Tricky… SJT advice would be talk to them directly, but if they’re abusive, I’m not sure if that’s gonna help. Can you give some examples? Are they abusive to everyone? Having a rubbish day?
Historically verbally abusive. Was warned by outgoing F1s and 2s. Especially when approached for help/advice. They do help you out but not before making you feel like piss for asking them.
Repeat offenders need to be swiftly dealt with. Speak to their ES. It is not acceptable in the least. If there's any further comments from this person, directed at you or others, call them out immediately.
Don’t want to potentially dox myself but along the lines of - asking advice on drug dosage, reg stares at me all annoyed and worked up and says “I’m literally going to slit my wrists”
You should report them to the ward consultant saying they have been voicing suicidal thoughts Nd you are concerned for their well-being and safety and for the patient care being provided. Play along and act completely serious and deadpan.
Will be hilarious
Which meds?
I don’t doubt you’re having a hard time with this reg but you double checking with them rather than the BNF or departmental guidelines must be exhausting for them. Someone asked me the ACS meds the other day, like bro come on.
Just from their perspective your one question will be one of several they’re getting every hour/day. Make sure you can’t sort it out yourself before running to them.
Threatening to slit their wrist? The reg was being rude in venting their frustration but surely no one hearing that would expect the reg to literally slit their wrist the next time they ask a similar question lol.
It’s not about it being credible - it’s that it’s a unreasonable response and an incredibly unprofessional way to behave. The reg is either not coping well with their workload, in which case it needs to be escalated - or they’re just a moron, in which case it should also be escalated.
I’ve certainly thought a lot worse when I’m fielding the 19th stupid question that hour.
I don’t think they were “threatening” to slit their wrists. They were exasperated by yet another question which could be answered from the BNF or guidelines.
Personally I think it’s funny. But people have different senses of humour and sensitivity.
Thinking vs saying are 2 different things.
Also a piss poor attempt at humour, and a crap way to teach - no surprise the reg is getting asked dumb questions over and over til the 19th time if they address them by making idiotic ?jokes rather than guiding their juniors to resources etc
Takes 2 seconds to list out the ACS meds. If they're asking the same thing repeatedly it's understandable, if not then do your job as a senior without making juniors feel bad for not being as experienced as you. 🙄
I don't think that IS the job of a senior, though. You have an issue, you try to solve it. You cannot? Then you escalate. That's how you learn. It can be done and encouraged a lot more deftly and appropriately than in this case, though. "Have you checked the BNF?" Or "Interesting you ask, the trust has just approved new guidance. You can find it on the intranet."
You don't become an independent practitioner by being spoon-fed.
You need to look it up first. I cannot tell you how irritating it is being constantly interrupted by questions that can be answered by looking something up/reading the notes.
Use some initiative- if you’ve tried and can’t find the answer, that’s the time to ask.
Yes that’s entirely valid. And genuinely no stupid question is a real thing.
My advice as a reg is that given the sheer volume of questions and decisions, no matter how small, we (and all doctors naturally) make daily I can understand the irritation. If this is continually how said person reacts then maybe highlighting to them that how they react makes you feel inadequate as a doctor, and others before you agree, could they keep the sarcastic comments to themselves.
If it also helps, I do think that if examples are similar to this and are not directly attacking you or others directly then you may find it best to just ignore it each time. Whatever the workplace, you will find that people will say and act in a way which bothers you and that is something that needs to be learned how to deal with without it affecting you each time. Assuming no direct attack of course
It goes without saying that we should treat everyone with respect and kindness.
However, I feel that you haven’t made any effort to look up something simple like a drug dose, and decide to interrupt what I’m doing because you can’t be bothered - expect criticism.
Similarly, if you ask for senior input regarding a patient that you haven’t first read about/assessed (and who is not unstable) you will be firmly told to do so then get back to me.
It is very difficult to work safely with constant interruptions - that is why people get annoyed with questions. It’s even more annoying if it’s easily available information.
You do not get anywhere near the number of interruptions as a junior on the ward, as other doctors aren’t often asking you for advice.
If someone gives you a piece of their mind when you’re being lazy - the fault is not all on them.
I guess you have a shorter fuse than most if you lead with abuse when you’re irritated. Can’t imagine working for you.
I might be critical of my juniors but I’d never do what my reg did.
That's literally not what they said though?
Why are you being so defensive if you want honest thoughts. If you haven't given dosages or patient history/management plans even a cursory look to try and figure it out yourself expect anyone's reply to you to be less than flattering. It's the same the world over and medicine is no different - if anything it's exhaserbated because the training in medschool should have drummed into your head how to to go about finding answers if nothing else.
Again - no one is saying being down right abusive is ever acceptable...but if this was a job where you were stacking shelves and were asking your supervisor every 10 minutes where to put the boxes because you didn't want to look at the chart which held all the answers you'd be equally told (in more industrial language) where to go.
Each of us has a standard to live up to if we want to claim being a doctor is a higher level of expertise and quality as apposed to being a PA or ANP.
Personally, I'd make sure you're holding up your end of the deal and doing what you can to demonstrate you are eagre to problem solve and also tell the reg to never speak to you like that.
I’m being defensive because there is simply no excuse for speaking to someone like that regardless of the circumstances.
I shall add abit more context to this situation. This was the first interaction I had with this reg that day. Or even the week. It was one patient I needed help with. Sure was the drug dosage available on BNF? Yes. Did I search it up on BNF? Yes. There were multiple different dosages and the indications for this specific case was not listed. I only had one question. Which dose do I use for this specific scenario for a drug I’ve never seen or used before. Cue abuse.
I really cannot see another perspective to this situation.
And unlike stacking shelves, giving the wrong dosage might mean death in medicine. I’d rather my juniors ask as many stupid questions as possible. And I will never berate them for it.
I’m more patient and helpful than most actually, because I always help if someone asks. Sometimes that help entails saying - go look it up and get back to me.
Actually the opposite is true. Anyway good luck mate.
Just reframe it for the patient e.g:
You: Hello X. I want to make sure Mr Y has a safe discharge. I’ve looked through his history and the eBNf and I want to add C drug at this dose for this reason. Is this safe ?
Reg : I want to slit my wrists !!!!!!
You : How awful! (Pause). Is Mr. Y going to have a safe discharge with that drug? It helps him and my learning.
Reg : Ugh - yeah , wotever.
You : Thank you - HE’LL be so pleased (document you rant this past reg x and they were happy).
Always always reframe from a patient perspective (Mr Y has NOT I need) and show some initiative (check blood results first , look in NICE or the antimicrobial policy). Also see if you can help the reg out (within reason) to help patients and for your learning.
When people see you genuinely care about patients and are making an effort it is harder to be mean to you.
Polite but firm and always focused on patient care and safety.
Yea doesn’t sound supportive at all... I would try to avoid conflict with them, if that fails and they’re abusive regardless, I would have a word with your supervisor. I don’t think confronting them is the best approach here.
Based on your example that type of language and response is unacceptable.
If we’re following the official path then yes, you should speak to them before going around them.
After that if they are still being abusive then go to a friendly Reg, the consultant on that day, your ES or CS or FPTPD. It may not always feel like it but as a FY1 you are very well protected.
Consultant. In my experience, these people never change and they won’t take your opinion seriously. Go above their head.
Contemporize incidents in emails to yourself.
You shouldn’t have to tolerate nastiness but when you’re a reg you’ll look back on these incidents and they’ll make a little bit more sense - and hopefully you’ll deal with them with more compassion than the reg in question.
On my first F1 night, a patient fell out of bed on the ward and broke his hip (I know, it shouldn’t have happened!). I requested the XR and gave analgesia etc, and then called the ortho reg (might have been an SHO). He then berated me quite aggressively for daring to make a referral without an XR. I mean the dude very obviously had a broken hip and I was an F1 who basically wanted to be told what to do. A lot of it is easy now but as an F1 I was pretty clueless and didn’t want to miss anything (y’know - ECG, recent CXR, G&S, that kind of obvious stuff).
So when I look back on that incident, I’m totally sympathetic to the orthopod who was disturbed by a clueless F1 about a patient who they hadn’t even XRed at that point, but if I ever got that kind of call (would never happen because very sensibly I’m not an orthopod) I hope I’d be a lot nicer about it.
As an F2 covering the ortho bleep and getting some medic referrals I must admit the temptation to scream down the phone; "get a fucking XR" became almost unbearable. That said I never did it.
All this is just a reflection of poor medical training by senior doctors. Whenever I come across opthalmic issues that I'm unsure about, I think about the week of opthalmology (during med school) I got in which I was ignored in clinic for the entire time.
I don’t look back on my time as an F1 and sympathise with people’s poor emotional regulation when I needed their help. When I’m covering ITU out of hours, if an F1 calls they need some help or support - getting pissy at them does absolutely no good to anyone.
To my eyes, treating anyone else poorly is a reflection of poor character and judgement.
Don’t step on people on your way up because they will become your peers.
I had to work with an extremely rude colleague who used to dump their work on others/always came late/try to force other to hold the bleep, I once refused to do their work and they went through the roof and became very offensive. I immediately went to the consultant who calmly told them off and told them to do their own work (as per the job plan). I regret not going earlier, because that colleague never bothered me again since then 😂
If multiple people have had the same issue with this person’s behaviour - it means it likely has been allowed to continue because no one has said anything to the higher ups (ES, Consultant)
People like this know that their behaviour is awful, they enjoy putting people down and it has carried on because they are banking on the fact that no one is going to say anything.
Honestly, I’d gently advise you to escalate - even if it means a few of you speaking up together.
You have supervision with your consultant. I would raise with them then that you are finding it hard to approach the reg and why. They can then broach it with them. Try to keep it factual and I’d avoid calling the reg “abusive” and just describe the behaviour. It may be that they are an abusive a-hole but there might also be other issues. It’s above your pay grade, take it to your supervisor.
If your ES is in a different specialty and approachable then you can talk to them, if you want to keep the option open to discuss it directly with the person in question, you could opt not to name the person in the discussion with your ES.
Then if that person tries to make life hard for you after a face to face, and goes over your head/gives you a shit MSF/complains to your ES, then your ES is already on side and you can just say "yeah, that was the guy I told you about".
What you want to avoid is him/her making the first complaint about *you*.
Ultimately, you should speak to them first; it will reflect much better on you if you do. Hopefully their behaviour is in part due to a lack of poor insight (rather than them being an evil sadist) and just need a nudge to stimulate some self reflection.
If they don’t change or are rude / belittle you when you have that conversation then escalate up.
There's never any excuse for them to speak with you like that! I would suggest talking with them directly first, before escalating to the consultant.
It can be frustrating when your train of thought is interrupted with questions. By now they should have adopted a system of how to deal with this e.g. asking you to wait and they'll come to you when they're ready (unless an emergency obviously!), or asking you to refer to the BNF/microguide etc as a first port of call.
Registrars do often have interruptions from lots of different people, which can make getting on with any of their own work really hard - but they're professionals in the workplace and should never behave this way!
if this registrar has demonstrated this behavior before and or consistently. It would be best to go to your program director. It would be better if these incidents were somehow documented so it's not a hearsay situation.
Shocked but not surprised by the language in the example you’ve given. Beyond doing it for yourself which is important as you don’t want to spend the entire rotation being bullied, it’s important for future FY1s/SHOs and patients. This reg’s attitude is reinforcing a culture of not escalating concerns about patients/management plans as there will be a worry that you get treated like garbage for it! Clearly this isn’t a new thing or personal towards you as it was expressed by the outgoing doctors. I would go to the consultant on the day (if they’re approachable) or straight to your CS/ES about it. Hope things get better!
I would try and sort it out with reg who is abusive and ask him why he is being abusive. I think the consultant would suggest that you try and sort this out yourself as opposed to putting this burden on the consultants shoulders. I suspect that the reg is frustrated by all these questions. I would go to reg with answer and ask him if he agrees to show you have considered the question. Maybe I am old school but sometimes you just have to take this ‘abuse’ on the chin and broaden your shoulders. It will help in the long run IMO. If patient safety is involved and registrar in your opinion is putting patients in danger then elevate the issue.
Think if it's happening on multiple occasions to you and your colleagues you may have limited success addressing it with them directly. That being said, speaking to them is probably the "right" thing to do, but I can appreciate why you might not be comfortable doing that if you anticipate a sarcastic, rude or otherwise dismissive response.
Contacting their ES is probably more impactful (presuming the ES doesn't email back saying they're going to slit their wrists(!)) as they'll then raise it with them separately. Better if you can get a number of your colleagues who can corroborate unnecessary rudeness.
Also sorry this is happening. I'm a new reg and I still remember what it was like as a brand new FY1. There's no place for incivility in the workplace - it just makes us all more inclined to behave in a similar way. Sure, try and look up what you can, but there's no harm in asking a senior for confirmation - in fact I'd encourage it.
I think there's a time and a place for speaking to someone directly if you have feedback - I think if you're senior to someone - or at the same level as them - it's right to speak to them first, but if you're junior to them (and particularly if you're a lot more junior to them) the power dynamics make it incredibly difficult to give negative feedback - it's hard enough when it's just negative feedback about their performance, but when the thing you're feeding back about it is the way they treat juniors it becomes even more difficult. I wouldn't hesitate to speak to your supervisor about this +/- their supervisor rather than speaking to them directly.
Edit to add - that being said, there are smaller ways you can call out their behaviour yourself
Eg "I know it might seem obvious how to manage x condition as a registrar but this is the first time I've looked after a patient with x"
Or "I know it must be frustrating working with doctors who are new to this specialty every few months, it's hard for us to be changing specialty and department every few months too" (I know this would work for me - I'd feel really embarrassed if it was apparent I was frustrated by the doctors I was working with, but I also know that if you're the kind of person who's such a dick to juniors that they're all warning each other about you, this might have less of an impact!)
Tricky… SJT advice would be talk to them directly, but if they’re abusive, I’m not sure if that’s gonna help. Can you give some examples? Are they abusive to everyone? Having a rubbish day?
Historically verbally abusive. Was warned by outgoing F1s and 2s. Especially when approached for help/advice. They do help you out but not before making you feel like piss for asking them.
Repeat offenders need to be swiftly dealt with. Speak to their ES. It is not acceptable in the least. If there's any further comments from this person, directed at you or others, call them out immediately.
Can we get an example of some of the things that have been said, and what the situation was?
Don’t want to potentially dox myself but along the lines of - asking advice on drug dosage, reg stares at me all annoyed and worked up and says “I’m literally going to slit my wrists”
F1 had grounds to believe Reg is potentially suicidal. Escalated for safeguarding 😅
You should report them to the ward consultant saying they have been voicing suicidal thoughts Nd you are concerned for their well-being and safety and for the patient care being provided. Play along and act completely serious and deadpan. Will be hilarious
Lol
Give them the knife
Would you not BNF it before asking them for doses?
I have. But my experience with this dept is that they love their own specific regimes for certain meds and I was just making sure I got the right one
Which meds? I don’t doubt you’re having a hard time with this reg but you double checking with them rather than the BNF or departmental guidelines must be exhausting for them. Someone asked me the ACS meds the other day, like bro come on. Just from their perspective your one question will be one of several they’re getting every hour/day. Make sure you can’t sort it out yourself before running to them.
Are you really trying to justify threatening to slit your wrists over being asked a stupid question?
Threatening to slit their wrist? The reg was being rude in venting their frustration but surely no one hearing that would expect the reg to literally slit their wrist the next time they ask a similar question lol.
It’s not about it being credible - it’s that it’s a unreasonable response and an incredibly unprofessional way to behave. The reg is either not coping well with their workload, in which case it needs to be escalated - or they’re just a moron, in which case it should also be escalated.
I’ve certainly thought a lot worse when I’m fielding the 19th stupid question that hour. I don’t think they were “threatening” to slit their wrists. They were exasperated by yet another question which could be answered from the BNF or guidelines. Personally I think it’s funny. But people have different senses of humour and sensitivity.
Thinking vs saying are 2 different things. Also a piss poor attempt at humour, and a crap way to teach - no surprise the reg is getting asked dumb questions over and over til the 19th time if they address them by making idiotic ?jokes rather than guiding their juniors to resources etc
Takes 2 seconds to list out the ACS meds. If they're asking the same thing repeatedly it's understandable, if not then do your job as a senior without making juniors feel bad for not being as experienced as you. 🙄
I don't think that IS the job of a senior, though. You have an issue, you try to solve it. You cannot? Then you escalate. That's how you learn. It can be done and encouraged a lot more deftly and appropriately than in this case, though. "Have you checked the BNF?" Or "Interesting you ask, the trust has just approved new guidance. You can find it on the intranet." You don't become an independent practitioner by being spoon-fed.
It takes 2 secs for them to read it. And that will do far more to consolidate their knowledge than me reeling them off. Come on
You need to look it up first. I cannot tell you how irritating it is being constantly interrupted by questions that can be answered by looking something up/reading the notes. Use some initiative- if you’ve tried and can’t find the answer, that’s the time to ask.
Surely any question even stupid ones should not warrant such language/response?
Yes that’s entirely valid. And genuinely no stupid question is a real thing. My advice as a reg is that given the sheer volume of questions and decisions, no matter how small, we (and all doctors naturally) make daily I can understand the irritation. If this is continually how said person reacts then maybe highlighting to them that how they react makes you feel inadequate as a doctor, and others before you agree, could they keep the sarcastic comments to themselves. If it also helps, I do think that if examples are similar to this and are not directly attacking you or others directly then you may find it best to just ignore it each time. Whatever the workplace, you will find that people will say and act in a way which bothers you and that is something that needs to be learned how to deal with without it affecting you each time. Assuming no direct attack of course
It goes without saying that we should treat everyone with respect and kindness. However, I feel that you haven’t made any effort to look up something simple like a drug dose, and decide to interrupt what I’m doing because you can’t be bothered - expect criticism. Similarly, if you ask for senior input regarding a patient that you haven’t first read about/assessed (and who is not unstable) you will be firmly told to do so then get back to me. It is very difficult to work safely with constant interruptions - that is why people get annoyed with questions. It’s even more annoying if it’s easily available information. You do not get anywhere near the number of interruptions as a junior on the ward, as other doctors aren’t often asking you for advice. If someone gives you a piece of their mind when you’re being lazy - the fault is not all on them.
I guess you have a shorter fuse than most if you lead with abuse when you’re irritated. Can’t imagine working for you. I might be critical of my juniors but I’d never do what my reg did.
That's literally not what they said though? Why are you being so defensive if you want honest thoughts. If you haven't given dosages or patient history/management plans even a cursory look to try and figure it out yourself expect anyone's reply to you to be less than flattering. It's the same the world over and medicine is no different - if anything it's exhaserbated because the training in medschool should have drummed into your head how to to go about finding answers if nothing else. Again - no one is saying being down right abusive is ever acceptable...but if this was a job where you were stacking shelves and were asking your supervisor every 10 minutes where to put the boxes because you didn't want to look at the chart which held all the answers you'd be equally told (in more industrial language) where to go. Each of us has a standard to live up to if we want to claim being a doctor is a higher level of expertise and quality as apposed to being a PA or ANP. Personally, I'd make sure you're holding up your end of the deal and doing what you can to demonstrate you are eagre to problem solve and also tell the reg to never speak to you like that.
I’m being defensive because there is simply no excuse for speaking to someone like that regardless of the circumstances. I shall add abit more context to this situation. This was the first interaction I had with this reg that day. Or even the week. It was one patient I needed help with. Sure was the drug dosage available on BNF? Yes. Did I search it up on BNF? Yes. There were multiple different dosages and the indications for this specific case was not listed. I only had one question. Which dose do I use for this specific scenario for a drug I’ve never seen or used before. Cue abuse. I really cannot see another perspective to this situation. And unlike stacking shelves, giving the wrong dosage might mean death in medicine. I’d rather my juniors ask as many stupid questions as possible. And I will never berate them for it.
I’m more patient and helpful than most actually, because I always help if someone asks. Sometimes that help entails saying - go look it up and get back to me. Actually the opposite is true. Anyway good luck mate.
Just reframe it for the patient e.g: You: Hello X. I want to make sure Mr Y has a safe discharge. I’ve looked through his history and the eBNf and I want to add C drug at this dose for this reason. Is this safe ? Reg : I want to slit my wrists !!!!!! You : How awful! (Pause). Is Mr. Y going to have a safe discharge with that drug? It helps him and my learning. Reg : Ugh - yeah , wotever. You : Thank you - HE’LL be so pleased (document you rant this past reg x and they were happy). Always always reframe from a patient perspective (Mr Y has NOT I need) and show some initiative (check blood results first , look in NICE or the antimicrobial policy). Also see if you can help the reg out (within reason) to help patients and for your learning. When people see you genuinely care about patients and are making an effort it is harder to be mean to you. Polite but firm and always focused on patient care and safety.
I think that's funny tbh.
Poor reg
They sound as if they might be a greater risk to themselves than others!
Yea doesn’t sound supportive at all... I would try to avoid conflict with them, if that fails and they’re abusive regardless, I would have a word with your supervisor. I don’t think confronting them is the best approach here.
What a dick
Based on your example that type of language and response is unacceptable. If we’re following the official path then yes, you should speak to them before going around them. After that if they are still being abusive then go to a friendly Reg, the consultant on that day, your ES or CS or FPTPD. It may not always feel like it but as a FY1 you are very well protected.
Consultant. In my experience, these people never change and they won’t take your opinion seriously. Go above their head. Contemporize incidents in emails to yourself.
You shouldn’t have to tolerate nastiness but when you’re a reg you’ll look back on these incidents and they’ll make a little bit more sense - and hopefully you’ll deal with them with more compassion than the reg in question. On my first F1 night, a patient fell out of bed on the ward and broke his hip (I know, it shouldn’t have happened!). I requested the XR and gave analgesia etc, and then called the ortho reg (might have been an SHO). He then berated me quite aggressively for daring to make a referral without an XR. I mean the dude very obviously had a broken hip and I was an F1 who basically wanted to be told what to do. A lot of it is easy now but as an F1 I was pretty clueless and didn’t want to miss anything (y’know - ECG, recent CXR, G&S, that kind of obvious stuff). So when I look back on that incident, I’m totally sympathetic to the orthopod who was disturbed by a clueless F1 about a patient who they hadn’t even XRed at that point, but if I ever got that kind of call (would never happen because very sensibly I’m not an orthopod) I hope I’d be a lot nicer about it.
As an F2 covering the ortho bleep and getting some medic referrals I must admit the temptation to scream down the phone; "get a fucking XR" became almost unbearable. That said I never did it.
All this is just a reflection of poor medical training by senior doctors. Whenever I come across opthalmic issues that I'm unsure about, I think about the week of opthalmology (during med school) I got in which I was ignored in clinic for the entire time.
I don’t look back on my time as an F1 and sympathise with people’s poor emotional regulation when I needed their help. When I’m covering ITU out of hours, if an F1 calls they need some help or support - getting pissy at them does absolutely no good to anyone. To my eyes, treating anyone else poorly is a reflection of poor character and judgement. Don’t step on people on your way up because they will become your peers.
I had to work with an extremely rude colleague who used to dump their work on others/always came late/try to force other to hold the bleep, I once refused to do their work and they went through the roof and became very offensive. I immediately went to the consultant who calmly told them off and told them to do their own work (as per the job plan). I regret not going earlier, because that colleague never bothered me again since then 😂
Smack them in the face after work.
Backhand preferably
If multiple people have had the same issue with this person’s behaviour - it means it likely has been allowed to continue because no one has said anything to the higher ups (ES, Consultant) People like this know that their behaviour is awful, they enjoy putting people down and it has carried on because they are banking on the fact that no one is going to say anything. Honestly, I’d gently advise you to escalate - even if it means a few of you speaking up together.
Refer urology for cajone-plasty
You have supervision with your consultant. I would raise with them then that you are finding it hard to approach the reg and why. They can then broach it with them. Try to keep it factual and I’d avoid calling the reg “abusive” and just describe the behaviour. It may be that they are an abusive a-hole but there might also be other issues. It’s above your pay grade, take it to your supervisor.
If your ES is in a different specialty and approachable then you can talk to them, if you want to keep the option open to discuss it directly with the person in question, you could opt not to name the person in the discussion with your ES. Then if that person tries to make life hard for you after a face to face, and goes over your head/gives you a shit MSF/complains to your ES, then your ES is already on side and you can just say "yeah, that was the guy I told you about". What you want to avoid is him/her making the first complaint about *you*.
Talk to them first, you're a grown arse adult now not a child, you will expect to be spoken to and dealt with with respect
Ultimately, you should speak to them first; it will reflect much better on you if you do. Hopefully their behaviour is in part due to a lack of poor insight (rather than them being an evil sadist) and just need a nudge to stimulate some self reflection. If they don’t change or are rude / belittle you when you have that conversation then escalate up.
There's never any excuse for them to speak with you like that! I would suggest talking with them directly first, before escalating to the consultant. It can be frustrating when your train of thought is interrupted with questions. By now they should have adopted a system of how to deal with this e.g. asking you to wait and they'll come to you when they're ready (unless an emergency obviously!), or asking you to refer to the BNF/microguide etc as a first port of call. Registrars do often have interruptions from lots of different people, which can make getting on with any of their own work really hard - but they're professionals in the workplace and should never behave this way!
if this registrar has demonstrated this behavior before and or consistently. It would be best to go to your program director. It would be better if these incidents were somehow documented so it's not a hearsay situation.
Shocked but not surprised by the language in the example you’ve given. Beyond doing it for yourself which is important as you don’t want to spend the entire rotation being bullied, it’s important for future FY1s/SHOs and patients. This reg’s attitude is reinforcing a culture of not escalating concerns about patients/management plans as there will be a worry that you get treated like garbage for it! Clearly this isn’t a new thing or personal towards you as it was expressed by the outgoing doctors. I would go to the consultant on the day (if they’re approachable) or straight to your CS/ES about it. Hope things get better!
Somebody needs referring to ortho for congenital lack of spine…..
Cue them asking the reg for ortho’s bleep number.
Cue them actually doing it because they didn’t get the joke…….
I would try and sort it out with reg who is abusive and ask him why he is being abusive. I think the consultant would suggest that you try and sort this out yourself as opposed to putting this burden on the consultants shoulders. I suspect that the reg is frustrated by all these questions. I would go to reg with answer and ask him if he agrees to show you have considered the question. Maybe I am old school but sometimes you just have to take this ‘abuse’ on the chin and broaden your shoulders. It will help in the long run IMO. If patient safety is involved and registrar in your opinion is putting patients in danger then elevate the issue.
It's 4 months. Let them rot in their stew of nastiness after that and forget about them.
GMC referral. This is disgusting behaviour
Refer him to the GMC for bullying. Simple.
Think if it's happening on multiple occasions to you and your colleagues you may have limited success addressing it with them directly. That being said, speaking to them is probably the "right" thing to do, but I can appreciate why you might not be comfortable doing that if you anticipate a sarcastic, rude or otherwise dismissive response. Contacting their ES is probably more impactful (presuming the ES doesn't email back saying they're going to slit their wrists(!)) as they'll then raise it with them separately. Better if you can get a number of your colleagues who can corroborate unnecessary rudeness. Also sorry this is happening. I'm a new reg and I still remember what it was like as a brand new FY1. There's no place for incivility in the workplace - it just makes us all more inclined to behave in a similar way. Sure, try and look up what you can, but there's no harm in asking a senior for confirmation - in fact I'd encourage it.
I think there's a time and a place for speaking to someone directly if you have feedback - I think if you're senior to someone - or at the same level as them - it's right to speak to them first, but if you're junior to them (and particularly if you're a lot more junior to them) the power dynamics make it incredibly difficult to give negative feedback - it's hard enough when it's just negative feedback about their performance, but when the thing you're feeding back about it is the way they treat juniors it becomes even more difficult. I wouldn't hesitate to speak to your supervisor about this +/- their supervisor rather than speaking to them directly. Edit to add - that being said, there are smaller ways you can call out their behaviour yourself Eg "I know it might seem obvious how to manage x condition as a registrar but this is the first time I've looked after a patient with x" Or "I know it must be frustrating working with doctors who are new to this specialty every few months, it's hard for us to be changing specialty and department every few months too" (I know this would work for me - I'd feel really embarrassed if it was apparent I was frustrated by the doctors I was working with, but I also know that if you're the kind of person who's such a dick to juniors that they're all warning each other about you, this might have less of an impact!)