Options When Not Working

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A huge consideration for any health professional who loses their license to practice will be: what happens now?

The broad areas of concern for a doctor who has been suspended or is unable to work are:

  • Professional
  • Financial
  • Health - physical/emotional/psychological

What happens now?

Here is what you need to do now:

  1. Call your employer immediately – you are not going to be returning to work tomorrow, and they need to know as soon as possible.
  2. Call your partner / family – they need to know so that they can be there for you when you get home.
  3. Call your indemnity provider – they are usually unaware of the outcome until a few days later, and the sooner you make contact, the sooner you can plan forwards eg for appeal etc.
  4. Take some time out to yourself – once you have done the first three things, there is really precious little you can do by sitting at home – go and visit close friends with whom you can take your mind off things.
  5. Start planning – you have to have a clear plan moving forwards about what you are going to do with your time, and how to organise your finances and other affairs.

Professional implications

  1. Call the indemnity provider frequently during the next few days – there may have been progress or feedback from the hearing that will help your understanding of why what happened did – it is ok to feel like you are pestering them – that is what you pay your indemnity for after all.
  2. Contact the LMC (Local Medical Committee) – they are an excellent resource and will help you with the legalities and support networks of being suspended.
  3. Speak to your Employer / Partners / Medical Director – keep them in the loop – it can only work in your favour to keep them updated and also tap into their support structures too.
  4. Call & register with NHS Practitioner Health (NHS PH) – who offer confidential NHS treatment for those doctors unable to access confidential care through mainstream routes.
  5. Call your union – BMA membership is very important for this reason – they can assist with contractual disputes and also run a BMA Doctor Support Service that can be of use to you.
  6. Contact the regulator – they may not be able to offer you much more information but it does not hurt to find out more from them if you can.
  7. Keep a diary of events – very important for appeals and any employment issues that arise.
  8. Use social media for support – there are a number of different Facebook support and information groups out there – including “Alternative Careers for Doctors” group and the Medics Footprints group as well.

Financial implications

  1. Call your bank/building society – they are often very helpful and will allow you a couple of months’ payment holiday for example a couple of months from your mortgage if you have a good history with them, but it also means that if some payments cannot be made, they have a heads up as to why.
  2. Contact a medical charity –  they are a range of helpful charities for doctors, medical students, health and care professionals and their families, who provide financial support and advice. These include the Royal Medical Benevolent FundRoyal Medical Foundation and The Cameron Fund.

Physical/emotional/psychological health implications

  1. Use your GP – arrange an urgent appointment with them to explain what has happened – you can go into as little detail as you wish to about your case, but access local services, whether that be counselling or your GP themselves.
  2. Go through your Employer if appropriate – the NHS is a huge employer and so has good Occupational Health structure which you should try to utilise.
  3. Arrange a referral to a Psychologist / Mental Health Team as necessary – do not feel ashamed of your situation – many people have been through similar and you will find that most health and care professionals will be helpful, even if they have not been through it personally.
  4. If you have an issue related to addiction consider contacting an organisation such as the Sick Doctors’ Trust – they were set up by people with addictions and were concerned at the lack of effective arrangements for helping others in similar situations.
  5. Contact the Medical Council on Alcohol – who are an independent charity dedicated to improving the understanding and management of alcohol-related health harm.
  6. You are not the only one – the tendency for most health and care professionals who find themselves unable to work is to go off-radar and think this is only happening to them – it’s not. Thousands of doctors find themselves in this situation and just knowing someone out there is going through similar, can be a reassuring thought.
  7. There is not right or wrong way to deal with this – whichever way you choose to deal with it is the right way for you, but just knowing what resources are out there available to you can be a huge comfort – make use of what you feel comfortable with.

Alternative career and work options

One of the things that many health professionals fail to realise is the range of transferable skills they possess. Options to work in medicine may be temporarily or permanently halted, but the skills and experience you have learnt throughout your training and from working with patients and teams may be invaluable for a range of alternative work options.

You have highly honed communication skills from working with people from a range of backgrounds and educational levels; you are no doubt incredibly organised from having worked in high pressured, busy environments;  by the very nature of your vocation to work in medicine you will be a compassionate, empathic individual who can connect with people.

Think about how these skills and attributes can serve you as you look for alternative careers and jobs either to tide you over or as an alternative long term career option.

The resources below give you some examples of how these skills can appear on your CV and link to the skills that many employers look for when seeking new staff.

Read this blog post on transferable skills for health and care professionals

I had never contemplated being anything other than a doctor until I was having lunch with my paediatric colleagues one day.

"What would you do if you weren’t a medic?" one of them asked. I paused before replying, unable to imagine a different life for myself. I had always wanted to be a doctor; the idea of doing anything else seemed somewhat absurd.

Morale amongst junior doctors at the time was low and trainees around me were leaving the NHS, some escaping to Australia or New Zealand, others leaving the profession completely. With only one year remaining before becoming a consultant, a colleague walked away from paediatric training to become a primary teacher. I admired her bravery.

"I would never leave," I told myself. "Medicine was my life." I have had mental health problems on and off since I was a teenager and after the birth of my second daughter, I developed postnatal depression. At the point of returning to work, I was on medication and in therapy but was still plagued with anxiety and self loathing. Refusing to let my colleagues down by taking more time off, I went back. I became more and more exhausted. Apathetic. Negative. The empathy and passion I had had in abundance had been replaced with resentment and bitterness. Irritable, angry, unable to effectively prioritise or process information, I cried all the time. And so it carried on until I was signed off sick by my psychiatrist.

Stripped of my identity as a doctor, I didn’t know who I was. I got worse before I began to recover but, slowly, I began to consider that maybe I could be a doctor despite my mental illness. With support, I returned to medicine and proved to myself that I could indeed still practice medicine despite having received a diagnosis of bipolar 2 disorder. My colleagues were kind and understanding but somehow, the passion and excitement that I had previously had for medicine was gone. I felt undervalued, unfulfilled and a little question kept popping up in my head: "What if, like my old colleague, I retrained as a primary teacher?"

As a doctor, it can be hard to see yourself as possessing anything other than a range of very niche skills. Someone suggested that I volunteer at a local school once a week and, quickly, I began to notice that there were plenty of qualities and attributes that I could bring to a new career in teaching.

Whilst preparing for my PGCE interview, I thought of countless examples demonstrating good communication skills. Extensive training in this area puts medics at an advantage when it comes to handling difficult scenarios. When asked about collaboration with colleagues, I spoke about multidisciplinary teamwork, using scenarios from my clinical experience. Up until this point, I had failed to notice how integral organisation and prioritisation were in my practice, as though somehow they were just 'normal'. I spoke of managing a busy ward, of organising tasks, taking on projects and managing my time. I was also able to discuss teaching, audits, research and presentations I had given at conferences. How is it that, as medics, we fail to see this plethora of transferable skills?

I have been a primary teacher for the last year, teaching a class of 6 to 7 year olds. There is no doubt that my experience as a paediatrician shapes the way that I communicate with pupils, parents and colleagues. The relationship that I have with the children reflects the empathy that I showed to my patients and staff have commented on how pupils with additional needs benefit from my medical background. I don’t profess to be an amazing teacher by any means and I still have a huge amount to learn, but I do now realise that being a doctor has equipped me with a great number of transferable skills that I was blind to before.

10 Transferable Skills of Doctors

Learn more