Locum Consultant Research Articles

Prospects and challenges for an Indian dermatologist in the United Kingdom

The United Kingdom is a sought-after destination to gain overseas experience and long-term employment for doctors trained in India. However, for many the path is unclear. This article aims to explain the various opportunities and the steps involved in securing a job in the National Health Service (NHS) for an Indian dermatologist. The steps to obtain the General Medical Council license to practice include demonstrating competency in English and passing the Professional and Linguistic Assessments Board examinations. Once the doctor is eligible to practice, career options are working as Core Medical trainee, Staff grade and Associate Specialists and Specialty doctors (SAS) or a locum consultant. One can become a consultant in the UK without retraining in dermatology through Certificate of Eligibility for Specialist Registration. In the NHS, a dermatologist typically works for 8 h a day on the weekdays. Time is allotted for professional development through the Continuing Professional Development sessions. Doctors earn well in the UK although the cost of living is high.

Time to revisit the skills and competencies required to work in rural general hospitals.

To determine the structure and demographic of medical teams working in Rural General Hospitals (RGHs) in Scotland, and to gain insight into their experiences and determine their opinions on a remote and rural medical training pathway. Structured face-to-face interviews. Interviews were partially anonymised, and underwent thematic analysis. Medical departments of the six RGHs in Scotland 2018-2019. 14 medical consultants and 23 junior doctors working in RGHs in Scotland. Inclusion criteria: Present at time of site visit, medical consultant in an RGH or junior doctor working in an RGH who provides care for medical patients. Exclusion criteria: Doctors on leave or off shift. Medical consultants with less than one month of experience in post. Non-medical specialty consultants e.g. surgical or anaesthetic consultants. Of 21 consultant posts in the RGHs, only eight are filled with resident consultants, the remainder rely on locums. Consultants found working as generalists rewarding and challenging, and juniors found it to be a good training experience. Consultants feel little professional isolation due to modern connectivity. The majority of consultants (12/14) and all junior doctors favour a remote and rural medicine training pathway encompassing a mandatory paediatrics component, and feel this would help with consultant recruitment and retention. RGHs medical departments are reliant on locum consultants. The development of a remote and rural training medical training pathway is endorsed by the current medical teams of RGHs and has the potential to improve medical consultant staffing in RGHs.

Enhancing Musculoskeletal Radiology Experience in the United Kingdom: A Beginner’s Guide for an Indian Radiologist

The United Kingdom National Health Service (NHS) can provide numerous possibilities for clinical skills and professional development in musculoskeletal radiology to Indian radiologists. These training opportunities are incredibly flexible, and one can tailor them according to one’s needs. Such posts include short-term professional enhancement opportunities requiring no General Medical Council registration (GMC) or Fellowship of Royal College of Radiologists qualification. They include clinical observerships or attachments, commonwealth medical fellowships and Bracco Fellowships. In addition to former, long-term subspecialty training opportunities are also available, where GMC registration is an essential pre-requisite. Such posts include dedicated 1-year musculoskeletal radiology fellowships, global fellowships, and other NHS clinical service grades positions such as locum consultants, trust-grade, and staff and associate specialist grade positions. In this editorial, we shall provide a brief introduction about each of them to make Indian radiologists aware of their existence and, in turn, help to pursue one according to individual choice.

Iliopsoas Tendonitis following Total Hip Arthroplasty: Management of Nine Cases and Literature Review

Orthopedic Research Online Journal Iliopsoas Tendonitis following Total Hip Arthroplasty: Management of Nine Cases and Literature Review K Narayanasetty* Department of Locum Consultant in Orthopaedics, University Hospitals of Leicester NHS Trust, UK *Corresponding author: K Narayanasetty, Locum Consultant in Orthopaedics; R Power, Consultant in Orthopaedics, University Hospitals of Leicester NHS Trust, Leicester, UK Submission: August 08, 2017; Published: September 06, 2017 DOI: 10.31031/OPROJ.2017.01.000504 ISSN : 2576-8875Volume1 Issue1

Management of unexplained haemorrhagic PVD at Southampton Eye Casualty Clinic

PurposeTo assess the management of unexplained haemorrhagic PVDs at the Eye Casualty Clinic and compare it with suggested management plans in the literature. Finally suggest possible changes which could improve outcomes.MethodsA retrospective review of patient electronic records at HICCS, e‐Documents and MEDISOFT databases over a 5‐month period (August 2014‐December 2014). All patients attending eye casualty clinic with a diagnosis of a haemorrhagic PVD were included. Patients with pre‐existing retinal neovascularisation or haemorrhagic ARMD and Macroaneurysms were excluded.ResultsThere were 43 patients recorded with unexplained haemorrhagic PVDs in 5 months. 28/43 (65.1%) patients were seen and Discharged at the Eye Casualty Clinic in Max 2 visits. The remaining 15/43 (34.9%) patients were referred to VR OPD for further review. Of these, 7/15 patients had a retinopexy performed prior to VR OPD visit. The patients were seen by different doctors every time and of varying clinical experience (SHO, SpR, Fellow, Associate Specialist, Locum Consultant).ConclusionsThe retinal break was missed in 3/8 (37.5%) of the patients presenting at the Eye Casualty Clinic with an unexplained haemorrhagic PVD and a break despite the presence of a good fundus view.A significant number of patients (28/43, 65.1%) were managed solely at the Eye Casualty Clinic effectively.All the patients that had a laser retinopexy were referred to the VR OPD in 2 weeks for a review.SuggestionsAll patients with unexplained haemorrhagic PVDs and no fundal view should be referred to the VR service the same day for possible early vitrectomyAll patients with no obvious retinal break and reasonable view of their fundus (unless having a very clear view) must be referred to the VR OPD within 1 week for a more detailed fundoscopy.

Senior emergency medicine doctors warn of unsustainable workload

Most senior doctors in emergency medicine believe that their current workload is unsustainable, and most regularly work in excess of their programmed activities, a survey by the College of Emergency Medicine has found.1 The survey drew responses from 1077 consultants, locum consultants, and associate specialists, of 1536 working in the NHS in England and the devolved nations. More than half of the respondents questioned the long term sustainability of their workload: 62% said that their job was not sustainable in its current form. Nearly all (94%) of the respondents said that they regularly worked in excess of their planned programmed activities, with 57% saying that …

One-third of doctors completing specialist training in diabetes fail to secure a substantive consultant post: Young Diabetologists’ Forum survey 2010

Reports have highlighted a shortage of consultant diabetologist posts in the UK. The number of doctors completing specialist training in diabetes has increased in recent years, but little is known about their employment after they receive their certificate of completion of training. An online survey was sent to all doctors who completed specialist diabetes training from January 2008 to September 2010. Of the 95 eligible respondents, 69 (73%) completed the survey (61% men; median age 36 years). Forty-three (62%) respondents secured substantive NHS consultant posts, and of those who gave their job breakdown, 48/51 (94%) were contributing to specialist diabetes care. Five (7%) respondents held substantive academic positions, while 11 (16%) were locum consultants. Seven (9%) respondents worked abroad, with half of these attributing their emigration to lack of opportunities in the UK. When asked about alternative choices, 39% of respondents were likely to seek 'general physician' roles, which equalled the number who would consider emigrating. Overall, only two-thirds of doctors who complete specialist training in diabetes secure substantive NHS consultant positions, which suggests a failure in workforce planning and a lack of expansion of the number of consultant posts despite progression of the diabetes epidemic.

Locum tenens consultant doctors in a rural general hospital - an essential part of the medical workforce or an expensive stopgap?

Maintaining hospital consultant staffing levels often requires the employment of locum tenens to meet service needs. This is particularly so in hospitals where core clinical services are run by a small number of permanently appointed consultants. The problems associated with locum employment are underestimated and little attention has been directed towards addressing the issue in the rural general hospitals of Scotland. This study looked at the permanent and short- and long-term locum consultant usage over an 8 year period in one Scottish rural general hospital, the Western Isles Hospital in Stornoway. Data were extracted from the Human Resources Department of NHS Western Isles' list of locum consultants for most weeks from the beginning of January 2002 to the end of December 2009. The Western Isles Hospital in Stornoway has an establishment of 17 permanent consultants. During the 8 year study period 239 different consultants were employed, 20 held substantive permanent positions, 31 were long-term locums (employed >3 months) and 188 were short-term locums. The short-term locums worked for 535 different locum episodes. The pattern of usage varied according to service configuration. Study data revealed the alarming scope of the locum tenens issue, which will increase unless action is taken. For sustainable medical services to continue in the rural general hospitals of Scotland, staffing models must minimise the need to employ locum consultants.

Obituary

BJU InternationalVolume 108, Issue 4 p. 475-476 Obituary First published: 28 July 2011 https://doi.org/10.1111/j.1464-410X.2011.10546.x Mr. Tim Dudderidge, Locum Consultant Urologist, Royal Marsden Hospital, London. e-mail: [email protected] Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL No abstract is available for this article. Volume108, Issue4August 2011Pages 475-476 RelatedInformation

BMA condemns rise in non-consultant CCT posts

Doctors have sounded the alarm over the emergence of non-consultant posts for doctors who hold a certificate of completion of training (CCT) and have mandated the BMA to negotiate with employers to end this practice. The roles—such as locum consultant, senior registrar, and post-CTT fellow posts—often don’t meet national terms and conditions with respect to pay and benefits such as study leave, delegates at the BMA’s annual representatives meeting in Cardiff heard this week, and in some cases deny recently qualified doctors the consultant …

Letters to the Editor

Locum Consultant in Oral and Maxillofacial Surgery, Department of Oral and Maxillofacial Surgery, Royal Bolton Hospital, Bolton, Lancashire, United Kingdom

I'm expecting an offer of a job as locum consultant in Gibraltar for two weeks. Anyone got any advice?

I'm expecting an offer of a job as locum consultant in Gibraltar for two weeks. Anyone got any advice?

Returning to work in the United Kingdom as a locum consultant

Returning to work in the United Kingdom as a locum consultant

An evaluation of the PAxpress Pharyngeal Airway

An evaluation of the PAxpress Pharyngeal Airway

Cost of locum consultants

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Evaluation of Flexible (Part-Time) Training in Anaesthesia

One hundred and six former or current flexible trainees in anaesthesia responded to a questionnaire evaluating their part-time training (a response rate of 71%). They were compared with a group of 32 flexible trainees in obstetrics and gynaecology. Anaesthetists were more satisfied than obstetricians and gynaecologists with their training (96% compared with 84%); opportunities to publish (75% and 63%); research training (63% and 48%); and monitoring of their progress (78% and 67%). Without flexible training, 20% of the anaesthetists would have ceased to train, compared with 9% of the obstetrics and gynaecology group. Nearly all those who had finished their training were working as consultants (54% of the whole group); 4% had either retired, become a clinical assistant or a locum consultant. The remainder (42%) were senior registrars.

Evaluation of flexible (part-time) training in anaesthesia

One hundred and six former or current flexible trainees in anaesthesia responded to a questionnaire evaluating their part-time training (a response rate of 71%). They were compared with a group of 32 flexible trainees in obstetrics and gynaecology. Anaesthetists were more satisfied than obstetricians and gynaecologists with their training (96% compared with 84%); opportunities to publish (75% and 63%); research training (63% and 48%); and monitoring of their progress (78% and 67%). Without flexible training, 20% of the anaesthetists would have ceased to train, compared with 9% of the obstetrics and gynaecology group. Nearly all those who had finished their training were working as consultants (54% of the whole group); 4% had either retired, become a clinical assistant or a locum consultant. The remainder (42%) were senior registrars.

Metastatic breast carcinoma in the pelvis

International Journal of Clinical PracticeVolume 44, Issue 5 p. 205-206 Case Reports Metastatic breast carcinoma in the pelvis W G Taylor MRCOG, Corresponding Author W G Taylor MRCOG Registrar n/[email protected] Department of Gynaecology, Royal Liverpool HospitalAddress correspondence to: Mr W G Taylor, Registrar. Liverpool Maternity Hospital. Oxford Street. Liverpool L7.Search for more papers by this authorH W Torode MRCOG, H W Torode MRCOG Locum Consultant Department of Gynaecology, Royal Liverpool HospitalSearch for more papers by this author W G Taylor MRCOG, Corresponding Author W G Taylor MRCOG Registrar n/[email protected] Department of Gynaecology, Royal Liverpool HospitalAddress correspondence to: Mr W G Taylor, Registrar. Liverpool Maternity Hospital. Oxford Street. Liverpool L7.Search for more papers by this authorH W Torode MRCOG, H W Torode MRCOG Locum Consultant Department of Gynaecology, Royal Liverpool HospitalSearch for more papers by this author First published: 01 May 1990 https://doi.org/10.1111/j.1742-1241.1990.tb10789.xRead the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL No abstract is available for this article. Volume44, Issue5May 1990Pages 205-206 RelatedInformation

Saskatchewan Secure Unit

The British approach to administrative problems is often to accumulate more and more evidence for changes which are obsolete before enaction. Such a fate seems likely to happen to plans for the management of the psychiatrically disturbed offender following several reports. It was interesting, therefore, this summer to work as a locum consultant in a Saskatchewan forensic psychiatric hospital.

Inspired oxygen and Cape Bristol ventilators

The Cape Bristol ventilator is a volume-preset machine which utilises oxygen from a flowmeter and air-entrainment attachment to provide a known inspired oxygen level. The level can be calculated from the oxygen flow rate and the patient's minute ventilation using a nomogram supplied by the manufacturers. Serious discrepancies between predicted and measured inspired oxygen levels delivered by these machines can occur and the advisability of using air entrainment devices in high oxygen dependent patients is questioned. Modification to the Cape Bristol ventilator to limit these errors are discussed and the more frequent use of oxygen monitors recommended.