SAS vs Consultant Mindset
ST5 gen adult psych, currently in liaison in a DGH. Looking for concrete advice. SPR before me in team was fab clinically but my consultant said that he struggled to get into a Consultant mindset from being a SAS doctor for half a decade before resuming higher training.
My working theory is that the gap between senior reg and consultant isn’t clinical knowledge, it’s a set of habits nobody formally teaches: owning problems that haven’t been assigned to you, making decisions with the residual risk named rather than escalating for permission, carrying risk through someone else’s assessment when you’re supervising, refusing a referral without damaging the relationship.
Am seeking advice from seniors about what do you expect from senior registrars in terms of non-clinical aspects and how to develop these.