At the crossroads | Association of Anaesthetists

At the crossroads

At the crossroads

My anaesthetic journey started in 2016 as a core trainee, but it was back in 2012 when I first applied for anaesthesia. Four attempts and an 18-month old child later, I finally embarked on the trip. Core training came with its own challenges, not to mention COVID-19, and the other C word which threw a curve ball for many – curriculum change. Despite this the thrill, excitement and learning curve was fuel enough to see me through my core training.

Next came the task of ST3 applications in January 2021. Completing my core training, sending ST3 applications, and having two children isolating with COVID while I was sitting the primary FRCA vivas, made it a pretty busy month! At the end of it all I seriously questioned what I was doing with my life? What did I want to achieve in the next 10 years? What brought me joy? As much as I loved practising anaesthesia and could honestly count the days I haven’t wanted to go to work on one hand, my career was not the only aspect of life that defined me.

At this point I explored the idea of not going on to ST3 training. What would be the alternative? I looked into the options of Trust Grade, Fellowship and Specialty Doctor posts, all of which I was very naïve about as I had only ever known life as a trainee doctor. Coming straight out of medical school into the foundation programme, followed by core medical then core anaesthetic training, I did not know which direction to take. What I did know was that the emotional burden of training and the hurdles it came with were exhausting me. I was running on empty. I needed a break. So that’s exactly what I did!

I have tailored my development and progression to my needs and interests, not forgetting the ideal work-life balance and its benefits to my overall wellbeing. Being a Specialty Doctor is what allowed this.

I took a break from training. My decision to take up a Specialty Doctor post was influenced by my clinical lead at the time who had built his own career as a Specialty Doctor, and his accomplishments were admirable. The idea of not having to go through rigorous national applications, and being able to progress up the ranks through experience, was appealing. The thought of not needing to commute to a different location every year and staying away from my two little girls was welcome. The ability of tailoring a job plan to fit with the needs of my young family seemed a perfect solution. Knowing that I could retire from the job if I chose eased the anxiety that had built up over the preceding year.

I started my Specialty Doctor post with the mindset that I would review things in a year’s time to consider whether to jump back onto the training bandwagon or continue to carve out my own career path. Now in the second year of my Specialty Doctor journey, I can say it was the right decision. I have achieved so much in the past 18 months: working solo lists; second oncall out-of-hours; BMA LNC SAS representative; reciprocal mentoring programme with an executive director of the trust; SAS committee member at the Association of Anaesthetists. I have tailored my development and progression to my needs and interests, not forgetting the ideal work-life balance and its benefits to my overall wellbeing. Being a Specialty Doctor is what allowed this. I look forward to the endless opportunities this path holds for me.

Nilofer Ahmed
SAS, Airedale General Hospital 

Twitter: @niloferdarr

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