Why junior doctors move every year? | UK MEDICAL DEANERIES

Hi guys! Welcome back to my channel. I hope you guys are doing well. Today's video is going to be a moving Q&A. I will leave a link to my moving vlogs down below. So many of you guys had questions about why I moved and about my new place. So I decided to do this video to hopefully answer some of those questions. So the first question. Why did you move? My contract at the Isle of Wight was only for a year. For those of you guys who don't know, I am currently doing my specialty training in acute medicine. I am in my second year. My training program is for five years in total. Specialty training is run by the deanery. Deaneries are just different regions within the UK. The whole of UK is divided into deaneries. There are about eight or nine deaneries in total. I applied to Wessex Deanery, which is in the southeast of England. As part of your training, you normally rotate to different hospitals within the deanery. This brings me to my next question. Why do junior doctors move every year? You can't stay in one hospital for all the five years. This will not be fair to all the other trainees. You have to move around so that you get a chance to work in different hospitals and gain a variety of experience as part of your training. You normally rotate between district general hospitals and tertiary centres. For example, in emergency medicine specialty training, all the trainees need to have experience working in a level one trauma centre and a paediatric ITU. Not all hospitals in the UK have a paediatric ITU or a trauma centre. So, to make it fair and to ensure that you meet your training needs, all emergency medicine trainees do a year or two in a tertiary hospital that has those departments. I also want to mention that you don't necessarily have to move every year. I move every year because I like living close to the hospital. You can easily commute to the hospitals within the deanery if you're staying in a central location. The hospitals within a deanery are not very far apart. Many of my friends, especially those with kids and family, don't move every year. You can also put in your request as to which hospital you would like to be in. The training program director will normally accommodate this and they will also try and make sure that you are meeting your training needs. There are some specialty training programs where you don't have to move. GP training is one of them. GP training is for three years. The first two years is based in the hospital and the third year is in a GP practice. Most doctors get to work in the same hospital for the first two years. There are also other specialties like cardiothoracics, neurosurgery and clinical genetics where you can't really move around because there are not many hospitals that have those specialties. So, you will have to be in the same hospital, normally a tertiary hospital, for all the five years. The next question, why did you move to the Isle of Wight? Wessex Deanery includes the Isle of Wight. Some trainees do have to rotate to the island for a year as part of their program. This is not for all specialties. I think only acute medicine and geriatrics have a post there. It is definitely a good learning experience. I don't think I will get that kind of clinical experience anywhere else. Because it is an island hospital, we do things slightly different than most hospitals on the mainland. For example, we still thrombolyze for STEMIs and I think to have that experience as a medical registrar is rather unique. That is all for my video today. I hope you guys enjoyed it. If you like this video, please give it a thumbs up. Subscribe to my channel for more videos and I'll see you in my next one. Bye!