Welcome to the real world

Black Wednesday has been and gone - I am still here! 

For all the preparation given to you at medical school, (5 years of cannulating fake arms and saying the alphabet (only to E) in your sleep) there is still a difference when doing it for real. My first shift, I was lucky to have another doctor in the same position to bounce off - we needed it. One arrest and a very slow/less than slick ward round later we had survived our first day and only left 2 hrs late - result! 

Having a pretty difficult first day has it's pro's (can't get much worse) and con's  (many expletives) but it was hands down the most I have ever learnt squished into 11 hours. Any arrest is a challenging and brutal experience in trying to bring someone back from the brink. When the words of "doctor, come now there is an arrest" get uttered I did actually look around and wonder which doctor they were speaking to...yeah I was included.

First thing I learnt is that fortunately you are never alone, the nursing team looked like they had done it 100 times before. The senior reg was able to be the Master of Ceremonies and allocated access and bloods to the new startled rabbits (new doctors).

Second thing I learnt is that even the simplest of tasks really are the hardest thing ever under pressure. That thing called human factors, - the thing that is subjective and almost touchy feely - defined how well the team performed and how I almost failed to label a bottle. Being familiar with people, environment and what you are doing means that you can concentrate on performing at your best. Essentially:

  • the nurses save you, get to know them well
  • practice makes perfect
  • the job will get easier when you are used to how things work

Finally I also learnt that always go back to basics, it is so easy to get caught out and make an error. Being pulled in twenty different directions when doing tasks can be tough to give tasks your full focus, I have been lucky that any slip up hasn't dire consequences. 

Relocating or up rooting

I have moved 300 miles to relocate for starting in my first (permanent) job, I now fully realise why they say moving is one of the most stressful life events you can do. If packing and unpacking isn't laborious enough, the inevitable cleaning that comes with moving into a new property, all make for a very tired new graduate fresh from celebrating. 

Of course I am not alone, the class of 2014 are all starting posts in the next few weeks - so called black Wednesday. The confidence is in the name. Shadowing is definitely the way forward to familiarise yourself with the job.

Making the jump from student to doctor is a daunting one, but you get through with a little (lot) of help from friends/colleagues/nurses. It's never just the jump in responsibility, the equipment, hospital, people, flat and basically everything is new and weird. Perhaps it's no real surprise doctors need support when starting! I think it's great more emphasis has been given to supporting new staff, it would be great to see new and emerging technologies being put to good use. Some of the ones I like are:


 #tipsfornewdocs is both entertaining and useful covering lots of silly little things learnt the hard way.


 Induction App is a cool idea in centralising and crowdsourcing information about your new hospital -'with numbers/codes and useful info

Another new site...

I have made another new site, a seemingly constant turnover of webspace designs on this domain. Most have them have been just a big learning curve with me learning new skills and tools to use. Hopefully this will stay a while...we will see. 

As I move onto a new chapter as a working professional I am hoping my website will start to reflect my professional and personal interests. They will no doubt change as I go along, plus I do wonder how much I will feel like blogging following 13hr shifts.