33% of Doctors Plan to Leave | Toxic Realities of Healthcare

33% of UK doctors say they plan to leave the UK after their training. It’s a shocking statistic that cannot be overlooked.📉

Can the UK healthcare system survive?🇬🇧 I react to @KharmaMedic’s deep dive into what it’s really like to work as a doctor. We’ll both discuss the harsh realities of residency as well as key differences between US and UK medical training.

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TIMESTAMPS:
00:00 Reaction
32:08 Final Thoughts

LINKS FROM VIDEO:

#doctorvlog #medstudent #doctorreacts
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Disclaimer: Content of this video is my opinion and does not constitute medical advice. The content and associated links provide general information for general educational purposes only. Use of this information is strictly at your own risk. Kevin Jubbal, M.D. will not assume any liability for direct or indirect losses or damages that may result from the use of information contained in this video including but not limited to economic loss, injury, illness or death. May include affiliate links to Amazon. As an Amazon Associate, I may earn a commission on qualifying purchases made through them (at no extra cost to you).

[yahshua]

much money from undergrad as applicant and those bloody preview Casper and secondary fees all too the never ending money grab as resident … Passion is always there but passion dies with constant negative stimulations.

[dawnhoughton]

I work in a blood bank at a trauma center. Being understaffed is dangerous. Being the only tech when multiple traumas come in with no help available (nights), can be overwhelming and delays patient care. I get it.

[Fnndjkvlf]

The irony is that most people wake up to this reality only after they’ve become a doctor.

[doctorshawn]

Even as a pathologist, which is supposed to be the most laid back subspecialty, I still work a minimum of 60 hours per week. I have no life, no hobbies, no friends, no time. Life is all work. The 60 hours also does not include weekend call, which is far lighter than most specialties, but neurosurgeons do call you in most weekends even at crazy hours to do frozen sections. As most pathologists are hospital employees we don't actually get paid for our call coverage. It kind of sucks tbh. edit: and also, you have to be perfect, you can't make a mistake or else someone gets the wrong treatment. High stress and no work life balance

[swaggggyb]

My cousin is helping lead a lot of the protests in Wales now for many of the junior doctors there. He says it’s most likely even more than just 33%. They’re not being listened to and even the improvements that are being offered to them still aren’t enough

[shelly]

The title is misleading. You should have specified that the 33% is from the UK.

[MatchaCocoaDog]

Remember when people warned it was a bad idea to take medical authority away from doctors and put it in the hands of business leaders and politicians? Day late and a dollar short now!

[alphaomega]

The craziest 🤪 thing is that it doesn't have to be like this. None of it. From the training to the work schedule. 😳

[aweisen]

27:10 There are increasing reports of UK docs graduating with £100k+ in students loan debt.
While in the past there have been numerous Docs who graduate with almost no debt (compared to the US) but that is dwindling.
The UK has a "cap" on university tuition per year of £9-10k, times 5 years, plus living expenses, and you could see how £100k isn't a stretch.

Quick overview of the UK med training timeline:
16-18 go to college and take A level exams (junior/senior year of high school, university entrance prep)
18-23 University, Medical school, undergraduate degree, MBBS.
2 years (typically) of Foundational training.
3-9 years of specialty training. (Junior Doctor title, Registrar position)
14 years as a Consultant (attending) starting at £99.5k until you hit the max pay rank in NHS. (which is only £132k base pay, the time in grade requirement recently changed from 19 years)

[SeekingTruth.]

It's time for a change or more doctors will quit

[FLAC]

Being a doctor is a miserable life...
Your patients don't appreciate you...
You have few friends within the field...
You have no time for friends and family...
You have no time for yourself...
You will get little satisfaction doing it, trust me....
Screw the system, don't give them your life... it's not worth it...

[steinervision]

Glad I went into Optometry! 43 years in, still have more in the tank.

[mustang]

I'm only 22 so I've still got a lot to learn about a life but as I grow up I think that a lot of people would be happier living vicariously through TV shows or video games than doing exciting jobs. IRL the stress, time away from family, damage to health, and PTSD make it not worth it

[sarthakmehta]

The reality of being a doctor hit me only after I registered myself as a doctor. This is the irony.

[jonathanlewin]

Hi Kevin, love your channel, please note though that the term "junior doctor" in the uk means anyone who is not a consultant. This includes foundation year 1-2 doctors, house officers and registrars. Which means that you are a junior doctor for a minimum of between 5 years (for GP training) and 10 years (paediatrics, surgery). This is important to get right because it relates to the current junior doctor strikes in the uk

[ownthispwn]

Alot of the doctors I work with are advocating against me going to med school. Alot of them look unhappy. Its sad to see what medicine turned into. Alot of doctors decisions are being overruled by administration because of patients being in hospital "too long" or the longer they keep the patient the more they have to treat them / higher risk for infection/things to go wrong. It's weird seeing what medicine really is compared to how they package it to you in undergrad/everywhere else. There are a few doctors I notice are really meant for medicine. Always available to speak to family members, willing to explain plan of care to family/nurses, always in a positive attitude. Definitely people I would want as my doctor if I was ever sick. Overall, alot of physicians seem very unsatisfied with what they do though (at my hospital).

Edit: The understaffing thing is REAL. The amount of times my unit has been understaffed RN and PCT wise is probably 30-40%. It's hard watching the nurses struggle day in and day out with 7 patients, soem of which are jumping out of bed, yelling because they didnt see a doctor yet, want to go home, baker acted and trying to leave etc. Its fucked seeing new hires just get the entire soul sucked out of them after realizing what nursing really is. the hospitals are just so tight with the budgeting, and want to squeeze every ounce of productivity out of the staff. I've seen them send a nurse home because we were 2 patients under matrix, 2 hours before shift change and it created chaos .. You're telling me you couldnt let spare $50 to let the staff have a slightly easier shift? We can never get sitters to sit with disruptive patients, so falls are VERY frequent, PCT's having 12-25 patients arent uncommon (we had 1 PCT for 36 patients once). its sick whats happening and its going to take a lot (of money) for it to change the system

[capgains]

Probably the motive behind usmle being now pass or fail vs graded
Harder to find the cherries and easier for those passing getting closer to the residency they want; hence filling the need for docs

[gilliandanielson]

23:30 scope of practice of PA/NP in UK and US is different! In the US, PA/NPs are responsible for prescribing, ordering scans, working call (less often), etc. These things do fall on their license, but the MD is still obviously required as part of the team. PA/NPs in the US make less than an attending, but more than a resident.

[yusufabulouz]

I want to be a doctor in America, but I learned what I had to do in order to just take an expensive exam. It's crazy!!! So, right now, I am a paramedic and studying to be an RN. And then, with the bachelor of an RN, I will study and apply to med school if it's really meant to be.
Edit
   Why go into thousands of dollars in debate to become a doctor. You don't have to sit in a classroom for hours on end every day learning brain dead Biology. I am not hating. I started there and felt like an absolute waist of time, and Bio dosent me money while i study the MCAT. I love the rigorous style of paramedic school, so I know nursing will be easy. The amount of exposure is huge being an RN. Now, the only difference is that, yes, people who take the traditional route and take Bio definitely have a "I seen that before" advantage when studying the MCAT. But the MCAT can literally be studied as any exam, just get exposure. Always remember your bachelors degree doesn't make you a doctor, and neither do you in med school. Only actually being in the hospital will make you a doctor. I learned that in EMT school, Medic School is the same for RN school and one day in med school. It's good info to rely on. But by all means, it's not what makes you. It's a foundation.
In my opinion a bachelors is a bachelors don't matter what time it is.

[Christabelthemedic]

When you finish medical school (5-6yrs) in the UK you are a junior doctor = resident doctor, Junior doctor means you are anyone below a consultant/attending. F1 and F2 is not equivalent to MS3+MS4 (which you said in the video), you ARE a doctor in F1 and F2.

You can be practicing medicine for 9yrs outside of medical school and still be called a "junior doctor", you may be the level of a consultant based on knowledge, understanding, experience and even complete training but because you don't have a consultant post (due to reduced post availability in a large number of specialities you would still be a "junior doctor", which is crazy!

You have the same responsibilities regardless of the title. Kharma was explaining that it takes us way more years to achieve the same thing as American doctors. Kharma like me did a degree before going to medical school, which is now becoming a common appearance in the UK (bachelors + medical school degree= 8-9 yrs minimum) then add training = Foundation years (2yrs), GP/IMT/CMT (2-3yrs), Registrar (4-5yrs). That is without breaks or life happening.

Even if you do not do a previous degree before medical school, medical students on average are graduating with £100, 000 in debt, that's almost 200k in the US dollar as of today I am writing this comment. on average a doctor in the UK is paid £14 per hour (no where near keeping with inflation), Not to mention the number of exams to pay for to qualify for the specialities that the public need, not having a say in where you work in the country right from the moment of graduation. There is a lot of instability, difficulty and can be in a lot of ways incompatible with life.

Medicine is an amazing career but it is important that we highlight the difficulties faced by both doctors and medical students alike. Hopefully there will be moves towards better changes that will help make medicine more favourable for doctors and future doctors to want to stay in this profession. Which I appreciate that videos like these are trying to do! Doctors, allied healthcare professionals and patients alike both deserve the best :) Hopefully this helps!