Hospital doctors identify and treat injury and illness, often in a chosen specialist area. They may work with a particular client group, such as children, or in a particular specialism such as psychiatry or accident and emergency.
You could be:
- walking round the wards, discussing symptoms with in-patients and their relatives
- running a weekly clinic in your specialist field for out-patients
- examining a patient and identifying the illness from your own knowledge and experience and from test results
- checking on the computer about the right kind of medicine, calculating the correct dosage and prescribing it
- caring for patients before, during and after an operation
- if you specialise in surgery, carrying out operations (see Surgeon job profile)
- working with other hospital staff including other doctors, nurses, therapists and office staff
- working in a laboratory to identify causes and effects of diseases (see medical pathologist job profile)
- keeping records on computer and writing up case notes.
As of April 2016, in most junior posts (Foundation Year 1) you would earn a basic £23,672 a year, increasing to a basic of £29,361 a year in Foundation Year 2. In specialist training this rises to a basic of £31,220 a year.
Training salaries increase between 20% and 50% with supplements, depending on the number of extra hours and intensity of work involved. A doctor in the new specialty doctor grade earns between £38,685 and £72,140 a year.
A consultant's salary ranges from £78,304 to £105,570 a year or more.
- You work in hospital wards, clinics, laboratories or operating theatres, depending on your chosen area of work.
- Doctors often work very long and unsocial hours, including weekend and evening work (usually on a rota basis), although working hours vary according to specialty. The working time directive makes it illegal for junior doctors to work more than 48 hours a week.
- You would sometimes be on call for emergencies.
- Part time work is possible, particularly at the training grades.
- You might sometimes have to sleep at the hospital when on call.
- You would wear a uniform consisting of a tunic and trousers, and sometimes other protective clothing such as a mask or gloves.
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To qualify as a hospital doctor you need a degree in medicine and surgery which is recognised by the General Medical Council (GMC).
- You can study the 5-year MB ChB course at the universities of Aberdeen, Dundee, Edinburgh and Glasgow. Entry requirements are 5 good Highers, usually at one sitting, including Chemistry and (depending on the university) 1 or 2 from Maths, Biology and Physics, with English and science subjects at National 5. Although most institutions set the minimum entry of 5 Highers at AAAAB, the majority of applicants have AAAAA.
- If you have 5 good Highers but not more than one science subject, the University of Dundee runs a 6-year course which includes a pre-medical year.
- The 3-year BSc Hons Medicine at the University of St Andrews guarantees its graduates the chance to finish their training at one of the four Scottish medical schools or in Manchester.
- There is a new course available at the universities of Dundee and St Andrews for those with an arts or science degree (at least 2:1). The Scottish Graduate Entry Medicine Programme (ScotGEM) is 4 years and leads to the MB ChB. There is a focus on rural health and it offers opportunities to train in remote and rural areas.
- The HNC Applied Sciences (Pathway to Medicine option) at Perth College can lead on to the BSc Medicine at the University of St Andrews. Entry requirements for the Perth course: 1 Higher in Maths or a science subject, or Access to Science, including a pass in a science Higher.
- For all courses except ScotGEM, before applying to medical school you must sit the UK Clinical Aptitude Test (UKCAT). For entry in 2018 you must register and book a test before 19 September 2017 and sit the test by 3 October 2017. If you get an Educational Maintenance Allowance (EMA) you can apply for a bursary to cover the cost of the test. Check the website for further details at http://www.ukcat.ac.uk/
- For the ScotGEM course you are required to sit both the UKCAT Situational Judgement Test for Admission to Clinical Education (SJTace) and the Graduate Medical School Admissions Test (GAMSAT). Dates for the SJTace are as above and the sittings for the GAMSAT are held in March and September.
- For all courses except ScotGEM, you must apply to UCAS by 15 October 2017 for entry in 2018.
- The ScotGEM programme opens for applications through UCAS on 1 September 2017 for 2018 entry (subject to approval from the General Medical Council).
- You will require a satisfactory PVG (Protecting Vulnerable Groups) check to show that you are suitable for this type of work. Contact Disclosure Scotland for details.
- You must undergo screening for blood borne diseases such as Hepatitis B and C or HIV. Infection does not prevent you from qualifying or practising as a doctor, but there is a restriction on carrying out exposure-prone procedures.
- It is helpful to have a driving licence.
After your degree you do a 2-year foundation training programme, which gives you registration with the GMC, which you need to work as a doctor (see 'Training' below). Most doctors work for the National Health Service (NHS), but you might work in private practice. You could be a medical adviser to a company or the Benefits Agency. You could be a medical officer for the police and prison service.
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What Does it Take?
You should be:
- able to communicate well with people from all backgrounds and of all ages
- patient, understanding and able to put people at ease
- good with your hands – and gentle when examining patients
- able to remember large amounts of scientific and technical information
- confident enough to take decisions based on your own specialist knowledge
- willing to take responsibility
- able to work alone or as part of a team.
You should have:
- good leadership skills
- good negotiating skills
- the ability to influence others.
- After completing your degree, you must complete a 2-year Foundation programme followed by a run-through Specialty training. There are over 50 recognised medical specialties. You can get details from the SMT website: www.scotmt.scot.nhs.uk.
- You will be assessed throughout your training, and if the correct standards are met, you will be awarded a Certificate of Completion of Training (CCT). This will allow you to join the GMC Specialist Register.
- Throughout your career you will take courses to keep up to date with new developments in your specialism.
- With experience and training you could become a consultant. You can find more details about the career progression path for doctors on the Scottish Medical Training website.
- Entry to some specialisms is very competitive.
- It can help if you are able to move around the country or abroad.
- You might move into teaching or research.
You might enjoy using the A Taste of Medicine website developed by St. George's University of London, especially the interactive games and video profiles.
The Medical Careers NHS website is useful, there is a section on 'Choosing a medical school'.
You may find 'Score Higher on the UKCAT' book, published by OUP Oxford, useful when preparing for the UK Clinical Aptitude Test (UKCAT).
If you want a taste of what it is like to be a doctor and what to expect from the medical profession, then you should visit the Medic Insight website. This is a new programme run by NHS Lothian and NHS Tayside in conjunction with the Universities of Edinburgh and Dundee, and is aimed at S4 and S5 students considering a career in the profession. It is run in Edinburgh, Dundee and Glasgow as either a week-long event (June) or day-long event (February), and gives you access to consultancies, theatres and a wide range of specialties and levels of clinicians in a hospital setting. The website gives details on intake dates, availability and booking.
The following organisations may be able to provide further information.
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