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Resident doctors synicsl strike again

739 replies

uneffingbelievable · 25/03/2026 20:22

The resident doctors have once again announced a 6 day strike to co incide with a bank holiday weekend.

Whilst I support fair pay and working conditions I have lost all sympathy with them. This is not poverty when you are being paid as a whole package 40-95000 gross on a 44 hr week depending on your seniority.

The arguments about lack of jobs did not stack up with more jobs going to home graduates than IMGS despite the hysteria and a huge number of home graduates not even bothering to apply.

They are coming across as tone deaf and entitled or am I missing something.

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15
OhDear111 · 28/03/2026 17:24

@Pineneedlesincarpet Add in that it’s not just law grads who become lawyers either! Talented non law grads are in the mix too. Doctors are a closed shop!

Marchesman · 28/03/2026 17:20

PurpleFairyLights · 28/03/2026 17:11

What an unpleasant comments. It matters to the young doctors that worked so hard to get their degrees then found out they were competing with the rest of the world for a training place

Not much of a competition when 92% of them are successful.

Pineneedlesincarpet · 28/03/2026 17:19

Scotiasdarling · 28/03/2026 17:13

Just like law graduates working so hard for their degrees. Have you ever heard them complaining? They are realists.

Exactly. And law school graduates will have spent a fortune and have a high chance of not getting a training contract. At least doctors won't have to contend with AI replacing their jobs either.

Scotiasdarling · 28/03/2026 17:13

Just like law graduates working so hard for their degrees. Have you ever heard them complaining? They are realists.

PurpleFairyLights · 28/03/2026 17:11

Scotiasdarling · 28/03/2026 16:51

It isn't really of any consequence that 6000 of them aren't progressing in
their training, not everyone with a medical degree will progress in the profession now there are so many of them. Streeting, who you seem to rate, has expressly said that there will be no expansion in consultant numbers. So, the actual replacement number at the top of the pyramid, that is GP 's and consultants retiring or leaving is around 2000 a year. There are multiple times that number of graduates every year, ergo they categorically will not all progress.

Medicine has become like law, where not every graduate with a law degree will get a training contract, or like acting where not everyone with a drama degree will end up at the National Theatre. It just seems to be taking an inordinately long time for medicine graduates and their families to grasp this concept. Striking for more money will actually exacerbate the problem.

What an unpleasant comments. It matters to the young doctors that worked so hard to get their degrees then found out they were competing with the rest of the world for a training place

Marchesman · 28/03/2026 17:05

JaffavsCookie · 28/03/2026 16:34

This is absolute bollocks, did you even read my post. My medic DS, with much better A levels than his 2 younger brothers ( and more years of working experience) earns much less than them on their graduate salaries.
Loads and loads of different jobs pay their graduates much more than the first few years of junior medic life.
And as a teacher medicine remains the aspiration of many of our highest performers at A level, despite me suggesting other better paid, fewer working hours careers to them.

The points that I made are evidence-based, as opposed to your ludicrous anecdotes.

I hope you don't teach a STEM subject.

PurpleFairyLights · 28/03/2026 16:57

OneDivineHammer · 28/03/2026 16:41

And how long, on average, was that, @PurpleFairyLights ?

I put it in another post

Scotiasdarling · 28/03/2026 16:51

PurpleFairyLights · 28/03/2026 16:02

Possibly not but approx 6000 are not in training so not progressing their careers and taking whatever work they can find. This is not a good look for the country.

It isn't really of any consequence that 6000 of them aren't progressing in
their training, not everyone with a medical degree will progress in the profession now there are so many of them. Streeting, who you seem to rate, has expressly said that there will be no expansion in consultant numbers. So, the actual replacement number at the top of the pyramid, that is GP 's and consultants retiring or leaving is around 2000 a year. There are multiple times that number of graduates every year, ergo they categorically will not all progress.

Medicine has become like law, where not every graduate with a law degree will get a training contract, or like acting where not everyone with a drama degree will end up at the National Theatre. It just seems to be taking an inordinately long time for medicine graduates and their families to grasp this concept. Striking for more money will actually exacerbate the problem.

OneDivineHammer · 28/03/2026 16:41

PurpleFairyLights · 28/03/2026 11:52

Excellent post.

Unfortunately on these threads there are some very unpleasant attitudes to our young doctors.

There was also a lot of inappropriate remarks regarding the standard of UK medical education (if not Oxbridge) and the calibre of UK medical graduates. All very elitist which thankfully the UK is moving away from with widening participation.

There was also a lot of kickback about UK planning to re-introduce UK medical graduate prioritisation (like 195 other countries).

The House of Lords debates on the bill were interesting as it raised the topic of how long international medical graduates remained in the UK after finishing their UK funded specialty training.

And how long, on average, was that, @PurpleFairyLights ?

Purplebunnie · 28/03/2026 16:41

Minnie798 · 25/03/2026 22:00

I think a package where university fees are paid for, in exchange for an agreed period of nhs service and a commitment to more training posts would serve the medical profession better.
Another 28% pay rise will not address the biggest concern ( lack of training posts). It will probably exacerbate the problem - nhs trusts will likely leave training posts unfilled, to address the deficit the pay rises will create in the staffing budget.

I agree. If I understand correctly we pay to train Drs then that expertise is utilised in other countries so we have to pay to train more Drs to fulfil our needs and thus the money to pay better salaries to those who do stay isn't always there, but I may have an over simplified view and lack of understanding of the situation and I put my hands up to that

Having said that you can't blame them for seeking better pay and recognition elsewhere

JaffavsCookie · 28/03/2026 16:34

Marchesman · 26/03/2026 22:01

Medical schools admit applicants from the top 25% of the population - entrants to medicine ceased to be "top performing" a long time ago. After they graduate, they are guaranteed employment on salaries that surpass every other degree. They are also much better paid, factoring in inflation and hours worked, than their counterparts prior to the introduction of the EWTD.

The "very top performing kids" generally don't go into medicine because they are able to compete in the real world, where there are often a couple of hundred applicants for each job, and job security is non-existent.

My children were persuaded not to do medicine and have bought houses worth four and five times as much as the house that I owned as a medical registrar at the same age - but that house would still easily be affordable on the salary of a single ST1, working half the hours that I did.

This is absolute bollocks, did you even read my post. My medic DS, with much better A levels than his 2 younger brothers ( and more years of working experience) earns much less than them on their graduate salaries.
Loads and loads of different jobs pay their graduates much more than the first few years of junior medic life.
And as a teacher medicine remains the aspiration of many of our highest performers at A level, despite me suggesting other better paid, fewer working hours careers to them.

Pineneedlesincarpet · 28/03/2026 16:29

BitOutOfPractice · 28/03/2026 16:12

I’d love some of you to work 3 back to back 12 hour night shifts as an a&e doctor in a deprived northern town as my SiL-to-be is this weekend, literally making life and death decisions, often without a break, earn £42k a year and then tell me that doctors are overpaid whiners.

So many people who want to pull up the ladder and watch the rest of society race to the bottom.

All grateful for a doctor when you need one though eh?

Your SIL presumably chose to be a doctor and knew about the pay. When she gets on a bit in her career her pay, pension and benefits will be exceptional. A lot better than most get on here, particularlyin the private sector. And underwritten by the taxpayer which is a great advantage in these times.

Marchesman · 28/03/2026 16:20

The last GMC workforce report that looked at progress after FY2 was 2024, and the most recent data then showed that 56% of F2 doctors did not apply to core or specialty training when they finished F2 training.

Of those who did apply, 92% received an offer.

BitOutOfPractice · 28/03/2026 16:12

I’d love some of you to work 3 back to back 12 hour night shifts as an a&e doctor in a deprived northern town as my SiL-to-be is this weekend, literally making life and death decisions, often without a break, earn £42k a year and then tell me that doctors are overpaid whiners.

So many people who want to pull up the ladder and watch the rest of society race to the bottom.

All grateful for a doctor when you need one though eh?

PurpleFairyLights · 28/03/2026 16:02

uneffingbelievable · 28/03/2026 15:57

The BMA stated that 52% of F2s who responded to a survey did not have work, it did not quantify whether they had applied, were on parental leave etc Quite frankly with the current level of misinformation coming out of the BMA regarding these strikes who would believe what they say anyway.

There are not 6250 unemployed resident doctors in the country

Possibly not but approx 6000 are not in training so not progressing their careers and taking whatever work they can find. This is not a good look for the country.

PurpleFairyLights · 28/03/2026 15:59

uneffingbelievable · 28/03/2026 15:54

Purple - you keep on saying this but 59% of speciality training jobs went to UK graduates last year but a significant number of uk graduates did not even bother to apply.
So you were more likely to get a training post than an IMG which is how it should be.

How many unemployed UKMGs are there, who did not bother to apply for speciality training or a trust grade job, research or as has been done for years taken a year out in Australia?

This year is different - so your point is now irrelevant.
Some resident doctors are not suited to the careers they wish to pursue, some change their minds, some wanted toexpereince other specialities , some want to travel before deciding it is not as simple as saying every UKMG must have a right to a trainign job because that is just ridiculous and breeds lower standards

Why not watch the House of Lords debates? Or check the BMA statement saying 52% of F2s had no work to go to?

The impact will be felt for years to come. It is always sensible to look long term as the UK legislation will not fix 5 years of UKMGs not being prioritised.

uneffingbelievable · 28/03/2026 15:57

The BMA stated that 52% of F2s who responded to a survey did not have work, it did not quantify whether they had applied, were on parental leave etc Quite frankly with the current level of misinformation coming out of the BMA regarding these strikes who would believe what they say anyway.

There are not 6250 unemployed resident doctors in the country

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uneffingbelievable · 28/03/2026 15:54

Purple - you keep on saying this but 59% of speciality training jobs went to UK graduates last year but a significant number of uk graduates did not even bother to apply.
So you were more likely to get a training post than an IMG which is how it should be.

How many unemployed UKMGs are there, who did not bother to apply for speciality training or a trust grade job, research or as has been done for years taken a year out in Australia?

This year is different - so your point is now irrelevant.
Some resident doctors are not suited to the careers they wish to pursue, some change their minds, some wanted toexpereince other specialities , some want to travel before deciding it is not as simple as saying every UKMG must have a right to a trainign job because that is just ridiculous and breeds lower standards

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PurpleFairyLights · 28/03/2026 15:34

AprilinPortugal · 28/03/2026 14:34

It's to do with there not being enough speciality training places after the foundation years I think. my son's friend is an FY1 and percentage wise there are significantly less places than when he started medical school. He's going to have to fight for a job. My son's friend loves what he does, and is not so fussed about the money.

Edited

There were mostly enough specialty training posts. In 2024 there were 12,743 training posts.

In 2025 the problem was 20,803 IMGs (International Medical Graduates) also applied with around 12,305 UKMG (UK Medical Graduates) giving a total of 33,108 applicants for around 12000 training places (figures for amount of training places in 2025 not published to my knowledge).

So the UK had the ridiculous situation that 63% of applicants for specialty training were IMGs that were applying on equal or more favourable terms to UKMGs.

Thankfully the government saw sense and the Medical Training (Prioritisation) bill is now law. The UK had UKMG prioritisation until January 2020. 195 other countries prioritise their own medical graduates.

However, the damage it has done in the form of unemployed UKMGs is yet to be quantified. The UK spends 4 billion a year on medical training. The BMA stated in August 2025 that 52% of F2s had no work.

The House of Lords stated that 30% of specialty training posts go to IMGs and that statistically IMGs are more likely to leave the UK workforce within 6 years of joining compared to UKMGs. This could cause problems in the future with skills gaps.

poetryandwine · 28/03/2026 15:06

The problems about career progression and debt are real. I support the resident doctors regarding these concerns.

If indemnity is an issue, there is surely a way to solve it outside of the salary structure. In the same way the employer could absorb other professional costs if these are real obstacles.

Medical student debt is special only because the length of study means there is more of it. An overhaul of the student loan system would serve medical students as well as everyone else, and pressing for this would gain much more public support.

@Marchesman is a doctor and thoroughly informed about medical education over a period of decades. Whether you agree with her or not, she brings a worthy perspective to the conversation. Slagging off her and others who do the same does the strikers’ cause no good whatsoever.

As an academic I think the focus on pay restoration is misplaced. I think the public might get behind focus on career progression and the loan burdens, especially wholesale reform of the latter.

The whole public sector suffers from lack if pay restoration. If resident doctors are slightly worse off than others (and they are) it is from a high 2008 base that has now largely been restored. Teachers, nurses and others doing a bit better in percentage terms started from acknowledged underpay.

Pineneedlesincarpet · 28/03/2026 14:53

PurpleFairyLights · 28/03/2026 12:39

How would you suggest the problem be solved then?

Particularly interested in how you would solve the problem of decades of pay erosion and loss of decent working conditions.

How does any other non state run profession solve its' issues? If people don't like the pay don't join. It's not rocket science. Rocket science is a lot harder.

uneffingbelievable · 28/03/2026 14:41

3.8 applicants per one speciality training job are actually good odds.

Also there are trust grade jobs where you can learn and get paid

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AprilinPortugal · 28/03/2026 14:34

It's to do with there not being enough speciality training places after the foundation years I think. my son's friend is an FY1 and percentage wise there are significantly less places than when he started medical school. He's going to have to fight for a job. My son's friend loves what he does, and is not so fussed about the money.

OhDear111 · 28/03/2026 14:22

@Marchesman It’s interesting to see how a well oiled PR onslaught skews views and facts. No one bothers with facts do they? These degrees produce the best paid of all graduates. As you say, they all get jobs. There can be bottle necks but it’s a job for life, and after getting on the degree, grads are set for life with the best pensions and lots of opportunities to work part time. Other highly paid jobs are significantly more competitive and msny doctors would not like them or thrive.

uneffingbelievable · 28/03/2026 14:21

"Consultants of today have no student debt and lived in the hospital as resident doctors."

Er yes they did have student debt - loans have been around since 1990 and fees since 1998. so 28 yrs of fees. Those graduating in 2003 are now consultants and did have debt, as did many before that who did not qualify for free under grad education.
What is wrong is the current interest rates and set up for those loans - so campaign about getting that changed!

ER no they did not all live in hospital and it was not all free. You paid a sliding scale dependent on your on call rota.

I do find some irony in purple mentioning they were resident doctors - yes some of them were when on a 1;3 with internal and prospective cover - they were at work more than at home in those days. Unlike those who now call them selves resident but do shift work of no more than 13 hrs - that is not resident hence you do not get accommodation.

Widening participation is good for any profession but it has to come with a degree of intelligent ability to learn, process and succeed in the check points along the way. If we have to dumb down a standard because some people can not achieve that standard then they should not eb doing that job. Medicine is getting more complex not less - so the standards of yester year are the bare minimum - there is no argument to lwoering the rpevious standards just because x,y or z,

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