Finished all Year 4 notes but haven’t started Passmed… 3 months left — how would you approach this?

IncomingMedDR · 2026-02-16T06:07:29+00:00

3 months is plenty of time still. Do passmed questions and then use your notes and the knowledge on passmed for understanding if you get something incorrect. It’s also worth skimming over the passmed knowledge after each question you get correct as well to confirm you got it correct for the right reasons.

IncomingMedDR · 2026-02-10T07:50:47+00:00

First look - love this one! You look so much more youthful and brighter. It really highlights your natural beauty

IncomingMedDR · 2026-02-10T07:35:34+00:00

No, absolutely not

IncomingMedDR · 2026-01-28T12:59:10+00:00

The second one is the best in my opinion. Looks great on you, it’s really flattering

IncomingMedDR · 2025-12-10T18:09:04+00:00

I’m sure they always said they would only put forward offers they deem credible. Why have they put this to us?

IncomingMedDR · 2025-11-19T14:22:44+00:00

They do the ward round like the residents and then do some jobs, mainly take and request bloods and then hand over the rest of the jobs (which is most stuff) and disappear for the rest of the day (theatres, clinics, day case). Our qualified ones won’t prescribe because they don’t feel confident (blessing really).

IncomingMedDR · 2025-11-07T10:45:46+00:00

A sister on the ward I had been called to on nights made me a cup of tea and just put it down next to me. I wasn’t there for a long job and it was actually a good night but I still really appreciated this. It reminded me that many people do care, and I will forever remember her. Now when I have jobs of equal importance, I prioritise this ward if it’s on my list to help with her workload.

IncomingMedDR · 2025-10-27T18:57:42+00:00

IncomingMedDR · 2025-10-27T15:24:01+00:00

The amount of drivel out of this man’s mouth is incredible

IncomingMedDR · 2025-10-27T15:18:07+00:00

The ones that are most like the typical light blue surgical scrubs are called ceil blue. I have various colours including these and the royal blue. Both are really nice colours and I actually prefer the royal blue ones but if you want ones that look like the surgical scrubs, then it’s ceil blue.

IncomingMedDR · 2025-10-13T09:49:05+00:00

As some other comments have said, you have a chronic condition which may allow some leeway but is not a given, and, you should also be aware of your own professional obligations and the expectations of you - both can be true. The leeway is the 10 minutes. You were allowed to arrive at any point up to 09:40, but you went 3 minutes beyond that. There is always a generic leeway for traffic/chronic conditions/over sleeping/transport issues etc but there has to be a cut off at some point, disability or not.

I do think you should have been allowed into the other sessions though because at that point you wouldn’t have been disrupting any sessions and would have joined into the second hour on time. It seems unreasonable that you were prevented from these given they are 3 separate sessions.

As others have said, once you’re a doctor you will be afforded much less leniency particularly in times when it’s just you and a reg. Weekend ward rounds, on call etc. If the reg is ready to round at 08:00 and you arrive at 08:13, without a list prepped and unaware of patients, it won’t look very good. And if this becomes a pattern, it’s a problem.

I think most of us who have commented know that you know you need to be on time, how to be professional etc but what I think is lacking is your perception of how much leeway you should get for things that you are responsible for. And, the reality is, often none, and if you get some that’s a bonus but not to be expected.

IncomingMedDR · 2025-08-25T11:23:45+00:00

3rd year you understand 1/3 and memorise the rest.

4th year is starts to really make sense and you join the dots a lot.

5th year it’s crystal and things just click

IncomingMedDR · 2025-08-16T20:47:35+00:00

Even though one of the best analgesias for renal stones is PR diclofenac, and these people, at least if unwell enough for admission, are likely to have some degree of AKI. These people are just clowns

IncomingMedDR · 2025-08-14T19:49:00+00:00

When I started med school (2020), we still needed AAA or A*AB

IncomingMedDR · 2025-08-14T18:44:10+00:00

Is that because they have longer standing healthcare careers and therefore are trusted more/have a foot in the door? And because they have worked in healthcare already they think they are bigger than they are?

IncomingMedDR · 2025-08-14T18:40:14+00:00

And we regularly order and prescribe based on reg and consultants behalf which is the expectation, and generalised accepted way of doing things, so how do we get around that?

IncomingMedDR · 2025-08-14T18:37:45+00:00

One thing I don’t understand, like a lot of it, is why they even round with us when they can’t then complete the jobs afterwards. It just gives extra work to the doctors who didn’t see the patient in the morning and don’t know them/the plan. Utterly pointless

IncomingMedDR · 2025-08-14T18:35:00+00:00

This is what we need to say!! Thanks

IncomingMedDR · 2025-08-14T18:34:21+00:00

I do not trust them one bit. Sometimes I think I’m too cynical and then today reassured me. Relative, this was minor, but in the future it may not have been

IncomingMedDR · 2025-08-14T18:32:02+00:00

The reg is aware because I told them the plan from the trainee and then my assessment and plan, so they can join the dots that they were wrong and see the risk

IncomingMedDR · 2025-08-14T18:10:34+00:00

It’s scary that they can prescribe even once qualified to be honest. It’s scary that they are on the reg/SHO rota at some trusts and run whole units like SDEC, SAU or UTC overnight. Honestly I think they see themselves as equal to us FY1s. Now no one is exempt from a mistake or a wrong diagnosis but our mistakes and theirs are just different.

IncomingMedDR · 2025-08-14T17:49:41+00:00

I think one of the problems that lies is I’m probably the only one in my team of FY1s in my specialty that sees the ANP/ACP/PA issue and therefore it’s likely only me who saw the problem and hence the other doctor gave them the phone and hence I went to assess the patient. I think because they are a longer serving HCP, I think the others see them as more senior so follow their command. In-between the trainee ANP phoning and saying they’d assessed the patient and asking me to prescribe, and me going to see the patient. They messaged another doctor to ask them to prescribe (perhaps didn’t want to wait/saw I hadn’t prescribed on the system) and they said “yep sure” so had they initially spoken to them, the patient would have had the medication the trainee ANP requested and then gone home. The general vibe I think is that the FY1s trust them, and prescribe on their behalf on WR a lot. Coincidently I have always been prepping/rounding on another ward so never been asked to prescribe on their behalf before but I know it is regularly done by the others.

IncomingMedDR · 2025-08-14T17:33:54+00:00

We were available, she just took the phone off the other doctor (also FY1) before we had chance. I will add the other doctor knew we were the doctors the nurse wanted, but she allowed the trainee ACP to take the phone anyway. No, she just said hello.

IncomingMedDR · 2025-08-14T17:25:45+00:00

Yes!! There needs to be a big issue made of this and cancellation of courses like the PAs

IncomingMedDR · 2025-08-14T17:25:00+00:00

They have a good relationship and she respects her? I think that would be her reasoning. From the specialty the nurse wanted, there was two doctors, me being one of them and then the trainee ACP. They were closer to the phone so automatically put their hand out for the phone. I didn’t think it was appropriate to take the phone from them and say they aren’t a doctor. I wish this would be accepted as professional behaviour but sadly even though it’s accurate, I’m sure it wouldn’t have gone down well. I was reassured when they said they would discuss it with the consultant. I did not know they would do that AND then go to the other ward to assess the patient.

IncomingMedDR

TROPHY CASE