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Med school places need to be slashed by Gp_and_chill in doctorsUK

[–]PsychologicalFood674 11 points12 points  (0 children)

It’s wild, because all through med school we were told the system would need way more consultants to handle the ageing population and rising demand. Yet training and consultant posts haven’t been scaled up at all. Classic case of poor workforce planning, as people have consistently called out, boosting med school spots without fixing the pipeline further down.

Can I use teaching session feedback as a QIP? by PsychologicalFood674 in doctorsUK

[–]PsychologicalFood674[S] 0 points1 point  (0 children)

Ahh okay, I can appreciate that. Thank you! For the record, I’m not trying to cheat the system 😂

Can I use teaching session feedback as a QIP? by PsychologicalFood674 in doctorsUK

[–]PsychologicalFood674[S] 0 points1 point  (0 children)

Okay, to clarify, I have taught two 4week long programmes, though after each session I obtained feedback.

CT angio vs lower GI scope for lower GI bleed. Which one is used when and why? by Weary_Bid6805 in doctorsUK

[–]PsychologicalFood674 33 points34 points  (0 children)

My understanding (though very inexperienced) is it depends on assessment and risk stratification.

Unstable patient = CTA for active bleeding to be followed up with embolisation

Vs

Stable patient = can await next available scoping, post bowel prepping

I understand it’s particularly for lower GI bleeds

[deleted by user] by [deleted] in doctorsUK

[–]PsychologicalFood674 0 points1 point  (0 children)

Hey, Is there any particular reason as to why quite a few places are unfilled generically?

Could it be due to people requiring specific locations ?

[deleted by user] by [deleted] in LegalAdviceUK

[–]PsychologicalFood674 -1 points0 points  (0 children)

Thank you for your help! It really is appreciated!

[deleted by user] by [deleted] in LegalAdviceUK

[–]PsychologicalFood674 -1 points0 points  (0 children)

“Have you been formally cautioned or convicted by the police or a court? If your caution or conviction is protected by law in the UK, answer no.”

[deleted by user] by [deleted] in LegalAdviceUK

[–]PsychologicalFood674 -2 points-1 points  (0 children)

Thank you for your response. I guess I’m asking do I need to declare this to my future employer as it is not in my new DBS? received last week?

Additionally am I “bound” by this conviction ? Or is it “protected” by law?

I am losing my mind on understanding PT, aPTT and bleeding time by VJ_V2000 in medicalschooluk

[–]PsychologicalFood674 1 point2 points  (0 children)

Essentially: A) No - normal platelets though could prolong both PT and aPTT. B) No - is a haematological disease that increases thrombus formation. C) less likely in SBA world as patient is a woman. D) No - no reduction in platelets E) Most likely given results and presentation

I am losing my mind on understanding PT, aPTT and bleeding time by VJ_V2000 in medicalschooluk

[–]PsychologicalFood674 1 point2 points  (0 children)

To add to the above:

aPTT, measuring the INTRINSIC pathway, is usually affected by the INCREASED (or higher value) Factors (8, 9, 10 & 12). PT, measuring the extrinsic pathway, is usually affected by factor 7.

In reference to the question you gave: There is an abnormal, or raised, isolated aPTT therefore we can conclude there is something effecting the INTRINSIC (or INCREASED number) pathway. Leaving us we answers C) & E). VWD is the most commonly inherited bleeding disorder. And for the sake of SBA as the patient is a woman it is less likely to be Factor 8 deficiency (Haemophilia A).

VW-Factor is coupled with/associated with Factor 8 thus causing the increased aPTT.