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new Irish Medical council registration status and locum jobs

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  • 11-12-2009 12:07am
    #1
    ergo
    Registered Users Posts: 764 ✭✭✭


    quick question

    well, I am a bit confused about who can do locum jobs eg medical SHO jobs/ A+E SHO jobs and that kind of thing (lots of them floating around at the moment - why this is? well, that's for another debate)

    is it only those on the "General Register" or those in training for those specialties that can do these locums jos

    or could someone who is on the Trainee Specialist Register for something quite specific eg. Geriatric Medicine or something - can they do a locum job in one of the above positions or are they limited to the specialty they are registered as a trainee in...?

    confused? I am!


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    #2
    drzhivago
    Registered Users Posts: 926 ✭✭✭drzhivago


    ergo wrote: »
    quick question

    well, I am a bit confused about who can do locum jobs eg medical SHO jobs/ A+E SHO jobs and that kind of thing (lots of them floating around at the moment - why this is? well, that's for another debate)

    is it only those on the "General Register" or those in training for those specialties that can do these locums jos

    or could someone who is on the Trainee Specialist Register for something quite specific eg. Geriatric Medicine or something - can they do a locum job in one of the above positions or are they limited to the specialty they are registered as a trainee in...?

    confused? I am!

    Basically those on General register can choose to do locums pretty much anywhere they want in their free time

    Those on trainee register cannot, their employer can decide that they can do a locum in their own hospital obviously if this is in the hospitals interest they will "strongly suggest that you do the locum this weekend however your registration as a trainee specialist does not allow you to work outside of the hospital you are registered as working in

    How that works for ICU/NICU transfers, Head Injury Transfers/Maternity transfers I dont know

    So no more being the doc at the kids football and hurling matches at weekends as registration will not allow it, tired explaining to my daughters coach and they were suggesting I do as I have done for the last number of years "no one will know anyway" is their approach but I am not so sure


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    #3
    RobFowl
    Moderators, Science, Health & Environment Moderators Posts: 11,667 Mod ✭✭✭✭RobFowl


    drzhivago wrote: »
    So no more being the doc at the kids football and hurling matches at weekends as registration will not allow it, tired explaining to my daughters coach and they were suggesting I do as I have done for the last number of years "no one will know anyway" is their approach but I am not so sure
    If you are there and treat some one under the "good samaratan" clause then youare ok, i.e. you haven't been asked nor are you expected to be there but if someone is injured and you happen to be present :rolleyes: then you are ok.

    Re locums DrZ is correct, only Dr's on the specialist register or General register can do locums outside of the hospital and probably specialty they are working in (if on the trainee register).


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    #4
    Ihaveanopinion
    Registered Users Posts: 234 ✭✭Ihaveanopinion


    If you are on the General Register, you can work anywhere. There are no restrictions.

    If you are on the Trainee Specialist Register, you can only work in hospitals listed on the TSR1 form you filled out - ie the one(s) you are working in for that rotation. My understanding is that you can work outside with the permission of your employer - the CEO - which leaves little problem for transfers.

    However, being a team doctor/ring side/motorsports - you are not allowed to do. You are allowed to provide emergency care, so there is a bit of leeway..

    Interestingly, another provision is that you are not meant to prescribe drugs outside of your subspeciality. Therefore, if I am a General Surgeon, I shouldn't be prescribing Cardiology drugs....

    I know some of the training bodies are raising this issue with the Medical Council


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    #5
    DrIndy
    Registered Users Posts: 3,461 ✭✭✭DrIndy


    It hits emergency medicine hard unfortunately - there are many very skilled people who cannot work outside their area and provide very good care through their training at major events like oxegen and croke park etc......

    Its EM trained people you need at these events too!


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    #6
    Pete4779
    Closed Accounts Posts: 622 ✭✭✭Pete4779


    Ihaveanopinion wrote: »
    Interestingly, another provision is that you are not meant to prescribe drugs outside of your subspeciality. Therefore, if I am a General Surgeon, I shouldn't be prescribing Cardiology drugs....

    I know some of the training bodies are raising this issue with the Medical Council

    That's a bit ludicrous. GPs need to be able to prescribe antibiotics without needing to send someone to an infectious diseases specialists. A psychiatrist will prescibe an anticonvulsant for bipolar disorder, not a neurologist, etc., etc., .


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    #7
    nesf
    Registered Users Posts: 27,645 ✭✭✭✭nesf


    Pete4779 wrote: »
    That's a bit ludicrous. GPs need to be able to prescribe antibiotics without needing to send someone to an infectious diseases specialists. A psychiatrist will prescibe an anticonvulsant for bipolar disorder, not a neurologist, etc., etc., .

    One imagines that it couldn't possibly affect off-label usage like with some anticonvulsants and bipolar.


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