Why Doctors are LEAVING Medicine & The NHS

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Whats up guys! My name is Kenji and I am currently a medical student at King's College London after graduating from the University of Birmingham with a Bachelor's degree in Medical Science (BMedSci). In this video, Yusef talks us through the difficulties he found working in the NHS as a doctor.

If you enjoyed the video, please give it a like and a comment so I know to make some more! Also please show support by sharing it with a friend who's also interested in Medicine :)

Thank you so much!

Sub count: 39,485

[khalilahd.]

They’ve made getting into medical school so difficult that if you don’t have a perfect CV there’s a high chance you won’t get in and it’s sad. There as so many potentially incredible doctors that never got the chance because of this rigid system (in the US but I know it’s bad in other countries as well)

[vairagya]

Another thing very prevalent in the NHS is an excessive ''blame'' culture. A very strong culture of ''isolation'' of the alleged wrongdoer. All you need is one mistake or one empty complaint and you could be reported to the gmc and your career would be finished. You work in constant fear and distrust of your juniors, colleagues, nurses and seniors. A few years in, you see things and you begin to understand, that if shit hit the fan, no one - NO ONE - would back you. Everyone will look the other way. Everyone will even forget who you are. Conversely there are also people who actively bully others, harass women, harass doctors from abroad - and nothing and nobody can touch them, no amount of complaints. But there's definitely a bias against BAME doctors when it comes to threshold for complaints.
Also, medicine is, unfortunately a career where you often learn the most from failures. The instances when you or the team couldn't help someone, and from mistakes. But in the NHS failures and mistakes are not seen as a part of learning. And people are not supported to regain their confidence or have a recovery process. The allocation of funds for resources is also messed up.
The biggest lie in the UK is that there is no money for the NHS. The money is all there - it just being spent in the entirely wrong way in the entirely wrong areas and entirely the wrong people. A 'very senior manager' can get £150, 000 per year and maybe upwards. This person hasn't slogged through decades of sacrificing their personal life and health to help patients. An NHS which pays it 'managers' and non-clinical staff much, much more than its nurses, paramedics and doctors has got it's priorities completely wrong. That's why you have seen nurses, physios, paramedics and doctors strike but have you seen NHS managers striking???? Why would they - they are overpaid!
Also, workload in the NHS for the average nurse or doctor is often so bad there is no time for empathy. Your priority becomes how do i get done with work on time, so i can be in traffic 1 hour instead of 2 hrs, that way then i can feed my kids and put my them to bed. Even so, i find the nurses are way more empathetic and better with patients than most doctors.

Lastly, good on you Yousef, for quitting. We get one life and there is no point whiling it away full of resentment.

[eleanormarshall]

This is really interesting. I'm an HCA and IT issues are a nightmare. The Wi-Fi goes down and the nurses can't give out drugs and we can't record their obs or view their charts. On top of that, we have so many logins and passwords that we can never access anything quickly. Student nurses and agency staff can't do the most basic tasks because they can't access out systems.

[h.ch]

First year med student here, you can already see the issues. I personally want to go down a surgical route and having spoken to higher years we have apparently very minimal (literally 1 minimum) surgical rotation ever. Its quite crazy to think that we just haven't bothered feeding into the different skills people have.

[student]

This was a very insightful video and I would just like to add how certain people such as some parents and teachers subtly push for certain careers like becoming a doctor without them really explaining the amount of hard work, time and dedication it takes to pursue these careers.

Which is something I feel like many children and young people don't fully understand until they become older and go into these paths, then suddenly leave these jobs generally perceived as "excellent" since they had no idea that it would take so much out of them.

Other than that, this was an excellent video, Kenji 🙂

[DrErwinKwun]

I've been a doctor for nearly 8 years and have spent countless hours dealing with paperworks. The harsh working condition is pushing doctors to leave the NHS for Australia and New Zealand. When I signed up for medicine I knew the job required working long hours. However, the sacrifices doctors make due to the demand of work and rota are often at the expense of personal lives. Not being able to take annual leaves when one needs to attend to personal commitments undermines someone's autonomy. During my training, I was overworked but kept up with the increasing demand of work and pressure. A few years ago, after a hectic 13.5hr night shift I started to notice the impact of heightened chronic stress, sleepless nights and long hours on my health.

[gingerssmelllikecabbageand]

Hi guys don’t know if you’ll read this. My introduction ( I’m a nurse by the way) and background is theatres for 3yrs( upper GI, lower GI, vascular, thoracic, emergency theatres), AMU 1yr, HDU respiratory 2yrs and finally ITU for 6 yrs ( liver, burn and trauma, lastly cardiac), done my masters in ITU.My last two years has been outreach( done my prescribing course as well) but the NHS has burnt me, I now having a career change into construction, for the above reasons you’ve mentioned, pay is one of the primary reason I’m leaving, but also the system in general. I’ve grown disappointed with the NHS, but that due to government purposely destroying it from the inside. So I have to ask myself the question, why am I giving the best years of my life, when government are batting against me, push my physical and mental health to the edge.it’s almost like, me spending my hours building a house only for the owner to burn it down and say I’ll get more money on the insurance pay out.

[MsPeabody]

NHS IT staff are poorly paid compared to IT staff in the rest of the UK. Also they generally only recruit from a small pool of people who have NHS IT experience. This is to stop people doing stuff that will kill patients, but it also means they don't have experience of current best practices.

[sextonblake]

Ok now here is the other side.
The Patients are tired exhausted as well. And we'd love to leave, but we just CAN'T.
We are obviously sorry that the Government is treating it's employees so badly.
Not sure what that has to do with us. We worked long hours as well, most of us for less pay than youare getting.

[lowcarbRD]

Dietitian here. All his points apply across the board to other healthcare professionals which is why I'm considering leaving for good.

[luisangel-jd]

The reasons why he left medicine are the same reasons what I left too. I am from Mexico and what rings my bell is that the reasons (administrative tasks, payment, not enough equipment, outdated systems, etc.) are the same complaints that we have here. What makes me think, how can we make a better health system?, do we need to restructure the whole system?.

[wsrwrzp]

I've done 10 years with them, understaffing and underpaying is just any dayjob, let me tell you why people walk out rhe NHS - BULLYING MANAGMENT . Name and shame them and nip it in the bud, or just quit.

[derekwhite]

The paramedics were struggling with the pages of paperwork on the way to & from hospital last week & having difficulty writing the notes whilst the ambulance was still moving!
And the unplayable student dept, is the American system!

[abdunacerhouam]

I think everyone should at least be accepted as an individual in medical shool or in other parts of healthcare and should not be assessed on high grades but with passion and experience. This also is a passion for some students that want to study or go into health care and not should be judge by grades or whether tough decisions.Just my point of view no hard feelings.

[ScanningTheMind]

Great conversation and all the points he made definitely resonate with most doctors I know/work with.

[SnackChats]

Video goes hard and It ain’t even out yet 🔥

[oliverbradshaw]

I love your videos and want to do what you do! Could you please make a video on GCSE's, A-Levels and University/Med school courses. Like what ones you should pick ect.

[brucemcclelland]

If you don’t care about money and quality of life then medicine is for you

[freddyjafar]

How accurate is the show, "This is Going to Hurt"?

[cathygoodman]

I agree, our time IS NOT RESPECTED. I've been a nurse in the nhs for 37 years...b4 computers.
While I've observed computers can give more instant access to input patient data already there, now the doctors are spread cross site, the common DAILY functioning I.T failures are VERY obvious.. which puts immense pressure on staff, denying face to face patient care.
THE SYSTEM IS THE BIGGEST PROBLEM.
I love my patients and multidiciplinary collegues, but I'm not sorry I'm getting closer to retirement than the beginning.
We may think advances in medicine are making us live longer at the moment. But I hear a report age expectancy is begining to drop. The current elderly generation were born pre NHS...no sitting about, no antibiotics (was survival of fittest only) no E numbers or junk food, like subsequent generations.. and now being kept alive with medicine.
However we are less fit, eat junk, more obese, so likely to die younger. That good news for the planet, our heirs, and the NHS.