Ah Medway!- what a place.
I rotated through 2 medical jobs (cardio and covid) and GP during my F2. Pre covid the SHO rota was busy but manageable. Nights were something like 10 in the 4 month block (I'm not sure if this has changed- it seems to be busier now) The nights worked with a weekend of 3, a weekday of 4 and weekend of 3. Each with about 6 weeks in between.
Ward role were so busy. Medway is a really busy, understaffed and overstretched hospital. There was never any time to go to Cath lab/ bronchs anything of interest as the wards are SO busy.
IMTs regularly talk about how impossible it is to get clinic time, partly due to the understaffed wards, and partly all their on call commitments.
Educational supervision and career development is really poor. I had the best motivation and pushed myself to do so many QIPs or audits and there would be no one to help with any of it.
The one thing medway has is the amazing staff and jnr doctors. Everyone is so lovely and the SHOs and regs are great.
Medway as a town is not very nice, but people are sociable and friendly.
The one thing I am very very thankful for is how much I improved as a doctor. With little facilities and support you do just have to crack on and I feel I work to a much senior standard than the grade I am.
You will see the most strange pathologies and advanced presentations of lots of disease- and you'll have to manage it. So from a confidence side, I am much more competent as a doc leaving then I was going in!
General (internal) Medicine
Medway Maritime Hospital
Organisation and staffing at Medway is catastrophic. The-on calls are intensely busy and juniors and staff are stretched with very poor senior support. Next to no opportunity for rest on nights. Worked in nearly every department except O+G, Anaesthetics and ENT but from what colleagues tell me they are all just as busy.
Formal training is limited but intensity of workload and significant/delayed pathology means your skills and knowledge ramp up pretty sharpish.
Locality and local population are not particularly friendly.
Resp - very supportive consultants
The Mess - big ole TV weekly restocking of biscuits
Canteen - decent portion sizes with moderate prices
A&E - I cannot stress to you enough, very rogue environment and decision making. Intense workload.
Acute Med - poor and uninspiring senior support
Orthopaedics - Nighttime SHO on-call is the 2nd worst job in the hospital
Gen Surg - Nighttime SHO is the worst shift in the hospital (covering theatres, ED, Trauma calls, Surgical admissions and wards for Urology and Gen Surg)
Medway’s redeeming feature is that everyone is having such a bad time in unison that everyone gets on and you come out the other end better for it.