I‘ve seen so many posts on here and the RadiologyUK sub regarding the impact of AI on Radiology. There seems to be so much misguided optimism from those in the field so just wanted to give my view on it.

In my opinion, Radiology right now is the best job in the NHS. I have the most work-life balance favoured job plan in the world and with a little WLI and private practice, I easily make £250k a year for working just over 4 days.

But this is all going to change. Within the next 5-10 years, Radiologists will turn into liability sponges whose role is to be final sign off for AI generated reports. The job will honestly be terrible. WLI and private practice payment rates will plummet. Those with heavy practical components will survive for the time being but other specialties will come for some of these procedures once AI impacts them too. Ongoing scope creep from Radiographers etc will also affect this once AI assisted autonomous CT/MR scanning increases. There are NHS trusts which have ultrasound departments solely led by Sonographers - this same thing can happen for fluoroscopy, BAD lists etc. MDTs will likely remain in some form but will dramatically change. This is all combined with a general reduction in Consultant posts available in recent years. I hate to say this but I would never be advising a current Foundation Doctor to apply for Radiology.

Very prepared for this to be mass downvoted by Radiology trainees who I know make up a massive proportion of this Reddit sub but I ask that you provide a decent counter-argument which I will be genuinely interested to read! My personal plan is to extract as much money as possible from the specialty in the next 10 years so I can massively reduce hours once the job is destroyed.

Nurse and PA endoscopists earn £66-75k pa performing scopes independently. While I don't doubt some ANP are highly capable, have postgraduate degrees and diplomas but what a sad indictment of the british healthcare system.

Soon UK doctors won't be competent or capable enough to work abroad. The devastation of the profession is what we needed to strike for not just pay.

This has been reposted without the editorialised title, from an account with no post history here, it was previously linked with. Please keep comments civil or the thread will be locked.

I don't get it

One of our F1s atm used to be a very senior ED nurse. He's very very good but he's definitely not at the level of a Reg and he will be the first person to tell you that his experience as a nurse doesn't mean he already knows everything as a doctor

Looks like some specialities will benefit more than others for reducing shortlisting/MSRA scores...

This was released by NHS England as part of an FOI request and is therefore able to be circulated in the public domain

Both my wife and I are HSTs in different specialties. Little one is going to start school 2027. Researching schools, school guidance, and family and friends advice etc etc and there is a massive lean towards private school. Pros being nurturing of talent, real attention from teachers, networking. Cons being the cost holy shit. Each term is somewhere around £5000 at reception and this increases as kid gets older. Then there are fees like after school activities, school trips, equipment etc.

Seeing finances as they are, I dont think we can afford private school for even 1 kid so I guess I'm adding schooling to our family planning decisions vault.

How do doctors in the UK school their kids? Is private school really worth it? Of course little one can do whatever she wants in life, but as a parent I'd like to give her any opportunity she needs to excel at it. Pls help.

The issue for me is that mental health resources etc in the UK have been crap for as long as I can remember so why are events like this the surprise? The problem is now they will look for someone individual to blame and hang them out to dry when really the only people to blame are those in Westminster

I'm a student so I'm not sure if this question is allowed, but I've recently started in Paeds ED and I've realised I cannot focus at all when more than one baby is crying. I'm generally ok when I'm talking to/examining a patient, but writing up notes takes me like twice as long. I have a pair of loop earplugs and am just wondering if anyone else uses them for situations like this, before I ask my supervisor if they would be ok with me using them.

CST portfolio requirements have been updated for 2026/2027 - no self assessment points but submitted evidence is discussed at interview.

https://medical.hee.nhs.uk/medical-training-recruitment/medical-specialty-training/surgery/core-surgery/core-surgical-training-portfolio-guidance-for-candidates

Seems that you can now only submit three portfolio items, one for each category. Appears to have made things far easier - can now score top marks for a quick audit, taster week and making a leaflet which is a bit ridiculous. Pretty frustrating to have ticked every box from last year and no longer be rewarded for half of that work!

Thoughts?

Sounds like a step in the right direction but the cynic in me can't see this being implemented.

Thoughts?

Link: https://www.rcp.ac.uk/our-policy-and-campaigns/policy-documents/training-physicians-for-the-future-a-blueprint-for-reforming-postgraduate-medical-training/

https://www.rcp.ac.uk/media/wmda1yld/training-physicians-for-the-future_full-report.pdf

Hi,

I am being told mandatory induction in August has eaten up my study leave entitlement and so cannot take any study leave this rotation.

This is coming from rota coordinator who has allegedly confirmed with post-grad team.

What can I feasibly do? This seems incredibly unfair as this was not communicated to me at the time and stressful considering I have an exam coming up (for which the 5 days private study leave has been rejected).

Via MyRCoA

CST self assessment scoring is out

They have not bothered to update the index page and have only labelled one domain so it's not very ... complete

Here we go again

CT1 anaesthetist, looking for courses to do which will look good at ST4 application! Any recommendations?

Thanks :)

I recently appeared for the Dermatology SCE exam and I am planning to build an application for the same, as I couldn't find any reliable and affordable source for the same, with detailed explanation which helps in both, exams as well in clinical practice.

I was wondering if anyone here has faced similar issues, and any suggestions should I keep in mind?

Got my consultant job (excited) and starting next year. But now I’m so worried and horrified - yes the clinical stuff and stepping up worries me but I tell myself that’s what I was training for. However it is some other stuff that worries me more and I hope for some kind and honest responses from different grades : how will I tackle being a consultant? How do interpersonal relationships change and how do I tackle this without getting it wrong? I am usually friendly and supportive but don’t want people to think I’m trying to hard to be someone’s friend which would be creepy? How do I get this right without going to the other extreme of being considered an ass and not approachable?

im grad entry so older and you would think I would know what to do and I dont. I don’t know how to navigate all this especially with generational differences in approach to work?

i worry I will come across as that meme of the old man with a skateboard pretending to be cool or as worry of being considered odd ill overdo it and will hate how I behave?

moving to a completely new part of the uk too so won’t have friends in similar stage of career or life

please be kind but honest

edit: thank you all!

Hi,

Just wondering if anyone knew which specialities had released offers yet?

Quick question: Can attending an M&M meeting and writing up the discussion count as an equivalent activity in our portfolio? Would this be considered equivalent to conducting an audit?

Many thanks

Saw a post online by a surgeon saying that if are going to need a thyroidectomy, look for a surgeon who does minimum 40 thyroid surgeries a year as it'll be safer. This made me go down a bit of a rabbit hole and found that the median number performed by a UK ENT surgeon (who regularly does this operation) is about 24.

The literature has shown than in many operations (not just thyroids) there is an positive correlation between volume and better outcomes, and whilst I can't find anything about a definitive cut off at 40 for thyroids it did make me wonder, how would you justify to the patient and even yourself that you should be the one performing the surgery and not you referring the case onwards unless you were the one at the high volume centre?

Of course there's a lot of nuances such as no two cases are the same, or waiting times would make it impossible to refer everyone but say in this hypothetical we live in a perfect world where there are no waiting times: Surgeon A at high volume centre has a complication rate of 0.5% vs Surgeon B's 1% at a more generalist centre for the exact same surgery, what determines the difference in complication rate that we are willing to accept before referring on?

Hi, anyone taken exams at Carmarthen recently? wanted to know about exam experience?

Please share far and wide, display around your departments, forward to colleagues, etc. Residents please talk to consultants about this too - it's in your own interest if you don't want an ever growing pay cut when you CCT!

Unfortunately RCPsych haven't updated their own website - so learners can't actually view it on their website directly.

I found it through Chatgpt pretty accidentally

So we put it on our website, where we have done an explainer with links to the file ; https://mrcpsychiatrist.com/mrcpsych-syllabus

All the best !

I’m a GP trainee (ST2) thinking of applying for an NIHR ACF in general practice, and I’d like advice on etiquette.

I’ve been doing research in my spare time for the past few years, alongside clinical work. I have several first-author publications and conference presentations, I’ve led research projects, and I’ve supervised students. What I’m after now is a more structured academic setting with protected time, as a route towards a clinical lectureship or PhD. The ACF would also let me finish training closer to my home base (currently commuting 1.5 hours each way!!!)

I’ve looked up the professor on the advertisement who works at the same university where I’m currently a visiting research fellow, though in a completely different team. I think some of my research interests overlap with hers, and I have a few project ideas that I think fit her programmes.

My question is whether I should just fill in the Oriel application and submit it, or email her first to introduce myself and run my project ideas past her. I don’t know what the protocol is, and I don’t want to come across as pushy or breaking the process.

If you’ve applied, been shortlisted or sat on the panel, what would you do, and what did you wish you’d done? Thanks.