A Returning Doctor Profile picture
Jul 28 11 tweets 4 min read Read on X
To post or not to post?

I have been lucky - returning to medicine has been such a positive experience overall.

But it has sometimes felt very difficult, with practical and emotional challenges.

and unpublished or anon. posts, and deleted drafts.

💭🧵

1/10

#ReturningDoctor Image
Image
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Is this possible?

Where do I even start?

Has anyone else done this before?

Where can I find help, resources, support, guidance?

Who can I ask?

Will they be supportive?

Or will they laugh and tell me it's an impossibly daft idea?

2/
I need a licence to practise to apply for a job

How do I reinstate my licence?

I have reinstated my licence - now I need to appraise and revalidate

But I need a job to have an appraiser and a responsible body

If I don't get a job?
Will I need to relinquish my LtP again?

3/
Job application 1
Interview truly awful
Why am I putting myself through this?

Interview 2 - better
(Got a job, yay!)

Board induction and ALS - I feel old and out of place - my new peers are >20 years younger than me

Learning how to study for a course/exam again is hard!

4/
How will I know what I don't know?

I'm 12 years older now - will I cope physically with night shifts, long days, full-time?

Getting to grips with the different NHS IT systems is a nightmare

I feel like a dinosaur 🦕 compared to my peers!

5/
The cognitive overwhelm is huge

Learning to take clinical responsibility again is huge

Hospital systems are quite different now

Is there an expectation that I will take off where I left off?

6/
I am terrified of making a mistake

7/
There are so few substantive jobs available - if I don't get a job, what have I done this for?

Am I taking a job from someone else?

If I don't get a job, will I have failed (again?)

(again) why am I putting myself through this?

8/
I don't think anybody really understands what this feels like

Not even close family

9/
But
these uncertainties...

...what they actually say to me is that...

we need support for returners
mentors are crucial
role models are crucial

We have a workforce crisis

but returning to medicine is difficult

It should be - and could be - easier

#ReturningDoctor

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More from @ReturningDoctor

May 1
💷 Let's talk money 💷
£££££££££££££££££££££££££

Last month I was underpaid £hundreds.

As a returning doctor, it can be difficult to know what your pay scale should be, and whether you are being paid correctly.

And employers can get it wrong too.

1/5
Previous service affects pay scale, annual leave entitlement and - depending on length of absence - sick leave.

Tips 👇

• if you can, keep and provide evidence of previous service.

• check your payslip : pay scale, banding (if applicable), increment date, tax code.

2/5
• if you think any element is incorrect, query it.

• communicate by email so there is a written record of all conversations.

• if you are not already a member, consider joining @TheBMA - they advised me on pay, increment date, annual leave and sick leave entitlement.

3/5
Read 6 tweets
Jun 24, 2023
Interview fear 🧵

1/
Prior to my successful interview, I had an interview for a different role which was awful - really awful.

I'm sure I will cringe to think of it for a long time to come.

Needless to say, I didn't get the job.

2/
I realised I wasn't properly prepared for a clinical interview, and as my confidence diminished throughout the whole horrible experience my responses became more floundering and unstructured.

I was so embarrassed.

Thinking back on it has kept me awake at night - literally!
3/
I didn't want to post on Twitter about the interview that I had 'failed', because I felt so miserable about it.

I considered pulling out of my second interview.

I wondered why I was putting myself through this - trying to return to medicine.

Every stage felt so difficult.
Read 11 tweets
Jan 29, 2023
When I was considering leaving hospital medicine, I was feeling lost.

I didn't ask for support but I wasn't offered any either.

What advice would have helped me?

A thread 🧵
1:Take time ⏰

At the time I saw the choice as binary - stay/leave - which in hindsight it probably wasn't.

There may well have been other options e.g. portfolio career, locum, planned break.

Take time to consider options and balance the pros and cons as fully as possible.
2:Talk about it 🗣️

I didn't discuss properly how I was thinking or feeling.

It can be hard - especially if you are feeling lost or uncertain - but seek advice and support early in your decision-making process.

Find a trusted colleague - past or present - to speak to.
Read 13 tweets

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