Realised that I'm speaking super slow in this video lol. Shot this after a busy day at work, must have been tired. Please watch at 1.5x to keep your sanity intact x
I trained as a nurse in the 60s at a London hospital. I am amazed that doctors no longer receive instruction on the ward from the consultant as they used to. I can understand your frustration..
Hi - I’m a jr doctor and just wanted to say loved the video. Struggling at the moment with career choices and the changing face of the NHS and was very demotivated. This video has really helped pick me up and I appreciate it
Working as GP is much easier as well, you will have your own time, no critical cases to handle, fewer critical stressful situations, no night shifts, I understand you but we have to give credit as well to our fellow surgeons, ED physicians, cardiologists, hematologists, GI drs. That work day and night near extremely sick patients. Goodluck Dr. A
Even I was literally confusion betwn which branch I want to specialized First I really like peads nd derma or radio bt considering my heath issues I HV opted for radio bt am still practicing if I am nt getting thn I should go for dip lomaor certificate courses In diabetes... So yaa sau diploma in public health 😮
sir plzz can you tell what is the process for becoming a great gp like you .is there any residency or training and exams process. i am a Paediatric surgeon in Pakistan and hv recently finished my 5 year residency program of Paediatric surgery but now i hv realized that i hv got osteoarthritis of knee at a very young age and i am not into surgery so kindly help as i am ready for any types of exams to get ride of surgery
Completely agree with you on the lack of bedside teaching in the UK. I think it's one of the main reasons that hospital work is not appealing to me... not stimulating for me coming from Nigeria where the ward-round teaching is very engaging. In the NHS, you're basically a glorified errand boy as a junior doctor
It is very usually a very fun time here in India (if you know what you're doing), as a Physiotherapy student here in India we too are posted in all wards and to made prepare all types of diagnosis and the teachers on round in wards are very knowledgeable and give you the insight into how an experienced clinician thinks what diseases he excludes first for certain constitutional symptoms since it appears that a lot of other diseases can present with similar symptoms and you don't generally notice cardinal signs that often.
Thanks for such kind words! I totally agree that getting a job in a competitive specialty in London is extremely tough and you have to wait a few years sometimes but in my case I didn’t actually want to stay in London for work nor living, lockdown etc really made me want to flee for a quiet country life. But in effect that reinforces your point, that a hospital medical career in London can be very hard and dog-eat-dog. You talked about going home, interestingly my F1 is from Switzerland and British GP training is not recognised there, so she’s thinking of doing hospital medicine simply in case she goes back home. I often wish I’d found GP enjoyable as it does offer so much more flexibility, but it just wasn’t for me. Best of luck!
I did my specialist training in Germany, even got into the GMC specialist register last year, but then got to hear about the struggles i would have to go through to work as an Ortho surgeon in the UK. So put the plan on ice for now.
The 2 big guys who I looked upon at certain point of my life are in the comments of a budding RUclipsr!! It’s time to put more content in my channel too from now on 😅
I would hate that style of teaching in India. I can’t think of anything worser then being put on the spot and being belittled and humiliated for not knowing the answer. People learn in different ways at different rates and that style is very old school and toxic.
I totally agree with you. As a foreigner i came to india in 2016 to study medicine and i was so shocked with the style of teaching over there. Its pathetic and i regretted my decision to pursue my studies there in India. The learning method is so yesterday and the teaching method is so ancient. Apart from the education there, I enjoyed my time in India. The food was amazing and I did met some good people too.
Hi, great to see that you have chosen general practice. The variety of the work keeps things interesting. It is a challenging career but very rewarding.
Brother can you kindly make a video about 'Pathway to become a GP in UK' and also roughly outline how much can one expect to make as GP there ? I am a post MBBS here in India. Love your videos. :)
Got the grind. Absolutely love it to listen how general medicine is so much fun. Please make a video on how to work as a doctor in UK after MD medicine in India.
@DoctorAmedicine Great Video sir , I'm from Chennai and I had worked in different workplace and I felt ER is a great place to learn medicine and it's quite interesting if we have good people to guide us , if there are people bullying us in the tiresome hard work we do it's not going to be a good place to stay , I had to run for my life , hence eventhough the tough decision of quitting Er after paying Lakhs was not a great decision I had to save my life and harmony hence I quit Er and now I'm in a place with a quite relaxed environment. So it's up to each individual and each perspective of choice . Once again thanks for the great video sir 🙏🏻
Sounds amazing, Doc!! Loved hearing about it, quite fascinating to know as well...Really happy for you that you're finding what works best for you! More power to you x
GP trainee here-similar story, wanted to do medicine , but could not quite deal with the hospital environment, hours, intensity. Cannot agree more with you! Omg how much I love the routine hours, having my own space and not being distracted and force to multitask all the time. Also really enjoy getting to know my patients and getting them involved in their health decisions rather than classic rushed hospital ‘doctor pt x has got high sugars- and you rush to prescribe treatment and don’t have time to have a chat to them at all’
Thank you for this very insightful video. It would be very helpful if you could please elaborate on the scope of GP in India, considering they cleared MRCP as you’ve mentioned in your video. Thanks in advance :)
It's great that you've talked about this in such a concise and open manner! Really love that you stressed on the importance of the issue of GP shortage globally. I just wanted to ask, why didn't you talk about the negatives? There is a reason why almost every graduate in the UK goes for specialization, and very few opt for GP. I've heard (not confirmed) that the security and the high-ish income could fall out fast, given the NHS strikes now and that the role could be replaced by PAs, if the current situation continues. Also, won't the cases you see be very repetitive after some point? It would have been great if you could have addressed some of these issues and told us what makes you stick to your decision nevertheless. Anyway, this is just what I have heard on twitter (so, not sure if this is indeed the truth). Maybe the situation isn't as bad as it's depicted on social media. Whatever the case is, all the best with the future, and have a great year ahead!
1. Almost every graduate does not go for specialization, my own med school King's College london, majority of students have gone for gp 50%+ 2. The NHS strikes would only increase salary, it would never decrease it, also if the GPs striked in the UK, the country would come to a complete stop, but they dont. 3. PAs are coming to every specialty, i am currently on a interventional radiology rota, this is a extremely specialist field, in the team there is a IR PA and I have already seen two trainees in the last week, they are coming to EVERY specialty, look up surgical PAs, look at anaesthetic PAs, 4. Every specialty has repetitiveness, there is not a single specialty that does not have repetitiveness, furthermore, the lifestyle allows you to do more with your life, every other specialty poses signifcant sacrifice to your personal life. 5. Twitter, reddit and the internet are the worst places for career advice with regards to medicine
As a hospital medic, I couldnt have been happier to practice in a hospital setup . Yes , it's long , yes it requires dedication and a lot of self learning and procative involvement in teaching , yes it comes with night shifts but hey you're a specialist after that and life is beautiful . I personally find doing a GP job , sat down in an office quite boring but I suppose it's personal preference . In terms of training, I don't agree that specialty training is disastrous in the UK as you make it sound . No one spoon feeds you and sometimes you have to make opportunities for yourself and if you can't then I think maybe hospital medicine isn't for that person . I have immense respect for GPs and they do a fantastic job but when beyond their hands they do have to refer the patient on to a hospital for specialist input which I and many others feel privileged to offer :) And once you're a medical consultant work-life balance isn't all that bad . You probably do 1 in 8 off site oncalls depending on where you work etc . Overall I think it all boils down to personal choice . Wish you all the best in GP land
Your thinking just resonates with me so much. I am an Indian doctor.I also could never develop any clear cut interest in any particular speciality, just had a slight inclination towards paediatrics but then I choose family medicine for post graduation. And in that I began to love seeing all sorts of patients. Now I am on a road to become a doctor in UK and just going through videos about how General Practice is in UK it really fascinates me so much that I have made up my mind before hand to go for GP training in future. Thanks for this video as it really helped me give the right direction to my thoughts. All the best to you too in your journey 👍
Hi DoctorAMedecine ! I love your work and the way how you share to us your past, your cursus and information about the practice and health system in UK ! Do you know how can know the different way to practice (any speciality I guess) and the salary+responsabilites associated in UK (site, newletters, blog, ...) ? Thank you and good continuation along you GP career 💪😁
I think it depends on the consultant, in Wales the consultants seem to train juniors more.... May depend on how filled the posts are in the different countries.
This is why hospitals in uk are in such a state. GP’s working limited hours (9-5), meaning patients have nowhere to go except the hospitals, putting more pressure on those hospitals. Not fair to hospital staff at all.
What a load of nonsense, GP has always been 9-5 and the system was working well 15-20 years ago. The NHS is woefully understaffed and underfunded, we have one of the lowest doctors and hospital beds per capita in Europe.
I really love GP as a specialty. I have a sensitive question.Are GPs looked down upon in the UK? Is GP seen as a speciality in the UK or just as an MBBS grad like in India? How did you end up convincing your parents that you will be a GP rather than a specialist in one branch? Because here in India people do judge based on your specialty.
Hey, good question. I do know GP is not considered a specialty in India, that’s because it isn’t. In the UK, it’s different. Once you finish your med school, you need to do 2 years of foundation training and then 3 years of GP training (residency) to become a GP. The level of medicine practiced is completely different to an Indian GP. Both of my parents are in medicine, they understand what GP in UK is like and they’ve been very supportive😄
There are handful of seats in MD Family Medicine in India too.. Christian Medical College Vellore, Calicut Medical College,Kerala , St.Johns Medical College Bangalore and few Deemed institutions. But in India , it's a challenge to be a trained GP/ Family Physician as they are not "specialist" in the eyes of many, including the medical fraternity. Or may be seen as a threat to lucrative OPD services of other subspecialties when the primary care ailments are considered.
Hey Dr. Ajay, What exactly is MRCP route?? Is it like General Medicine?? Also really curious, Which is the best hospital in the UK, that you mentioned in the end?
I'm not sure the GP pathway is financially as rewarding as you've mentioned, especially with the recent influx of ARRS/AHP. Nevertheless good to be optimistic!
Welcome back doc 🤩 !! Please do reaction videos on Mumbai diaries pleasee.. Loved your vdos on operation mbbs .. and that’s how started watching your channel … 🥹
Moving to UK all the way from India, missing home and then being a general practitioner in a foreign country really doesn’t make sense even if you post a 17min video Also many people do give plab and go and stay as general practitioners unless they crack mrcs or mrcp. And given the condition of nhs and uk right now, i dont getvthe point honestly
General practice in the UK or Australia, which is the same as Family Medicine in the US couldn't be farther from what is referred to as GP in India. GPs take care of all systems and patients of all age groups. They require a broad base of knowledge, from literally every specialty, with reasonable depth to be a good GP. GPs deliver babies, do procedures like abcess drainage, colposcopy, wound management and suturing, wart removal, skin lesion biopsy, ultrasound guided procedures, putting central lines, arthrocentesis, IUD insertion, etc. Some GPs even do minor day care surgeries like vasectomy, circumcision, frenotomy and even c-sections in rural areas or underserved communities. GPs also diagnose and manage many problems that fall under the domain of ENT, opthalmology, orthopedics, gynecology, pediatrics etc. that don't need any surgical intervention or specialist expertise. Also, you can go for fellowships in critical care or ICU medicine, emergency medicine, rural medicine, obstetrics, sports medicine, occupational medicine, geriatrics, addiction medicine, sleep medicine, palliative care medicine, etc. after completing GP training. Also, you can either work as a hospitalist or in an outpatient setup. A GP is often the first doctor to diagnose a malignancy, pneumonia, SLE, rheumatoid arthritis, PCOS, bipolar disorder, otitis media, carpel tunnel syndrome or an arrhythmia! That's how broad the scope of GP is. GPs also manage MI, AF, VT, CVA and a myriad of other emergencies in rural areas where CT scans or cath labs are not available. Also, there is a membership exam of the Royal College of General Practice, MRCGP, just like MRCP and MRCS, that GP trainees must pass during the three years of GP training. You cannot be a GP without getting into GP training, completing it and passing MRCGP exam. It's not easy by any means! GP or Family Medicine is an invaluable specialty in its own right just like any other specialty. It's a shame that India hasn't explored this specialty or hasn't tried to set up enough residency training posts in GP/Family Medicine.
A lot of the points you make are excellent but don't assume the 3.5 days of "work" you do as a registrar are the hours you do as a salaried GP or Partner. Many GPs start at 8 am or earlier and don't finish till 8pm or later with no breaks and no support from all the little helpers you get in hospital. the buck stops with you unless you admit and contrary to hospital opinions we hardly admit anyone. 80-90% of all nhs contacts are in primary care. its busy. you also have to see the pts daily or more often none of this come back in 6m when ive moved on... it can be challenging and rewarding but thinking its easier (apart from shift work) just means you havent done it properly yet.
Let's be honest. As a GP it's a lot easier. When i go to my GP and i see him google ing on his tablet my symptoms i start to pull my hair out. But i guess it's common practice in UK, sometimes i wonder why can't i have this privilege to be a GP
Hi sir I have one doubt, in one of ur old video u mentioned that u wanna be visiting consultants in manipal and miot chennai as a ctvs surgeon. What made you to choose gp over ctvs is there any specific reason or scope ctvs is not that good
Sir I have done MRCP 2 & now working in India. I want to have short term NHS experience (1 or 2 week training / Fellowship / Observership) How to pursue that? Pls guide me
After your PLAB completion how many years you worked in a hospital as a jr doctor? Like before you decided to become a GP which is now. And which hospital did you work in? And what exams and things you had to do for going in GP from the doctor in the hospital?
Hey, thanks for this video. It was super helpful. I am currently an SHO in a surgical department and considering GP training next year. I don’t know which hospitals I should go for, I don’t have a preference with area, I’d rather have a good training. How should I go about this? Is there a difference in the UK with which hospitals you end up choosing?
Hi brother I follow you channel since I started my preparation of mrcpch can you plz make video on pediatric speciality starting from jr doctor to consultant level work duties responsibilities and working hours payment. I m not able to decide which path I need to go plab or mrcoch I have completed my pg here n had 3 years of experience in peds and nicu as consultant plz plz plz help
i'm doing the course of dental sciences and surgery in one of government university in Sri Lanka. i like to work in abroad. can you say a job like GP which can give flexibility to rest of my life?
Hi Doc. !!! Could u please tell me about the scope of Gp consultant outside of Uk , esp in gulf countries ...... Is the GP training degree valid there? or invalid like in india . And wht about the competition post gp training since there are a lot of gp trainees passing out each yr ??
From perspective of Qatar and UAE - it is fully valid as listed in their respective health authority websites. Qatar requires no licensing exam from GP's with CCT from UK and same goes for UAE. As for whether we will find jobs in these countries - that's a separate issue to be honest. Even in India, the CCT is recognised it's just that there is no longer the concept of a GP in India and that is sad to be frank.
Hi Ajay, I am a doctor from India planning to relocate to the UK, I needed some advice regarding job opportunities and various pathways, so was wondering if you could help in this regard. Thankyou.
After completion of PLAB exam how to get a job . What are the procedures. Will it be beneficial to complete MRCP part 1 to get a job.. or can I a get a job just after PLAB exam?
You can practice, yes. Family medicine is now a recognised specialty in India. As I’ve said in the video, I could do my MRCP here and work as a general physician in India
Hi Ajay. Thanks for sharing your insights on GP and other speciality training. I am a junior doctor working in the UK as well immigrated from India. Just a couple of things that didn't resonate with me. 1. I am sorry you've not had the experience of being asked questions during ward rounds but this is pretty much a regular thing Ive had even as a non trainee and it has been very useful. Registrars are really interested to ask questions ( in a non intimidating and non toxic way unlike India ). Ive been in 3 trusts so far and ive seen this happen in all of these places. 2. Training of 8-10 years. Not true for all specialities. Group 2 specialties have a shorter duration and OBG is 7 years. Happy for you taking GP but i would be cautious while putting out information on social media about everything else.
Thanks Ajay for your video. I am considering switching from a hospital job to GP (done with MSRA exam few days ago). My biggest concerns are 2 things: 1. The very short time to assess your patient (I find 10 min each is not enough to get listen, examine, diagnose and speak to him/her back) 2. The lack of investigations (basically, you are diagnosing based on history and examination which can be insufficient to get a diagnosis) How do you deal with that?
Great video and love to see you passionate about your chosen specialty. But points to highlight as well - Gps are one of the specialties with high burn out rates. Fewer and fewer are doing full time GPs. Locum work is increasingly drying up with PA & ACP scope. Just have a look into GP forums and see yourself. High rate of litigation. GPs are often blamed (wrongly) for missed diagnosis. The amount of admin work is comparatively more which is boring. GP are generalists and MRCGP isn't recognised globally all over the world, for example, middle east (however this is changing). Family medicine is still yet to be recognised as a specialty of it's own globally. AI is already taking over most generalist jobs and there is exponential growth as more advanced algorithms are being developed.
If all the good doctors started running from the hospital because of hectic work, where would all the patients go? Whom do we place our trust on? Nurses? Eventually the healthcare system will collapse. We need more skilled doctors in ED. PS: You know whose jobs AI won't be able to replace? Doctors in ED
From which angle is GP a specialty. Its just plain general practitioner and then refer to specialists. The pay and job is okay but its monotonous af and its basically just an mbbs. Flying all the way to uk to do general practice is strange.
@@DoctorAmedicine great to hear that. And good luck with your new route. GPs in Germany are super busy and burdened. Hope your work leaves you some time to keep creating for YT
Realised that I'm speaking super slow in this video lol. Shot this after a busy day at work, must have been tired. Please watch at 1.5x to keep your sanity intact x
Doesn't feel like that though 😅 it's okay for me.
2x speed is gud too , since ur accent remains the same it's easier to understand even at 2x
Welcome back Doc😃 Hope you won't vanish again🌝😭
So thank God now u realise your decision of settling in uk hospital 😅😅
Not keep gorment upsc mbbs not mad😊😊😊
I trained as a nurse in the 60s at a London hospital. I am amazed that doctors no longer receive instruction on the ward from the consultant as they used to. I can understand your frustration..
Hi - I’m a jr doctor and just wanted to say loved the video. Struggling at the moment with career choices and the changing face of the NHS and was very demotivated. This video has really helped pick me up and I appreciate it
Yours is the best decision congratulations Dr. I also started GP, i love this aspect of practice in medicine . Thank you Dr !
Working as GP is much easier as well, you will have your own time, no critical cases to handle, fewer critical stressful situations, no night shifts, I understand you but we have to give credit as well to our fellow surgeons, ED physicians, cardiologists, hematologists, GI drs. That work day and night near extremely sick patients. Goodluck Dr. A
Not brode mbbs upsc king👑👑👑👑👑 phone📱📱📱📱🇮🇳🇮🇳
Even I was literally confusion betwn which branch I want to specialized
First I really like peads nd derma or radio bt considering my heath issues I HV opted for radio bt am still practicing if I am nt getting thn I should go for dip lomaor certificate courses In diabetes... So yaa sau diploma in public health 😮
Should I really go for general physician practice, with no call because I HV a heart condition nd lung condition ❤❤
Not easier ! you should work in my practice!
sir plzz can you tell what is the process for becoming a great gp like you .is there any residency or training and exams process. i am a Paediatric surgeon in Pakistan and hv recently finished my 5 year residency program of Paediatric surgery but now i hv realized that i hv got osteoarthritis of knee at a very young age and i am not into surgery so kindly help as i am ready for any types of exams to get ride of surgery
Completely agree with you on the lack of bedside teaching in the UK. I think it's one of the main reasons that hospital work is not appealing to me... not stimulating for me coming from Nigeria where the ward-round teaching is very engaging. In the NHS, you're basically a glorified errand boy as a junior doctor
It is very usually a very fun time here in India (if you know what you're doing), as a Physiotherapy student here in India we too are posted in all wards and to made prepare all types of diagnosis and the teachers on round in wards are very knowledgeable and give you the insight into how an experienced clinician thinks what diseases he excludes first for certain constitutional symptoms since it appears that a lot of other diseases can present with similar symptoms and you don't generally notice cardinal signs that often.
Chief, please what advice will you give a junior college who wants to follow this path.
Thanks for such kind words! I totally agree that getting a job in a competitive specialty in London is extremely tough and you have to wait a few years sometimes but in my case I didn’t actually want to stay in London for work nor living, lockdown etc really made me want to flee for a quiet country life. But in effect that reinforces your point, that a hospital medical career in London can be very hard and dog-eat-dog. You talked about going home, interestingly my F1 is from Switzerland and British GP training is not recognised there, so she’s thinking of doing hospital medicine simply in case she goes back home. I often wish I’d found GP enjoyable as it does offer so much more flexibility, but it just wasn’t for me. Best of luck!
I did my specialist training in Germany, even got into the GMC specialist register last year, but then got to hear about the struggles i would have to go through to work as an Ortho surgeon in the UK. So put the plan on ice for now.
@@docdeemishra Have you done MRCS to get specialist registration in the UK?
@@traveldoc8602 the german specialist training is considered as an equivalent european qualification. Just had to take the OET exam.
The 2 big guys who I looked upon at certain point of my life are in the comments of a budding RUclipsr!! It’s time to put more content in my channel too from now on 😅
I would hate that style of teaching in India. I can’t think of anything worser then being put on the spot and being belittled and humiliated for not knowing the answer. People learn in different ways at different rates and that style is very old school and toxic.
You learn though, it’s better than just being ignored where you can tell the consultant doesn’t care about your training.
I totally agree with you. As a foreigner i came to india in 2016 to study medicine and i was so shocked with the style of teaching over there. Its pathetic and i regretted my decision to pursue my studies there in India. The learning method is so yesterday and the teaching method is so ancient. Apart from the education there, I enjoyed my time in India. The food was amazing and I did met some good people too.
Believe me ... they learnt fast!
True
Hi, great to see that you have chosen general practice. The variety of the work keeps things interesting. It is a challenging career but very rewarding.
Brother can you kindly make a video about 'Pathway to become a GP in UK' and also roughly outline how much can one expect to make as GP there ? I am a post MBBS here in India. Love your videos. :)
I’m planning an A-Z series on PLAB, stay tuned😄
@@DoctorAmedicine Thank you so much 😊🤗
Got the grind. Absolutely love it to listen how general medicine is so much fun.
Please make a video on how to work as a doctor in UK after MD medicine in India.
MD TO GP - It is like moving from a post graduate to a junior high school. Naturally the job will be easy. But then what a fall.
Very nice Ajay.Nice to see you like this. May God bless you dear.
i love this video so much. thank you. u just answered ALL the questions i have been having concerning my career....
@DoctorAmedicine Great Video sir , I'm from Chennai and I had worked in different workplace and I felt ER is a great place to learn medicine and it's quite interesting if we have good people to guide us , if there are people bullying us in the tiresome hard work we do it's not going to be a good place to stay , I had to run for my life , hence eventhough the tough decision of quitting Er after paying Lakhs was not a great decision I had to save my life and harmony hence I quit Er and now I'm in a place with a quite relaxed environment. So it's up to each individual and each perspective of choice . Once again thanks for the great video sir 🙏🏻
Sounds amazing, Doc!! Loved hearing about it, quite fascinating to know as well...Really happy for you that you're finding what works best for you! More power to you x
GP trainee here-similar story, wanted to do medicine , but could not quite deal with the hospital environment, hours, intensity. Cannot agree more with you! Omg how much I love the routine hours, having my own space and not being distracted and force to multitask all the time. Also really enjoy getting to know my patients and getting them involved in their health decisions rather than classic rushed hospital ‘doctor pt x has got high sugars- and you rush to prescribe treatment and don’t have time to have a chat to them at all’
Thank you for this very insightful video. It would be very helpful if you could please elaborate on the scope of GP in India, considering they cleared MRCP as you’ve mentioned in your video.
Thanks in advance :)
Your video is so relaxing. You are making me want to pay Cambridge a visit. I’m a GP in Lincolnshire.
It's great that you've talked about this in such a concise and open manner! Really love that you stressed on the importance of the issue of GP shortage globally. I just wanted to ask, why didn't you talk about the negatives? There is a reason why almost every graduate in the UK goes for specialization, and very few opt for GP. I've heard (not confirmed) that the security and the high-ish income could fall out fast, given the NHS strikes now and that the role could be replaced by PAs, if the current situation continues. Also, won't the cases you see be very repetitive after some point? It would have been great if you could have addressed some of these issues and told us what makes you stick to your decision nevertheless.
Anyway, this is just what I have heard on twitter (so, not sure if this is indeed the truth). Maybe the situation isn't as bad as it's depicted on social media. Whatever the case is, all the best with the future, and have a great year ahead!
1. Almost every graduate does not go for specialization, my own med school King's College london, majority of students have gone for gp 50%+
2. The NHS strikes would only increase salary, it would never decrease it, also if the GPs striked in the UK, the country would come to a complete stop, but they dont.
3. PAs are coming to every specialty, i am currently on a interventional radiology rota, this is a extremely specialist field, in the team there is a IR PA and I have already seen two trainees in the last week, they are coming to EVERY specialty, look up surgical PAs, look at anaesthetic PAs,
4. Every specialty has repetitiveness, there is not a single specialty that does not have repetitiveness, furthermore, the lifestyle allows you to do more with your life, every other specialty poses signifcant sacrifice to your personal life.
5. Twitter, reddit and the internet are the worst places for career advice with regards to medicine
Good luck in your training!
Great video and good choice of General Practice. Challenging but rewarding.
As a hospital medic, I couldnt have been happier to practice in a hospital setup . Yes , it's long , yes it requires dedication and a lot of self learning and procative involvement in teaching , yes it comes with night shifts but hey you're a specialist after that and life is beautiful . I personally find doing a GP job , sat down in an office quite boring but I suppose it's personal preference . In terms of training, I don't agree that specialty training is disastrous in the UK as you make it sound . No one spoon feeds you and sometimes you have to make opportunities for yourself and if you can't then I think maybe hospital medicine isn't for that person . I have immense respect for GPs and they do a fantastic job but when beyond their hands they do have to refer the patient on to a hospital for specialist input which I and many others feel privileged to offer :) And once you're a medical consultant work-life balance isn't all that bad . You probably do 1 in 8 off site oncalls depending on where you work etc . Overall I think it all boils down to personal choice . Wish you all the best in GP land
Congratulations to our namma Bangalore boy Ajay.
Wow…very positive perspective on GP
Very good video doctor. Well done
Great joining the primary care team. It is really a rewarding career.
Your thinking just resonates with me so much. I am an Indian doctor.I also could never develop any clear cut interest in any particular speciality, just had a slight inclination towards paediatrics but then I choose family medicine for post graduation. And in that I began to love seeing all sorts of patients. Now I am on a road to become a doctor in UK and just going through videos about how General Practice is in UK it really fascinates me so much that I have made up my mind before hand to go for GP training in future. Thanks for this video as it really helped me give the right direction to my thoughts.
All the best to you too in your journey 👍
Hi DoctorAMedecine !
I love your work and the way how you share to us your past, your cursus and information about the practice and health system in UK !
Do you know how can know the different way to practice (any speciality I guess) and the salary+responsabilites associated in UK (site, newletters, blog, ...) ?
Thank you and good continuation along you GP career 💪😁
Hey sir im a 1st year mbbs student at your alma mater Bangalore medical college
Absolutely love your videos!
I think it depends on the consultant, in Wales the consultants seem to train juniors more.... May depend on how filled the posts are in the different countries.
LOL Remember working with you in Whipps Cross ED when I was F2. The hair tp has really grown in nicely! Im Shamir if you remember me
This is why hospitals in uk are in such a state. GP’s working limited hours (9-5), meaning patients have nowhere to go except the hospitals, putting more pressure on those hospitals. Not fair to hospital staff at all.
What a load of nonsense, GP has always been 9-5 and the system was working well 15-20 years ago. The NHS is woefully understaffed and underfunded, we have one of the lowest doctors and hospital beds per capita in Europe.
Bro missing you so much please come back
I really love GP as a specialty.
I have a sensitive question.Are GPs looked down upon in the UK?
Is GP seen as a speciality in the UK or just as an MBBS grad like in India?
How did you end up convincing your parents that you will be a GP rather than a specialist in one branch?
Because here in India people do judge based on your specialty.
Hey, good question.
I do know GP is not considered a specialty in India, that’s because it isn’t.
In the UK, it’s different. Once you finish your med school, you need to do 2 years of foundation training and then 3 years of GP training (residency) to become a GP. The level of medicine practiced is completely different to an Indian GP.
Both of my parents are in medicine, they understand what GP in UK is like and they’ve been very supportive😄
@@DoctorAmedicine Great to hear:)
There are handful of seats in MD Family Medicine in India too.. Christian Medical College Vellore, Calicut Medical College,Kerala , St.Johns Medical College Bangalore and few Deemed institutions. But in India , it's a challenge to be a trained GP/ Family Physician as they are not "specialist" in the eyes of many, including the medical fraternity. Or may be seen as a threat to lucrative OPD services of other subspecialties when the primary care ailments are considered.
You should choose your speciality because you like it not because it impresses your parents.
Nice video , was having the same thoughts but was concerned about the 7-10 min that is given to see a patient ?
Hey Dr. Ajay,
What exactly is MRCP route?? Is it like General Medicine?? Also really curious, Which is the best hospital in the UK, that you mentioned in the end?
I'm not sure the GP pathway is financially as rewarding as you've mentioned, especially with the recent influx of ARRS/AHP. Nevertheless good to be optimistic!
Think about moving to America , they are accepting Uk trained physicians without need to a residency in Wisconsin for gp careers .
Doctor have heard about GPs not finding jobs recently in the UK. How true is that? Locums being replaced by ANPs and PAs??
Welcome back doc 🤩 !!
Please do reaction videos on Mumbai diaries pleasee.. Loved your vdos on operation mbbs .. and that’s how started watching your channel … 🥹
What do you have to say about the lack of places?
Great Video Doc!
Do you edit them yourself?
Moving to UK all the way from India, missing home and then being a general practitioner in a foreign country really doesn’t make sense even if you post a 17min video
Also many people do give plab and go and stay as general practitioners unless they crack mrcs or mrcp. And given the condition of nhs and uk right now, i dont getvthe point honestly
Then don't
General practice in the UK or Australia, which is the same as Family Medicine in the US couldn't be farther from what is referred to as GP in India. GPs take care of all systems and patients of all age groups. They require a broad base of knowledge, from literally every specialty, with reasonable depth to be a good GP. GPs deliver babies, do procedures like abcess drainage, colposcopy, wound management and suturing, wart removal, skin lesion biopsy, ultrasound guided procedures, putting central lines, arthrocentesis, IUD insertion, etc. Some GPs even do minor day care surgeries like vasectomy, circumcision, frenotomy and even c-sections in rural areas or underserved communities. GPs also diagnose and manage many problems that fall under the domain of ENT, opthalmology, orthopedics, gynecology, pediatrics etc. that don't need any surgical intervention or specialist expertise. Also, you can go for fellowships in critical care or ICU medicine, emergency medicine, rural medicine, obstetrics, sports medicine, occupational medicine, geriatrics, addiction medicine, sleep medicine, palliative care medicine, etc. after completing GP training. Also, you can either work as a hospitalist or in an outpatient setup. A GP is often the first doctor to diagnose a malignancy, pneumonia, SLE, rheumatoid arthritis, PCOS, bipolar disorder, otitis media, carpel tunnel syndrome or an arrhythmia! That's how broad the scope of GP is. GPs also manage MI, AF, VT, CVA and a myriad of other emergencies in rural areas where CT scans or cath labs are not available.
Also, there is a membership exam of the Royal College of General Practice, MRCGP, just like MRCP and MRCS, that GP trainees must pass during the three years of GP training. You cannot be a GP without getting into GP training, completing it and passing MRCGP exam. It's not easy by any means!
GP or Family Medicine is an invaluable specialty in its own right just like any other specialty. It's a shame that India hasn't explored this specialty or hasn't tried to set up enough residency training posts in GP/Family Medicine.
My best wishes sir ......💐💐🤝🏻
Regards
Med Representative
Bangalore
A lot of the points you make are excellent but don't assume the 3.5 days of "work" you do as a registrar are the hours you do as a salaried GP or Partner. Many GPs start at 8 am or earlier and don't finish till 8pm or later with no breaks and no support from all the little helpers you get in hospital. the buck stops with you unless you admit and contrary to hospital opinions we hardly admit anyone. 80-90% of all nhs contacts are in primary care. its busy. you also have to see the pts daily or more often none of this come back in 6m when ive moved on... it can be challenging and rewarding but thinking its easier (apart from shift work) just means you havent done it properly yet.
Very insightful 😊
Bro please come back i am missing you❤
Brilliant. What are the cons of being a GP in the UK?Do they make less money?
This video is so helpful! Interested in joining but still I’m a MBBS degree holder
Let's be honest. As a GP it's a lot easier. When i go to my GP and i see him google ing on his tablet my symptoms i start to pull my hair out. But i guess it's common practice in UK, sometimes i wonder why can't i have this privilege to be a GP
I heard GPs are immensely overworked in the UK. Is that true Dr. A?
May be you should do some research around PA's taking over a lot of GP jobs.
So as a GP, you will be making 150,000£ per annum and take home pay will be around 7000£ per month.
What would the most significant differences be between GP Trainee life and being a GP consultant?
I think you made a good decision. Hospital medicine is best when practiced part time.
Hi sir I have one doubt, in one of ur old video u mentioned that u wanna be visiting consultants in manipal and miot chennai as a ctvs surgeon. What made you to choose gp over ctvs is there any specific reason or scope ctvs is not that good
I heard that gp is not needed any more in uk is that true ?
Please respond to my question because i want to become a gp.
👏🏼👏🏼👏🏼 I loved it!
Sir
I have done MRCP 2 & now working in India. I want to have short term NHS experience (1 or 2 week training / Fellowship / Observership)
How to pursue that? Pls guide me
Hey mate !! Can a gp get into radio residency in UK and do FRCR . What’s your take on it ?
Hi Dr A , how is training in cambridge, how is internal medicine training can you talk about it?
Where do we get the ranking of hospitals in UK?
After your PLAB completion how many years you worked in a hospital as a jr doctor? Like before you decided to become a GP which is now. And which hospital did you work in? And what exams and things you had to do for going in GP from the doctor in the hospital?
Hey, thanks for this video. It was super helpful. I am currently an SHO in a surgical department and considering GP training next year. I don’t know which hospitals I should go for, I don’t have a preference with area, I’d rather have a good training. How should I go about this? Is there a difference in the UK with which hospitals you end up choosing?
My preference list was:
1. Guys and St Thomas
2. Imperial
3. UCLH
4. Cambridge
5. Oxford
6. Bristol
@@DoctorAmedicine I'll keep it in mind. Thanks for replying!! ♥️
So pharmacists see coughs and colds in the UK? Thus, they diagnose?? Interesting.
What I got from this is the high rate of mental illnesses in the UK which is very unfortunate
Hi brother I follow you channel since I started my preparation of mrcpch can you plz make video on pediatric speciality starting from jr doctor to consultant level work duties responsibilities and working hours payment. I m not able to decide which path I need to go plab or mrcoch I have completed my pg here n had 3 years of experience in peds and nicu as consultant plz plz plz help
i'm doing the course of dental sciences and surgery in one of government university in Sri Lanka. i like to work in abroad. can you say a job like GP which can give flexibility to rest of my life?
Sir can you make a video on expenses and savings In UK?
Hi sir is it possible for some one to do imt training in uk , then go for GP route ?
Hi Doc. !!! Could u please tell me about the scope of Gp consultant outside of Uk , esp in gulf countries ...... Is the GP training degree valid there? or invalid like in india . And wht about the competition post gp training since there are a lot of gp trainees passing out each yr ??
From perspective of Qatar and UAE - it is fully valid as listed in their respective health authority websites. Qatar requires no licensing exam from GP's with CCT from UK and same goes for UAE. As for whether we will find jobs in these countries - that's a separate issue to be honest. Even in India, the CCT is recognised it's just that there is no longer the concept of a GP in India and that is sad to be frank.
are nurses in demand than doctors in the uk?
Hi,
Did you work at Newham hospital?
Hi Ajay, I am a doctor from India planning to relocate to the UK, I needed some advice regarding job opportunities and various pathways, so was wondering if you could help in this regard. Thankyou.
After completion of PLAB exam how to get a job . What are the procedures. Will it be beneficial to complete MRCP part 1 to get a job.. or can I a get a job just after PLAB exam?
what about emergency training, is it a good specialty?
Can someone take the spouse with
in the time of residency in UK?
If yes, how?
Aren’t GPs can practice in a hospital? Do they have individual clinic?
Hi, good to c u there.
Very nice video ❤
hello , dr ajay i need counselling regarding plab and usmle if you can give your time ,, i am willing to pay every bit of your time ,,pls let me know
What do you think about anesthesia?
Can we practice in india after completion of GP in uk??
No. At least not yet.
He has an Indian MBBS.. he can practise if he wanfs.
You can practice, yes. Family medicine is now a recognised specialty in India. As I’ve said in the video, I could do my MRCP here and work as a general physician in India
Hey, I'm doing family medicine residency here in india. royal College offers MRCGP(INT) in india.
@@thesparkplug3561 Sure, but I will have MRCGP England once my training is done, that is also valid in India
Can one get a seat for GP residency after FY2?
I am also interested in family medicine 👍😊
I also don't know what i dislike, honestly i want rotation in each of 19 subjects again for a longer duration, to know what i like 😂
Hi Ajay. Thanks for sharing your insights on GP and other speciality training. I am a junior doctor working in the UK as well immigrated from India. Just a couple of things that didn't resonate with me.
1. I am sorry you've not had the experience of being asked questions during ward rounds but this is pretty much a regular thing Ive had even as a non trainee and it has been very useful. Registrars are really interested to ask questions ( in a non intimidating and non toxic way unlike India ). Ive been in 3 trusts so far and ive seen this happen in all of these places.
2. Training of 8-10 years. Not true for all specialities. Group 2 specialties have a shorter duration and OBG is 7 years. Happy for you taking GP but i would be cautious while putting out information on social media about everything else.
Subscribed❤
Thanks Ajay for your video. I am considering switching from a hospital job to GP (done with MSRA exam few days ago). My biggest concerns are 2 things:
1. The very short time to assess your patient (I find 10 min each is not enough to get listen, examine, diagnose and speak to him/her back)
2. The lack of investigations (basically, you are diagnosing based on history and examination which can be insufficient to get a diagnosis)
How do you deal with that?
Like your fairness 😋
Good GP are a rare species in india. People will be more than happy to pay any fee for a good gp
Great video and love to see you passionate about your chosen specialty.
But points to highlight as well -
Gps are one of the specialties with high burn out rates. Fewer and fewer are doing full time GPs.
Locum work is increasingly drying up with PA & ACP scope. Just have a look into GP forums and see yourself.
High rate of litigation. GPs are often blamed (wrongly) for missed diagnosis.
The amount of admin work is comparatively more which is boring.
GP are generalists and MRCGP isn't recognised globally all over the world, for example, middle east (however this is changing). Family medicine is still yet to be recognised as a specialty of it's own globally.
AI is already taking over most generalist jobs and there is exponential growth as more advanced algorithms are being developed.
He is still in training. He doesnt yet know about the full responsibilty of a GP including medicolegal issues.
Nice video Love ❤️ from junagadh city gujarat
If all the good doctors started running from the hospital because of hectic work, where would all the patients go? Whom do we place our trust on? Nurses? Eventually the healthcare system will collapse. We need more skilled doctors in ED.
PS: You know whose jobs AI won't be able to replace? Doctors in ED
Good reply 👏🏻
Why will a good doctor run away from A and E?
Those who are really passionate about doing that , can do that !
I guess we are all in same boat
From which angle is GP a specialty. Its just plain general practitioner and then refer to specialists. The pay and job is okay but its monotonous af and its basically just an mbbs. Flying all the way to uk to do general practice is strange.
Exactly 😂
Ever heard Family medicine residency in us?
Like I've said in the video, "GPs" in India and in the UK have completely different roles
Am GP trainee it's never monotonous it's very variable
G9od luck🎉
This video is just made for me who is unclear about what to do
What is your age?
yay pixel!
If your RUclips channel grows exponentially and you dont need the Doctor's income anymore. Would you continue to work as a doctor in the UK ?
Hi Doc!
No, unfortunately I don’t enjoy YT enough to make it my primary job. Medicine will always be first priority 😄
@@DoctorAmedicine great to hear that. And good luck with your new route. GPs in Germany are super busy and burdened. Hope your work leaves you some time to keep creating for YT