#finally sjt is done

[soumal]

re-entering my matcha latté era

[help-im-a-medstudent]

hey! not sure if you’ve seen how they’ve changed the foundation application in the uk, but wanted to know what you think about allocations being done by an algorithm? Also, any advice of where to pick? currently trying to rank deaneries for fy1 lol

Hi anon,

Yes I saw that and I really don't think it was a good idea. The UKFPO are going to try and say it works because more people got their first choice this year than previously (75.42% compared to 71.02%) but actually the percentage of people getting one of their top 5 compared to 2023 was lower (94.99% compared to 92.40%) This means if you don't get your first choice with the new system, you're more likely to get one that was much lower down your list.

There were definitely problems with the previous system, and whatever system they use people are going to be disappointed and not be in their first choice. But with the previous system it did feel like you could have some control over your choice, by performing better at med school/in the SJT. Now I could do a whole post on the SJT and whether it's a good test but anyway, at least having something like the scores from the PSA/a national clinical exam in final year to rank people gives them something to aim towards to increase their chances of getting to where they want to be

I guess it does allow people to get into very competitive deaneries who are perfectly good doctors but just don't perform as well in exams, but also there's only a certain number of spaces in those deaneries and a random allocation doesn't make it any more likely that people who would have previously ranked lower would get in, because there's still going to be A LOT of people ranking it highly, perhaps even more now, because some people who might have thought they 'didn't have a chance' will have ranked it higher if that makes sense haha

One thing to say is the 2 years go SO quickly, so if you do get somewhere you didn't want, it's not going to be long before you can look for jobs elsewhere/apply for specialty and try to get to a different deanery.

In terms of where to pick, there's lots of considerations and it's about deciding what's important to you

where you went to medical school - staying in the same deanery as your med school means that you might be familiar with the hospitals which can help ease you into foundation, plus if your friends are staying then this is really good for support because F1 can be tough

where your family are - again if family are a good support system for you then being near them can help!

what the training is like there - i'm fairly sure somewhere there's results comparing the foundation schools based on the national training survey, but remember all the deaneries will have a variety of hospitals - tertiary, DGH, some will have more rural things as well depending on what you want you'll have a big choice of jobs to rank once you know what deanery you're in

Hope this helps! let me know if you have any more questions, and if anyone wants to add to this feel free

Good luck with final year :)

[anattempttostudyharder-blog]

Day 5/50

Studied for 1 hour and 10 minutes

Studied SJT

Had to work today but I got a lot of things done- research work mainly

Tomorrow is finally a day off so I'm hoping to get in a good amount of work in!

[vascularscientist]

T-minus 19 days till uni

Woke up at 4:25am to my partner sleep-rascalling. I think the stress of finishing his masters has his sleep all thrashy.

Played hay day till 9.

Found out the dates I volunteered at hospital.

Called pharmacy to find out where I can get the final evidence for my partner's mitigation application.

GOD TIRED OH MY DAYS I'M TIRED FUCK SHIT OHHHH BOY OK JUST STAY AWAKE TODAY ALL I GOTTA DO IS BE AWAKE TILL 8PM OOOH BOY OK.

Did about an hour of 123 sonography course content, looking for more details about vascular disorders based on their starting point and sort of preparing for the SJT in a very broad way.

Caught up with my sister while my cat blocked me from working.

Confirmed senior advisor and independent students team meetings.

Passed out at about 4pm. Eh. I got some stuff done towards those alleged to-do list tasks and it was more awake across a bigger span of daylight than I've been in months so this was fine.

[dxmedstudent]

Dx- I am feeling really really sad right now, can't really stop crying. I sent you an anon a month or so ago (if you remember) on the day of my OSCE and updating you how it went... Long story short, there was a leak and many of the students knew the stations in advance and I was feeling shit about it after (because it was a good half of the year I think) but my OSCE results came back and I got 25 (out of a hundred) and a very clear fail. There are no retakes (it is formative) but I am now in my final year and I can't help but feel like absolute shit. I know I am a good person (the patients I see now at the GP always tell me I will become a lovely doctor) but I feel so stupid... My friends did better and they didn't know about it either- so they're trying to say some hospitals are harsher but I know someone on the exact same circuit as me who also passed. I just feel horrible, my EPM overall is going to be so low and I will have to accept that I can't live in London. Idk. I feel really sad... I'm going to meet my personal tutor and he will provide words of comfort. OSCEs are absolutely the worst.

Hey, I'm so sorry to hear this. It's really unfortunate that the stations were leaked - and therefoe some people got an unfair advantage which then ruined the grading curve for everyone else. It always sucks to do less well on an exam than we hope - expecially when that's at least partly not our fault. It's not fair, and I can see why it really hurts. I'm sorry, I wish we could make it better. I would say that the EPM is only part of it - the SJT matters too! You don't know where you're going to get a place til its done. Now I received this message a while ago and I lose track of time, I'd love to hear where you ended up! Ultimately this only affects your foundation years - remember that it won't be forever, and when you get a clinical fellow job, locum or go into training you'll get another chance to apply whatever you want. Even if you don't get into London, you might get somewhere nearby enough to travel back to see family and friends on the weekend! I should say that as someone who has lived both in and around London for work, it honestly took me less time to get back to see family and friends from some places outside fo London than when I was on the other side of London! I also want to say that whilst it hurts if we get sent further away than we want, sometimes that also ends up being a nice place to work, with the best kind of people. You can find your home, and make friends anywhere! I wish you all the happiness in the world, and as you face your foundation years you always have at least one friend to share things with - whether things are good or bad. Welcome to the team :)

[armywriter2605]

Theirs - Chapter 6 - OT7 x Reader

Genre: Mafia AU! BTS; Yandere AU! BTS; Angst; Fluff; Smut; OT7 x Reader

Warnings: Cursing; Mature Content ; Mentions of abuse and bullying; Yandere BTS; Gore; Oral sex (female and male receiving)  Stalking; more to be added throughout the series

Words: 4.7k +

1 / 2 / 3 / 4 / 5 / 6 / 7 / 8 / 9 / 10

Tag List :

@themisses777 @snowythellama @i-am-canada-13 @honeycutelove @im-a-space-child @minhyunie-lovely @kawaiimusiccollection @perfectlyfangirling @technicolor-blues @karissassirak @decafe-jeonseagull @cherryicy123 @blackpanther4550 @ahslde @bangtanlove16 @joyful-jimin @beach-bitch-bitch-beach @sjt-kpoplover @letmebefreeblr@kaykay-loves @someslightobsessions @ttimeawayy @snowythellama @taerifficocean @bts-edits-bitch @saywheaaat @namjoonsslutakakoreanmanswhore @aretha170 @moxxie84 @hypophrenium @ruth619 @teenykoo @risefallrise-blog @lustremyg @3dmegamorea @alphajevie @theclosetedkpopper @livingbubbles-blog @kpopgirlbtssvt @kaoelle @dankcuddles @beetea-s @jinxxminxx @miinoongi @lizzy-min-bish @vi-hoshi @xcharlottemikaelsonx @m0chilattae @nomimits7 @amazedforjjk@tearsqueen @multifandomgirl29 @namjooniewifeu99 @jianing2603

GIF NOT MINE

Three days had passed since you found out what your best friends’ job was. The seven of them were acting like it never happened. Like they didn’t work for a mafia and didn’t hurt people, yet you couldn’t let it go. It was stuck in your mind. The sweet guys you fell in love with had revealed a side you didn’t know existed. Although that had happened, they were still your best friends, at least, you wanted to believe that. They were still the guys you met years ago, the same ones who were there for you through all your ups and downs.

You woke up with a headache, uncommon for you since you rarely had headaches at all. None of the boys had been coming to your room and sleep with you, which unconsciously was a stress reliever for you. You had known these 7 guys for so long, being close to them every single day. It was weird for you not to. Of course, they acted like nothing much had happened yet there was still some tension. Especially between you and Taehyung. You had barely directed any words to them, and now the feeling of guilt was starting to hit you right across the face. Had you overreacted? Was the tension between you and not only Taehyung, but all of the boys on you? Like they said themselves, they were still the boys you met at the arcade. They were the same boys who promised to take care of you and protect you at all costs. Was it you fault they were doing these things and went down this path?

You stood up from your bed and put a hoodie on, which belonged to one of the guys. That was one of the many advantages of always being so close to them during high school years. The endless number of possible hoodies you could borrow and use. You put socks on and walked to the bathroom, leaving for the kitchen once you were done. You sighted all of the boys eating in silence. Some were looking at their phones while others simply stared at the white painted walls, lost in their own world.

You let out a sigh, the headache making it almost impossible to talk. The brightness coming through the windows was making it even worse. It almost felt like you were hangover, the only difference was that you had not drunken a thing last night.

“Angel, good morning.” You heard Hoseok say as he looked up from his phone, putting it to the side as his attention was now on you. He noticed how Jungkook’s hoodie covered your upper body till your midthighs. You gave him a weak smile as you made your way to the member sitting closest to you, who was Jimin. You looked at him and hugged him tightly from behind, surprising all of the other six boys. Were you finally accepting them and putting the whole talk from the other day behind?

“Hey munchkin, good morning.” His voice was raspy which made it sound like he had just woken up yet there was still the same sweetness you knew. You missed the intimacy you had with them. Only then you noticed how dependent on them you were.

“Minnie, I don’t feel good.” You mumbled into his back, closing your eyes.

All the seven guys looked up once they heard you small voice. You looked so tiny hugging Jimin like your life depended on it. If you weren’t feeling bad, they would find this situation the cutest ever.

“My head hurts so bad. I never wake up with headaches…” Your voice was low and with your face buried in Jimin’s clothes, you couldn’t see the smile the boys had on their faces. You were coming to them in such a vulnerable state which meant you trusted them. In their minds, you clearly wanted them to take care of you and that warmed their hearts. How adorable you were. Although in your head, you simply needed comforting. Your head was killing you and it could be anyone right now, you just simply wanted to feel better soon.

“Come here, princess.” You heard Jin say, opening his arms for you. That made you smile. Jin was always the one who took care of you whenever you were sick. You loved how he made your favorite soup and bought your favorite bread. He always made sure you got better in an instant. As you walked into his arms, Jin rested his palm on your forehead which instantly made you relax.

“You don’t have a fever. I’m sure it’s just stress that’s giving you the headache, princess. How about Namjoon and Yoongi take you to bed while I get you some pain relievers and cook you a good breakfast? You’ll feel better immediately.”

You nodded before turning to Namjoon who carefully picked you up in bridal style. You rested your head against his chest as Yoongi walked in front of you both, opening the door to your bedroom. Yoongi was the first one that laid on your bed, taking the left side of the bed. Namjoon carefully laid you down next to his hyung as he took his hoodie off and made himself comfortable, laying next to you on the right side of the bed. You smiled as you felt Yoongi wrap his arms around your waist and at the same time, Namjoon intertwined his legs with yours. Their warmth immediately comforted you, your headache already getting better.

Namjoon brushed a strand of your hair away from your face, caressing your cheek afterwards. “Rest, baby girl. We’ll wake you up once Jin – hyung is here. Plus, looks like Yoongi-hyung is already ready to sleep although he woke just 30 minutes ago.”

“Shut it, Joon.” You heard the older male say, knowing he was smiling against your back. With that, your eyes closed, Namjoon being the last one you saw before you left for the land of dreams.

3rd person POV ON

As Jin and Hoseok were cooking a breakfast fit for their queen, the three younger members sat around the island in the kitchen. Jimin had a smile on his face as he drank down his juice, remembering how tightly Y/N hugged him.

“She’s still mad at me… she didn’t even look at me.” Taehyung said as he ate his scrambled eggs. He was mad at himself for yelling at her, yet it wasn’t his fault. He needed Y/N to understand how much all of them cared for her, doesn’t matter how. Y/N was their everything, yet it was annoying him how she smiled at Hoseok and Jin but not at him. He wanted her close to.

“Hyung, she wasn’t feeling good. Once she feels better, she’ll come to you. You know she loves you as much as she loves all of us.”

“Jungkookie, she was wearing your hoodie, she hugged Jiminie, smiled at Hoseok-hyung and Jin-hyung and is now with Namjoon-hyung and Yoongi-hyung. I also want some affection.”

“And you will get it soon enough, Taehyungie. How about you ask Jin-hyung if you can take the breakfast to her? I’m sure she’ll appreciate it a lot.”Taehyung nodded and turn to the older males that were talking to each other while cutting up some fruit.

“Jin-hyung, do you think I can take the breakfast to Y/N’s room? Or at least help?”

“Of course. I’ll need to clean up anyways. Why don’t you and Jungkook take the breakfast together instead? You’ll need another pair of hands if you wish to take everything without spilling.”

“Thanks!”

Taehyung had now his square smile as he grabbed his phone, staring at his lock screen. It was a picture of Y/N and him at an amusement park, both wearing matching hats. He remembered that day so well. It was three years ago, the day after Y/N got to know she passed her exams. He still remembered the huge smile she had on her face. All the boys had helped her studying till early in the morning even though Namjoon was the one that truly explained most of things to her. Taehyung needed her to understand that their love for her was endless and they weren’t going to let a small detail of what their job was get in their way. Nothing was getting in their way of claiming you as theirs.

About half an hour later, Jin and Hoseok had successfully finished plating everything. They were both extremely happy with it, as it was maybe one of the best breakfasts that had been cooked in this house.

“Okay one of you takes the tray with the food, while he other takes the glass of juice and the medicine. Do not let anything fall or you’ll ruin our whole work.” Hoseok said as he eyed the younger boys who nodded excitedly at their hyung.

“Jimin, you can actually help them. Just open the bedroom door for them so Taehyungie doesn’t try anything funny.”

“Sure, hyung. Let’s go.”

With that, Taehyung took the tray of food that had pancakes, fruit, eggs and much more in it while Jungkook took the fresh orange juice and the pills bottle. Once Jimin opened the bedroom door, Namjoon carefully looked at it, seeing his younger brothers walking in. He smiled as he now carefully started running his fingers through Y/N’s hair.

3rd person POV OFF

You woke up as you heard the clicking of a phone camera going off and long fingers ran through your hair. You carefully opened your eyes, seeing Jimin pointing his phone at you. You let out a quiet chuckle before seeing both Taehyung and Jungkook with what you deduced was your breakfast. It looked extremely good and you were starving. Namjoon kissed your cheek before he stood up. You looked at him questioningly, wondering why he wouldn’t stay right where he was, warming you.

“We have work today, baby girl. We stayed at home these last three days, but we need to do some stuff now, okay? Jungkookie and Taehyungie will stay with you, don’t worry.”

You frowned and simply nodded your head at him before he left the room with Jimin following close behind. You turned to Taehyung and Jungkook before looking at Yoongi, who slept next to you.

“Yoonie, you need to wake up.” You said as you ran your fingers through his hair exactly how Namjoon did for you just minutes earlier.

“Mm…”

“You have work, Yoonie. You need to get up.”

You heard the older male let out a deep grumble before he opened his eyes. He looked at you and buried his face in the crook of your neck. “We’ll be back later, love. Eat your breakfast and stay at home. I love you.”

Yoongi gave the younger boys a look before he yawned and got up before placing a kiss on your forehead. “Bye love. I’ll miss you.”

“I’ll miss all of you too. Be careful, please…” You mumbled as you saw him smile and nod, waving his hand and leaving the room, closing the door after him.

You sat up on the bed as Taehyung now placed the food in front of you, smiling widely. He sat next to you where Namjoon once found himself as Jungkook put the juice glass on your nightstand with the pills before he got into the bed, getting under the covers where Yoongi slept soundly just minutes earlier.

“Eat up, sweetheart! Jin-hyung made many things and you need to eat a bit of everything if you want to get better.”

“I’m already feeling better Tae. Sleeping next to Joonie and Yoonie really helped.”

“Still, you need to eat and take the medicine. Just to make sure that headache doesn’t come back. Me and Taehyung-hyung will keep you company all day. We can play games, sleep, watch something together. We’ll have tons of fun.”

You simply nodded your head at Jungkook’s words, before grabbing the fork and knife and eating a bit of the pancakes. “Please help me eat this okay. I can’t possibly eat all of this by myself plus we don’t want to throw any of this away, so start eating Kookie, Taetae.”

Both of them nodded happily as they heard you use their nicknames. As the three of you ate, you heard the front door close signalizing the other boys had left the apartment. About an hour after, you, Jungkook and Taehyung were done eating and making small talk. Your headache was now much better which was good. You were the first one to get up from the bed as you looked at the boys who laid on your bed. “I want to go out! Maybe to the mall or something. It’s such a nice day out too.”

Jungkook was the first one to shake his head, ripping away the smile off of your face. Taehyung soon followed as he gave you a sad smile.

“No can do, sweetheart. You heard Yoongi-hyung. We should stay at home today. Maybe another day, okay? We can have tons of fun inside. There’s this new game that I bought and maybe I could teach y-”

“I want to go out, Tae. Not play some games inside. I want to go out because the weather is nice, and I feel like it. I was inviting you two, but if you don’t want to come, I’ll go by myself.”  

By now, Jungkook was standing next to you. He wasn’t going to let you leave that room until the three of you were on good terms. These three days had been hell for him, he wasn’t going to go three more days with you not talking to them.

“You won’t leave this house, Y/N-ah. It’s for your best plus, you just had a headache. What if you get a headache while you’re out? No. We’re staying.” Taehyung said as he stood up now, looking at you in the eyes

“Stop fucking controlling me. If I want to go, I’ll go!” You slightly raised your voice at him, the bottled-up anger from the previous argument coming out. You were done with them telling how things were going to be instead of consulting you first. It wasn’t fair.

“You’re ours. And you’re not fucking leaving this house, understood? Yoongi-hyung say for you stay inside and you are going to stay inside. Stop making things so damn hard.” Taehyung replied to you in the same tone of voice you gave him, Jungkook simply staring at the both of you bickering back and forth.

“Fuck the both of you!” You yelled as you made your way to the door. Jungkook noticed that and stood tall in front of you, not letting you grab the door handle.

“Oh, you wish, sweetheart. Having the both of us may even be a dream of yours, hm?” You heard Taehyung say from behind you, his breath hitting your neck. At the sound of his voice, you swallowed hard. The anger inside of you had now completely vanished, as your thoughts were now clouded with the sight of Jungkook looking down at you. His pupils were dilated, filled with an emotion you had never seen before on him, lust.

“Right, Y/N? Was this your way of perking our attention? If that is what you wanted you could’ve just told us, right Kookie?” Taehyung’s hands now made their way to your waist, pulling you into him, yet you still faced Jungkook who nodded at his hyung’s words.

You weren’t sure of what say, yet your body knew exactly what it wanted. You rested your head against Taehyung’s shoulder, your neck now completely visible and exposed to the older male. You let out a deep sigh when you felt Taehyung’s warm lips connect to your neck. He carefully placed small kisses on your neck, his tongue brushing your skin every now and then, giving you goosebumps.

“T-Tae…ah…Kookie please…” You unconsciously moaned as you stared into Jungkook’s lust filled eyes. That was enough to drive him crazy, closing the space between you two connecting his lips to yours. To say you were surprised was an understatement. You immediately closed your eyes, focusing on the hungry kiss Jungkook was delivering. It was like he had been wanting this for God knows how long. His force slightly pushed you even closer to Taehyung, who was now leaving red marks on your neck. Jungkook’s tongue asked for permission to enter your mouth and you happily gave it access as your arms were now wrapped around his neck, your fingers on the back of head carefully pulling his hair which caused him to let out low groans from time to time.

“Were you this desperate for us, baby? What would you the others think if they saw you this hungry for us, hm? Such a naughty girl you are.” Taehyung’s voice filled the bedroom, yet your and Jungkook’s heavy breath was right behind once you two broke the kiss.

“Y/N, please stay home with us.” You heard Jungkook say as he caressed your cheek with his thumb, Taehyung’s breath still hitting your neck. You knew you should put up a fight, giving them this win would only make things worse later, yet you couldn’t help it. Jungkook’s eyes were staring at you as Taehyung’s hands held you tightly in place.

“Of course, Kookie.” You mumbled out as Taehyung started planting more kisses on your neck. That made you smile and giggle yet soon after, those giggles turned into quiet moans as Jungkook now pulled you closer to him into a more passionate kiss. You could hear Taehyung chuckle and a shirt being removed from behind you. This was the first time you had ever made out with someone and you had this weird feeling in your stomach. It was like you were nervous yet at the same time you weren’t. You wondered how many times both of them had done this before but at the same time you didn’t want to know. Were you any good at this? What if you’d disappoint them throughout any of this? As you got lost in your thoughts, Jungkook had stopped and stared at you. In his mind he wondered if you didn’t like it as much as he was liking it.

“Y/N? What’s wrong?” Jungkook’s voice held concern and at the sound of that, Taehyung stopped the magic he was doing on your neck.

“Sweetheart?”

With the both of them echoing their concern, you looked at them. Should you tell them? Or should you just hide it away? You usually never hid anything from them, so it shouldn’t start now, right?

“I…I’m scared. I can clearly see you’ve done this before, and I haven’t. What if you don’t like it? What if the others don’t like it? What if you I disappoint you or disgust you or something like that? What if you stop liking me? I’m just thinking of that. That’s it.” You said all in one breath, looking down at the ground after sitting down at the edge of your bed.

“Wow sweetheart calm down. You said what? Stop liking you? That’s impossible. You are perfect for us; all we’ve ever wanted. You don’t see how much Jungkookie there was enjoying it? I swear to God he was about to cum in his pants.” Taehyung said, laughing. At the sight, you smiled. Was Jungkook really liking it?

“I was not about to cum in my pants, Tae. Anyways, we love you cutie. How could we stop liking you after this? If anything, we like you even more now. Yes, we’ve done this before a couple of times. Not tag teaming a girl together, but even so you are the best of the best. You’re everything we want and whenever we did anything, you were the one in our minds.”

“Jungkookie is right. Whenever I did anything, you were the only one in my mind. And the others will love to know that you’re opening up to us in this way. They’ll be mad that it was with us and not them, but believe me, you will never disgust us or disappoint us. Never.”

You smiled at their words and got up. With your newfound confidence, you slammed your lips on Taehyung’s. His hands were quick to pull you close to him as he kissed you back. You smiled against his lips as you noticed Jungkook taking his shirt off as well. Jungkook took Taehyung’s early place behind you, pulling you down to sit on his lap on the bed as Taehyung towered the both of you now.

“God baby. You’re so beautiful. So so beautiful and all ours, right? Ours to keep forever.” Taehyung’s voice was low as he went down on his knees in front of you and started placing kisses on your bare legs.

“You see what you’ve done to Tae, cutie? You have him on his knees. Do you understand how much we love you now? We love you more than anything. When I saw you walk out of your bedroom today in my hoodie, you had me so weak. I just wanted to take you right there in front of the hyungs. I had to control myself so much.”

“Ah…you have me here now, Kookie.” You let out a moan as you felt Taehyung now kissing your thighs. Jungkook turned your face to the side, planting his lips on yours once again. The both males fought for your attention in different ways and your mind was going crazy with the amount of pleasure you could feel with just kisses. At the same time, you tensed up a bit as Taehyung started pulling the hoodie up. What was he going to do?

“May I, baby?” You heard Taehyung’s voice deep voice ask as he looked up to you. As both your tongue and Jungkook’s fought for dominance, you gave him a quick nod. You trusted these boys with everything. They’d been there for you since you were young. You couldn’t feel more comfortable than you already felt.

At your nod, Taehyung pushed your hoodie up and he now kissed your inner thighs. At each kiss, you shivered. Your thighs were at a room temperature, yet Taehyung’s mouth was warm. His wet kisses only made you crave for more. Jungkook noticed how his hoodie was now revealing more of your skin which only drove him crazier. He smirked as one of his hands found its way inside the hoodie, covering one of your breasts.

“Tae, her nipples are hard. She’s loving this.” He mumbled our before he attacked the other side of your neck, placing kisses of his own as he fondled your breast.

“Is that true, baby? You enjoying our attention? You have no idea how hard you have me. Let me pleasure you even more, baby. Let me and Jungkookie take care of you, okay?” Taehyung asked as he carefully removed your underwear and tossed it aside.

“Okay, Tae.” You said in between breaths as you kept your eyes closed, your head resting on Jungkook’s shoulder. Taehyung smirked and looked at your face before he eyed and Jungkook and nodded his head.

In a quick moment, Jungkook’s hands held your thighs, opening your legs as Taehyung now brought his tongue to your slit. At the warm feeling, you gasped as you looked down at the older male who now licked your slit while the younger male kept your legs wide open.

“Oh my god, Tae…”

“Feels good, doesn’t it? Look at how Tae is eating you out, Y/N. Look at how is tongue is hungrily licking your opening. Keep your legs open for us, cutie.” You heard Jungkook say as on of his hands now moved towards your pussy, his middle and index finger now connected to your clit, carefully rubbing it.

“Kookie!” You let out a louder moan as now Taehyung pushed his tongue inside of you. You couldn’t believe how good it actually felt, having both of them do their wonders on your body. Your mind was completely blank as you focused on the pleasure you were feeling. You knew you wouldn’t last long while both males had their hands on you so just five minutes later you could feel your body reaching its limit.

“Ah…It feels so…Tae, Kookie I’m close.”

You heard Jungkook’s low chuckle before he moved his fingers faster while Taehyung moved his tongue in and out of you even faster. It was your first time ever letting anyone touch you, but it was probably the best you’d ever felt. It wasn’t long until you arched your back and let out a loud moan.

“You taste so sweet, Y/N. I could have you to breakfast, lunch and dinner every single day, sweetheart.” You barely heard Taehyung as your heavy breathing as the feeling of climax clouded you.

Jungkook soon stopped his fingers, bringing them into his mouth. “You’re right, Tae. So damn sweet.”

You rested your whole body on Jungkook’s as you opened your eyes, a smile curling your lips. At the sight, both boys smiled widely. Not only were they happy that they made you feel so good, they smiled at the thought of how they’d tell their hyungs how they’d been the first ones to make your orgasm. That was a clear win for the maknae line. On the other hand, you were smiling because they’d been the first ones to touch you. You were happy it had been one of the seven guys you held so dearly. You wondered how things would be between all of you, but they promised you they wouldn’t stop liking you and that was enough for you. Or was it?

You were so lost in your world you didn’t realize you were now laying on the bed, Taehyung and Jungkook removing their pants and underwear. “Take care of us too, Y/N-ah.” You heard Jungkook say as he brought into your view his cock. It wasn’t crazy big, or crazy thick. Both his and Taehyung’s were what you’d say was average, yet the sight of them had your legs tremble. You carefully nodded your head as Jungkook brought his member now closer to your mouth and Taehyung held one of your hands and guided it to his own cock, wrapping it around it.

“You have no idea how long I’ve wanted this, sweetheart. How many times I imagined your hands around it instead of my own…” You heard Taehyung roughly as you opened your mouth, carefully taking Jungkook’s own cock into your mouth. You closed your eyes and carefully started bobbing your head up and down, moving your hand at the same rhythm. It wasn’t long until both Taehyung and Jungkook moaned and groaned, only making you want to do it more and better. You wanted to drive them over edge just like they did with you and it wasn’t long until the youngest male was moaning louder, rocking his hips against your mouth making you gag each time.

“Y/N-ah…ah…I’m going to cum if you don’t stop…” At the sound of that, you tried your best to keep going as the tears rolled down your cheeks. You weren’t going to stop now.

“Baby…fuck…keep going…” Taehyung groaned closing his eyes. You knew both were close and your suspicions were proved right when, without a warning, Jungkook shot inside your mouth, followed by Taehyung cumming allover your hand. You tried your best to swallow every last drop that tinted your mouth, yet the taste was more bitter than you were expecting.

“You swallowed it? Fuck baby…I was going to apologize but now I can’t. That was so hot.” Jungkook said from behind you, kissing your forehead before heading to the bathroom to grab a towel.

“Sweetheart, you just gave me the best orgasm ever. It was so fucking good. Thank you so much.” Taehyung smiled at you before pulling his underwear up. “I’ll go grab you a new hoodie, yeah? Or do you want to take a bath? Maybe eat? Drink something?” As Taehyung numbered all things he could do for you and Jungkook walked into the bedroom with a towel and fully clothed, you heard the front door opening.

“Angel, we’re back!”

 Preview Chapter 7

“We were gone for 3 hours”

“Is that cum dripping down her hand?”

“If this is going to work, then no more secrets.”

“I love you all so much.”

“My parents are calling…”

“Are you done whoring around?”

“You’re trying to take her from us? She’s fucking our so you two better fucking lay low. We won’t have any problems getting rid of you.”

[misboxiemd]

PLAB 2 and SJT results

So i headed to London to take my first exam of the year, the SJT (situational judgement test) for my UK Foundation Program application. It was such a weird exam and i felt like i didn't know what i was doing. the results came out mid-March and thankfully i passed and didn't fail miserably like i thought i would. 

I went back to London for about 6 weeks to prep for PLAB 2. I took a 2-week course with Aspire Academy. it was kinda brutal. every single day of the week, 9-8pm of lecture and practice. Then after the 2 weeks were done, i practiced with some people i met at the academy for 4 weeks and had my exam on the 1st of March. The results came out at the end of March and I passed. it felt like i messed up so bad and i thought if i passed it’d be a lucky pass, but i did exceedingly better than i imagined. God really came through for a g. I was so happy because it feels like things are finally falling into place. 

What this means is I am able to apply for my provisional license to practice, which is what I’m doing now, by sending GMC (the general medical council) the documents they requested. I already got my credentials verified with EPIC. 

Because i’m not  a UK citizen or from the EU, I'm on the RLMT (reserve list) and have to wait for those from the UK/EU who have ‘right to work’ to be allocated jobs. Waiting up until the end of April to find out about my allocation details. 

[sjt-cpa]

Here are the key ways to hire a Montreal Accounting firm in 2022

In business, accounting is a crucial function. It is through accounting that a business can solve the entire labor issue and monitor the cash flow. Proper accounting means a smooth business flow. Nevertheless, we all know that things are not quite that easy. An entrepreneur would never consider entrusting such a crucial duty to just any corporation. Therefore, it is essential for a business owner to pick a decent Montreal accounting firm to work with in any condition.

What are the most crucial considerations? We have compiled a list of the top criteria to look for when selecting a Montreal accounting firm.

Assistance to Clients

Initially, you should assess the level of service provided. To outsource a reliable Montreal accounting firm successfully, it is a crucial consideration. It is crucial that the accountant be available whenever needed and take the initiative to assist in finding solutions. Prior to making a financial commitment, you can gauge a firm’s availability, friendliness, trustworthiness, and speed of response. To make the best decision possible, keep an eye out for these indicators.

If you are looking for a reliable, professional, and affordable Montreal accounting firm, we recommend you SJT CPA, one of the leading accounting firms in Canada.

A thorough evaluation

Even while something seems inconsequential, its effects are far-reaching. To some extent, it pays to judge a book by its cover in this case. You certainly do not want any of the business procedures suffer because of a lack of resources. Find out which systems and processes are in place and whether you feel comfortable with the Montreal accounting firm before signing any contracts. Only then can you know for sure if the business is well run, up-to-date, and flexible enough to respond.

Ability to do the work

In reality, the ideal time to gauge the efficiency and effectiveness of a reliable Montreal accounting firm is when they are really providing the service. However, there are clues that allow us to speculate on the technical excellence of the company in question. Evaluating the infrastructure is a smart first step in this direction. However, good conversation can also shed light on the mentality. Inquire about the technical quality of the work done previously and the number of satisfied clients. A company's certifications are a strong symbol of its honesty and reliability.

Is the service affordable?

Of course, it is something that you must take into account when searching for a suitable Montreal accounting firm. Ultimately, you want to pay a reasonable fee for the assistance you receive. Budgeting is the most reliable method for pinpointing the most cost-effective provider. A thorough investigation will reveal the most cost-effective plans and services for your company, as well as the going rate in the market.

It is vital to consider this, but it should not be the primary factor. The more streamlined a company's operations are, the better. Exactly what does your company require and merit is the question. Be aware of businesses that offer incredibly low prices, and take into account the other advice in this article before making a final decision. Bear in mind that allocating resources and making selections will take time, but will yield substantial returns for your business.

[emedicacouk-blog]

A Quick Guide For Medical Training

This aggregative term FPAS stands for Foundation Programme Application System. It is an online system which is used within the UK, to help final year medical students apply for respective training positions. It runs by the UK Foundation Programme Office. To gain a place with the Foundation Programme, you would first need to complete an application form, which is done online. In this form, you will need to answer a number of mandatory application form sections. There are 10 sections in total, in which you will need to fill in the details about your personal information, qualifications, education, references and preferences.

Assuming that you meet the required entry standards, after then you get to be eligible to sit in the Situational Judgement Test. The Situational judgement is a common form of assessment which is used by many employers these days, to ascertain whether a potential employee is the right fit for their organisation or not. This test will evaluate your decision making skills, and will allow potential employers to see whether your code of ethics and values match up with theirs. The majority of situational judgment tests do not contain right or wrong answers. It simply comes down to how an employer assesses the candidate answers against their own behavioral/organizational expectations. However, the FPAS SJT do contains right and wrong answers, along with a specific marking scheme.

The FPAS Situational Judgement Test (FPAS SJT) will provide you with medical based scenarios. These questions will focus on testing your medical principles and ethics, and qualities as well such as professionalism, bedside manner, teamwork and your ability to cope whilst under pressure. In total, there are 70 questions in the examination and the time limit to complete all these questions is 2 hours and 20 minutes.

Like FPAS, SRA stands for the Specialty Recruitment Assessment.  It is a computer-based assessment which was introduced by RCR and London Recruitment. SRA consist of two main parts: a Professional Dilemmas or PD paper, followed by a Clinical Problem Solving (CPS) paper. The SRA was originally designed for the applicants to the general practice (GP) training. Hence, the questions are very broad in scope. In part 1 you have to complete 58 SRA questions in 110 minutes in which 50 of these questions will account towards the final score, as 8 questions in each test are for piloting purposes. This test assesses various core criteria from the ST1 Clinical Radiology including communication skills, conceptual thinking and problem solving, organization / planning, managing others and team involvement etc. The part 2 presents you with the clinical scenarios requiring exercise judgment and problem solving skills to determine appropriate management skills of patients. It contains 97 SRA questions based on Foundation-level clinical practice and test a breadth of knowledge of medicine and surgery.

Thus, we have seen some key details related to medical training and different examinations. You should make a good research about the syllabus before going for any of the examination.

[tbhstudying1]

Congratulations, you’re killing it!! and good luck!

It’s nice you get to narrow it down so much, my boyfriend got his first choice group but it’s still over 150 jobs :’( we’re anxiously trying to rank them while also revising for finals lol

from I should be studying... https://ift.tt/2U3oLj0 via See More

studiousmedic: studiousmedic: studiousmedic: studiousmedic: so tomorrow we find out what...

so tomorrow we find out what geographical location we have been allocated for our foundation jobs (bit of background: the first two years of work post-medical school in the UK is called the foundation programme - FY1 and FY2, the UK is divided up into 20 ‘foundation schools’ to which you are allocated for the entire two years, and you rotate through 6 jobs total in the 2 years within this location, although not necessarily the same hospital or city)

not anything as big a deal as the US match process because its general training for only two years but i do still have a mix of eager anticipation and general nervousness about it all

each foundation school then ranks those within it, tomorrow we also find out how we’ve done on the SJT (an exam we had to take in december/january) and that mark will contribute to our ranking, and our ranking determines what jobs we’re likely to have next year.

fingers crossed i get my first choice foundation school!!

[pocketfulofdarknessz]

A DAY IN MY LIFE ( 04 · 23 · 17 ) I woke up on a banging sound of zedd’s i want you to know. Dozed off my vibrating phone away from my ears and slowly opened the windows of my soul; still sleepy. The blinding sun before my eyes coming in through my window and i knew it was time to get up or else emz would kill me. Took a selfie then sent it to our gc. I lazily got up, plugged my phone and started downloading movies from my netflix app, just in case. Since i was feeling a little extra earlier, i did blowdry my hair. I was running late so i had no time to grab breakfast. Went straight outside our door, waved goodbye to my dog and walked down our street all the way to the opposite side of the road. Found Ged & Emz at circle k waiting for me; a little pissed bc im a bit late (maybe 5mins late). We started roaming around circle k looking for a food to eat while waiting for the others, since we all three didnt have bfast but ended up buying drinks instead of real food. Took some photos and started chatting about ged’s sex life when aya came followed by denzel. After long years of waiting for our vip friends, they finally came with a grand entrance because they were all wearing dresses as if they will attend someones wedding instead of christening. We all headed to the mrt station (fun fact: they now have xray scanner for the bags which i think was a cool idea) and took the train to north avenue. Surprisingly, we all got the chance to be seated on a MRT TRAIN. GOOD GRACIOUS!!!! What a lucky day. Laughed so hard when ged got confused if should tap the sjt or insert it. He panicked & start seeking for our help which we responded with a good laugh 😂 we had no idea where was the place & started arguing with what jeep we should take & just rode a random jeep that passed by that happened to be the correct jeep. The giant spotlight was up; burning my skin as we walked down the empty street of a village that was at peace but then was filled with rants of tired and hungry teenagers. Reached the sacred haven of the romans & spent a little while outside it waiting for the morning mass to be done. Killed the time by roasting each other & being the super talk show friends. As i entered the halls of the church, i couldnt help my eyes but to scrutinize every little detail of the inside. Everyone was settled on our designated seats, still doing their business catching up with each other while i, on the other side, was drinking my warm, tasteless sola & still criticizing the philosophy of the catholic church. My childhood memories came back bc my lola and i used to visit church every sunday but today was different. I didnt come with my lola nor still believe in saints. The brief talk regarding christianity started. A guy in a white, closed neck longsleeves holding up a mic stood in front of us – judging him by his looks, i could say that he is the speaker. He began with his claims that born again originated in roman catholics’ beliefs & every baby that has been baptized are born again which i thought was an actual bullshit. I dont have to elaborate this bc for i know myself the truth. I pursed my lips trying to prevent myself from objecting. Got bored and started to roam my eyes again. The white walls had my attention for quite a long time. Wondered how many cries & prayers of helpless souls have been heard by these white empty walls. I got distracted when the priest came and began the christening. He was really rushing as if he was a rap god. Took some photos and then left for lunch. Had lunch at agie’s place and to be seriously honest, the place was crowded but the food was really good!! Went upstairs with friends and they started drinking alcohol while us who decided not to, took care of our baby feli & shared meaningful stories like future plans and bunch of other serious stuff. We all had fun & decided to part ways. Some of us went home straight while us (me, ged, emz, aya & denzel) went to sm north to look for a place to have coffee since ged & denzel were drunk but ended up in cubao bc the whole mall was crowded plus the fact that aya and ged need to use the restroom. Rode the train to cubao, walked to gateway to ride the shuttle to ali mall & walked a bit more to sparks place. While waiting for aya, me & emz were on the sink counter talking about my lovelife & things regarding love and relationships. I suddenly felt tired and sad. I kept begging them to stay inside for five more minutes and more and more when ged knocked and said “wow ang tagal, super talkshow ha” we all laughed and went to the garden shared a couple of stories when aya’s girlfriend arrived. I had to leave bc it was getting late. I got home, changed my clothes and called my mama; told her everything that happened to me today. Edited some pictures for this photoset and decided to blog but while in the middle of writing, i got really really tired and sleepy.

[vascularscientist]

T-minus 21 days till I resit the first half of final year

Woke up at 4am and cleared away some laundry.

Helped my partner wake up and finalise his presentation for today.

Uploaded the presentation and back-ups while he commuted.

Emailed my ADHD specialist to ask for evidence that I need extra time for the SJT (a part of the application for the NHS STP.)

Sent thank-you email to course team for enrolling me on a clash unit.

Emailed the STP team asking if my evidence from 2018 would get me a reasonable adjustment (my ADHD specialist said no, lol.)

Put the laundry away.

Fell asleep around 9pm.

I only crossed one task off yesterday's to-do list but in my defence my partner wasn't here so I could have only done one more!

Tomorrow:

Actually write volunteer experience section about hospital

Send my partner's mit cercs

[dxmedstudent]

Hiya, I'm a final year in a UK med school. We just got our deciles for foundation applications and I missed the top decile by 0.25 points. I know that's nothing to complain about and is unlikely to affect FPAS applications, but I can't help feeling disappointed. Any advice for calming my inner perfectionist?

Hello, I get it. Disappointment is real, and it’s human nature to always wish we did a little better. Hey, I got a first in my previous degree, and part of me wished I did that little bit better in my modules and got some distinctions. Such is life; human nature is what it is, and we have to learn to deal with our emotions as best as we can, even when they aren’t the most sensible. We can’t choose our first reflexive response to something, but we can choose how we choose to reflect on something, and how we act on itPeople can get a bad rap for wanting to do really, really well, because others usually do worse. But really, it is part of our nature for many of us o wonder if we could have applied ourselves that little bit more. However, well done for recognising that it’s nothing major. You sound realistic enough to appreciate that you’ve actually done really well, and I hope that when you’ve had a little while to process it, you feel happy with how well you’ve done. Because you should be proud! And don’t let anyone, not even yourself, take away the pride you should feel in the hard work you’ve clearly put in to get that far.

I think it helps, once the initial reaction has hit you, to take a moment to reflect on why you feel that way. Is it tht you’re competing with someone else? Do you feel you could have worked harder? Is it just that you were used to performing better during A levels? Are there some deep-seated perfectionist issues that pin your sense of self to exam results? Often, reflecting on why we feel something helps us realise that it doesn’t control or define us. Feeligns can be useful; they can teach us what we’re really thinking deep down. Then, once we’ve thought through why we might feel a cerain way, we can ground ourselves. Comaring yourself to A levels? Just remind yourself the goalposts have changed and it’s harder to get the same marks now; there’s a reason you get a first class result at 70% in university. If you feel guilty you didn’t do anything but work, remind yourself that acheivements outside of unviersity also matter; our hobbies and interests and personal relationships and the things we do to make our mark on the world or help others, have meaning too. And that we could always work a little bit harder, but what would the cost to the rest of our lives be? Studying isn’t a sprint, it’s a marathon; you’ll be spending your entire life juggling work with life, after all. It’s absolutely essential to not burn out by trying to apply yourself 100% all the time. You’re right that it won’t affect FPAS; statistically speaking, your SJT marks would affect it more than rankings, anyway. And honestly, for what it’s worth, when it comes to FPAS high scores aren’t the be-all-and-end-all. You will almost certanily get a job. I studied in London and got a  foundation job in one of the London deaneries. And most people I knew from London (with far less impressive rankings than you) also got jobs in London deaneries; it’s really not impossible. And given that London is the most competitive place to get a foundation or training job (in broad terms), that goes to show it’s not impossible. It gets more tricky if you’re gunning for a very exact job (for example, a placement in a particular hospital and a job with very particularly rare and competitive rotations); that’s really where maxing out on points becomes necessary.

When it all gets too much, just distract yourself with something else. The best antidote to ruminating on something is to do something else. You’ve done well in your exams, now’s the time to pick up a hobby, get ready for the next year, make plans with friends and look forward to the future!

[dxmedstudent]

Hey, so I’m a uk medical student and I’m really confused about what happens after I graduate in a couple of years. It’s never really been explained to me and I feel like it’s past the point where I can ask without looking incompetent. I understand that you do F1/F2 and pick deaneries, and then after that a specialism but that’s pretty much all I know. Could you explain/give me some good resources please?

Hello! That’s OK. You’re right that there’s a lot that nobody teaches you in medicine; you’re kind of left to figure it out and pick it up from others. That’s why I’m a fan of what I call “Doctors’ Mess culture”; there needs to be a space where docs can meet (physical or online), and just talk about life. I learned a lot about medicine, both as a student and junior doc, from casually chatting to my peers and seniors, in the doctors’ mess or online. The chronology goes as follows:

Finals (different time in the year depending on your med school).

Pharm/prescribing exam at some point (totally preparable for, not worth stressing about)

You apply for foundation training at some point via FPAS. It’s a bit like UCAS except you don’t need to write a personal statement.

When you apply, you will be asked to rank ALL foundation training schools in the UK. There are a lot of them.

SJT exam (make sure to prepare for this; it counts towards your ranking for FY jobs as much as your exams in med school and previous degrees, publications, posters etc combined. You can end up on the other side of the UK from what you expected.

Once you’ve completed the SJT and applied, they will have all the information needed to decide who they will offer jobs in which deanery. There are no interviews, unless you apply for academic training.

Once you get offered a job in a deanery, they will then ask you to rank each possible ‘job’ there. You can choose whether to apply for FY1 and FY2 jobs at the same time (they are usually linked as a pair) but some choose to do fY1 then reapply later for FY2.

There were around 200 jobs in my deanery, and I had to put each of them in the order I wanted them. I recommend wrting them out on sheets of paper and arranging them on the floor.

The way the jobs work is like this; you can’t pick specialities like sweets at a picknmix. You’re offered jobs as part of a three job set of 4 month rotations. Or, in some deaneries, four job set of 3 month rotations. For example, it might be ‘FY1; St Nowhere hospital, surgery, geriatrics, renal medicine, FY2: Boring District General Hospital; GP, Acute medicine and paediatrics.  You can’t pick individual rotations and combine them, but you can rank the sets you like most, the most highly. You don’t know how far down your list you will go, though. Some focus on geographical location more, others focus more on getting their top specialties.

Once they offer it and you accept, that’s it. You do your FY1 year and just focus on passing. It’s a good time to start thinking about your specialities, but many people don’t know, or change their minds about what they want. To pass FY1 there are some competencies you must fulfil, and some things you have to achieve.

At the start of FY2, you apply for specialty training (around winter-ish). If you don’t want to apply, you don’t have to; you can choose to take a tear out and locum or do a clinical fellowship/trust grade year. Again, there are things you need to achieve to pass the year.

When you apply, you can choose which specialties to apply to; some apply to one, others to multiple specialties. When you apply, they ask you to rank each of the areas you’d consider working in. You do not have to rank them all, unlike foundation places.

 Each one will require an interview. Many specialities are now also using the GP entrance exam, too, in order to choose applicants. It’s not a very difficult exam. I did reasonably, and earned an interview in a competitive area, without a ridiculous amount of revision. If you work harder, and do better you might get offered a job without even needing an interview!

You have your interviews. There are books out there about medical interviews, and I recommend picking up at least one of them.

For non GP applications,  you’ll hear if a regional training body accepted you for interview. After your interview, if you are successful, they will ask you to rank jobs. CMT and GP jobs are made of 6 month rotations. Just like foundation training, you can’t pick and choose; you rank the overall combination, and the hospital.

You hear which job you got; you hope for one near the top of your list. If it is not, you can elect for them to ‘upgrade’ their offer to something higher up your list. You cannot change your offer if it gets upgraded, nor do they tell you what it might be before you get it.

You do your core training years, if you do CMT or CST. Some specialties are run through (once you get in, you are in til consultant), but many (like medicine and surgery) require you to re-apply for sub specialities around registrar level. Core medicine is like the foundation years, exccept you can onlly do medical  specialities. Core surgical training is similar, except you only do surgical jobs. There are good websites out there that explain how to get into every specialty you could want, but the royal colleges for any specialty you want can be very helpful if you want to plan your path in advance.

Most specialities want you to start doing your membership exams once you get in. Each specialty has both theoretical and practical exams you have to pass to get to be a registrar.

You re-apply for registrar jobs in a lot of specialities. More interviews. You have competencies and things you need to fulfil to pass each year of training.

At some point towards the end of registrar training, you have to complete an ‘exit exam’ in order to become a consultant (or GP). Once you’ve done this, you’ve passed all the exams and training you will ever do. But all doctors regardless of their seniority have to be revalidated every 5 years.

There are quite a few interesting tools out there to help people choose their specialty.  Which is, if I’m honest, the hardest part of the entire thing.

Hope this helps! :)

[dxmedstudent]

I'm a third year medical student, just finished exams, and I don't think I did brilliantly - probably a mediocre mark if I even passed. And I know our marks now count towards the EPM. So I'm a bit worried that I've ruined my chances of having a good application for F1. Is it possible to salvage things by working hard on everything else? If you have any words of advice I would really appreciate it! xx

Congratulations on completing your exams, it’s still a trial to get through, and you’ve done well to get through them. Fingers crossed for your results; it can be hard to know exactly how well (or not) we have done until results are out. Try not to dwell on them until you have results. There will be time enough to focus on them afterwards if things didn’t go to plan. If you didn’t pass, focus first of all on what you could do to improve things for resits, and where you might have tripped up. FY1 applications are really much further down the line; you have to get there first. You can certainly work hard from now on, and I think that’s a positive way to look at it. Do your best, and you can make a lot of progress. When it ocmes to final year, spending some time on the SJT when the time comes, can pretty much balance it out, in terms of points. Regardless, just take things one day at a time.Where you go for FY1 an FY2 doesn’t hugely matter, in terms of your career. Bear with me. You’ll still be able to apply for any specialty regardless of where you trained. Most deaneries have jobs in most specialties available. Whilst some specialties are more competitive to get into, there also tends to be less jobs in them, so when you apply they won’t necessarily expect you to have experience (though it always helps a little). However, you can always arrange for taster weeks if you don’t get a job in a specialty you want. There are always options. This doesn’t mean that it doesn’t matter a huge deal personally. For example, I didn’t want to be posted far away from my family, and many people feel the same. Regardless of where they are aiming for. Note that not every FY job is equally competitive. In reality most jobs don’t require you to do excessively well to get them. Most people I know didn’t struggle to get the specialties that interested them, or deaneries that they were happy with. Not everyone got what they expected, but in reality it all ended up a lot less horrific than we expected. When I was applying, each university took their results for rankings differently; some used the result of one year’s exams, the others used multiple exams. So i can’t say exactly how your university breaks it down. But your application isn’t reliant just on rankings alone; frankly the SJT contributes more points, and that’s where people are more likely to come a cropper. The aim isn’t to try and achieve truly stellar results, but to ideally do reasonably well (or slightly above average) across the board for your application. Whilst people spend a lot of tiem looking a previous competition ratios and trying to formulate strategies, I don’t really think that in your final year anyone needs the extra hassle of trying to game the system. It’s stressful enough as it is; try not to spend too long over the fine details. Focus on whether the specialty or region is more important to you, if both are competitive. But try your best, and don’t stress about the result before it’s happened. Medicine is full of uncertainty, it’s literally anxiety inducing in most of us. So try your best to worry less about things like this. I remember some of my classmates were absolutely driven to plan out their entire careers to the minutiae (I want a job with this specialties, in this exact hospital in this exact deanery), and not only did it make them insufferable peers but it seemed to make their lives really stressful. Everything they did (even to the point of trying to get the list of exams ‘counted’ for  rankings changed) seemed to revolve around it. And did it really matter? Probably not. The people I know who fluffed up the SJT and ended up in, say Scotland or Wales when they really wanted to be in London still had a good time where they worked.  The truth is, that when we apply, we really have no idea what we are getting into when we accept jobs at a particular hospital or deanery, unless we have been in that exact department before or know someone who does. No matter how hard you work, and how coveted the job you get, you could be truly miserable, like several of my friends. Or you could put little effort in, and luck out with nice teams and jobs you enjoyed without expecting to. It’s literally outside of your control, and it seems pretty random. It’s scary, really, but we deal with things as best as we can.This is how I’ve always looked at it, and it always cut my own anxiety about it when I realised there really was nothing I could do to guarantee I had jobs I liked, other than try to do the best I could when I started. I appreciate that you have your own goals for FY1 applications. But all you can do is do your best, and try to not let it stress you out. 

[dxmedstudent]

Hi dxmedstudent ... I adore 😍 your blog. You're so helpful with the info and stories you share. Makes me look forward to life as a doc. Im hoping you could help me. Im a 5th year med student, my final year is equivalent to FY1. I want to apply to FY2 when I come back to bg (study in europe). Can you please give me any tips on how to improve my chance, what clinical skills are expected? I heard about LAS/LAT positions. Anything you can tell me would be appreciated :) ... thank you so so much x

Hello! and Thank you! I try my best :) Congratulations on getting this far, I think everyone nearing the end of med school deserves a pat on the back for making it this far.

In terms of the technicalities of what you may need to do, the GMC has lots of helpful advice for international graduates. Including guidance about acceptable overseas qualifications. Their website is particularly useful. I actually don’t think you’d have a huge problem getting in. You might be expected to do the SJT exam, look it up and see if international grads are expected to do it (there are books to help you prepare, if you do), but otherwise I imagine your applications might be based on a points-based system like FPAS or core/speciality applications. Basically, any prizes you’ve won, any publications or poster presentations are good, though not strictly necessary. Previous degrees are useful. Extracurricular achievements can also add flair. Many people don’t have much in this department, and lots of people still get in. You might be lucky and get something in the next few months, but there’s not really much you can do to drastically change your odds in a short space of time. So I don’t think it’s worth worrying too much about revolutionising your application. Just do your best. In terms of the technicalities, the 15 core clinical skills expected of FY1s are:

Venepuncture

IV cannulation

Prepare and administer IV medications and injections           

Arterial puncture in an adult    

Blood culture from peripheral sites     

Intravenous infusion including the prescription of fluids          

Intravenous infusion of blood and blood products            

Injection of local anaesthetic to skin         

Injection – subcutaneous (eg insulin or LMW heparin)    

Injection – intramuscular         

Perform and interpret an ECG            

Perform and interpret peak flow            

Urethral catheterisation (male)

Urethral catheterisation (female)       

Airway care including simple adjuncts (eg Guedel airway or laryngeal masks).

I didn’t remember them off by heart, I’ve lifted them from the GMC website, in case you thought this was a new level of nerdery. These are practical things we are expected to get signed off  under supervision,during the course of FY1, in order to gain full registration with the GMC. Although that’s not the only thing we’re expected to do, the curriculum is on the GMC website in the section on foundation training. On top of that, we’re expected to  be able to take a history, complete an examination, and start treatment. I’d recommend getting pretty comfortable with the above things, because as an FY2 you’d be expected to be able to do them. Coincidentally, it’s where I’ve seen straight-to-FY2 international docs really struggle, because they had relatively little patient contact during their med school years, and didn’t really feel comfortable with this aspect. FY1 is partly about gaining competency in these skills, altough we do some of them a lot more than others. It doesn’t mean you have to be perfect, or ‘get it’ each time, there will still be times when we struggle. But practice is so important; the more we practice in med school, the better we will be when we hit the wards as doctors.  I find it really interesting that many of the 6 year universities in Europe technically qualify you to become a baby SHO in the UK straight off, with all the responsibilities and expectations of someone who’s already been doctoring for a year. It makes sense in terms of the number of years we’ve studied, but not in terms of most people’s experience?  I don’t think that another year in med school is necessarily comparable to a year as a doctor; not in terms of theoretical knowledge (I’m sure many European graduates might kick a UK FY1′s butt in terms of theoretical knowledge), but in terms of practical experience. For the reason that a lot of the schools in Europe (generalising based on the students I’ve talked to, sorry!) often focus more heavily on theory over practice, compared to UK med schools. UK med schools have increasingly moved away from bogging us down with technical detail or anatomy, to getting you practically ready to hit the wards as an FY1. We spend year 3, 4, and 5 basically mostly on the wards seeing patients, with year 5 basically being shadowing FY1 doctors. There’s always an added challenge facing graduates is that each medical school system prepares you best for the system in that country, but not necessarily for another country. What’s expected of new docs in each country can be a little different; for example, in the UK there’s a heavy emphasis on practical procedures like the ones above; in many countries a doctor wouldn’t even be expected to do most of these! But in the UK a junior doctor is often expected to. I was adequately prepared to be an FY1 here when I graduated, but I’m sure if I moved over to the US for intern year I would have struggled, because the expectations there are a bit different. I’m particularly in awe of people who choose to go abroad to start working, because it adds an extra layer of scary and difficult (though, let’s be honest, it’s always going to be scary, and regardless of that, you’ll get through OK). An FY2 year is a training year, in which you’d be treated exactly the same as ‘homegrown’ FY2s, and would prepare you for the next step (core or speciality training), so I’d advise on picking an FY2 job over a locum or trust grade job, if you can.  I wouldn’t personally advise starting your career on a locum or non-training job, any more than I’d advise taking a locum position in a speciality you haven’t yet worked in. Because locums are paid more, people basically expect you to already be competent, not need much direction, and get on with things; there’s no emphasis on teaching you. These jobs are usually picked up by people who’ve worked in that speciality but want to take a little time out of training. That’s because those kinds of job usually entail less support and teaching than training jobs. You’d also be expected to navigate appraisal by yourself.  I’ve met people who’ve done it, so it can be done if you have to, but it always seems like an unnecessarily stressful choice. They advised me against trust grade jobs because of the lack of support, so I’m passing on that tip. Especially if you’re new to the NHS, I’d recommend going for the most supported job you can find.

When I’ve talked to Brits graduating in Europe who want to come back to the UK to work, they’ve often been quite keen to apply for an FY1 to start with, rather than going in at FY2 like they could. Which, once I thought about it, seemed quite sensible. Firstly, there are much fewer unpaired solitary FY2 placements available; you’ll probably be stuck applying to places where an FY1 has dropped out of training. Whereas there are lots of FY1 jobs by comparison. So you might get more choice in terms of where you can apply. FY1 jobs also tend to be a bit more protected; they expect new docs to need more supervision. FY1 jobs in high-pressure specialities like paeds or obs and gynae tend to be supernumerary (no on-calls, and always with SHO supervision), and in many hospitals FY1s don’t work nights, or do less clerking, and usually have SHOs to ask for support. Whereas FY2 can see you seeing sick patients in A&E, paeds, gynae, GP or psych and you may be the only SHO around, with only a stretched registrar for advice. On top of that, you might have FY1s coming to you for advice! You might not have any of those specialities in your FY2 placement, but I personally feel they are stressful enough as an FY2 when you have experience; I certainly wouldn’t have volunteered myself to do them straight out of med school, no matter if I had one more year of theory under my belt. In general, FY2 jobs tend to be more isolated; you’re often either working a busy rota or else on a more specialised placement where you may be the only FY or SHO doctor, so there’s generally less support or community. Fy1s tend to be more social and there’s a cameraderie amongst FY1s bonding over the terror of hitting the wards for the first time that you just don’t get at any other time. FY1 jobs tend to either have another FY1 on your ward, or an SHO who can support you. More importantly, if you start as an FY1, you’ll be treated on par with everyone else who is a new doctor; people might not know that you’re actually a new doc, because they’ll expect someone who’s already got a year of experience. Most people are nice, but people can be impatient if they don’t understand the level you are working at, so if you go for the FY2 route, you should be honest that you’re only just starting out as a doc, despite your grade. Make sure people know what you feel comfortable doing, and don’t let people pressure you into doing something you don’t feel competent to do. The main drawbacks are that your first year will be paid less as an FY1 than FY2, though I believe that’s probably less pronounced now on the new contract.  And of course, it would mean one more year of training. But that can sometimes be a good thing; you actually apply for core or specality training a few months into FY2, which would be really soon if you only just started working as a doctor a few months ago! The best thing about FY1 and FY2 for me were doing lots of rotations in different specialities, so that I could get a better idea of which ones I liked, and I think a lot of people would benefit from having that opportunity before picking for good. Though I can understand the draw in skipping a year and going for FY2, particularly when it’s better paid. I’m sure that starting straight as an FY2 might be the best option for some people, and since there are a lot of different med schools out there, perhaps some people from across the continent feel adequately prepared  to follow that path. So I’m not about to judge anyone who decides this is the best option for them, given that they are technically entitled to make that choice. (albeit, allowed by a system that cares relatively little for our welfare or training) But having talked to people who’ve studied in a few places, if it were me, unless my med school had quite a big emphasis on seeing patients and doing simple procedures, I’d still start at FY1 if I had the choice. LAS and LAT jobs are basically similar to trust grade jobs or clinical fellowships, which can sometimes be used to count towards your training time, however they are basically long-term locum jobs in a department where there is a vacancy because they haven’t managed to get a training doctor to fill the gap. Many departments offer non-training jobs (trust grade SHO jobs), LAT or LAS jobs tend to be fewer, because departments probably prefer to get by with less responsibility for their employees. Training people is more difficult and requires more supervision, after all. Always remember that hospitals are employers: whilst they are not out to get you, they also aren’t there to do you any more favours than they have to. So look out for yourself and your wellbeing, and think hard about whether any jobs you apply to are suited for you. Hospitals just want someone to fill their job vacancies and get on with service provision. Look after yourself, and make the choice that you feel would be best for you, because the system isn’t set up to put us first. So you have to do that. Whatever and wherever you choose, do it because you feel it’s right for you, not because the opportunity exists; not every job and not every opportunity we have in medicine is in our favour. For example, some FY1 or FY2 jobs have 2 relatively low stress jobs and 1 high stress job. Whereas some offer jobs that have 3 stressful jobs in a row with a high number of on-calls. The fact that the burnout rates for those placements are higher doesn’t seem to matter to the deaneries that keep offering those rotations. So my ranking, in terms of how protected/supported jobs are is FY1 > FY2 > LAS/LAT > Trust grade or clinical fellow > Locum. If you don’t want to do an FY1 year, then starting from FY2 is more supported than going fora LAS/LAT which is mroe supported than trust grade or short term locums. My advice would be, if you have an opportunity for work experience or electives, try to do an elective in the UK to get a feel for what it’s like, and how ready you feel you’d be. Even if it’s just a few weeks over the summer, it might be worth it if it could put you mind at ease. No matter what you choose, I hope it makes you happy, and good luck for the coming years. I look forward to you joining the team :)