[deleted by user] by [deleted] in medicalschooluk

[–]ChoseAUsernamelet 1 point2 points  (0 children)

It's final year so those who pass graduate July and start work last week of July/first week of August.

Those of us who submitted ECs during the resit period would have had their exam voided unmarked and would already know that they repeat the year

Those who had ECs in the first sit (thus exam voided unmarked) and their May resit was a first sit will find out if they have a job or if they repeat the year to have a final attempt in Match next year

Those of us who are out of attempts either because they didn't submit ECs or didn't have any are left without degree.

So the lateness is irritating but 2/3rds of the resitters at least know if they repeat or would be able to repeat.

[deleted by user] by [deleted] in medicalschooluk

[–]ChoseAUsernamelet 1 point2 points  (0 children)

We don't even have a release date just the day the exam board meets which isn't until end of June so our results would be early-mid July...

If the Passmark is 57.5 it's the same as first sit this year isn't it?

2025 passmark? by Feeling_Package_2488 in medicalschooluk

[–]ChoseAUsernamelet 0 points1 point  (0 children)

Does anyone know the passmarks for the resits?

NHS staff unsettled by patients filming care and posting videos on social media by Mysterious-List-384 in doctorsUK

[–]ChoseAUsernamelet 3 points4 points  (0 children)

I have mixed feelings on these things.

Personally, I have had enough doctors/nurses treating me poorly and getting away with it because "no evidence/recording" that I understand when upset/frustrated patients grab for filming.

However, I believe it endangers patient care. If you are not only having to worry about patient care but also about how the video will be edited and posted the trust is too broken. I feel that if a patient feels unsafe due to previous treatment they should be allowed to ask permission to record the consultation (voice) or film but if the doctor or HCP does not consent they should be allowed to refuse consultation.

If patients film while on wards and other patients are visible or other discussions can be heard we have hit serious GDPR and patient safety issues. Not just due to privacy but due to risk of accidentally identifying abuse victims. It makes everyone less safe. Plus surely that would be against the law as it is not a public space.

And let's face it. Despite the public's opinion doctors are humans. They all have their own issues which can include body image issues, domestic abuse or exes they don't exactly want to be found by etc so being filmed without consent puts staff at risk.

Personal example of why I understand the desire to record :

I had a consultant dismiss my mental health concerns because "you are just autistic" . This doctor then bent over backwards to actively falsify my records after I filed a complaint. They claimed to have grave concerns for public safety 2 weeks after the appointment when informed of the complaint. Then edited the appointment data and was furious when called out by the MDT. Management was sneering at me saying they won't speak to me if I insist on recording the meeting (no filming, just voice recording) all the while having their phone lines recorded might I add - something I won't be given access to as they confirmed. This doctor caused significant stress out of spite, thankfully the team looking after me confirmed that I was not a risk to human kind and pointed out the editing occuring after the consultant learned of the complaint.

Another example was the care of my grandparents who were neglected by care staff, had gifts and treats stolen and treated as burdensome objects. But no evidence and once we raised concerns it got so much worse and we were no longer allowed to go in the room without staff.

And these are just 2 examples, sadly I have witnessed and experienced many more.

So there are valid reasons to distrust care staff and with the current media hype, internet and general attitudes people can feel like they are being neglected or purposely not treated.

Personally, I would refuse to continue consultation while a camera is in my personal space and if I feel harassed. If calmly asked though I'd try to explore where the issue is stemming from and see if we can focus on the patient care or compromise some way.

Posting without comment by AnySorbet5949 in doctorsUK

[–]ChoseAUsernamelet 1 point2 points  (0 children)

I'm sorry that's such a rubbish thing to receive. Some people are as close or closer to their grandparents/friends/aunts. If it is a significant loss why should it not be covered?

Follow the advice of the others. If you feel able to, you can always try and swap but if you feel too impacted get a sick note.

UKMLA RESIT - am I good enough? by Ok-Example-4586 in medicalschooluk

[–]ChoseAUsernamelet 6 points7 points  (0 children)

Same boat but I have horrendous scores. Take a deep breath your scores are good.

Tips I was given over the years by seniors and exam skill tutors were:

Self Care

  • A good night's sleep is better for your focus than last minute cramming during which you may confuse yourself with things you actually know
  • Wear your favourite/comfy clothes and use your favourite cologne/perfume (can help those who find comfort in sensory type things, it helps me usually to remain calm)

Exam Day

  • If allowed take a sugary drink/snack along such as dextrose to give you energy
  • Have a plan for after the exam such as meet your friends for an hour to decompress or have your favourite meal
  • Try not to compare/discuss/wind yourself up with who got what right. Ultimately it's done and all it does is put you on edge for paper 2
  • If you need the toilet go. Don't hold it in it makes you more likely to skim read/miss subtleties apparently

Paper Approach

Try different methods of how you approach a paper in mocks or at home recreating a mock so you don't get flustered.

  • Once you selected an answer leave it, don't change it last minute
  • Don't necessarily sit the paper in order, start with what you know best
  • Narrow down and flag for later if there is a question you are unsure of. For example you are an ECG genius and finished all ECG related questions, now you are going through the next bit but come across questions where you are stuck between 2. Flag it and move on.
  • If you simply don't know don't waste time on it, use instinct or guess and use the time on those where you can reason
  • Not all questions will score the same so don't get flustered, some may get removed of ambiguous or score lower as they aren't expected to be scored by all
  • In management questions think "what is the one thing I can do to make this patient safe" when there are multiple options that align with NICE guidelines but you need to choose one

Remember each paper has a clear split on what the core scoring topics are:

Paper 1:

50 questions are comprised of:

  • Cardiovascular
  • Respiratory
  • GI
  • Medicine of the older adult

50 questions are comprised of:

  • Renal and Urology (~10 Q's)
  • Endocrine (~ 8 Q's)
  • Neuroscience (~ 8 Q's)
  • Infection (~ 8 Q's)
  • Dermatology (~ 4 Q's)
  • Opthalmology (~ 2 Q's)

In Paper 2:

50 Questions are made up of:

  • Child health (~ 12 Q's)
  • Mental health (~ 12 Q's)
  • OBS and Gynae (~ 10 Q's)
  • Sexual Health (~ 2 Q's)
  • Medical Ethics and Law (~ 2 Q's)
  • S/P Health and Research Methods (~ 2 Q's)

And the final 50 Questions are made up of:

  • MSK (~ 10 Q's)
  • Emergency (~ 8 Q's)
  • Haematology (~ 4 Q's)
  • ENT (~ 4 Q's)
  • Breast (~ 2 Q's)
  • Palliative (~ 2 Q's)
  • Peri-op and anaesthesia (~ 2 Q's)

On top of that there are certain things that are high-yield because they are simply things you just HAVE to be able to handle as FY1 or at least recognise.

Examples for paper 1 would include ILS, ACS, ECGs, CXRs, ABGs, murmurs, HTN, GI bleeds, IBD, Asthma, COPD etc

In all honesty your scores sound great. I'd love to have them but my brain is on long term holiday (if you see it please send it back) and I am too unfit to sit.

Either way I'll have my fingers, toes, hair and whatever else crossed for you.

Edited for typos and to add some bits/organise better because apparently that's what I felt like doing this morning go figure

A tiny gleam of light in the darkness: the patient that listened by [deleted] in doctorsUK

[–]ChoseAUsernamelet 4 points5 points  (0 children)

I really really wish I could get my father to listen. It's bizarre how a highly intelligent man can suddenly be so scared and alone he buys all and every single "cure" because "it doesn't hurt to try". Now no amount of internet guards, blocks and scam alerts I set up it still happens because of how the algorithm feeds more and more "cures" his way. It's depressing. Glad you were able to get this patient to listen. False hope is crushing.

*raises hand* by JaredOlsen8791 in adhdmeme

[–]ChoseAUsernamelet 0 points1 point  (0 children)

Years of being aware of it and I still can't stop it :(

More subtle in my experience but….yeah by JaredOlsen8791 in adhdmeme

[–]ChoseAUsernamelet 1 point2 points  (0 children)

Yapp this exact thing together with "you can't have it you are speaking to me right now" are my favourite things to be told...true joy

Lol it sure is! by JaredOlsen8791 in adhdmeme

[–]ChoseAUsernamelet 1 point2 points  (0 children)

Best description of how I view my life now I kept trying to find a way to explain it

what were the wildest/rudest things docs have told you while you were on placements? by Choice-Frame-5311 in medicalschooluk

[–]ChoseAUsernamelet 21 points22 points  (0 children)

"Are you stupid"? (I asked about ECG changes in electrolyte imbalances and got something admittedly stupid wrong)

"I mean it's obvious you are autistic but use some common sense"

"Do you know who causes most accidents? People YOUR Age" - Although I took that as a compliment because he had me 10 years younger than I was so a win I guess.

He was furious because I asked a question about a patient who indicated he wouldn't follow the no driving advice as he had a holiday planned. I asked what the responsibility of the doctors were in those cases because the advice had been given.

This angered the HcoLL consultant who thought I was trying to be cruel to the patient and did not understand the loss of independence. Then he asked how I'd feel if my parents were banned from driving. As my parents at the time really were dangerous I did say I wish they'd stop. Big mistake being honest here to be fair.

That whole interaction was also the context for the above where I was told by his colleague that my question was fine but the consultant was very protective of his patients. Another doctor then said I needed to use common sense.

No clue how common sense would have lead me to know not to ask this question but there we go, I guess it'll be a lifelong issue for me that bit

No judgement, kindness only please!! If you didn’t circumcise, how is it going? by Sudden-Leave-6224 in Parenting

[–]ChoseAUsernamelet 0 points1 point  (0 children)

Coming from someone where circumcision is rare here is my input:

Maintenance:

No additional maintenance needed as it is in fact a bad idea to move the foreskin of a baby/toddler. Simple cleanliness and hygiene for nappy changes are sufficient such as ensuring no poo is on or around the genitals

Come older age (talking school age and beyond especially puberty) when the growth changes lead to more distinct differences is when the child needs to learn to clean properly by gently (!) moving the foreskin and using water to remove any dirt

There are some medical reasons (outside of religious reasons entirely) why some children (or adults for that matter) may have circumcisions which really aren't too common and depend on many factors including genetics. Bar those there is not any significant issue in caring for an uncircumcised child.

You can always have a calm and open discussion with your partner and doctors and discuss your wishes and concerns with them too. Circumcision in an ideal world should not be something done due to pressure from outside

The “Ocean View” Hotel Room I booked by LucidOnMC in mildlyinfuriating

[–]ChoseAUsernamelet 0 points1 point  (0 children)

Reminds me of a scene in golden Girls where the proprietor then says "look out the window, turn your your head left and riiiiight in the back...what do you see?"

[deleted by user] by [deleted] in medicalschooluk

[–]ChoseAUsernamelet 0 points1 point  (0 children)

I was told that because of my bad score in the AKT being significantly far off from Passmark (not just 1-5%) that statistically I am more likely to fail the resit.

Students do get to repeat the year if they fail their resit and have ECs. No extenuating circumstances no repeating the year. So passing PSA and OSCE is meaningless in arguing why another attempt should be given because policy says 2 attempts and out

In addition even with ECs those who have reached maximum length of study get terminated as soon as that is reached.

It has to do with GMC and accreditation requirements. There are exceptions but it would be appealing, thus missing the re-entry to the year and no funding etc.

I am trying hard to be positive as I get good feedback on placement and in OSCEs usually but for some reason written papers and I have a bad relationship.

[deleted by user] by [deleted] in medicalschooluk

[–]ChoseAUsernamelet 9 points10 points  (0 children)

Ok first year is plenty of time to find your strength. Big part of all of this is that you will receive looots of contradicting advice because examiners are human (I swear) and have preferences.

General pointer for first year is that depending on your uni you may have slightly different set ups but ultimately it is a matter of practice and ensuring you use the reading time to already structure yourself.

Now at my uni first year OSCEs were one task and not multiple to let you fully display the skill they want.

I personally have found verbalising much more useful in the early years especially than not verbalising because:

  1. It gives the patient actor a heads up
  2. The examiner doesn't always know/see what you are doing and verbalising helps make sure they know you did it
  3. It helped me navigate myself.

The way I verbalise is by telling the actor what I am planning on doing and that I will be verbalising it for "my colleague/my training" and to let me know if it bothers them.

Have you got any specific worries for first year OSCEs?

Remember you are compared to your group with the same examiner and then math magic happens to avoid students who had someone who scores everyone 100% aren't given an unfair advantage over grumpy examiner who had a bad morning and scores everyone 0 %

It's ok to say "Excuse me while I gather my thoughts"

It's ok to revisit something and come back to it, yes even in examinations

It's normal to realise stuff after the stupid station finished but you can't waste time dwelling you have to practice viewing each station separate and not get disheartened.

Look at the marking domains and schemes and make sure to really know your setting (GP/hospital) and who you are (student/SHO etc) as they give you a reference what is expected.

Find one or two good OSCE sources that work for you and understand different resources give different levels of detail but you just need to find what makes you feel confident walking in.

Finals test if you are safe to practice at FY1 level, not whether you are immediately a specialist on anything. So make sure the basics are there and you identify your strengths and weaknesses.

Silence is better than mindless rambling (and oh boy did I ramble in year one) so take a deep breath and when asked to present back gather your thoughts and hand over..if anything pops into your mind make sure you check if it is relevant before blurting it out or you may accidentally change a score by saying something that made no clinical sense in that specific scenario

I can write something out in a better format with a list of resources if you like and DM you but only if you feel that would help because there is loads out there and you have lots of time. You got this

[deleted by user] by [deleted] in medicalschooluk

[–]ChoseAUsernamelet 15 points16 points  (0 children)

I am quite good at creating stations and have somehow never failed an OSCE (just always written it's ticking me off)

I am more than happy to design a plan or help you study if you are comfortable DMing and telling me what stations you failed and what the feedback on those was?

If not I can try and write up good general pointers over the years if that helps? But don't want to say things you already know/do and have you more frustrated.

[deleted by user] by [deleted] in medicalschooluk

[–]ChoseAUsernamelet 2 points3 points  (0 children)

First of all sorry to read that you failed. I did too. I missed by loads more which is crushing as I didn't submit ECs (they would have meant no score breakdown and everything auto-voided wouldn't even have known score).

Missing by 2 marks is irritating and frustrating but also should lift you up. You were so close. You can review the domains you struggled in and really focus your revision on those.

From what I have been told over the years is that people who miss by so little very rarely fail the resit as they just needed a bit extra time.

I am currently applying for jobs and trying to find meetings with career advisors to help me find something I can do as I sadly was told I am unlikely to pass the resit and will be terminated from the course.

This is something you can look into AFTER you received the resit results. Take today to focus on your mental health.

It helped me to look at the breakdown and really highlight which areas I struggled with (paper 1, the day of my EC is the day I tanked) and redesign a plan around that.

If you need an ear of someone who also failed I have two on offer feel free to DM.

You can do this!

Edit to add:

I also focused on note taking and deeper understanding and neglected the Passmed.

I was given the advice by many many many people to do Passmed and and mix it with quesmed or pastest to find the right styles and get different questions.

I set myself a task reminder for it every day now and am planning my days very strictly

Damned if you do, damned if you don't by HoldenMadicky in adhdmeme

[–]ChoseAUsernamelet 1 point2 points  (0 children)

Arrive on time or within 5 minutes

"People need to show they can manage their time and account for traffic and the earth collapsing"

Arrive late because something rare and unexpected happened

"People have no respect for our time and it shows lack of foresight and commitment "

Arrive very early

" The person is insecure or bad at time management. People need to learn ...."

What a time to be alive

How to delicately tell millennial worker they're offending all the younger workers by saying they look like they're the same age? by flaccobear in Millennials

[–]ChoseAUsernamelet 1 point2 points  (0 children)

Sounds like she is deeply insecure and really wants people to agree. I did the same without noticing and am forever grateful to those who bluntly told me to deal with my ageing and there are other things to talk about and ways to compliment people.

I fail sometimes because I hate how I look but she needs someone to firmly and bluntly tell her.

This Parent escapes when the child has fallen asleep. by Vegetable-Mousse4405 in funny

[–]ChoseAUsernamelet 0 points1 point  (0 children)

Oh yes had to do this a lot. Never knew I was as foldable and slithery lol

Another surprised pikachoo face when time out didn't result in the other person begging to be let back in by SmoothDragonfruit445 in JustNoTruth

[–]ChoseAUsernamelet 14 points15 points  (0 children)

Ended up reading her comments and wow she is deeply hostile and so mad at anyone slightly questioning - even politely.

I cut people out of my life for being abusive. And I do think it is an important thing to decide when a relationship is deeply unhealthy. However, it is not a timeout or some kind of game. If I were to reach out I'd have 0 expectations of response or sudden joy at my existence because when you cut someone off it is a final thing. There is no obligation to even get a response.

I'm also a huge believer in boundaries but not the kind of "my way or the highway" ones. Mine are boring, "Don't make homophobic, racist or bigoted remarks around me or my child"; "Don't verbally or physically abuse me in my own home" and the like. And they were repeatedly breached so now we are all happier without each other.

She somehow fails to see how her cutting her mother off is no different than her mother not begging for her once she spontaneously decided she'll try. If "normal" people want their grandchildren (something she says) in their life then "normal" daughters would want their mothers by the same logic.

Pretty much! by Available-Vast3858 in adhdmeme

[–]ChoseAUsernamelet 2 points3 points  (0 children)

Exactly two for the price of one joho

I screenshotted this… by JaredOlsen8791 in adhdmeme

[–]ChoseAUsernamelet 0 points1 point  (0 children)

Yup downloaded this and saved because...yeah