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This bit is one of the worst bits. So they get paid more than residents. Work literally half as much. Hoover up all the easy cases. Fuck them up anyway. And work strict hours with breaks so they don't get a lot of work done anyway and just leave midway through shit.
On some inpatient units adding an expensive mid level who costs as much as two residents actually makes things worse. It's insane.
I also just do not understand why it's so hard to convince people that doctors with tens of thousands of hours more training are in fact more competent than nurses with a small amount of shadowing experience and with little to no formal education in actual medicine.
Clown world.
They bear almost no medicolegal responsibility, as long as they do their job, which is being largely useless. Seriously, if you, as a random doctor on the ward, ever get called over while harried to death in the middle of your shift and they ask you to sign off on their suggestions, then it's all on your head if something goes south. And if you refuse, well, you better be ready to face the ire of your seniors, who'll tell you to be a team player.
Fucking, hell they make more money than I do for my first year as a CT1 trainee. Matching my salary next year to boot. Maybe a quarter the time in education, exams where it's ridiculously difficult to flunk, and then they rake in the big bucks and have stable postings without rotational training and can coast until they often end up poached into managerial positions that were once expected to be done by doctors.
It might be a clown world where you're at, but here, the inmates are running the asylum. The UK has a massive shortfall of actual training positions, so it's both a miracle I made it on my first go, and people who don't are SOL till next year around while yet more medical students are pumped out. (I note the conflict of interest as an IMG, but I don't care, they have it easy compared to the shit I go through, and if they want to protest the erosion of pay and scope creep, I'm with them in the picket line)
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