“Constant bleeps, all of the time…”: Time to debunk the med reg ‘superhero’ myth?

James Fisher is a consultant geriatrician at Northumbria Healthcare NHS Foundation Trust. He tweets at @drjimbofish and in this blog article discusses a recent publication looking at the role of the medical registrar from the perspective of junior doctors interested in geriatric medicine.

Being the medical registrar, or ‘med reg’, is recognised as being a tough job. The med reg is often considered to be the ‘go to’ person for the hospital at night – to shamelessly rip off a well-known 1980s TV show, “If you have a problem… if no one else can help… and if you can find them… maybe you should bleep… the med reg”.

The medical registrar is the senior training grade in medical training; effectively it’s the last stop on the road to becoming a consultant physician. Continue reading

Being The “Med Reg”

Dr Sean Ninan is a registrar in Geriatric and General (Internal) Medicine in the Yorkshire Deanery. Here he reflects on a recent report from the Royal College of Physicians on the role of the Medical Registrar and how it it compares with his personal experience.

I was on call a few weeks ago and was shadowed by some keen medical students. It was a busy day and I spent most of the day in the resuscitation area of the Emergency Department. There was a handful of patients with COPD and type 2 respiratory failure requiring non-invasive ventilation, a couple of patients with pneumonias and severe sepsis, one who was peri-arrest with anterior T wave inversion and one with S1Q3T3 on their ECG who had a massive pulmonary embolism, and a young man with ischaemic extremities, pleuritic chest pain and a butterfly rash…

The students loved it. They found it fascinating, exciting, intimidating and then…

“I could never be the Med Reg”

It has always been so, yet increasingly trainees seem to be put off by acute specialties and the burden of the general medical take at a time when acute services are under increasing strain.

In this context, I was particularly interested in the recent publication by the Royal College of Physicians “The medical registrar. Empowering the unsung heroes of patient care.

Continue reading

Streamlining admissions

Dr Sean Ninan is a Specialist Registrar in General (Internal) Medicine and Geriatric Medicine working in the Yorkshire deanery, UK.

When I was 20 I travelled round India, a wonderful beguiling country with some of the worst administration I have ever encountered, much of it unchanged from systems introduced during the Empire.

I have fond memories of the trip but there were many frustrating experiences too. Taking out money from the bank, for example, was particularly painful.

You enter, make your way to reception and explain that you would like to take out some money. They ask you to take a ticket, and you wait in the queue. After some time, patiently waiting you reach the front of the queue.

“Saving, deposit or withdrawal?” Continue reading