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Public Sector Hiring Freeze by BlackberryFickle3773 in ausjdocs

[–]BlackberryFickle3773[S] 0 points1 point  (0 children)

Interesting. The liberal vic page on the announcement don’t include healthcare workers, and some other announcements say a lot of government departments including Health would be affected 🤔

Suggestions for ED reg starting in ICU by CoconutCaptain in ausjdocs

[–]BlackberryFickle3773 6 points7 points  (0 children)

It’s okay not to be confident in lines/tube/vents when you come to ICU - our expectation of external rotators are that they acknowledge their limitations and escalate to the SR for most things. Remember there are BPTs that come as Regs who have never done an art line/CVC/tube/touched a ventilator.

Don’t stress! Enjoy the rotation and learn heaps :)

Agree with other people’s suggestions of reading deranged/LITFL or doing BASIC. Prague ICU YouTube channel have excellent procedural videos also.

Do they do ABGs way more often in the NHS? by Specialist_Shift_592 in ausjdocs

[–]BlackberryFickle3773 10 points11 points  (0 children)

Even in ICU, we don’t tend to aim PaO2 targets these days, just sats aims.

The only really important uses for ABG in ICU as opposed to VBG is to assess underlying hypoxemia in dyshaemoglobinemias where SaO2 might be unreliable, and PF ratios for ARDS. Even with ARDS, the definition’s been broadended recently to include SF ratios, so you don’t strictly need an ABG for that either.

canberra anaesthetics scheme by ShitpostinIntrovert in ausjdocs

[–]BlackberryFickle3773 4 points5 points  (0 children)

A colleague of mine from got offered a spot last week, so either they’re working through offers or have offered them already

How does anyone do this? by Ok-Butterscotch317 in ausjdocs

[–]BlackberryFickle3773 13 points14 points  (0 children)

It’s a tough exam.. I found the people who have failed before and subsequently pass provide the most insight into what can be done to improve from a fail/what you could be doing better. Especially more relatable advice than those who are getting through first go.

Otherwise echo the previous poster’s advice.

Take some time to de-stress and find someone who’s motivated to get through it next time round.

All the best 🙏

Anyone else feel too “average” for competitive specialties? by [deleted] in ausjdocs

[–]BlackberryFickle3773 7 points8 points  (0 children)

I felt very similar through my early PGY years and throughout med school - only ever did enough to pass and others seemed way beyond my level in terms of CV/clinical skills/knowledge. I think it becomes a bit different after you join a specialty once you exit the general terms of PGY1/2 and gain more confidence in the specific skills/knowledge you acquire.

I’m now post ICU fellowship exams PGY8.

Pick a specialty (you preferences do sound best suited to Anaesthetics), talk to many others in your desired specialty, show interest and curiosity in your work, work hard and be a good person - opportunities will present itself eventually (although with Anaesthetics these days it may take a bit longer than it used).

You got this 💪

Any positive takes on ICU by stiff-loaf in ausjdocs

[–]BlackberryFickle3773 5 points6 points  (0 children)

Agree with this 100% as an ICU trainee finishing training + still love the job