Junior Doctor's First Night Shift | Hospital Night Shift Q&A

[@Mrdocta]

Absolutely love this! I’m 2nd year med school and have worked as a critical care nurse for 4 years and this has got me motivated for my next set of exams

[@wr44]

In Australia they make a concerted effort to avoid putting very junior staff on night shifts straight away - it's worse for everyone involved. For those starting - focus on what you need to rule out immediately, and what can wait. You'll pick up what that is with experience. "On Call" by Marshall and Ruedy is a great starting point. Finally remember not to panic, and to speak to your senior reg when you need (just make sure you use the ISBAR handover because they're busy too).

[@OllieBurtonMed]

Bless Australia and their better functioning health system

[@nakulmon]

Wow meanwhile in India we get to do 36 hour shifts, sometimes 3 times a week, with no days off and no pay.

[@wr44]

@@nakulmon and no pay? They don't pay you for a 36hr shift?

[@DrJoyeetaDas98]

@@wr44 he meant no extra pay for the night shifts

[@don-qb4xb]

Fascinating stuff. Just subscribed. Looking forward to catching up with your vlogs.

[@OllieBurtonMed]

Welcome aboard!

[@hannahevans4635]

"these bags are Gucci"

[@thesudaneseprince9675]

I woke up my brother laughing - Ollie is the best!

[@Husky828]

you have the best handwriting i have seen of all the doctors I have worked with

[@research.diaries]

Great video and questions! The mental health question was excellent, a really important one to cover👌🏻

[@OllieBurtonMed]

Thanks Maria! I know, was impressed by those ones! Some very thoughtful people watching

[@melinarizza]

Thank you Ollie for this Q and A. I wonder how it is applied in practice. I have worked for a little while in the ambulance service and nights were quite hard with their 12 hour shifts as sometimes it will be several in a row and managing that sleep disruption with a mental health issue was not easy…I had to resign but will be working as a a bank worker which will be more manageable. I am glad I am pursuing public health for the moment but may still pursue medicine for the science aspect and direct patient contact. I hope to either way influence the system because from my own illness I realised how disconnected the services are and it frustrates me how much time needs to be wasted on preventable non-communicable diseases

[@OllieBurtonMed]

Very best of luck - trying to change any part of the system is monumentally difficult and often impossible, but wish you the very best of luck

[@TomJustAnother]

The night shift concerns are funny when you reflect on all of those 'daytime sleepiness' OSCEs haha😅

[@axaelx7967]

Hi Ollie, awesome video as always! Just wanted to know if you know roughly what the frequency you will be having night shifts in terms of number of days of night shifts per x number of weeks? Also, as you get more senior, do you night shifts become more frequent or less frequent? (or is this speciality Dependant?)

[@Sofia-on1sr]

Great video, very nice insight into the day to day life. During the junior doctor period do you have to take an assessment of exam each year, I’m not sure where I’ve seen it but I heard it from a few people.

[@OllieBurtonMed]

Not during F1 and F2 no. The major postgraduate exams that we're thinking about as juniors are the MRCS/MCRP/MRCOG etc, which are the membership exams for the respective Royal College you want to join, depending on your specialty. These usually need to be completed by ST3, which is usually 5 to 6 years after graduating med school.

[@wolfmannn2008]

Buenos are the best

[@hg-ji3zw]

I’ve got my night shift coming up as a midwife but I’m anxious for it as I don’t know how my body will react

[@mehditila7424]

💙💙💙

[@Roger-hu4tk]

How old were you when you were a FY1 doctor if you don't mind me asking?

[@OllieBurtonMed]

I started as a new doctor at 25

[@iasian246]

so aside from the consultants on call, there's no surgical fellow on call? do you guys not need to do any emergency OTs throughout the night? (not from UK so not sure how it works over there)

[@OllieBurtonMed]

At the moment our setup is one FY1 (intern if you like), one SHO (like a second year resident), one registrar (surgical fellow) and then a consultant on call. If an emergency case for theatre comes, then the registrar goes and deals with that or the consultant comes in. Hope that makes sense!

[@vincetheworldly537]

Where is a good venue or website for e-learning? Like for me during breaks or freetime as a medical student I can attend webinars and get certificates and more importantly be updated to the field that I am interested in, and absolutely for free. Do you guys have something like that too that is accessible maybe even for potential IMGs?

[@OllieBurtonMed]

It depends! We do have e-Learning websites (you get access when you start work, they're not publicly available) which you can do if you want to learn more. I think there are two things to say really 1) There is, at least during most jobs, going to be no free time for any doctor to sit down and do those things, you're occupied probably 95% of the time 2) The medical training system does not really reward extracurriculars like that, there's a very prescribed list of things that will earn you points so to speak, and being a well-rounded person with lots of competencies is not one of them. If you enjoy attending webinars and getting these certificates and things that's great, but will need to be done in your own time and won't help very much by itself with the career

[@vincetheworldly537]

@@OllieBurtonMed Ooh very thoroughly answered. Exactly what I needed to know. Thank you! All the best Dr. Ollie.

[@ayaankasif1531]

@@OllieBurtonMed there are 195 countries in the world and you can make pancakes using egg, flour, milk, and other things 👍

[@pikusarker1359]

Sir how much medical student loans do you have? Nice video.

[@Dylski.]

I think for English students who did graduate entry like ollie it's around 20 grand in tuition loans. If you are from any other part of the uk its 37 grand and international students it's around 150-200 grand.

[@seang2012]

Do you make prank calls to Dr Gill when bored?

[@irenedavo3768]

Remember to Thumbs Up 👆

[@xaify_uchiha6140]

Hey Ollie I want to be a orthopedic surgeon or a neuro surgeon how long would that take and I also want to do my masters degree and bachelor degree and anything else that helps my education and will make it easier for me any suggestions by the way I’m in Canada so it might be different in the uk?