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  • The First Two Weeks: A Survival Guide for Every New Trust
    Uncategorized | Lessons Out of Surgery

    The First Two Weeks: A Survival Guide for Every New Trust

    Bymedocoaches@gmail.com 09/22/202609/22/2026

    Every rotation starts the same way. New badge, new corridors, new consultants whose names you’ll mix up for a fortnight, and that particular flavour of chaos only a fresh induction can produce. Over the years — and more house moves between trusts than I care to count — I’ve learned that the difference between a…

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  • Time line for a typical Portfolio Application
    Lessons Out of Surgery

    Time line for a typical Portfolio Application

    Bymedocoaches@gmail.com 09/17/202609/17/2026

    Stage Typical duration Evidence-gathering (before you even open the application) 12–36 months Application window (open → submit) Up to 24 months (fixed limit) GMC processing after submission 6–12 months Royal College / Faculty assessment 3–6 months Submission → Specialist Register entry ~12–18 months Total (start of evidence-gathering → registration) ~2–4 years The honest bottleneck isn’t…

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  • The T&O Portfolio Pathway: Your Route to the Specialist Register
    Lessons Out of Surgery

    The T&O Portfolio Pathway: Your Route to the Specialist Register

    Bymedocoaches@gmail.com 09/17/202609/17/2026

    What the GMC actually wants in your evidence bundle — broken down from the Specialty Specific Guidance for Trauma and Orthopaedic Surgery. Unlike the CCT route, the Portfolio Pathway doesn’t track you through a training programme — it asks you to prove, in one go, that you already perform at day-one-consultant level. That means the…

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  • Close-up of a red stethoscope symbolizing medical care and healthcare diagnostics.
    Lessons Out of Surgery

    The Renal Medicine Portfolio Pathway: Your Route to the Specialist Register

    Bymedocoaches@gmail.com 09/17/202609/17/2026

    What actually has to be in your ePortfolio before the GMC will add your name — broken down from the JRCPTB 2022 curriculum. Every renal trainee eventually asks the same question: what do I actually need to tick off before I can apply for a CCT? The curriculum document runs to almost sixty pages, so here’s the…

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  • Definition of Insanity
    Lessons Out of Surgery

    Definition of Insanity

    Bymedocoaches@gmail.com 05/23/202608/30/2026

    You will see 3 cases where the 1st decision could have changed the whole scenario. But if we keep doing the same thing over and over again and except different outcomes: that is a definition of insanity. Case 1 Left proximal femur 3 part subtrochanteric fracture in 72 year old. A DHS was decided Suboptimal…

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