Many doctors may not receive their rota until a few days before they start their placements. This gives limited time to plan alternative arrangements for child care, schooling and other family commitments. This is unacceptable and is not compatible with caring roles outside medicine. Moreover the new contract, with insistence that weekend working becomes routine rather than on a rota basis for emergency cover as it is at present, will further exacerbate the problems that doctors with families already face in medicine. The MWF wish to ensure that the environment for service delivery is safe for Junior Doctors to deliver excellent patient care.

 

Travel Broadens the Mind

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02 September 2016

In March 2016 Dr Heidi Doughty was awarded the MWF Dorothy Ward International Travel Fund. Based in Birmingham, Heidi works as a part time Consultant in Transfusion Medicine and describes her professional passion as ‘Good Blood in Bad places’. She travelled to Bergen, Norway in August 2016 to research the use of whole blood in massive haemorrhage.

Why Bergen?

I chose to visit Bergen because the hospital based blood service there had recently introduced the provision of whole blood for the local Air Ambulance. The project is part of a larger programme of transfusion innovation due to the collaboration between Haukeland University Hospital, the pre-hospital community including the military, and the University. The visit gave me an opportunity to build on my own work as well as visit a transfusion system that is very different from the UK. I wanted to look at their transfusion support for haemorrhage and consider the implications of re-offering whole blood alongside component therapy in the UK. 

I was extremely fortunate to secure professional leave from NHS Blood and Transplant. However, Norway is relatively expensive. Two cups of coffee and a cookie in a café may cost over £20. So, I needed to carefully consider the living costs. I used a combination of special offers for the flight and my sponsor, Prof Tor Hervig, had secured well-priced student hostel accommodation near the hospital. It was to be a 10 m² room with: duvet but no bedding; wash basin but shared bathroom; and internet but no Wi-Fi. I needed to rethink my packing list. So I took essential eating utensils, Ethernet cable and radio. However, I confess that I arranged to borrow local hospital bedding. The room may have been small but the hostel gave me a room with a wonderful view and an introduction to the most hilarious group of international students.

bergen fish marketBergen fish market

Getting down to work

I recommend arriving before a weekend to orientate. I had been met at the airport by one of the female consultants, Torunn. Her kindness and support really made the difference. We spent the Friday on formalities, Saturday – baking at her home and on Monday I was ‘good to go’. The most important time in any new project is the first face to face meeting with the ‘boss’. It provides the reality check. Tor had been injured. Many staff were away for their summer holidays or getting ready for conferences. I have MS and although well at the moment, I get tired. However, we had Tor’s small research team including the computer genius, Joar, who immediately secured Wi-Fi connectivity for both my laptop and Smart Phone. This meant I could remotely access my work emails and documents. The Bergen team asked me to review the impact of their Acute Transfusion Package introduced in 2007. They had extracted 13 years of data but offered it to me for analysis to provide a new perspective and lead on publication.

I reviewed the data in the context of the international literature. This was really interesting as I was not familiar with the early Nordic papers and guidelines. They were really early adopters of the new paradigm of massive haemorrhage management. In the blood bank, I followed the journey of the ‘whole blood’ from the donor, through platelet sparing white cell filtration to quality control. Most of the procedures were written in Norwegian so I learnt to use Translation software. I was also introduced to their new Multiplate Analyser ® designed to analyse platelet function. During the second week I visited some of the areas dealing with massive haemorrhage including Emergency department, ITU and the Air Ambulance. The most novel activity for me was writing a travel blog for MWF. It was a really interesting combination of reflective note writing and capturing the moment.

bryggen

Looking across the waterfront to the historic Bryggen area

Capture the moment

One of the things that have learned during my travels is to ‘capture the moment’. This includes collecting and dating evidence such as policy documents, procedures, your own notes and photographs. In addition, back-up all electronic records. I found it useful to summarise my initial thought and findings in a PowerPoint presentation for the project team. I also integrated some of the findings into my presentation on UK practice given to the whole Department. This generated a more dynamic exchange and ideas. An unexpected area of interest was my experience of transfusion support for the Olympics because they were preparing for a 2017 sporting events.

Travel not only broadens the mind, it enlarges your professional and personal networks. The travel fellowship has built upon my past knowledge and should inform future developments. It was only 2 and half weeks and I wish it had been longer. However, I am confident that I will continue to work with the Bergen team and revisit. This visit was designed for my benefit but I hope I added value for them as a mature practitioner from the UK. Such travel fellowships continue the strong tradition in Medicine of taking a European and global outlook. All of us, but especially our patients, benefit. I strongly recommend my colleagues to apply because to quote “You will travel to learn and return to inspire”.

air ambulance

Air ambulance coming into land

Starting on the Shop Floor - Junior Doctor Blog

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23 August 2016

karishma shah

Dr Karishma Shah

Academic Foundation Doctor in Orthopaedics
Oxford University Clinical Academic Graduate School
Oxford University Hospital

 

The Weekend Before:

The weekend before starting as an FY1 is always a flurry of emotions…

Daunting, exciting, anxiety-provoking.

It is the 'someday' you were always thinking of, and then suddenly that 'someday' is today. Your parents are probably still bubbling from the excitement of your graduation the weekend before, but you, you are just realising that gone with that ceremony is the sheepish comfort of saying “I’m just the Medical Student”, “I’ll ask the doctor”, “I think I’ll take this day off for study”!

And then, in the blink of an eye, you’re moving house and unpacking suitcases. And you’re trying to find that pretty dress to attend the Doctors’ Mess Ball- with people you've never met before. It feels like Freshers’ again!

As you begin the Shadowing Period:

This is the time the paperwork gets laid on really thick. You need to constantly check your emails because, ready or not (!), there's a landslide of emails coming your way!

Emails on contracts, on working time directives, on parking permits, on salary forms, on how to get IDs and how to use the IT systems…
And a little email on the all-important Statutory & Mandatory training.

At this point, the days have turned into nights and the nights into days and they have all amalgamated into a blur.
But, over a coffee & catch up with your dear friends from medical school, you can regain some perspective. Remember to appreciate just how fortunate you are to be able to work for the NHS- It is one of the greatest institutions in the world, and this must be a tried and tested protocol after-all.

The Shadowing Period:

Recently, the NHS has required all foundation schools to provide a shadowing period for FY1s.
This is the jump-start to your first rotation that you will always be thankful for.
Some foundation schools use time for team-building outdoor activities and others use it to simulate on-calls. But for most, this is a time to be on the wards and gain hands-on experience from the current FY1.
Medical school may have equipped you with the knowledge and techniques, but this is about getting your hands deep and dirty- learning how to answer bleeps, how to request bloods and whether to use a paper or electronic system to prescribe drugs.

Day 1:

The build-up has come and gone and Day 1 is here. 'Black Wednesday' they call it.

But, especially at a time like this, is your first day working for the NHS going to be dark and bleak?

Absolutely not.

Are the stormy clouds of political unrest surrounding the NHS going to follow you for every moment?

Not a chance!

Is that whisper tempting you to become a Management Consultant going to consume you?

No, it will just fade into oblivion.

This is the day you begin taking care of your own patients. You will have to listen to their personal stories, suture their wounded skin, empathise with their most intimate fears. And you will do this as though it were second nature- and that is why you are the people this great NHS is built on the shoulders of. You will become part of a team with the most intelligent, compassionate, dedicated and resilient people.

And as the days and weeks go on you will see that now is the time to write your own journey and all-in-all it will be more than you ever wished 'someday' will be.

So, make sure you get lots of rest and get ready for the ride!

 

MWF is currently offering junior doctors the chance to win £200 with our Junior Doctor Creative Prize! Submit your entry on the theme of 'The face of a doctor today' and you could be in with a chance of winning the cash prize along with the opportunity to present your entry at our conference in November. 

The competition is open to all and you don't have to be a member to enter! 

Submit your entry (whether it be an essay, poem, photo etc) to This email address is being protected from spambots. You need JavaScript enabled to view it. 

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