Why should i care about MMC???

[yazoo]

I think Drs at the bottom rung of each ladder (ST1, ST3, "consultant-ish1") will all be less experienced, in a general sense, than the vast majority of people at eqivalent stages in the past. Clearly, a Dr with 20 years clinical experience, who has trained and worked in a specific field, will be pretty similar (personal attributes being averaged!) to another with the same background.

So I think we'll get there in the end if the quality controls (e.g. post-grad exams) aren't phased out for something not tried and tested.

But people at ST1/ST3 will be expected to perform beyond their experience level in the future. As FY2s, with no on-call experience, who get to be the only dr on duty in residence!!! Fun for all

The most worrying issue, however, is surely the inflexibility of training prorammes. 1-strike and you're out seems crazy. And that is how it works until further notice.

[knowledgeseeking.]

Hi, firstly thanks marc for starting such an informative thread, I never knew the problem was soo bad. Im starting Medical school in a few weeks so im really at the bottom of the medical ladder. So the stuation may be totally different when i come to applying for specialist training etc...or not. My question is that to avoid this kind of problem i.e. not getting jobs etc or getting jobs which you do not want in places you do not want , would the solution be to move to other countries for a better lifestyle? i mean say if one would want to go America to avoid this, should young medical students start learning for USMLE etc and get ready for that sort of thing during med school? or is there time to do that once you have graduated and you know your not getting where you want due to this MMC (e.g. staff grade posts)? would it be better to start then? Moving abroad would be the best idea would it not to avoid this "heartbreak" and hassle???

Thanks for all the help!!!

[yeliab_cram]

indeed. the general plan for everyone i know who is being screwed by this is to go to canada, australia or new zealand (a few want to go to USA, but its very difficult to get a good job in the US from UK, even if you are very very good, and the training is not all that). i would go abroad for training if necessary, sure. however the problem is simple. we can't all go work in the outback. there just isn't room.

so yes, it is a quick fix, but only for so many, for so long. then there will be no demand for UK grads in these countries and it will become similarly competetive. hence we need to solve the problem at its root rather than looking for a quick fix.

[yazoo]

indeed. the general plan for everyone i know who is being screwed by this is to go to canada, australia or new zealand (a few want to go to USA, but its very difficult to get a good job in the US from UK, even if you are very very good, and the training is not all that). i would go abroad for training if necessary, sure. however the problem is simple. we can't all go work in the outback. there just isn't room.

so yes, it is a quick fix, but only for so many, for so long. then there will be no demand for UK grads in these countries and it will become similarly competetive. hence we need to solve the problem at its root rather than looking for a quick fix.

How's the career structure in Greece looking

More generally, I agree with the above. I'm trying to work out how I get ahead in the UK at the moment. I want to stay. And I get cold sweats at the thought of not getting my ideal job. Guess I just lack flexibility I am not the ideal "MTAS medic"...

[Dick Cheney]

Here you are, it was planned after all:

Winners

But Sian Thomas, from the NHS employers' organisation, says there have been winners in this process.

"It's a good thing that there are more applications than there are jobs.

"That's not good for individuals, I accept, and it means there is tough competition for jobs.

http://news.bbc.co.uk/1/hi/health/6950902.stm

MMC is a manifestation of the free-market ideology. Liam Donaldson, is not your friend, and he is not the patients' friend: he is a New Labour ideologue, which is why he was chosen for the job.

[yeliab_cram]

How's the career structure in Greece looking

lol, yes, it leaves something to be desired. most of them trained in the NHS (in the 80s and 90s) and are thoroughly proud of that fact. it was once regarded as the best training in the world.

dont get me wrong by the way. i want to stay in the UK, i am just realising that if i want to do what i want to do i may have to leave temporarily. i sincerely hope not. but i guess we shall see.