Originally published in the February issue of Medical Student Newspaper.
GOOD morning my friend! A warm good morning to you all. I love you, faithful readers, I love you with all my heart. But sadly I wish to commit heinous murder upon you at this present juncture in time, and indeed upon anyone that gits in mah way cos I is mad.
What, you might ask, has made such a normally cheery (I can be cheery) soul like me so irate? Did that A&E job finally make me crack? On the contrary, I finished it since I last saw you and have moved onto renal and transplant medicine. Wonderful wonderful.
Was it a bothersome patient what yanked my crank? No, I have been tolerating humans quite well recently. Is it the fact that my girlfriend’s Mum is staying with her for a month? Yes you’re quite astute, that’s probably not helping BUT it ain’t the root cause.
You’ve guessed it – job applications. I have brought you MMC news from the coalface over these last sixteen months, but at no point have I ever felt so low. Sure I’ll be cracking jokes in this piece, but secretly (and by writing this here, not secretly) I want to end my life. And I haven’t forgotten about murdering you either.
So what’s the dilly-yo? In a nutshell, for those shitbricks that haven’t been paying attention for twelve months, in 2007 the government unleashed its full wrath upon those lazy doctors and made tens of thousands jobless. 28,000 doctors applied for 15,500 jobs.
They did this by installing a woeful new application system, reducing the number of training posts despite record numbers of new graduates and not accounting for the many overseas doctors that work here but inviting a lot more in.
Thousands of junior doctors, many of whom are my friends, left the country. No one outside the rank of SHO seems that annoyed, so please do tell non-medics why they should be. Each of these doctors cost a quarter of a million pounds of taxpayers’ money to train. We, as a nation, have just let hundreds of millions walk out of the door. Australia, New Zealand and Canada’s gain is our huge loss.
I never thought I was the ‘leaving kind’. I love London and want to stay. That could be my downfall.
This year, it is worse. We were reassured but I think we all knew this to be false. However, last year we were provided with some ammunition. The Tooke Report, detailed in previous issues of this newspaper, made two key assertions. First, that government involvement with the training of junior doctors must stop. This has not transpired. Secondly, that the European Working Time Directive (which I recall being my first cover story as editor in 2004) is detrimental to junior doctors’ training by preventing sufficient hours learning on the job.
Reasons things will be worse this year include: many of the jobless SHOs from last year will be competing with this year’s glut for the same finite amount of jobs (in fact less, as much of the run-through allocation is filled). A recent ruling means that British-trained doctors are given no preference to overseas doctors when allocating jobs.
Overall, an estimated 22,000 applicants will compete for 9,000 jobs. Friends in other professional disciplines often seem confused as to why this is a problem. “Competition is healthy” they say, echoing what the government has been trying to dupe patients with. The key point is that in the UK, doctors can only train in the NHS, there is no alternative as there would be in a bank or law firm.
Continuing on from this analogy, consider my story, which I fear will be typical.
Today I received an email from Oxford Deanery, telling me I have been invited for interview in six days. I have heard, from an unsubstantiated source, that about five hundred applications for Core Medical Training were received by Oxford. They have 27 jobs to give away. So I am delighted I have been granted an interview.
But I have applied to both London and Kent, Surrey and Sussex because I, like a vast swathe of my colleagues, have been scared shitless by what happened last year. I have tried not to hedge my bets and end up jobless.
Let’s imagine I do well in the interview (you need a fertile imagination) and am offered a post. At this point I know none of the following: which hospital(s) I will be working in, my pay, my rota nor what firms I will be doing. Yet I have 48 hours and nor more to accept. If I don’t reply, I am assumed to have rejected the offer.
If I accept, I have to withdraw from all other Deaneries. The only problem is, London make their offers two and a half months after Oxford. So if I decide I want to wait it our for London – and then get offered nothing, I will have thrown away a job. Or if I hold out for London and get given a job I don’t want, I would rather have stayed with Oxford.
Taking our comparison back to banking or law, which companies do you know that would make a job offer with no details about the job whatsoever? Which industries can you think of where the boss doesn’t choose his own staff? And although some jobs make you move around the country, which gives a few weeks’ notice as to location, forcing the employee to sell, buy and move houses in a month?
Lastly, see if you know any banks or consultancies that would send this message to its employees. My ultimate boss, the government, sent all junior doctors a letter in January. It essentially said “don’t apply for anything competitive, you probably won’t get it. Don’t turn down any job applications, you will be lucky to even get one. Don’t be upset if you end up doing something you didn’t apply for, you should be thankful you’re employed.”
It amounted to: Aim Low. No fucking way any City firm says that to its employees. We’re being grown as a generation of ‘just passable’ docs. MMC engenders a culture of striving for mediocrity.
As I said before, I love London with all my heart. I want to make my life here. But in the last few weeks I have done some deep thinking. I had a hot bath recently – where I do my best thinking – and asked myself one question, “do I want to be a doctor?” I had toyed with the idea of leaving. Friends enquired at banks and they want to start me on £80-100,000p.a. But I realised I like being a doctor. It’s what I’m best at and I want to do it. This was a relief as I had started to have doubts.
The second question I asked myself was, “do I want to be a doctor in the UK?” I now know that without drastic change of far more than just the subject of this article – nurse quacktitioners, paltry consultant opportunities and the media’s attitude to us – I cannot stay here. The system has broken me.
Labels: junior doctors, MTAS, NHS, Rohinplasty articles
Cross post on Pickled Politics.
SEVEN of the suspects arrested under suspicion of involvement with the terrorist attacks over the last few days are NHS junior doctors or medical students. Britain's threat level has only today been stepped down from 'critical' to 'severe' and heightened security at airports remains in place. As a shifty-looking NHS junior doctor flying out of the UK on Friday, these events have had particular resonance.
Almost three months after junior doctors were in the news protesting a disastrous job shortage, a friend at work quipped "I think some of these guys are taking their MTAS protests a bit far." Hey, perhaps these guys were just pissed off at being laid off...
"Brilliant": Mohammed Asha topped his class several times.
The suspects, of Iraqi, Saudi, Indian and Jordanian origin, have opened a debate on the role overseas doctors play in the British health system. It is a widely acknowledged fact that the NHS survives on the contribution of doctors trained abroad. Many would go so far as to say that the NHS would not exist today had doctors from the sub-continent buoyed it through its early decades. Today approximately 128,000 of the 277,000 doctors on the GMC Register are from overseas medical schools.
The requirement of a work permit for foreign junior doctors only came into place last year, as the UK was producing more doctors itself (many of whom are now leaving for Australia, New Zealand and Canada). Medical Student Newspaper covered the fact that even overseas undergraduates in British medical schools, who pay almost £100,000 in tuition fees, were instructed to apply for work permits despite being halfway through training.
The normal vetting process for doctors involves a professional and linguistic assessment (the PLAB) and a probation period working in the NHS before a full registration is offered. Doctors from the EU are exempt from these checks. No doctors are specifically questioned on their political views.
Members of British Muslim medical groups, such as Dr Abdula Shehu of the Muslim Doctors Association, are afraid there will be a backlash against Muslim doctors. To me, this sounds improbable. Doctors can't be picked out on the street - most people know doctors via being treated by them. I doubt people will suddenly assume their family GP Dr Hussain is a terrorist.
However not much has been said about medical students, who interact with a far more diverse group of people than doctors. We have previously touched upon the religious fanaticism that lurks on British university campuses and I'm sure there will be sympathisers amongst British Muslim students, just as there is likely to be some ill will toward normal Islamic students.
What appears to be happening is a questioning of Britain's reliance on overseas doctors. Gordon Brown has already pledged a review of NHS recruitment and 'skilled migrant workers' background checks. Intelligence agencies said they will have to "widen the net" when searching for potential bombers. A somewhat romantic illusion that doctors are above activities like terrorism has been laid to rest, but the debate over the ability to cure and kill is a fascinating one.
The Times today revealed details of the two Indian suspects, now known to be cousins. Both spent most of their time in the UK socialising only with other foreign doctors, often just Indians. Details of the other suspects' lives is patchy, but again most character testimonies have come from Muslim friends and acquaintances. In my hospital accomodation, a cluster of several apartment blocks, several are populated solely by immigrants. It is quite possible to have a job in the NHS and live with, work with and socialise with only those from outside the UK.
The disparate group of eight people seem linked only by two things, being Muslim and medicine.
The NHS is prohibited from actively recruiting from countries at risk of a 'brain-drain' (though less than a quarter of recruitment agencies the NHS uses has signed up to this), but a doctor from such a country is entitled to apply independently. A huge proportion of the NHS is accounted for by foreign workers, with thousands of doctors from 150 countries, nurses from the Phillipines, India, Ghana and Nigeria or cleaners from Nepal, Ghana and Nigeria. These countries' health systems are woefully understaffed.
In the wake of 7/7, we clutched at straws for what might have driven those men to kill. Poverty, social deprivation, a lack of feeling British. This time, whilst I can assure you juniors doctors are not flushed with money, they are certainly not on the poverty line. These doctors had no call to feel British as they weren't, but it seems apparent they resented the country they had chosen to work in.
Their reason for attacking the UK might have been the same as previous terrorists, but how did they become subject to such extreme views in spite of their high educational level and respected job? Much could be speculated about doctors from Iraq - they sought revenge for a fallen friend, an insult to their country - but then why were Indian Muslims angry?
I realise I am posing more questions than I am answering. I do not feel increasing security checks on skilled migrants will solve the problem. We do not know if some of these men (and woman) were radicalised in the UK. For me, and many like me, the very nature of the NHS is under scrutiny. A thoroughly British convention, it is a puzzling behemoth of nations. Isolation for someone new to the UK is very easy in the NHS - how many other mass employers routinely provide cheap digs next to your workplace combined with 60 hour weeks?
The NHS remains perpetually over-stretched and under pressure to cut waiting times; see more patients; improve treatments. None of this is possible without sufficent staffing, frequently drawn from the countries that need medical professionals the most. Whilst not apparently linked to recent events, the fact the NHS is driving thousands of its best and brightest abroad every year can only be worrying.
I'll end with an anecdote. After the Tsunami, I spent a month working at relief camps around Sri Lanka's coast. I returned to Heathrow with a shaved head, a month's tan, a big rucksack and four days of stubble. The security officers saw me a mile off and took me to a special area where they searched me and my bags. They rummaged through sweaty clothes and pirate DVDs, firing a series of questions at me.
As soon as the chap looking through my bag found my stethoscope, both officers immediately packed everything back in and apologised for bothering me. I was sure the "I'm a doctor" line would be an evergreen get-out clause for airport security. Oh well, wish me luck this weekend.
(Kind of related, I thoroughly recommend Michael Moore's new film, Sicko.)
Labels: current affairs, MTAS, NHS, religion
Originally published in the May issue of Medical Student Newspaper.
ARE you a bit muddled with this whole MTAS business? Do you nod along politely when people talk about ‘all those poor junior doctors’? Do you secretly not have a clue about medical training? Are you Patricia Hewitt?
MTAS is no more. People are happy. You should know why.
The history
After a few decades, the Indian doctors opened a whisky distillery in Sheffield and the Brits retired to Eastbourne. And so it came to pass that new doctors began applying for jobs.
They used an ingenious system the Romans used to call a 'resumé'. For many hundreds of years this system was used to select junior doctors. But sadly it all came to an attractive end with the famous case of Professor Fry's colorectal firm which consisted exclusively of nubile Swedish female SHOs and one androgynous Thai boy.
Some f*cking genius suggested current selection criteria is outmoded and unfair and the seeds of MMC were planted. That genius had good intentions, but I'd sure like to punch him in the mouth.
A new way of choosing doctors
They say the man responsible for the form designed it with only one hand, as the other is chained to a pipe in his mother's cellar. They say he owns an extensive collection of mermaid porn and rubs soup into his face for hours on end.
MDAP was born, but was so hypoxic at birth it had to be transferred to NICU. An inexperienced F2 had a stab at intubating MDAP but tore straight through its pharynx causing it to die horribly and in great pain.
From its twisted and mutilated neonatal corpse rose the spectre of MTAS. MTAS was a healthier baby than MDAP and made it to school, where it had no friends. This year MTAS put thousands of SHOs in a big pot and shook them around a bit. A few thousand fell out and they went in the jobless pile.
MTAS took a look at the other doctors in the pot and chose a few budbud, whop, spik and bongo names to chuck out, even though they were all Brits. Then MTAS got bored and emailed credit card numbers, pant sizes and sexual preferences of junior doctors to crack dealers, the Klan and C.H.U.D.S.
A Big Medical Association a lot of us pay to represent us didn't do anything to begin with. They were playing MarioKart 64 and kept hitting the lightning before the jump.
A group of sewer-dwelling radioactive amphibians called ReptileUK tried to murder the MTAS staff and the Department of Health with sharpened baguettes.
Some splinter members broke off and realised the key to success was a Facebook group and a flash mob in London. RemedyUK got an unwashed mass of junior doctors together with the promise of blood doughnuts. They protested. Then the Big Medical Association weighed in with immaculate - and by that I mean woefully late - timing.
Patricia Hewitt, meanwhile, dropped her purse into the toilet and lost her library card. She went to the library and asked for a new card. For some reason she explained to the librarian she needed a new card because she dropped her old one in the toilet. As she left, she silently thought to herself "why did I tell her?"
In the deep West Midlands, the ST interview panel walked out. Patricia Hewitt said MTAS was a rousing success. New Zealand, Canada and Australia opened special British doctor immigration lanes at international airports to cope with the exodus from the UK. Patricia Hewitt said any minister that makes an error should resign. She kept on workin’.
Senior deanery staff walked out. Patricia Hewitt said pulling out of MTAS "was simply not a credible option since it would be impossible to place the best candidates in posts and fulfil the service needs in time for August using the old system."
Yet with a mighty slash from Occam's razor, MTAS was culled and lived no more. One day before court proceedings into the fairness of the system began.
A newer way of choosing doctors - the future
It does seem apparent that an elaborate new system of assessments will form the basis of selection for ST posts from next year. Obviously many of the skills required will remain the same.
For example, the requirements for a surgical ST1 job will still revolve around the basic tenets of managing the acutely unwell surgical patient, operative experience, watermelon seed spitting and Turkmeni dancing. Interviews will be replaced by three-stage contests between rival candidates.
The first round will consist of a barefoot jump-rope endurance challenge, with ropes made of glass and a floor made of knives. The second round is obviously ostrich wrestling, now a core part of most medical school curricula. However all trash talk must be in a broad Irish brogue.
Lastly, potential specialist trainee doctors will be selected according to their performance in the petrol gargling clinical governance contest. Only four things will be required prior to short-listing candidates.
They will want a plaster cast of your ear, your thigh circumference, a portfolio of every venflon you've ever inserted (specifying the colour and volume of saline used for flush) and finally fourteen DOPS, twenty two mini-CEXs and eighty five thousand CbDs.
Joking aside, thousands of British junior doctors took up jobs in new continents, far from family and friends. Of those that remained in the UK, about 33,000 have been waiting to hear if they have one of 22,000 jobs or if they will fill a void by working in a short, stop-gap, non-training post. Worse still, they will be reported to the GMC if they choose to leave if offered a better post.
The £250,000 it cost the taxpayer to train each one of them and the streams of cash being poured in to try and rectify the situation are apparently collateral damage.
One can only hope that your year avoids the genuine heartache MTAS has caused. But spare a thought for those a few years above you, life’s been unfair.
Labels: junior doctors, medicine, MMC, MTAS, Rohinplasty articles
Originally published in the March issue of Medical Student Newspaper. just before the protest on the 17th of March.
THEY’RE calling it Black Monday. I had a stupid article all about bossing students around prewritten in my head, but felt there was no way I could ignore Black Monday and its implications. This month has been dominated by the plight of our SHOs.
Medicine is a career where both a strict hierarchy and a fluid camaraderie co-exist. The SHOs I work with are both my seniors and my friends. Mulling over their pathetic predicament genuinely makes me despair. This month’s news section details how thousands of SHOs have been shafted by MTAS. The almighty fiasco has been played out in the national media as well as in every doctors’ mess across the country. Black Monday was the 26th of February when seemingly all my SHO friends learnt they had not been shortlisted for any ST jobs.
Why has the system gone so spectacularly wrong? Why are so many gifted young doctors jobless? How could this country have caused thousands of its brightest to plan moving abroad? A catalogue of calamity has led to a situation where little can surprise anyone aware of what has been going on. When we hear that a Deanery has been using police cadets to shortlist the vast numbers of applications, we barely raise an eyebrow. It may or may not be true, but it’s hardly more farfetched than some confirmed details so far.
The news that the entire West Midlands surgical interview panel resigned en masse on the first day of ST3 interviews spread like wildfire. In some ways, British doctors have never been so united around one cause. Part of the reason doctors from every walk of life are taking an interest is that they were all SHOs once upon a time. GPs and hospital doctors were SHOs at one point. They often remember their formative years with fond nostalgia and that a generation is being robbed of their chance at medical training troubles many greatly.
When I was a student, especially in my pre-clinical years, actual doctoring was a world away and I had no concept of what issues juniors faced. Hence I wanted to try to convey the mood hanging over your future profession to you. I cannot recall any time in British medicine as dark as this. Countless doctors have written desperate accounts of how they don’t deserve to enter unemployment. I clearly recall my school careers adviser selling medicine to me as a field where I would “never be out of a job.”
In fact I recently ran into someone from my year at school, now an SHO. I took a gap year and did a BSc, he didn’t. He has not been given any interviews; I might well avoid this fiasco altogether. Two years of dossing around might have been the difference between being a doctor and signing on. The figure being widely quoted in the press is 30,000 doctors applying for 22,000 posts. However the number of training posts may be substantially lower as many are career grade non-training posts, into which MMC is trying to guide people.
There are specific reasons, other than impending dole queues, which have particularly angered SHOs. Government mouthpieces like Lord Hunt, the Health Minister, spouts lunacy like: “We know the system is working well in many parts of the country...Let's be clear, there has always been competition for these specialist training places and there ought to be because these are the senior jobs. It's important we get the right people.”
Getting the right people is laughably far from the reality. The minority of friends who have gained interviews have been allocated them in an inexplicable manner. My current SHO, a highly experienced and superb old George’s boy, has been given an interview in London, the most competitive of all Deaneries, but nothing in his three less-competitive backup choices.
Patricia Hewitt, the Health Secretary has been warned for years that the UK is forcing junior doctors abroad. Many of the Royal Colleges have been angered by the complexity of the scheme and statements by the government that the Royal Colleges were complicit with all plans. This prompted a rapid response from all the major colleges, to ensure applicants knew that the Royal Colleges had been kept in the dark as well.
The government has cynically utilised the fact that the vast majority of doctors are scared to leave the profession. Most jobless SHOs face three options. Some could emigrate, but this is impossible for many. The majority will not find alternatives in the UK but will not quit altogether simply because they want to be doctors.
Yet another factor unpopular with candidates has been the application form itself. Last month I gently poked fun at the F2 application form. However similarly inane questions make even less sense for ST posts. Doctors who have augmented their CVs with publications, courses and qualifications have found themselves no better off than those that haven’t. The system has earned itself a reputation as a lottery due to the conventional, tried and tested, system of a CV and references being scrapped. Only a few 150 word answers to generic questions determines your future.
Perhaps most embarrassingly of all are the number of errors. Some SHOs have received interviews in areas they did not apply to and a confidential booklet outlining selection criteria was leaked on the Internet. It detailed “methods & best practice for upskilling selectors”.
St. George’s and St. Thomas’ have written public letters of protest to Prof Elizabeth Paice, chairman of the Conference of Post Graduate Medical Deans, calling on them to "revoke the current fatally flawed system". Our friends are being treated like shit, show them your support.
Labels: junior doctors, MMC, MTAS, Rohinplasty articles
Originally published in the February issue of Medical Student Newspaper
MMC is in its third horrible year, so here's a little something for you medical students who find themselves in the midst of being randomly-allocated an F1 job. Next year you'll do it all over again!
Many of you have recently heard whereabouts in the country you are able to apply to for your first job. I thought I could worry you further by sharing the questions you will probably be answering in the future. In an act of unfathomable laziness, I have published my completed F2 form in its entirety.
In this world of uncertain careers, job shortages, cheap flights to Australia and down-banding, it is almost comforting - and by that I mean horrifying - that we have to fill out answers to these mind-numbing questions year after year.
Remember, you must always use all 75 words you're allowed. ALWAYS.
Here are some websites you might find useful when applying for jobs in medicine:
www2.goldmansachs.com/careers
graduates.deloitte.co.uk
www.ubs.com/graduates
www.ml.com/careers
www.pwc.com/uk
www.kpmg.co.uk/careers
Name:
The Daily Rhino
Medical School:
St. George's Hospital Medical School (that was the damn name when I entered)
Tooting
Date of Graduation:
07/06
Primary qualifications:
MBBS (London)
BSc (Bronze Swimming Certificate)
Evidence of high academic achievement gained after completion of secondary education (or equivalent):
None.
Using an example from your F1 experience to date, describe how your communication skills have improved an individual patient's care.
An elderly, deaf, confused, Jamaican, homeless man was diagnosed with penile cancer. His difficulty hearing, coupled with his dementia and lack of English comprehension, made it difficult for him to understand when the consultant informed him he had a neoplastic mass in the corpus cavernosum. Hence I decided to use my honed communication skills, by shouting in his ear: “E BLAASCLAAT, YA DINGALING BE CHICHI BRER!” He understood immediately and insisted I was the best shouter he had ever met. (75 words)
Using an example from your F1 experience to date, demonstrate how you have learned from a potentially serious mistake or error and how your practice has changed as a result.
I make mistakes on such a regular basis, I can happily say I am learning a huge amount. It is difficult to identify a solitary mistake, but in retrospect I think one stands out. During my entire career at medical school, I never attended lectures, classes or PBLs once. I chose instead to spend my time watching Sponge Bob Squarepants and listening to Pink Floyd. At the time, I was sure I was doing the right thing, but now I’m fairly confident not attending medical school was a mistake. This occurred to me when I realised I don’t know any medicine on my first day of work. Still, no one’s noticed yet. (75 words)
Describe an example drawn from your F1 experience where teamwork was ineffective. Why do you think it went wrong and what did you learn from it for the future?
During Wednesday evening five-a-side, I made a glorious run down the left wing and Gee didn’t pass out wide, instead trying to make an impossible run past a flat back 3. He does it all the fucking time, MAN it annoys me. So the following week I kicked him in the shins as hard as I could. Haha, that’ll teach him teamwork. (64 words)
And this was very important and so I thought yes the end. (75 words)
In the curriculum there are 16 competencies. Choose 2 and give a different example from your F1 experience for each demonstrating your achievement of this competency and the significance to you.
Safely and effectively uses common analgesic drugs (75 words)
Oh man, the amount of times I’ve used analgesic drugs, jeez I’m so safe and effective, I could do it in my sleep. I mean safe safe, not safe SAFE). Now that cannabis is legal for all uses, I’ll be ideally placed to teach my MS, OA and teenage patients how to roll scuds, pencils, Ls, tulips, megas and super-MCs. I’ll teach them the superiority of silver Rizla and the importance of a poking biro. I have also taken Paracetamol - yeah I was fine thanks. (75 words)
Discusses Do Not Attempt Resuscitation (DNAR) orders/advance directives appropriately (75 words)
A sick patient was going to die but his family felt otherwise and wanted him resuscitated at all costs, despite the medical reg insisting this would be unsuccessful. I tried to help out and I think I got the message across succinctly. I drew my ceremonial bat’leth and slay the patient’s grandson. If the family would protesteth, they would all taste my blade. Too late, I could not spare any of them. As I slashed back and forth, I muttered loudly over my breath, “this hurts me more than it hurts you.” Were a truer word ever spoken? Yes. (75 words)
Give an example of a professional achievement from your F1 year, such as an audit or presentation, not already described and its significance to you.
I have much to be proud of. I have audited some shit about murderation. I write a monthly column for some medical student paper which brings joy to millions. But perhaps the most admirable of my admirable achievements is my ability to slice a man in half with my fist, like Sonny Chiba. I can also punch out a human male’s eyeballs with a fist-punch. Basically, my fists are battering irons imbued with fury. This is significant to me because it’s cool. (75 words)
Describe actions you have taken to prepare for your future career choice and progress made (75 words).
Since a tender age, maybe 4 but I’m not sure, I have wanted to be an evil doctor with a mighty neck beard where I stored actual crunk. I have spoken to my careers advisor and undertaken a SCI59 questionnaire, which both suggested I should follow the course of evil and dedicate my life to the blood god that slaughtered my ancestors. I realise it’s almost impossible to land a London evil rotation, so as staying in the capital is important to me, I’ll probably end up doing histopathology. EVIL histopathology. (75 words)
The programme you applied for:
Emergency Medicine (St George's, 4 months)
Renal Medicine (St George's, 4 months)
Intensive Care Medicine (St George's, 4 months)
The programme you have obtained:
Public Health (Stoke Mandeville PCT, 4 months)
Homeopathy and Reiki (Weston Super-Mare High St, 4 months)
In-house McGP (Slough McDonald’s, 4 months)
Another happy junior doctor.
Labels: junior doctors, MMC, MTAS, Rohinplasty articles
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