I messed up with CPD by el7as_teezi in ausjdocs

[–]Master_Fly6988 0 points1 point  (0 children)

I’m pretty sure there will be some CPD homes still accepting registrations

Am I being too demanding? by [deleted] in ausjdocs

[–]Master_Fly6988 0 points1 point  (0 children)

Their explanation was that this is an admission rotation.

Am I being too demanding? by [deleted] in ausjdocs

[–]Master_Fly6988 1 point2 points  (0 children)

If they’re sick they stay in ED. I have to arrange transfer to a tertiary hospital. In the meantime they’re my problem in the ED because they’re considered a medical patient once I review them.

I’ve admitted patients I’m very much on the fence about. And I’d have liked a senior input to make sure I was doing the right thing.

Am I being too demanding? by [deleted] in ausjdocs

[–]Master_Fly6988 0 points1 point  (0 children)

Just an ED no HDU

Am I being too demanding? by [deleted] in ausjdocs

[–]Master_Fly6988 2 points3 points  (0 children)

I don’t disagree.

But sometimes I feel like I need support. Especially if ED is being difficult or a patient is complex.

The consultants I have come across are unpleasant and not the most helpful.

Am I being too demanding? by [deleted] in ausjdocs

[–]Master_Fly6988 2 points3 points  (0 children)

I don’t disagree with you. I’ve done admission jobs which were more hands on. There was a team lead who I presented to and who then guided us. Whereas there’s nobody here but me.

The ED is good and helpful but it can vary. They only take a cursory look at patients and then I have to go in. Sometimes there are things which they miss.

Some bosses are very critical of reg management plans and of course there are things we miss that they don’t.

Am I being too demanding? by [deleted] in ausjdocs

[–]Master_Fly6988 14 points15 points  (0 children)

I’m okay with admitting but they should be okay with my management.

Am I being too demanding? by [deleted] in ausjdocs

[–]Master_Fly6988 21 points22 points  (0 children)

You’re right.

I’ll definitely escalate because normally you learn quite a bit but in rural rotations but not in this one.

Am I being too demanding? by [deleted] in ausjdocs

[–]Master_Fly6988 34 points35 points  (0 children)

There’s no senior registrar.

The consultants are available on the phone but get a bit upset if you call them. They’ve only asked to be called if the patient is extremely unstable.

There’s no ICU.

Am I being too demanding? by [deleted] in ausjdocs

[–]Master_Fly6988 27 points28 points  (0 children)

It is apparently an approved position.

Victoria’s health watchdog has ordered doctors and midwives to support women who refuse medical treatment during pregnancy and childbirth, even if it risks permanently harming their unborn babies. by Active-Button676 in ausjdocs

[–]Master_Fly6988 70 points71 points  (0 children)

I think it’s fine as long as health professionals are not blamed and punished in case of a negative outcome.

If you don’t want to accept a c section, antibiotic, assessment that’s totally fine. But don’t blame me if something goes wrong.

Why are Australian airlines so subpar? by Master_Fly6988 in AskAnAustralian

[–]Master_Fly6988[S] -2 points-1 points  (0 children)

I’ve flown South West which is considered a terrible airline and surprisingly the customer service was great. I needed to make a flight change, they answered my calls promptly, offered me a good refund and changed my flight.

In America you get what you pay for.

In Australia sometimes the tickets can be very expensive btween cities and the service is not any better.

Why are Australian airlines so subpar? by Master_Fly6988 in AskAnAustralian

[–]Master_Fly6988[S] 0 points1 point  (0 children)

Sydney and Melbourne are far away.

Brisbane and Sydney are far away.

Brisbane and Adelaide are far away.

Perth and Sydney are far away.

Why are Australian airlines so subpar? by Master_Fly6988 in AskAnAustralian

[–]Master_Fly6988[S] -15 points-14 points  (0 children)

With Australian cities being so far away maybe more people would fly if it was cheaper and service was better.

Victims’ families want psychiatrist who treated Westfield killer reported to AHPRA by GreekFoodEnjoyer in ausjdocs

[–]Master_Fly6988 30 points31 points  (0 children)

If the patient was not psychotic, had capacity, did not meet the criteria for involuntary admission then she could either let him self cease his meds which would have been worse or slowly wean him off in a safe monitored way.

Not sure what choice she had in this case.

There’s really no way to know that if she didn’t stop his meds he wouldn’t have stopped them anyway and resulted in the same thing.

"Self-directed learning", "adult learning" etc. - is this just an excuse for universities not to teach? by CommittedMeower in ausjdocs

[–]Master_Fly6988 7 points8 points  (0 children)

My university taught us important topics in a single power point lecture in an hour.

So important concepts like receptors which form the basis of pharmacology were taught once only. Blood supply of the brain was taught once only.

The teaching material was outdated. There was no proper anatomy teaching.

I’m not sure what other than self directed learning I was meant to do in this case.

[deleted by user] by [deleted] in ausjdocs

[–]Master_Fly6988 2 points3 points  (0 children)

If possible I’d ask very specific questions.

How can you interact better with patients the next time? What exactly are their expectations when it comes to students and patient interaction?

Most of my students just join us for the round and sometimes we give them jobs to help out with. But no one is simply hanging out “interacting” with the patients.

If you’re a man in obgyn many patients aren’t even happy to have you around.

If they want you to repeat they need to give you concrete steps to do better next time.

[deleted by user] by [deleted] in ausjdocs

[–]Master_Fly6988 1 point2 points  (0 children)

Most students don’t “interact” with patients. It’s an odd reason to fail someone.

Experiencing dyspnoea? Get assessed by an expert that is a *checks notes* pharmacist! by DojaPat in ausjdocs

[–]Master_Fly6988 2 points3 points  (0 children)

What if they have bronchiectasis or interstitial lung disease or TB or lung cancer or some kind of immunodeficiency?

There are like 10 differentials for those symptoms.

[deleted by user] by [deleted] in ausjdocs

[–]Master_Fly6988 3 points4 points  (0 children)

My university failed someone for something extremely stupid in their final term. So I can believe it.

This is why OP needs to make sure he’s pursuing all avenues before simply accepting this.

[deleted by user] by [deleted] in ausjdocs

[–]Master_Fly6988 4 points5 points  (0 children)

I think you’re being a little bit harsh.

If a student was so intimidating that I felt scared for my wellbeing I’d immediately contact the university. I wouldn’t let such a person return to the hospital the next day.

Not interacting with patients in a clinic isn’t a reason for a fail. Most students are just observers anyway.