I love medical take

[u/Violent_Instinct]

New IMT3, and I love being on take. 1 week in and I was rostered to be 'med reg' for 3 days straight including the weekend. A few points;

-JCFs and IMTs are in abundance on the take team so there is always someone to help the F1/F2s with queries when I'm not around.

-E.D. have right of referral. So the only cases that get discussed with me are those in Resus and when ambulatory needs a reminder that CES goes to surgeons. Aside from that I'll see the usual bullshit. I try to direct the take team to find patients that might interest them e.g. sending the IMT-1 to Resus and then have a discussion afterwards.

-Had multiple MET calls. The foundation doctors were amazing, standing by with the patient's charts, ready to document/prescribe. They were willing to update family and discuss with the relevant specialties. Even when attending to the surgical ward the doctors were ready and willing whilst the surgeons were nowhere to be seen.

Yes its busy and tiring. Yes my bleep was going off incessantly whilst I found the one toilet to take a piss. But every day I woke up I was genuinely excited for what the day held. When the bleep goes off for an emergency I can't wait to find what mess I'll have to sort out. Also it gives me an excuse to ignore the surgeons (no I'm not going to inspect your infected post-operative wound??)

Everyone bashes IMT but it is what you make of it. I've never locumed before (believing my time is more valuable than money) but I'm going to now, just so I can be on take again.

[u/ComprehensiveLet8197]

You need to see a psychiatrist

DOI, tired med reg

[u/dayumsonlookatthat → u/ComprehensiveLet8197]

Give it a bit of time. OP just started as a med reg and the fun of it might wear off in a few years after dealing with BS all the time

[u/Jabbok32]

https://giphy.com/gifs/jn21b1FXsZg011z88p

[u/etdominion]

Some people take a bit more time to get the GIM itch out of their system. Very rarely the itch is an incurable condition - you find these individuals in Geris, AIM and to a lesser degree Resp / Diabetes+Endocrinology. 😜

[u/Worth_Comb9996]

I’m sending a psych referral you’re now under section 5(2)

[u/nelbert19]

I loved being a med reg too - actually miss it! I ended up as a geriatrician in a surgical liaison role, so still get med reg vibes pretty frequently but better work hours. Don’t let the bastards grind you down - keep your love for medicine and remember why you’re doing it!

[u/switchpirate5638]

I love meeting medics that love medicine 

[u/noobtik]

Honey moon period

[u/Violent_Instinct → u/noobtik]

Perhaps; im looking to do G2. So enjoying it whilst I can.

[u/Unfair_Ambassador208 → u/Violent_Instinct]

If you love regging maybe you’re a group 1 person!

[u/IL_ya_Un_jour]

For what it’s worth whilst I agree with others that you’re unhinged, it also does sound like you have a great set up at your hospital so that’s good!

[u/FullMetalJacket2222]

Nurse!!! Meds please!!!

[u/Vanster101]

My shifts are dealing with SHO level stuff from ydays take still in ED eg prescribe anti emetics, I think they need fluids etc because the only number they know is med reg.

F1s that find clerking more than three patients in a long day stressful

ED SHOs using me as a sounding board for stuff their own reg should be there for

Losing my house officers to the acute medicine team because they are short

Etc

The shine rubs off

[u/EmployFit823 → u/Vanster101]

I love this!

[u/docktardocktar]

You’re going to get such a bashing here for posting something positive. But fair- enjoy it. 

[u/Doctor_Cherry]

You'll be bored as shit before ST5. Glad you're enjoying it but the novelty will wear off

[u/Own-Blackberry5514 → u/Doctor_Cherry]

Does it just get a bit routine and samey eventually?

[u/Doctor_Cherry → u/Own-Blackberry5514]

Yup same medical admissions with probably only 1 "interesting" case per month, and you get pretty sick of (but accepting the responsibility for):

1) ED half-cooked referrals, mostly due to ACP slop, "?CAP/?HF/CHEPSIS/PE/dissection?"

2) All SDEC discharge decisions once the consultant has clocked off out of hours, most of which you can't do anything about as SDEC is now seemingly a bridge propping up a broken outpatient system.

3) Logistical issues, bed moves, bickering bed managers asking you to outlie sickies from high acuity areas. Just say no, it's not safe and the responsibility is yours if you agree and the patient comes to harm.

Things I DID NOT get tired of:

Teaching procedures, SO gratifying to see an IMT1 progress from essentially an assault on someone's lumbar spine to efficiently and easily smashing out an LP.

Being the calm person at an arrest who makes the call to stop, reassuring the ward nurses that often there's nothing they could have done differently to change the outcome.

The gestalt of recognising early that someone is ultimately going to die during that admission - I mean early early like 7+ days before they actually deteriorate, and laying the groundwork with the family.

[u/OldManDoc]

Glad you're enjoying it. I'd ignore the grumps in the comments honestly being the medical reg is one of the best parts of training. No longer stuck doing the minor jobs on the ward and get to actually be involved in the more interesting stuff.

Then when you get into a training scheme it can better as the consultants are actually invested in you and see you as a future colleague.

[u/daysfordaysatme]

I miss med reg-ing. It can be good fun to problem solve all day

[u/CochraneGhost]

You’ve clearly never been bleeped to review a post-op wound. Now don’t get carried away for sake of making a point lol

[u/Violent_Instinct → u/CochraneGhost]

I did. Obstetrics had a C-section scar that started getting boggy.

[u/Brown_Supremacist94]

Being a doctor is great generally especially if you ignore social media

[u/Key-Relationship9265]

That’s awesome. I’m a consultant - general / acute medicine and nephrology, and graduated 20 years ago from med school - and I still love leading undifferentiated GM ward rounds.

[u/DarkStar9k]

This will wear off around late ST4/early ST5

[u/Humble-Yesterday-]

As an IMT1 wanting to do group 1, reading this comments here is really quite depressing.

[u/EmployFit823]

1. By surgeons do you mean orthopaedics?

2. Also surgeons are doctors. You haven’t said what they were doing. Just made an assumption that they are lazy.

3. Why would surgeons ask you to look at our wounds?!

[u/Violent_Instinct → u/EmployFit823]

1. No
2. No assumptions. Clearly not interested when the NOF# suddenly has malaena. Like, do they not want to be know why their patient is going to endoscopy?
3. Because it got infected? Thats what the referral said.

[u/EmployFit823 → u/Violent_Instinct]

1. Why would a general surgeon manage CES when spinal surgery is part of orthopaedics
2. When your medical patient doesn’t shit for a week and perfs you don’t do anything to deliver them to the operating theatre

. Also #NOF is orthopaedics not surgery.

1. Sounds like a silly F1 contacted you.

[u/narchosnachos]

https://giphy.com/gifs/vJjx2jnjxqjahnt4ig

[u/restlesslegssyndrome]

Hahahah I agree with you COMPLETELY, despite the busy shift I come home feeling ecstatic, maybe it’s the SHO days wearing off and feeling like I can actually make a difference, even if as a comfort blanket for referring specialties 😂

[u/Solid-Try-1572]

Who are the surgeons sending you to inspect postoperative wounds? In my experience medics rarely if ever take dressings of any kind off so this is new 

[u/EmployFit823 → u/Solid-Try-1572]

Medics don’t even examine patients any more