Why Doctors are LEAVING Medicine & The NHS
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- Опубликовано: 15 апр 2022
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Whats up guys! My name is Kenji and I am currently a medical student at King's College London after graduating from the University of Birmingham with a Bachelor's degree in Medical Science (BMedSci). In this video, Yusef talks us through the difficulties he found working in the NHS as a doctor.
If you enjoyed the video, please give it a like and a comment so I know to make some more! Also please show support by sharing it with a friend who's also interested in Medicine :)
Thank you so much!
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Another thing very prevalent in the NHS is an excessive ''blame'' culture. A very strong culture of ''isolation'' of the alleged wrongdoer. All you need is one mistake or one empty complaint and you could be reported to the gmc and your career would be finished. You work in constant fear and distrust of your juniors, colleagues, nurses and seniors. A few years in, you see things and you begin to understand, that if shit hit the fan, no one - NO ONE - would back you. Everyone will look the other way. Everyone will even forget who you are. Conversely there are also people who actively bully others, harass women, harass doctors from abroad - and nothing and nobody can touch them, no amount of complaints. But there's definitely a bias against BAME doctors when it comes to threshold for complaints.
Also, medicine is, unfortunately a career where you often learn the most from failures. The instances when you or the team couldn't help someone, and from mistakes. But in the NHS failures and mistakes are not seen as a part of learning. And people are not supported to regain their confidence or have a recovery process. The allocation of funds for resources is also messed up.
The biggest lie in the UK is that there is no money for the NHS. The money is all there - it just being spent in the entirely wrong way in the entirely wrong areas and entirely the wrong people. A 'very senior manager' can get £150,000 per year and maybe upwards. This person hasn't slogged through decades of sacrificing their personal life and health to help patients. An NHS which pays it 'managers' and non-clinical staff much,much more than its nurses, paramedics and doctors has got it's priorities completely wrong. That's why you have seen nurses, physios, paramedics and doctors strike but have you seen NHS managers striking???? Why would they - they are overpaid!
Also, workload in the NHS for the average nurse or doctor is often so bad there is no time for empathy. Your priority becomes how do i get done with work on time, so i can be in traffic 1 hour instead of 2 hrs, that way then i can feed my kids and put my them to bed. Even so, i find the nurses are way more empathetic and better with patients than most doctors.
Lastly, good on you Yousef, for quitting. We get one life and there is no point whiling it away full of resentment.
They’ve made getting into medical school so difficult that if you don’t have a perfect CV there’s a high chance you won’t get in and it’s sad. There as so many potentially incredible doctors that never got the chance because of this rigid system (in the US but I know it’s bad in other countries as well)
I agree!
Sounds particularly tough in US, although you're compensated at closer to market value. dat tuition debt though 🤮
Why on earth would you pay to go into indentured servitude?
Just imagine paying up for step 1,2 and 3 and then getting rejected just because you don't have a research... Like wtf ... That makes absolutely no sense .. i don't understand the obsession with so much of research.. we can do research after getting into the field as well ...
Just do what my friend did, he trained in another country. I think he said he went to Prague. Some other people went to states and Canada and are now getting paid more.
This is really interesting. I'm an HCA and IT issues are a nightmare. The Wi-Fi goes down and the nurses can't give out drugs and we can't record their obs or view their charts. On top of that, we have so many logins and passwords that we can never access anything quickly. Student nurses and agency staff can't do the most basic tasks because they can't access out systems.
I've been a doctor for nearly 8 years and have spent countless hours dealing with paperworks. The harsh working condition is pushing doctors to leave the NHS for Australia and New Zealand. When I signed up for medicine I knew the job required working long hours. However, the sacrifices doctors make due to the demand of work and rota are often at the expense of personal lives. Not being able to take annual leaves when one needs to attend to personal commitments undermines someone's autonomy. During my training, I was overworked but kept up with the increasing demand of work and pressure. A few years ago, after a hectic 13.5hr night shift I started to notice the impact of heightened chronic stress, sleepless nights and long hours on my health.
First year med student here, you can already see the issues. I personally want to go down a surgical route and having spoken to higher years we have apparently very minimal (literally 1 minimum) surgical rotation ever. Its quite crazy to think that we just haven't bothered feeding into the different skills people have.
Yup we didn't get much surgery either!
@@DoctorKenji hopefully we can fix that. All the best in your job in August and beyond.
I've done 10 years with them, understaffing and underpaying is just any dayjob, let me tell you why people walk out rhe NHS - BULLYING MANAGMENT . Name and shame them and nip it in the bud, or just quit.
Hi guys don’t know if you’ll read this. My introduction ( I’m a nurse by the way) and background is theatres for 3yrs( upper GI, lower GI, vascular, thoracic, emergency theatres), AMU 1yr, HDU respiratory 2yrs and finally ITU for 6 yrs ( liver, burn and trauma, lastly cardiac), done my masters in ITU.My last two years has been outreach( done my prescribing course as well) but the NHS has burnt me, I now having a career change into construction, for the above reasons you’ve mentioned, pay is one of the primary reason I’m leaving, but also the system in general. I’ve grown disappointed with the NHS, but that due to government purposely destroying it from the inside. So I have to ask myself the question, why am I giving the best years of my life, when government are batting against me, push my physical and mental health to the edge.it’s almost like, me spending my hours building a house only for the owner to burn it down and say I’ll get more money on the insurance pay out.
Very well said. I feel the same - the government seems to be set on destroying the NHS in every way, and part of that is to destroy the morale of its staff. Once the NHS is hanging off a cliff they will sell it off in chunks to the highest bidders - and guess who will make millions in profit then? Every single Tory MP from the last 10-15 years.
NHS IT staff are poorly paid compared to IT staff in the rest of the UK. Also they generally only recruit from a small pool of people who have NHS IT experience. This is to stop people doing stuff that will kill patients, but it also means they don't have experience of current best practices.
This was a very insightful video and I would just like to add how certain people such as some parents and teachers subtly push for certain careers like becoming a doctor without them really explaining the amount of hard work, time and dedication it takes to pursue these careers.
Which is something I feel like many children and young people don't fully understand until they become older and go into these paths, then suddenly leave these jobs generally perceived as "excellent" since they had no idea that it would take so much out of them.
Other than that, this was an excellent video, Kenji 🙂
Thank you so much! That was a great point
Indeed, i didn't fully understand and know after years of pre med, in the 1st year in medicine i'm thinking of quitting and doing something else
Such a brilliant point. I got so much encouragement to get into medical school, which I am grateful for, but as a 16 year old I had no idea of the level of physical, emotional, mental and financial sacrifice that I was signing up to. And it’s important for students to get the full idea of what they are committing themselves to. I loved the idea of studying and helping patients but the day to day job was so SO much admin. It’s important for anyone encouraging a person to get into medicine to give students a full picture of what they are signing up to.
An excellent point Sam. Like any other job, it comes with stress, pressure and feeling under appreciated. Facilities are not great but there are worse places globally. Medical doctors can change paths eg work in another country, private practice, GP etc. PhD train for 8 years and they get peanuts and a 1.5% pay rice. Lol. Silver lining perhaps is number of applicants for medicine always increases per year, so medicine is thriving but perhaps the working conditions are not great. That's the world, never perfect. 👍👏💪
Ok now here is the other side.
The Patients are tired exhausted as well. And we'd love to leave, but we just CAN'T.
We are obviously sorry that the Government is treating it's employees so badly.
Not sure what that has to do with us. We worked long hours as well, most of us for less pay than youare getting.
Dietitian here. All his points apply across the board to other healthcare professionals which is why I'm considering leaving for good.
Great conversation and all the points he made definitely resonate with most doctors I know/work with.
Glad you enjoyed it!
The reasons why he left medicine are the same reasons what I left too. I am from Mexico and what rings my bell is that the reasons (administrative tasks, payment, not enough equipment, outdated systems, etc.) are the same complaints that we have here. What makes me think, how can we make a better health system?, do we need to restructure the whole system?.
The paramedics were struggling with the pages of paperwork on the way to & from hospital last week & having difficulty writing the notes whilst the ambulance was still moving!
And the unplayable student dept, is the American system!
Video goes hard and It ain’t even out yet 🔥
Ayyyy 🙏🙏
I love your videos and want to do what you do! Could you please make a video on GCSE's, A-Levels and University/Med school courses. Like what ones you should pick ect.
There you go! Thanks for the support :) ruclips.net/p/PL57_jQXQ7eGgUEbWeHCaWfLgx2RMYoTeZ
Any soft subject is allowable in dumbed down Britain.
Very interesting! Thanks for sharing👍
Thank you so much!
I think everyone should at least be accepted as an individual in medical shool or in other parts of healthcare and should not be assessed on high grades but with passion and experience. This also is a passion for some students that want to study or go into health care and not should be judge by grades or whether tough decisions.Just my point of view no hard feelings.
thank you for your point!
I agree to some extent. Grades do show a standardised degree of devotion to being in the healthcare system i.e. coping with stress with exams could be comparable to coping with stress in the workplace. I think without that general standard it would be very difficult to determine who has that work-power and sustainability to work long hours. That being said, I completely agree with you in that students should be seen individually for who they are and how passionate they are in progressing their careers. It sets the bar apart from being just competitive 'candidates' to being the most compatible person for this degree/position.
@@Mixoui exactly.i agree and that everyone should have a good chance .
Agreed!
I agree with you, totally totally
If you don’t care about money and quality of life then medicine is for you
What's his full name? I want to follow his journey
Thanks for the video. Can anybody share the name/link for this guy's company or whatever it is? - curious to see what it is.
How accurate is the show, "This is Going to Hurt"?
What hospital are u going to for f1?
They need to get more privileges and benefits as in cheaper purches prices at cash and cary bulk food buy prices, travel on bus ,holidays morgages cheaper , 5% pay rise but a 5% reduction of fuel , holidays , car price, travel and so on is what they need ,THE NHS CARD NEEDS TO MEAN SOMETHING
Doesn’t matter who who accept into medical school, the pay is rubbish and the working conditions are shite. Only the most resilient or those with exceptionally low get up and go will stay.
I agree, our time IS NOT RESPECTED. I've been a nurse in the nhs for 37 years...b4 computers.
While I've observed computers can give more instant access to input patient data already there, now the doctors are spread cross site, the common DAILY functioning I.T failures are VERY obvious.. which puts immense pressure on staff, denying face to face patient care.
THE SYSTEM IS THE BIGGEST PROBLEM.
I love my patients and multidiciplinary collegues, but I'm not sorry I'm getting closer to retirement than the beginning.
We may think advances in medicine are making us live longer at the moment. But I hear a report age expectancy is begining to drop. The current elderly generation were born pre NHS...no sitting about, no antibiotics (was survival of fittest only) no E numbers or junk food, like subsequent generations.. and now being kept alive with medicine.
However we are less fit, eat junk, more obese, so likely to die younger. That good news for the planet, our heirs, and the NHS.
Oh man this is just like internship in India. I wanted to coms to uk mainly because of this reason.
The UK needs more slaves, sign up below
You will be treated like shit particularly by some patients.
@@MsPeabody1231 Is that really true?
Nowadays India even pays more than here, despite the currency exchange rate! An assistant professor in a pvt medical college in India gets MORE pay than a senior registrar here - and they are both at the same level of experience in years. Plus cost of living is much better in India, and taxes are lower. I would either move to the US or Canada or stay in India. Since the pandemic the problems in the NHS have become worse. Within the next 5 years most of their own doctors will leave, passing the stress on to you, who are new to the system, new to the country, won't have a lot of friends or social support here, plus will be poorly paid with a ridiculous cost of living and will not know how to cope!!!
@@Sofia-be7ee I don't think thats a fair comparison. You're comparing private sector to public sector.
To beat a system understand it first
Agreed. Which is why there is excessive reliance on doctors just out of college.
And I don't have 4 or 5 years of life to plan for!
If I went through the years of becoming a Dr, I would never give up registration. To me, it's the equivalent of giving up one passport to become a citizen in another country. Would never do it. That's my opinion though.
It’s not necessarily giving up registration. All of these doctors including Yusef are still keeping their licence
@@DoctorKenji Oh I know. I just based that comment off an offhand remark that was made in the video. Some people do give up registration e.g. Adam Kay. The thought is absolutely wild to me. I'd always want to hang onto registration just in case, ya know?
@@gdaymates431 You need to do ongoing CPD to keep up your registration, €250 per annum just to be on the scheme. Then you need to pay for the various courses in order to attain these CPD points. Then the registration costs €650 per annum. Therefore, maintaining registration is circa €800 per annum, plus the costs of attending the training courses for the 50 points of CPD required annually. It's incredible when you consider the amount of administrative staff that are within healthcare. Feels very rigged against doctors.
I have friends who have and are moving abroad. They had enough of the NHS after years and want to spend their years before retirement not over working.
@@MsPeabody1231 People will go where they are treated correctly or at least better. I'm happy for your friends. I hope it works out for them.
The sixteen year old listener, I feel attacked😂😩
Hahaha sorry no offence meant 😂😂😂
At least he can still walk!
I'm dubiously sympathetic. I went to a very low-end secondary school and I was one of a few people who they wanted to send to medical school (so they could say they'd sent someone to medical school, once, ever). None of us was interested in doing it because, at the age of about 16 or 17, we knew all this. And this was in the mid-90s. Presumably you knew all this when you went into it. I work in an industry which is widely seen as exotic and desirable and people do it because they feel like they were born to do it, and that leads them to make stupid employment decisions. It sounds dangerously like this is the case in medicine. The solution is cooler heads and more sober consideration.
You are right to be a bit dubious. I went to medschool in the mid-1990s. And am now at the other end, a consultant. There has to be a balance. We have actually gone the other way and now I cannot get a trainee doctor to do anything if it cannot be shown to be “an educational opportunity”, whatever that phrase actually means, because as the person whose name is above the bed… I don’t have the luxury of ever saying “I didn’t do mundane x, y or z task because I didn’t see any benefit in it to me.” Not saying we should go back to the days of starting work on a Friday morning at 9am and not seeing your own bed till Monday morning.
Then there is the way the nhs actually operates… your “nice” health board / trust will hurl you under the bus as soon as look at you should anything go wrong. Managers are never the ones who have to explain to relatives why their loved one died because you had to admit them to a suboptimal ward because there were no beds available.
I’m afraid my advice to bright, intelligent, enthusiastic young folk thinking of doing medicine I’d to tell them to do something valuable and worthwhile, not medicine.
@@tozmom615 Thanks for sharing your perspective. I am considering studying medicine and I just wonder if you can elaborate on something you said here? Are you saying that medicine is not valuable or worthwhile?
@@iaingale478 that’s an interesting question. After decades of medical practise I’d say that sometimes people benefit from seeing us but the entire medical system does a lot of actual harm. Remember all medications are in fact “poisons” just used at lower doses and for ostensibly better motivations. We actively harm lots of people. On balance we do more good than harm but there are definitely ethical problems with modern medical practise. I’d argue more good can be done to help the health and well-being of more people by eg working in sewerage services.
I agree things are bad for doctors. But what needs to be addressed is prevention of diseases. Too many people are getting sick. Nutrtional knowledge is not as widespread. Modern negative lifetyles, being on computers all the time, not enough time in the sun(necessary for vitamin D), lifespan and therefore healthspan is highly correlated to sunshine exposure.
We have far too many toxic chemicals in drinking water, pesticides in foods, poor nutrition(fat soluble vitamins and vitamin C). Increasing ill health and strain on the NHS.
The problem is the elites want population collapse, requiring sickness and early death. i.e. cancer and heart disease. I have spoken to a doctor who has said people using the hostiple has doubled since covid. The jabs have been shown to increase autoimmunity, turbo cancer, myocarditis. Sickness has doubled, the amount of Drs has not: leading to burnout, stress, lower quality for patients.
Boomer consultants stole the bag, imo.
Why do British public does not donate laptops printers, and do some free service in helping patients. It’s better than spending time on couch or in parks and churches. The hospitals should be the biggest temples of donation