Resident doctors synicsl strike again

My DD did 72 hours last week. And has a day off. Then 5 night shifts. Day off and 4 more long days. She's tired

How is AAA a 'low bar' ? Majority of med students have at least 1 A star. And many have A level maths (which is now v v hard). It's such a shame that there are consultants who do not value their students.

2/4 of our current trainees pursuing CESR are UKMGs!

I have never given any indication of when I trained you and mums have made so many assumptions over the numeorus threads about people, judgemental comments and insults fly every time some one gives you a hard fact that does not fit your narrative.
Apparently consultants currently never had to pay fees / have loans according to you and mums, which have been around since the 1990s - loans and 1998 for fees. That is 28 yrs for these fee paying doctors to become consultants !!

I was on a training programme but also did trust jobs as was advised i needed more experience before progressing - yours and mums ignorance of when trainign programmes started, loans, fees, training of residents, exams, hours and when a doctor is actually qualified is breathtaking! Mine was not a conventional route to a consultant job and I faced unemployment as did my peers at times and had to move and adapt. I personally think it has made me more resilient as a doctor.

And who ever said I gained a CCT via training programme!
OR that I am British
Or that I trained in this country!

No they can't. Utter rubbish. 33% of students Do not get 3 As. Not in the UK anyway. 9% of candidates get an A or above in A level Chemistry.

They’re such tiresome little whiners. If they fought on jobs only I’d give them the time of day. Any complaining about pay when the career average of a doctor must be the highest public sector salary going is entitled in the extreme.

Surely we expect our doctors to get at least one A*?

Because up to 1 in 3 of the population can manage it?

Surely we expect our doctors to get at least one A*?

Surely we expect our doctors to get at least one A*?

How is AAA a 'low bar' ? Majority of med students have at least 1 A star. And many have A level maths (which is now v v hard). It's such a shame that there are consultants who do not value their students.

How is AAA a 'low bar' ? Majority of med students have at least 1 A star. And many have A level maths (which is now v v hard). It's such a shame that there are consultants who do not value their students.

CESR route is rarely used as a pathway to consultancy now doctors have specalty training pathways. You are using examples from the 80s/90s.

• Sorry we have 4 doctors doing CESR at the moment as in 2026, had 3 achieve it last year.

Specialty trainees take priority over Trust grades for learning opportunities.Trust grades are mostly for service provision and have less learning opportunities. That is not looking down on them just fact.

• sorry real time experience with the same GWS and same rotas wth same access to clinics ward rounds etc - current as of today.

• I have not got decades of experience and have never claimed that more hyperbole and fantasy from you. I have seen jobs be threatened due to poor timetables - corrected and posts kept.

• right so now I am bullying them. As we do anonymous MSFs on their experience as with the numbered trainees and they say the same and have done for the past 3 yrs I would say no bullying. Thye are happy to come and tell us when people are behaving in an unacceptable manner -sign of a good department that the residents feel they can be heard and listened to.

• I asked them if they thought their jobs were of a lower class and they got no training from them. The response was no we get the same as everyone else just some of the numbered trainees think we are here to do the dirty work.

So who was most insulting to Trust grades?
purple you have insulted trust grade jobs so often and with no real understanding of the process.

Me who stated the facts that they are mostly for service provision and have less training opportunities than doctors on specialty training programmes?

• you stated an ill informed untruth with no experince of what youa re talking about.

• read what I wrote and I said the dirty low class non training jobs which is the impression you have given over numerous threads that they are ebneath proper trainees .

_No i was in primary school in the late 80s 
In the 90s in secondary school
I paid fees and do not have decades of experience.

You become more offensive by the post on a subject you clearly have little knowledge of or how residents training or non training are treated. If you are truly a doctor as you infer and that is how you treat trust grades in your department then I am sad for any resident that has to endure that style of behaviour. It is not one I ever experienced or allow to occur as a resident doctor lead for my department.

Having been voted trainer of the year twice and nominated three times in 5 yrs - I would say the proof is in the voting!

Also, until 1987 A level grades were norm referenced, with a cap on A grades awarded around 10%, and an overall pass rate under 70%.

In 1987 there was a change to criteria marked referencing. Ever since, the percentage of top grades has been steadily increasing. Last year the percentage of A and A star grades awarded at A level was 28.3% and the pass rate was essentially 100%.

With norm referenced grades, students in any degree programme could be taught according to the entrance requirements and staff would have a pretty good understanding of their cohorts’ abilities. Nowadays student abilities and working backgrounds (I do speak just of medical students) are more diverse.

I think part of the appeal of PBL, which I regard as a cop out until UG training is well advanced, is that students are not ready to begin university study at the same level as 40+ years ago, UG curricula cannot afford to go backwards, and no one is prepared to work students harder or longer. So a new approacher finessing all of this was a very appealing ‘solution’, and not just in medicine.

I do think a PBL approach in one or more capstone modules can be valuable. Also, if admissions criteria are sufficiently robust, contextual admissions can work very well. Studies internal to my School agree with published outcomes: pupils who can achieve nearly as well as their peers whilst managing significant personal challenges (not all of which are grounds for COs) have equal outcomes to them at university.

@poetryandwine So it’s even more bizarre the BMA won’t accept the deal on the table (or was) and keep the training positions offered. They seem to represent some interests but not others.

It’s also inevitable that vast numbers on maths and finance degrees won’t get highly paid jobs . That’s a big lottery and not just open to those degrees. Lots of degree holders can apply. Unlike doctors wanting training.

Why do they have training programmes then if Trust grades have equal training opportunities to trainees?

• because to make ewtd compliant rotas more doctors were employedd and some doctors realised they needed more experience or they get to work with dr A who is brilliant at x,y,z

Are you telling us that a trust grade would get as much theatre time as a surgical trainee on a 6 year higher surgical training programme paid for by a deanery?

• Yes I am and see it every day - otherwise how to people get CESR

The GMC survey feedback would end up with deanery pulling their trainees out.

• no it would not, you get time to improve and the GMC survey includes trust grades, lot more than treating all doctors equitabley and fairly and trianing them shuts posts down

Trust grade contracts are usually 6 months to a year. Training programmes far longer.

• and your point is what? So you apply for another in an area you need to to make the curriculum. Harder route agreed than a cushy rotation but still doable.

The days of working towards consultancy via Trust grade jobs finished when training programmes were introduced.

• no it did not - your ignorance of how people become consultants is breathtaking. CESR .....!

Comedy gold that you call me a denigrator of trust grade jobs for saying trust grades do not have the same training opportunities as specialty trainees (they don't) when you described your trust grade jobs as "dirty low class non training jobs". Unbelievable lack of self-awareness.

• no - said I worked in jobs trust grade jobs that you and mums consider lower class and non training. One of the best jobs I did was a trust grade job - I learned so much and still remember those lessons today - and that was by a consultant and his team none of whom had gone through a training programme - thank you Khalid! I do nto consider any trust grade job inferior but purple you have repeatedly said your son was not progressing his career to become a consultant because he was in one of these jobs which would not teach him. Your words not mine.

Asked our trust grades today if they thought their jobs were inferior and they go no training - all of them said they were treated fairly and had the same opportunities but they all commented that the numbered trainees looked down on them and thought they were there to do the dirty service bits - but they ahd never had thsat from a consultant!

Sorry real life experience to draw on - would say mine was current as of 3 hrs ago