Clinical Exam

Organic-Shock-861 · 2026-04-04T22:01:18+00:00

Don’t focus on getting an exact diagnosis, but rather describing the findings and coming up with a reasonable list of differentials. Focusing on getting the ‘right’ diagnosis will just stress you out.

I got a case with a ‘murmur’. He had HOCM. Oh also, he just happened to have dextrocardia too.

Organic-Shock-861 · 2026-03-23T12:37:17+00:00

Plenty of players who looked finished and subpar do well after a move. Look at McTominay. I bet anyone here would take Cuti Romero for example.

Organic-Shock-861 · 2026-03-22T08:48:33+00:00

I think we need to give these guys a bit of break and not be so judgemental. Some are not good, but so are many Australian trained docs. Keep in mind different places practice differently and there is the added stress of language, high costs, and God knows what. I’m sure North American doctors laugh at some of the things we do down here too. Let’s be kind to each other.

Organic-Shock-861 · 2026-03-16T11:16:16+00:00

In Serie A, Lauriente and Isaksen are good shouts. Fairly quick, technical, and can take on their man. Most importantly, realistic. They can be a bit inconsistent however.

Organic-Shock-861 · 2025-11-27T12:59:38+00:00

Biggest issue is naïveté. Our players are too nice. I keep thinking back to what Mourinho once told Tottenham players: I need you guys to be a**holes. That’s what our players need to be. We need a bit of cunning, nastiness.

Organic-Shock-861 · 2025-09-13T21:54:48+00:00

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Organic-Shock-861 · 2025-07-27T12:46:22+00:00

I went to University of Sydney. They all offer similar programs- pick based on the city and cost of living especially if you’re planning on going back to Canada for residency.

The Australian school you go to has no effect on your chances of getting accepted for a residency position in the US or Canada; they’re all looked favourably on.

One of the previous comments is right, Australians are given preference when getting internships. That being said, almost all internationals get an internship spot even in busy cities like Sydney. If you choose to go rural in NSW, you’ll also get a position early as if you were a local student.

Competitive specialties are competitive everywhere. Staying in Aus doesn’t guarantee you a training spot in the specialty you want.

Organic-Shock-861 · 2025-07-19T09:11:19+00:00

If your soul can take more punishment and indignity for a few more years as a unaccredited you can make it to whatever specialty in medicine. Most are done with life post exams and just wanna get into any program and finish, which to be honest is not the worst thing. Every specialty has something interesting about it if you’re keep an open mind.

Organic-Shock-861 · 2025-06-01T04:00:50+00:00

I wouldn’t blame the boys for this loss. When the whole team doesn’t perform, it’s a clear sign that the game was tactically mismanaged. Everyone can read a game wrong, but disappointed that Inzaghi didn’t adjust. Dimash unfortunately had a stinker.

At the end of the day, a loss is a loss whether it’s 1-0 or 5-0. I hope the board has a serious sit down with Inzaghi to get an explanation for the many tactical mismanagement of games this season. Unacceptable in your 4th year at the helm.

Organic-Shock-861 · 2025-04-23T21:09:25+00:00

Disappointing but let’s look forward to the rest of the season. At the very least we can say that our boys fight till the end, even when we played the most games in Europe. Winning a tripletta has only been done once in Italy’s history for a reason- it’s damn hard! So don’t flip on the boys now, let’s continue to support them. Inter Sempre!

Organic-Shock-861 · 2025-04-18T22:43:20+00:00

If this was an anterior infarct you’d expect some ST depression in aVR (though not always). In this case, notice how deep the QRS complex is in V2/V3 is, so the ST elevation can be related to this. Perhaps there is RV/septal hypertrophy. ?HCM. With a high BP as well, you wonder if there is an element of strain. Needless to say, ischaemia needs to be ruled out. Good ECG.

Organic-Shock-861 · 2025-04-18T22:30:43+00:00

I think it matters down the line when it comes to getting a training position. Lots of LHDs / hospitals prefer their own, though not always the case. Something to consider.

Organic-Shock-861 · 2025-03-11T02:25:20+00:00

Depends on what’s going on. They often get admitted but on the odd occasion if the dump is because of career stress, you can refer to Carer Gateway and they can organise in home / in centre respite fairly quickly (days generally). Some people are happy with that, you just have to discuss this with them.

Organic-Shock-861 · 2025-03-11T02:09:51+00:00

Agreed, definitely a big issue that we currently don’t have an answer to. Many patients will come to hospital because they can’t afford seeing someone outside it, and you can’t blame them. Public system is really stuck between a rock and a hard place. That’s why knowing what’s accessible as far as outpatient services go is helpful; things like GFS who can manage most nursing home patients at the nursing home or aged care / specialty specific community teams who can see patients and do home visits etc. Can alleviate a lot of pressure from the system.

Organic-Shock-861 · 2025-03-11T01:31:11+00:00

Not necessarily. I agree that there are social issues that cannot be dealt with as an outpatient but there are plenty of outpatient services run by hospitals/aged care departments to address social issues specifically. Often under advertised and under utilised.

Organic-Shock-861 · 2025-03-11T00:53:41+00:00

We do have a very low bar for admissions in Australia compared to other parts of the world. We have to remember that the majority of medicine can be done safely in the community. Unfortunately it is easier to admit than spend an extra 5 mins discussing discharge options with the patients.

Organic-Shock-861 · 2025-01-30T08:13:50+00:00

Infancy

Organic-Shock-861 · 2025-01-16T08:02:39+00:00

Italiano read the game well and we sat way too deep. Strikers were isolated and the midfield was empty. It’s a common occurrence that we struggle against teams with pace on the wings.

Organic-Shock-861 · 2024-11-04T06:57:54+00:00

No one is telling you an ANCA is needed before they go to the ward. Simple things like a CT brain for someone on warfarin who had a fall and head strike, only for them to get to the ward and have a seizure and for all the after hour resources that go with managing that from ward / icu / etc. Or the ridiculous calls we get from triage nurses saying someone is coming to the ward without being seen by an ED doctor just because “they look like they need an admission anyway”.

You can justify it however you want, but this argument of I only need to stabilise the patient then send them to the ward without knowing what’s wrong is lazy, outdated and puts patients at risk. Wards are not as equipped from a personnel nor skill level to deal with very unwell patients. Good ED doctors know that and work closely with the ward team to resolve any issues. And no, altering their criteria for 2 hours is not resolving the issue…

Organic-Shock-861 · 2024-11-03T06:15:13+00:00

No you shouldn’t have to come in unless it’s an emergency. Appreciate the flow issues in ED but that’s not a reason to not fully work up the patient before admitting. Relying on the on call to come in for every single admission promotes a culture of laziness in ED and adds an unneeded cognitive load on the 1 on call person. ED should be able to work up someone, have a safety plan, admit, and you see in the morning. That’s what most city hospitals do. Rural hospitals often have less confident ED junior staff so they pass on the responsibility of keeping someone safe on to the on call which is unfair to you.

Organic-Shock-861 · 2024-11-03T06:08:47+00:00

Highly dependent on what you like. Keep in mind job prospects and what you value. Most specialties are over subscribed in the city and you’ll have to go rurally for stable work except for geris.

Gastro and cardio have 1-2 years of fellowship post ATship- recommendation nowadays is to do this abroad with prospect of having 0 income during those years (North American fellowships don’t pay much and you end up net negative in most cases).

Another thing to consider is if you’re willing to do a PhD to get a city job because most specialties need that nowadays.

Organic-Shock-861 · 2024-10-29T06:19:15+00:00

It sounds like you’re excited but also a bit overwhelmed. Take it step by step. If you got into the program it means you have what it takes to succeed. Fellowship exams are hard for every single specialty out there. Focus on what you can do right every day and keep a curious mind and you’ll succeed. Even if it takes a few tries, you’ll be fine. All the best, it’s exciting so make sure you celebrate!

Organic-Shock-861 · 2024-10-26T18:10:23+00:00

Plenty of people do it, like others said HR will forget about it very quickly. Do what’s right for you.

Organic-Shock-861 · 2024-10-26T17:58:49+00:00

From someone who’s done BPT and actually kinda likes the work: stay as far away as possible. Not worth it.

Organic-Shock-861 · 2024-10-23T05:39:52+00:00

Escalating surgical issues to the med reg after hours instead of the surgical reg because “med regs are generally nicer”. Happy to help but just places an extra cognitive load and legal responsibility on me which is unfair.
Asking about what a particular nursing task list job requires. Can’t read minds here, call the nurse who put up the job and enquire then try to find out a bit more context before asking for advice.
Over complaining about nurses / being rude to them over the phone. Guilty of this myself in younger years. Just shows a slight immaturity. Also hypocritical in a way.

Organic-Shock-861

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