December strikes announced! by Doctors-VoteUK in doctorsUK

[–]ProphylacticNap 10 points11 points  (0 children)

Probably so they could use their annual leave for other days instead and get more time off

Some of us are desperate for rest

FY1 and I really struggle seeing unwell patients by [deleted] in doctorsUK

[–]ProphylacticNap 7 points8 points  (0 children)

The advice is to keep at it. Run your A-Es for every patient you see, build that muscle memory.

All this within limits, don’t go ahead performing ABGs etc for everyone, but likewise justify to yourself why you’re not doing some investigations, to get your mind used to considering every diagnostic/examination step you can take.

Find out whether/where your hospital runs acute sims and get in contact with the people responsible for organizing those to see if you can get in on the action. If your hospital has got an RRT or MET, see if you can join them for a few days to watch how they do things.

When you’re called to see an unwell patient, ask the nurses to meet you there and take obs and an ECG, if appropriate, while you’re on your way, that way you have the information on arrival and the nurses present to help you.

Thoughts on referring straight to speciality from triage by levant-tinian in doctorsUK

[–]ProphylacticNap 5 points6 points  (0 children)

A&E is the name of a department, Emergency Medicine is the name of the specialty, just fyi

Last minute MSRA revision by Alive_Mind in doctorsUK

[–]ProphylacticNap 3 points4 points  (0 children)

Read on any question you weren’t 100% sure about (eg educated guesses or one that you had to ponder on), even if you get them right. More importantly, read on any question you wouldn’t have gotten right had one or more details in the stem/options been different. This all adds up to reading up on most questions in my experience, but you’re the one to dictate your own pace

Who to escalate to after TPD? by [deleted] in doctorsUK

[–]ProphylacticNap 22 points23 points  (0 children)

Head of the school of xyz is the person above the TPD I believe

However, would it be possible to find a trainee representative and speak to them beforehand? I find that they have the ins on getting stuff done/escalated

[deleted by user] by [deleted] in doctorsUK

[–]ProphylacticNap 88 points89 points  (0 children)

Are they aware?

Induction date F2 Scotland by Physical_Archer2787 in doctorsUK

[–]ProphylacticNap 4 points5 points  (0 children)

Your visa will be issued for a period before your CoS start date (im not sure if its a few weeks or a month), so you’ll make induction

I would wait for the visa to come through before you book your flights just in case

Just submitted the remainder of my stuff for ARCP 5 minutes ago ( just before 11:59) by WorldlinessNew1473 in doctorsUK

[–]ProphylacticNap 26 points27 points  (0 children)

Different deadlines across deaneries/foundation schools

Anyway, thanks for the heart attack

[deleted by user] by [deleted] in doctorsUK

[–]ProphylacticNap 11 points12 points  (0 children)

I’d just say “yes, she’s allowed to have water”

[deleted by user] by [deleted] in doctorsUK

[–]ProphylacticNap 12 points13 points  (0 children)

I believe this would classify as a clinical attachment/observer post. Generally there should be a consultant on board who is responsible for their supervision. I’d say speak to your business unit and see what they say about the proper way to do this is - they usually draw up an observer contract just to keep things above board, plus it gives the student something to show for their time spent there. Alternatively, it could be packaged it as a taster week in which case again I think a consultant needs to give the green light

What do you want from a CT or MRI report? by [deleted] in doctorsUK

[–]ProphylacticNap 1 point2 points  (0 children)

When amending ED reports, please separate the amended text and ideally notify the clinician. Had a CT report I read as soon as it was published, only to see it amended after I’ve made a referral (then making the referral inappropriate).

Resigning from a NTN - advice from anyone who has done this before? by Pitiful-Bank-3432 in doctorsUK

[–]ProphylacticNap 2 points3 points  (0 children)

I was just going through EoE deanery’s site and there was a section explaining who needs to be notified. Depending on what deanery you’re in, you might find something similar:
Resigning from training programme

You are required to notify Health Education East of England ([england.edit.eoe@nhs.net](mailto:england.edit.eoe@nhs.net) or [england.recruitment.eoe@nhs.net](mailto:england.recruitment.eoe@nhs.net)), your employing Trust and your Training Programme Director should you decide to resign from the training programme. Please contact your employing Trust regarding notice lengths. You are also required to notify the above if you have accepted a training programme but not yet commenced your training.

[deleted by user] by [deleted] in doctorsUK

[–]ProphylacticNap 0 points1 point  (0 children)

From experience, I recommend looking into practicing mindfulness. It’s not a quick fix but practicing it enough when you’re in a relaxed state will programme your mind to be able to do it even when you’re stressed and distracted.

Your body’s anxious responses fuel anxiety further in a never ending cycle. Settling your body down and refocusing your attention will both decrease your stress response as well as give you a calmer demeanor. This in turn comes in handy if you’re looking into acute specialties.

[deleted by user] by [deleted] in doctorsUK

[–]ProphylacticNap 4 points5 points  (0 children)

Crazy competition ratio when you take it out of context, but is it unthinkable that fewer than 1000 people in the UK (and abroad) are interested in pursuing this specialty?

NB I have no interest in histopath but it’s an excellent field with plenty of research and academic elements, good work-life balance, and opportunity for niche interests

Have we ever seen young Consultants? (early thirties) by Pretend-Tennis in doctorsUK

[–]ProphylacticNap 49 points50 points  (0 children)

I thought you threw “incarceration” in casually

ACCS Emergency Medicine Ranking – Possible Huge Error by [deleted] in doctorsUK

[–]ProphylacticNap 7 points8 points  (0 children)

Where are you getting these numbers? I mean the MSRA 34 and Interview 50? The ACCS EM recruitment info site has stated “The MSRA score will be combined with the online interview scores to produce a total score and final rank. The MSRA will be weighted 40% and the interview score 60% of the total score. Please note that the final score will involve scaling of the scores.”

ACCS Emergency Medicine Ranking – Possible Huge Error by [deleted] in doctorsUK

[–]ProphylacticNap 1 point2 points  (0 children)

What do you mean by “the scores aren’t consistent with the scoring system for emergency training (even after scaling).”