Rufaro N

I am a Paediatric trainee and prev. Cochrane Fellow. Netball and general life enthusiast. All my opinions are my own. Retweets aren't endorsements

[Rufaro N @NdokeraR]

@drzaf_pic @ChainofHopeUK @MorrisonRacha @KatHolls @michelleeparker @RCPCHtweets @cooperella @jvc2006 @DavidEl76548379 What a wonderful team!

[Rufaro N @NdokeraR]

@nazwarner @Plyons251 I remember this so well!

[Rufaro N @NdokeraR]

@cooperella I've considered watching it. But since I only ever got through chapter 1 of "This is going to hurt", I'm not sure this one is for me. It's a really rough time to be reminded of.

[Rufaro N @NdokeraR]

I will be so sad to see #evidentlycochrane go. I was so honoured to write blogs with an amazing team.

[Rufaro N @NdokeraR]

@SarahChapman30 @DrRebeccaGould @jamie_garr @CochraneUK @cochrane @cochranecollab I so enjoyed writing with and for you @SarahChapman30. Such a loss.

[CATS @catsretrieval]

We are recruiting for CATS fellows to start this spring: https://t.co/67670kIFDY

[Rufaro N @NdokeraR]

@DrNickTwit @KateBurkeNHS This is almost always the issue. Where there is a will, there's a way.

[Ged @DrGedM]

Hey UK #MedTwitter, is there a way for junior doctors to invoice study leave events directly to the hospitals/PGME, so they’re not out of pocket waiting for a reimbursement?

@BMA_JuniorDocs
@NHSEngland @NHS_Education @HEIW_NHS

[Rufaro N @NdokeraR]

@AbbieSBrooks Fancy seeing you here!

[Rufaro N @NdokeraR]

@ADC_BMJ Important information indeed, however, ideally, one would refer to the ethnicity that people are, as opposed to what they aren't.

[Rufaro N @NdokeraR]

@CJ_PICU Huge congratulations! Well done you!

[RCPCH Trainees @rcpch_trainees]

The General Medical Council has approved a new MSF tool for use from next Monday, 4th December 2023. This has been developed with and tested by paediatric doctors in training. Read more about it here!

https://t.co/6HKWZsi9Q1

[Josh Hodgson @Dr_Josh_Hodgson]

Great opportunity for anyone interested in Paediatric Intensive Care Medicine.

[Rufaro N @NdokeraR]

@picucat My mother always recommends a 2 mentor approach. One who recognises/has experienced any specific characteristics that you have. May not have to be PICU, just medical. Another who is someone who is PICU and has the job/role you one day hope to have.

[PGME Great Ormond Street Hospital @GOSH_PGME]

Job Vacancy: Clinical Fellows Paed. Critical Care- PICU, NICU, CICU, CATS (ST6+), Great Ormond Street Hospital for Children NHS Foundation Trust, London. Within this advert, PICU, NICU, CICU 6-24 months and CATS 4-6 months posts are also available

https://t.co/Q4calZI9qo

[Rufaro N @NdokeraR]

This is great! My rebellious days are gone, but I'll keep this in mind ☺️

[Martyn Stott @mstotty88]

My educational supervisor sent me this when I was a gobby SHO. She resent it me recently!

[PICSTAR Research Network @PICSTAR_Network]

A brilliant session with Andy Tagg on writing articles.. sign up by emailing us!

[Rufaro N @NdokeraR]

"Medicine has come so far in allowing doctors to have emotional responses ... But the realities of the hospital mean that we must often postpone our grieving until a more convenient time."

Nap time is not the time. Excellent article, read when you truly have time.

[Qasim Malik @QasimMalikMed]

Thought-provoking perspective from @NEJM by Paeds intensivist Dr Susan Glass on how the memories of children who pass away in ICU's remain in our thoughts

#Paediatrics #PedsICU #PICCM

https://t.co/8JkXSaCwHo

[Jake P. Mann @jakepmann]

Thinking of applying for GRID? (paediatric sub-speciality training). Here are five things to consider:

1. GRID vs. SPIN
2. How many jobs to rank
3. Get rid of perceived barriers
4. Specialty-specific examples
5. Distinguish audit/QIP/research

1. Be crystal clear about the difference between working as a sub-specialist (i.e. via GRID) vs. paediatrician with specialist interest (i.e. via SPIN). Make sure your application conveys an understanding of why you want to work as a sub-specialist long-term.

2. Think carefully about which job(s) to rank nationally. The more you rank, the greater your probability of getting an offer, brings more uncertainty (i.e. “will we move to Scotland, Devon, or Cardiff?”). If you rank only one or two posts then it is much harder. (You can be an excellent candidate, come 2nd, and not get the job. There is always some randomness in the application process.) It is difficult and important to weigh up 2-3 years relocation against a different subsequent career for 20-30 years. Also, be aware that there is general expectation you will work as a sub-specialist after finishing GRID (though you can also do general paeds), which may limit where you would ultimately work. For example, for hepatologists, Leeds, Kings’, and Birmingham are the only places we can work. There are more centres for things like tertiary neonates, of course.

3. If you want to, apply! Do not let perceived barriers stop you applying. [For example “I can’t apply, I haven’t got a PhD / publications / done an IMD job / know any of the consultants” - none of these stop you applying.] Just go for it and the worst outcome is a ‘no’.

4. Fill your application with sub-specialty examples. You will have lots of relevant experience from core paediatrics training, even if you haven’t done a post dedicated to that sub-speciality. Even if you can’t come up with a subspecialty-relevant example, link it back to the topic. For example, under ‘practical procedures’ I put: "[talking about PICCs and neonatal transfers]...These are transferable skills that are underpinned by the principles of teamwork and communication, which will be useful for managing liver-related emergencies such as variceal bleeds."

5. Be careful to separate audit/QIP, research, and management as per the questions. Sometimes audit/QIP can sound like research projects if you’re not careful how they are phrased. Similarly, it is possible to use a research project as a management example, but you need to make it very clear about the management skills acquired during that time. If you do use the same example/experience twice, don’t just say “as discussed above” as the questions are marked separately and you need to separate the points you make.

I realise I come from a specific perspective of only one job when applying and few long-term centres where we could work. The experience may be different for those doing things like PEM and Neonates with more potential places to work when grown-up.

Tagging a few GRID trainees for their thoughts.
@DrKidneyAsh @dralexscrivens @ChrisCourse @DrSheena_Guram @lauraamkelly @sunitha_varan @AssimJavaid @EmmaMDyer @WMPaeds @Paedsoftlanding

[Rufaro N @NdokeraR]

Still as relevant as ever. Such a lovely thread.

[Andrew Tagg @andrewjtagg]

I was asked to give the wellbeing talk for the new doctors starting @western_health

I decided not to talk about how we need to drink kale smoothies, do yoga classes before work, and get 8 hours of sleep a night...

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