Sergeant Wilko
@sergeantwilko.bsky.social
Bad cyclist, average doctor, really really good at crosswords. Not a sergeant.
Anaesthetics/ICM/Sustainability.
All views strictly my own.
Anaesthetics/ICM/Sustainability.
All views strictly my own.
You’ve lost me I’m afraid. I originally replied as I think stating ‘teaching for the (frca) exam is zero’ and describing the exam as ‘unpaid labour’ is taking things too far. I stand by that.
November 30, 2025 at 2:54 PM
You’ve lost me I’m afraid. I originally replied as I think stating ‘teaching for the (frca) exam is zero’ and describing the exam as ‘unpaid labour’ is taking things too far. I stand by that.
Although knowledge of lasers, gas laws, hygrometers etc. Has significantly increased my ‘starter for 10’ glory percentage on university challenge. Worth every hour and ph electrode diagram!
November 30, 2025 at 12:44 PM
Although knowledge of lasers, gas laws, hygrometers etc. Has significantly increased my ‘starter for 10’ glory percentage on university challenge. Worth every hour and ph electrode diagram!
I have no issue with updating the primary syllabus tho. A lot of it was outdated when I (we) sat it and I suspect an overhaul is long overdue
November 30, 2025 at 12:40 PM
I have no issue with updating the primary syllabus tho. A lot of it was outdated when I (we) sat it and I suspect an overhaul is long overdue
3) You can be a doctor without exams. Disagree that working to progress your own learning and shape your own life and career prospects should always be done on someone else’s time. It’s as if the learner doesn’t benefit in any way!
November 30, 2025 at 12:31 PM
3) You can be a doctor without exams. Disagree that working to progress your own learning and shape your own life and career prospects should always be done on someone else’s time. It’s as if the learner doesn’t benefit in any way!
1) yes. 30 days study leave pa (other demands on this time acknowledged) plus 1 day/month is a jolly good start. Also the common practice of allowing residents to leave early/study at work when cases allow.
2) total non sequitur 😂 I was taught & teach in turn a vast amount of necessary stuff
2) total non sequitur 😂 I was taught & teach in turn a vast amount of necessary stuff
November 30, 2025 at 12:31 PM
1) yes. 30 days study leave pa (other demands on this time acknowledged) plus 1 day/month is a jolly good start. Also the common practice of allowing residents to leave early/study at work when cases allow.
2) total non sequitur 😂 I was taught & teach in turn a vast amount of necessary stuff
2) total non sequitur 😂 I was taught & teach in turn a vast amount of necessary stuff
You are getting carried away!
1) Study leave allowance is very generous. Plus trainees get EDT as well, 2 or 4 hrs per week depending on seniority.
2) There is rather of a lot of teaching for the exam embedded into the working day!
2) It is not unpaid labour to study for self betterment
1) Study leave allowance is very generous. Plus trainees get EDT as well, 2 or 4 hrs per week depending on seniority.
2) There is rather of a lot of teaching for the exam embedded into the working day!
2) It is not unpaid labour to study for self betterment
November 30, 2025 at 10:36 AM
You are getting carried away!
1) Study leave allowance is very generous. Plus trainees get EDT as well, 2 or 4 hrs per week depending on seniority.
2) There is rather of a lot of teaching for the exam embedded into the working day!
2) It is not unpaid labour to study for self betterment
1) Study leave allowance is very generous. Plus trainees get EDT as well, 2 or 4 hrs per week depending on seniority.
2) There is rather of a lot of teaching for the exam embedded into the working day!
2) It is not unpaid labour to study for self betterment
In my personal (UK) experience, I see obstetricians and midwives bending over backwards to centre autonomy. And I also know so many smart people who feel they have ‘failed’ somehow because their birth didn’t go ‘to plan’. You can have a preference, but ‘birth plan’ is a bit of an oxymoron.
November 23, 2025 at 2:44 PM
In my personal (UK) experience, I see obstetricians and midwives bending over backwards to centre autonomy. And I also know so many smart people who feel they have ‘failed’ somehow because their birth didn’t go ‘to plan’. You can have a preference, but ‘birth plan’ is a bit of an oxymoron.
Yes in principle. But here’s the rub-when it comes to healthcare, choice can be an illusion and a dangerous one at that. Who, when wracked with pain after a long and difficult labour, is in a position to weigh up nuanced information in a time critical emergency situation?
November 23, 2025 at 2:44 PM
Yes in principle. But here’s the rub-when it comes to healthcare, choice can be an illusion and a dangerous one at that. Who, when wracked with pain after a long and difficult labour, is in a position to weigh up nuanced information in a time critical emergency situation?
Uncertainty is baked into the process, human birth is very high risk, fixed ‘birth plans’ often set women up to ‘fail’
November 23, 2025 at 1:45 PM
Uncertainty is baked into the process, human birth is very high risk, fixed ‘birth plans’ often set women up to ‘fail’
Mild learning difficulties all the way to neonatal death. Where would you place the documented emergency here?
November 23, 2025 at 1:45 PM
Mild learning difficulties all the way to neonatal death. Where would you place the documented emergency here?
I believe ‘documented emergency’ is overly simplistic and frankly unworkable. Risk & harm are a spectrum. ‘There is a reasonable chance that if we do not intervene soon you or your baby will be harmed’, is not ‘category 1 c-section for immediate risk to life’
November 23, 2025 at 1:45 PM
I believe ‘documented emergency’ is overly simplistic and frankly unworkable. Risk & harm are a spectrum. ‘There is a reasonable chance that if we do not intervene soon you or your baby will be harmed’, is not ‘category 1 c-section for immediate risk to life’
Agree 💯. This story is beyond tragic. Humans have evolved to have large heads and relatively narrow, biped pelvises (for one thing). Childbirth is the most risky thing many will ever do, but a certain section of society has forgotten that.
November 22, 2025 at 8:36 AM
Agree 💯. This story is beyond tragic. Humans have evolved to have large heads and relatively narrow, biped pelvises (for one thing). Childbirth is the most risky thing many will ever do, but a certain section of society has forgotten that.
Would like to know what was said to her.
November 21, 2025 at 12:29 PM
Would like to know what was said to her.
Sorry, but if you are a man you likely have no idea how exhausting & difficult it is to ‘earn respect’ as a women in a leadership role. Respect which seems to be automatically bestowed on male colleagues. Not to lay blame, but that’s the reality for many women.
November 21, 2025 at 12:29 PM
Sorry, but if you are a man you likely have no idea how exhausting & difficult it is to ‘earn respect’ as a women in a leadership role. Respect which seems to be automatically bestowed on male colleagues. Not to lay blame, but that’s the reality for many women.
Off to work out exactly where this is 🤓
November 11, 2025 at 6:46 AM
Off to work out exactly where this is 🤓
Oh that is awful! Although I do like the shoulders. ‘Medical bay on the Star Ship Enterprise’ vibes 😂
October 21, 2025 at 12:21 PM
Oh that is awful! Although I do like the shoulders. ‘Medical bay on the Star Ship Enterprise’ vibes 😂
Shit Tom, that’s awful. Absolute arseholes, really hope you are ok and police find them
October 8, 2025 at 9:06 AM
Shit Tom, that’s awful. Absolute arseholes, really hope you are ok and police find them
Agree that’s a fair counter argument. Devil in the detail as always. We’ll have to wait see what actually gets proposed.
October 2, 2025 at 6:47 PM
Agree that’s a fair counter argument. Devil in the detail as always. We’ll have to wait see what actually gets proposed.
All I’m doing is pointing out that a small fee may not be so outrageous in most cases. System would speed up. Outrage seems to greet every attempt by labour to balance the books atm. Sometimes justified, but not here imho. (6 months to find it once workers rights bill passes 🤞)
October 2, 2025 at 12:24 PM
All I’m doing is pointing out that a small fee may not be so outrageous in most cases. System would speed up. Outrage seems to greet every attempt by labour to balance the books atm. Sometimes justified, but not here imho. (6 months to find it once workers rights bill passes 🤞)
Of course I understand. Means testing has previously been used, reasonable to assume it might be again. Not every employment tribunal case is David vs. Goliath you know. Waiting years to have your case heard (cos there no money) is bloody awful as well. Always a balance to be struck.
October 2, 2025 at 12:24 PM
Of course I understand. Means testing has previously been used, reasonable to assume it might be again. Not every employment tribunal case is David vs. Goliath you know. Waiting years to have your case heard (cos there no money) is bloody awful as well. Always a balance to be struck.