Career mapping

moncai

Hey i'm hoping to undertake a career as a doc through the GEP, and although i know it's very far off i'm curious as to what your average interns options are once they've finished their intern year? I understand one can apply to a post on a training scheme for either GP or surgery, but thats about it.

I was wondering if there are any other options and also what is entailed in the two different paths of specialization?

Are the fee's the same for each path?

If these questions have been answered elsewhere please feel free to post a link

liberal

moncai wrote: »

Hey i'm hoping to undertake a career as a doc through the GEP, and although i know it's very far off i'm curious as to what your average interns options are once they've finished their intern year? I understand one can apply to a post on a training scheme for either GP or surgery, but thats about it.

I was wondering if there are any other options and also what is entailed in the two different paths of specialization?

Are the fee's the same for each path?

If these questions have been answered elsewhere please feel free to post a link

i hoping to do the same, hopefully a med student will fully answer this question

in the meantime what i understand from my own research which is open to correction

after 4years med (gep) you are a Foundation House Officer (FHO) this includes intern year and 1 additional year, after this you then go forward to become a Specialty Registrar (StR) in either a GP program (3 years) or an StR in a hospital speciality (eg Oncology, Emergency Meicine, duration of 6 years) from here you can try to become a Consultant

so im 22 and if every thing goes dandy for me I'll be a Consultant in Emergency Medicine when im 35

A question I have is could I do my 2 years as a FHO and then work fulltime to pay off my student loan? Or does the road to becoming a consultant pay well

I understand there will be bumps along that road

Narkius Maximus

Holy moley that is optimistic!!!

I'm 28-graduated and started at 25-1 year intern, 2 years at BST surgery-18 months into research MD. Will be back working as full time surgical reg in july 2010-hoping (optimistically) to be an SpR in 2011-making me 30 starting higher training and lucky to be a consultant 6-8 years but will be lucky if I were to be appointed by time I'm 40!!

Now I don't know have things changed regarding internships etc, I had heard whispers etc but know nothing about graduate entry programmes but the above information appears to be wrong and entirely optimistic.

P.S don't count chickens-get in to programme, work your arse off, then decide what you want to do. Things change dramatically in medicine!!!

drzhivago

liberal wrote: »

i hoping to do the same, hopefully a med student will fully answer this question

in the meantime what i understand from my own research which is open to correction

after 4years med (gep) you are a Foundation House Officer (FHO) this includes intern year and 1 additional year, after this you then go forward to become a Specialty Registrar (StR) in either a GP program (3 years) or an StR in a hospital speciality (eg Oncology, Emergency Meicine, duration of 6 years) from here you can try to become a Consultant

so im 22 and if every thing goes dandy for me I'll be a Consultant in Emergency Medicine when im 35

A question I have is could I do my 2 years as a FHO and then work fulltime to pay off my student loan? Or does the road to becoming a consultant pay well

I understand there will be bumps along that road

You are quoting an English timescale and Jo titles here which is not appropriate or applicable to Ireland

INETRN- 1 year

SHO 2-3 years

REG--while waiting for SPR not STR 1-4 years depending on numbers

SPR -Emergency medicine 5-6 years depending on Subspecialty

Consultant--only when posts become available so doesnt naturally flow from completing the above so earliest possible opportunity you will be eligible to apply is 10 years from med school, practically 13-15 years more likely and often longer

So if you are 22 and then going to apply to grad med add 4 more years to the above so minimum time from now is 14 years, practical time 17-19 years so maybe 39-40-- there is a lot to think about between now and then

liberal

i said i was open to correction

liberal

relatively speaking is em hard to get into as opposed to other spc?

Laydee

GEM would be the route I'd take but maybe I'll love radiography too much to go back to studying

GEM - 4 Yrs
INETRN- 1 Yr
SHO 2-3 Yrs
REG--while waiting for SPR not STR 1-4 years depending on numbers
SPR -Emergency medicine 5-6 years depending on Subspecialty
(are all subspecialities that long or is EM more?)

So starting this at 28 yrs old I'd be in my 40's qualifying?

drzhivago

liberal wrote: »

i said i was open to correction

That was an attempt at the correction above

drzhivago

liberal wrote: »

relatively speaking is em hard to get into as opposed to other spc?

Its a matter of numbers not difficulty

Some years there may be more slots than others

A lote more general med slots than EM slots so relatively speaking less competitive to get onto

some years may be only 2-3 slots, depending on how many finishing the scheme

drzhivago

Laydee wrote: »

GEM would be the route I'd take but maybe I'll love radiography too much to go back to studying

GEM - 4 Yrs
INETRN- 1 Yr
SHO 2-3 Yrs
REG--while waiting for SPR not STR 1-4 years depending on numbers
SPR -Emergency medicine 5-6 years depending on Subspecialty
(are all subspecialities that long or is EM more?)

So starting this at 28 yrs old I'd be in my 40's qualifying?

You may skip REG aspect in some specialties as less competitive

You may spend longer as SPR in some surgical specialties if you subspecialise

Overall you are looking at around 40 applying for consultant job, fact and not rhetoric given the ages you have put forward

moncai

drzhivago wrote: »

You are quoting an English timescale and Jo titles here which is not appropriate or applicable to Ireland

INETRN- 1 year

SHO 2-3 years

REG--while waiting for SPR not STR 1-4 years depending on numbers

SPR -Emergency medicine 5-6 years depending on Subspecialty

Consultant--only when posts become available so doesnt naturally flow from completing the above so earliest possible opportunity you will be eligible to apply is 10 years from med school, practically 13-15 years more likely and often longer

So if you are 22 and then going to apply to grad med add 4 more years to the above so minimum time from now is 14 years, practical time 17-19 years so maybe 39-40-- there is a lot to think about between now and then

Please excuse my ignorance but can you tell me what you do as an emergency medicine subspeciality? I assume you are in A+E dept and have to deal with incoming patients and prep them for further treatment by specialists or am i completely wrong?
Do doctors in this field usually remain as emergency medicine doctors for their entire career or is everyone's aim to eventually specialise and become a consultant in their respective field?

Also if intending to become a surgeon do you operate as a general surgeon to begin with during training and then branch off into preferred speciality or do surgeons not specialise and remain dealing with a broad range of general procedures if they so choose? I'm just curious as to what exactly you would do rather than the timeline of how long it takes.

I ask these questions because i'm curious to imagine what type of doctor i can see myself becoming.

Laydee

drzhivago wrote: »

You may skip REG aspect in some specialties as less competitive

You may spend longer as SPR in some surgical specialties if you subspecialise

Overall you are looking at around 40 applying for consultant job, fact and not rhetoric given the ages you have put forward

Can you see the numbers awaiting on specific subspecialities? Like if radiology had larger numbers than oncology that might sway the decision.

If you do not subspecialise at all, what happens then in terms of job prospects?

Starting to pay back a loan at 40 doesn't sound like fun

drzhivago

moncai wrote: »

Please excuse my ignorance but can you tell me what you do as an emergency medicine subspeciality? I assume you are in A+E dept and have to deal with incoming patients and prep them for further treatment by specialists or am i completely wrong?

Confusing two issues here
Emergency medicine treats stabilises and refers for admission those that need admission

Subspecialising in Emergency medicine means doing further work/study in an area of emergency such as
Ultrasound
Clinical Decision unit/acute care
Chest Pain Units
Pre hospital care
Academics

moncai wrote: »

Do doctors in this field usually remain as emergency medicine doctors for their entire career or is everyone's aim to eventually specialise and become a consultant in their respective field?

YES they stay in emergency

moncai wrote: »

Also if intending to become a surgeon do you operate as a general surgeon to begin with during training and then branch off into preferred speciality or do surgeons not specialise and remain dealing with a broad range of general procedures if they so choose? I'm just curious as to what exactly you would do rather than the timeline of how long it takes.

Yes you train in general first and do the other bits after

Wouldnt think of being a consultant before 40 for most people

so takes a long time, if female that means a lot of delayed decisions along the way

drzhivago

Laydee wrote: »

Can you see the numbers awaiting on specific subspecialities? Like if radiology had larger numbers than oncology that might sway the decision.

If you do not subspecialise at all, what happens then in terms of job prospects?

Starting to pay back a loan at 40 doesn't sound like fun

Cant see numbers waiting as they are not counted

You could in the past see what numbers of planned retirements were coming up but that report is not published anymore, it was the Comhairle report on Consultant Staffing

It doesnt matter how many people you think are in Ireland training in a speciality as well as when the consultant job comes up there will also be a significant number who have trained in USA and UK appearing back for interview for those posts so you cant predict much except make yourself the best possible candidate you can be for the particular post

Job prospects variable depending on political will, if Minister decided 30 new oncologists required and they want to appoint next year a lot of people qualified could get a job they might not have been in the running for if fewer posts were advertised

Regarding Lons, you will not make enough money as a junior doctor to make any dent in GEM loans if you have them, which is a real problem

moncai

Thanks DrZhivago,

You seem to be tirelessly responding to peoples queries on this forum, I've personally read at least 15 responses of yours over the last few months that have stood out as being particularly informative and helpful and i have not been a regular reader of boards.ie so i imagine there are more.

Anyway well done and thank you very much.

drzhivago

moncai wrote: »

Thanks DrZhivago,

You seem to be tirelessly responding to peoples queries on this forum, I've personally read at least 15 responses of yours over the last few months that have stood out as being particularly informative and helpful and i have not been a regular reader of boards.ie so i imagine there are more.

Anyway well done and thank you very much.

You are very welcome

It is nice to get thanks and I try to give a factual opinion not based on feeling or bad experience of which you will have a lot in a career