It’s not a decent salary when you take into account that medical students study for a
minimum of five years, do long placement hours which limits the opportunity to do part time work to fund their studies, so come out with pretty significant debts. You then apply nationally for a job, and although you submit “preferences” you can be sent anywhere in the country. That means that in a lot of cases you end up funding a cross country move, and losing your entire support network. Then you start a job where a wrong decision could, at the extreme, kill a patient and land you in prison. For £14 an hour.
There is the opportunity for progression, which brings an increase in salary, but there are bottle necks at several points in training where the applicants for posts far outweighs the posts available. The number of postgraduate training posts in the UK has remained static for years, and competition is increasing year on year. Ultimately this means people end up taking one or two or three years to work at the same level, for the same pay, before they can proceed up the ladder. Then when you are in training you have to pay out of pocket for mandatory exams, which can be hundreds of pounds a pop. Some of them have a pass rate as low as 30%. If you fail, you get to pay up again.
Conditions during training are also quite poor. Access to IT (needed to request tests, view results, view obs, document in the notes etc etc) is poor. The bare minimum I need to do my job is a functioning computer, a telephone, and a chair. Ideally in an office which gives a level of privacy to discuss sensitive patient matters. Very, very rarely do I have all
of those things. I have also never had access to a locker at work, which may seem a small thing but it means I have to shove my bag and coat in whichever space I can find, which is often a corner of the ward staff room. We get told off for this, as there are frequent thefts, we don’t have another option.
The pay, the working conditions, and the opportunities for progression have decreased dramatically in the ten years since I applied to medical school. I did not think I would be a highly qualified professional making life and death decisions, sat on a bin because there are no chairs, earning less than £20 an hour and spending all my free time doing audits and quality improvement projects so I stand a chance of getting into specialty training.