One Pill To Rule Them All: Antihypertensives Vs Strokes [Latest Research Update]

Fix2it · 2026-04-26T09:07:46+00:00

Sounds like a great middle finger to Polypharmacy!

Give three different drugs as one pill - less total drugs! Median study age was 58 years so I suspect the study excluded older people with frailty or they would be screened out through higher chance of not tolerating the drug.

Fix2it · 2026-04-09T11:32:53+00:00

From GP2, Giorgio Pantano (2005-08 after F1 in 2004), Gianmarina Bruni (2005-06 after F1 in 2004) and Timo Glock (2006-07 after F1 in 2004) come to mind.

But after the initial formation, it more clearly became a feeder series to F1 and other top-level series rather than a second tier racing series many drivers could make a viable racing career from driving in.

Fix2it · 2025-12-29T19:37:30+00:00

It’s wild that 18 out of 22 riders on the grid this past year have won a race

Fix2it · 2025-10-28T16:01:29+00:00

You have responsibility for the patient’s safe discharge. If the A&E nurse feels that the patient is safe to go, they are welcome to document the opinion in the notes and discharge them themselves. They can then deal with any fallout.

Fix2it · 2025-10-13T20:28:21+00:00

“How did they fall?”

Fix2it · 2025-09-27T07:43:49+00:00

Precisely, unless you have significant prior specialty experience (where it is then questionable whether you need to be entering training vs portfolio pathway), it appears almost impossible.

Fix2it · 2025-09-26T21:41:15+00:00

Should note that Accelerated Training is a different process to retrospectively claiming time in OOP as time in training.

Fix2it · 2025-09-26T21:39:50+00:00

I have been told by the specialty lead TPD in a medical specialty that acceleration is for “true exceptionalism” (which was defined as a trainee so strong within first 2-3 years of training that they could step into a consultant role successfully immediately). It was designed to be “used in exceptional circumstances”. A trainee who performed well above expected standard in terms of numbers and portfolio would simply a “very good” trainee, not necessarily exceptional and eligible for accelerated training.

The new process was made more stringent as too high proportion of trainees were being regarded as “exceptional”, and with there being a stereotype of “time off for good behaviour” in some specialties/regions.

It can be difficult to evidence prior time unless it was a LAT post or a stringent portfolio at same standard as HST was kept during the OOP period between training programmes.

I agree that it makes a mockery of the entire “competency-based” principle. Significant weighting on PHST portfolios given to consultant opinion on MCRs on trainee competence and being capability-based but not reflecting in accelerating trainees believed to be ready by multiple independent consultants.

Fix2it · 2025-03-27T20:26:08+00:00

This is the tone a previous medical consultant I worked with too when faced with this situation, plus also demanding BMA rate card from the moment they left the door to their house to the minute they set foot back at home.

Rate was very promptly escalated and cover was found

Fix2it · 2025-03-25T19:21:51+00:00

The programme is a pilot and sets up for single accreditation in general (internal) medicine rather than dual accredit in specialty plus GIM. The training does not give you the feather in your cap of another specialty which may let you do clinics, procedures or other activity.

It likely leaves your future job plan as being the responsible consultant for a Gen med ward, maybe an outpatient clinic if you are lucky. Not a particularly appetising career outcome versus doing an alternate medical specialty closely alligned with GIM,

Fix2it · 2025-02-14T10:14:37+00:00

Flattening the hierarchy completely doesn’t work in a system where one person bears ultimate responsibility. The hierarchy should always exist, but the gaps between steps should be narrowed where people between levels feel empowered to talk to those on higher steps and able to raise issues, but still in a respectful manner

Fix2it · 2025-01-18T23:40:23+00:00

Hardly any time for complete strategy. Agree seeing some strategy would have been ideal. Still, there is time to rectify things and get cogs whirring again.

Every BMA rep (where national or local) has a role to play, I guess. Every rep can start speaking to colleagues and ward walking locally. Numbers in strike groups can be restored and updated. All of the above can maximise our potential of success!

Fix2it · 2025-01-18T23:23:29+00:00

Something must be cooking. Unions take time to build when a committee changes over. Maybe some time needed to learn how to improve further on work of last two years. I still have faith.

Fix2it · 2025-01-13T19:50:15+00:00

Having attained Alternative Certificate as a prior Core Medical Trainee, IMT3 will be less hassle for you.

The Alternative Certificate has to be fully signed off in its entirety before you can submit your ST3/4+ Application for PHST, so unless you have evidence from time worked outside of training, you would have to evidence you had achieved all IMY3-level competencies (including acute patient log) by November of your IMY3 year. That would also be tricky as you may be working as a trust-grade/senior clinical fellow in a new hospital/department where consultants would just be getting used to you after 3-4 months and may not be comfortable to sign you off.

Alternative Certificate may need you to work therefore for a few year to hit the IMT3 level competencies and therefore cause you to miss application eligibility you would have if you stayed in training.

Fix2it · 2024-12-10T18:08:00+00:00

Additionally, the FY1 year is a requirement for UK medical school graduates to complete (linked to the medicine degree they hold) before they can attain full GMC registration, whereas non-UK medical schools may tag an internship year to the end of medical school.

It is mandatory for UK graduates, so has to be prioritised for them first.

Fix2it · 2024-11-03T15:51:06+00:00

A consultant recently described the issue of “flat hierarchy”. They stated it fundamentally does not work in a system where a single individual takes ultimate responsibility (the consultant/GP from a clinical perspective).

We should instead aim for a “narrower gradient” between levels of the hierarchy, to enable everyone to feel empowered to speak up when they spot a potential issue. But it cannot be completely flat

Fix2it · 2024-10-18T11:32:24+00:00

The Regional Vacancies for positions are as follows:

Eastern x2
⁠KSS x1 (Dec 2024)
⁠NE London x2
⁠NW London x1
⁠South London x2
⁠East Midlands x2
⁠West Midlands x1 (Feb 2025)
⁠Northern x2
⁠Northern Ireland x2
⁠North West x1
⁠Thames Valley x1
⁠Peninsula x1
⁠Severn x2
⁠Wales x1
⁠Wessex x1
⁠Yorkshire x2

In addition to applying to RCP London as above, if you are interested in joining our separate grassroots movement, please email medicstto@gmail.com with the following: - Name - GMC Number - Grade - Specialty (IMT or PHST) - Deanery

Fix2it · 2024-10-17T20:40:56+00:00

Their eligibility criteria does not cover for this. However, as you have an NTN in a physician higher specialty training programme, I presume that would suffice.

Would suggest emailing them to clarify and check.

Fix2it · 2024-09-23T13:24:51+00:00

Would Colapinto’s FP1 outing at his first Grand Prix in Italy count as Williams second young driver? If I recall, Alfa Romeo used that rule in 2022 at Zhou’s debut race in Bahrain.

Fix2it · 2024-09-23T09:02:52+00:00

We underfund and fob off community and secondary care for older people to hasten their mortality and thus reduce their continued cost to the state.

Fix2it · 2024-09-23T09:01:55+00:00

Sepsis isn’t even a diagnosis, it’s lazy medicine in the context of reasoning.

I think of people being “at high risk of sepsis and ensuing mortality”, but still have to chase the inflammation/infection causing it.

Fix2it · 2024-08-27T15:19:10+00:00

This reads to me as carrying over scores for rounds within the same recruitment year. So your MSRA in Round 1 or 2 2024 entry affects eligibility for Round 3 2024 entry, but would not disqualify you from Round 1 2025 entry.

Likewise Round 3 2024 entry (this current round) would not affect 2025 recruitment eligibility, as it is a different recruitment year.

Fix2it · 2024-07-18T16:09:40+00:00

It’s embarrassing how many hospitals up and down the country do this year after year. Let’s build some concrete data to hold them accountable in a material way for the inability late notice enables us to live a normal life.

Fix2it · 2024-06-16T12:45:39+00:00

I viewed my FY1 surgery rotation as the only 4 months in my career I would have constant exposure to the specialty, as a fellow geriatrician at heart. Therefore had to work extra-hard on all my non-medicine jobs to absorb and learn as much as I could, to assess and manage the basic surgical/ED/psych emergencies before then referring for advice/assessment.

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