CotEcast #3 – Shownotes
Title: Fear, Loathing, and the ‘Med Reg’
Host: Pete Brock (ST3 Geriatrics)
Guest(s): Mark Garside (ST7 Geriatrics), James Fisher (ST6 Geriatrics), Kelly Hunt (Consultant Geriatrician)
Opening Question: When you were a child, what did you really want to be (and don’t say a doctor!)?
Main Topic: Addressing the ‘Med Reg’ issue
G4J data identified that being a Med Reg put people off applying to Geriatrics, so we decided to try and address some of these issues. Mark, James, and Kelly were challenged with each Med Reg fear, and had to convince Pete they could be overcome.
- Fear: How do I manage so many unwell patients at once?
- Fear: What if I cannot do a practical procedure that a patient needs quickly? i.e. Chest drain, pacing (Fran Denham)
- Fear: I will have no life, endless nights, terrible inflexible rotas and all that stress
- Fear: How do I trust my juniors when I know I make mistakes?
- Fear: Criticism or lack of co-operation from consultants
- Fear: That the buck stops with me and I will get blamed when things go wrong
- Fear: What if I don’t know what is going on with a patient
- Fear: Everyone says it is awful, surely that is for a reason
- Fear: What I say over the telephone is not what is getting written in the notes (Jenni Harrison)
- Fear: I will know nothing about the surgery the patient I am reviewing has had! (Jenni Harrison)
- Fear: If a shift is going horribly, I have no one to confide in
- Review of fears allayed and fears still existing
Top Three CotEcast Commandments
- Work with your team
- Face your fears
- Be nice to everybody
References, Links and Resources:
- RCP Document: “Supporting the Acute Take“
- RCP Document: “The Medical Registrar: Empowering the unsung heroes of patient care”
- RCP Acute Care Toolkit 8: “Supporting the Medical Registrar“
- Being the Medical Registrar (RCP YouTube Video)