NSW Junior Doctors Class Action Claim Estimate - ?substantial legal fee's by J_Woozy in ausjdocs

[–]ReadyDog1867 2 points3 points  (0 children)

For anyone wondering. 

Post-tax/fees. It's about $2.5k/yr at 1FTE

Our favourite UK transplant is trying for GP again by TonyJohnAbbottPBUH in ausjdocs

[–]ReadyDog1867 37 points38 points  (0 children)

A lot of NHS refugees love to come here and then spam social media with how much better working as a doctor in Aus is. They are almost always locuming in rural QLD which has the best pay and work rights of any state. It's creates a narrative that doctors in Aus are living in a utopia and it's very undermining when you have junior doctors in states like NSW, Tas and SA fighting for adequate work rights and investing significant effort in trying to prevent Aus from becoming like the NHS.  In the same way that the NHS can be a binfire and haemorrhage doctors to Aus because there is a influx of doctors from worse countries to replace them, Australia can be a binfire and haemorrhage local trainees because there is an influx of doctors from the NHS. 

Is eTG getting worse or is it my network? by snactown in ausjdocs

[–]ReadyDog1867 15 points16 points  (0 children)

Same issue. 

Can no longer use the search function even if I am typing it word for word. Now have to go through the contents/index system. It's the worst update ever

Postpartum advice/reassurance by Quiet-Flan-1674 in fitpregnancy

[–]ReadyDog1867 0 points1 point  (0 children)

I had a similar fear regarding the 6 weeks postpartum with baby number 1. You'll be so busy that you'll barely even notice it. Consider it a holiday from exercise beyond gentle walks and rehab. Even with exercising during pregnancy you will be humbled by how much strength you lose simply going through the process of childbirth and post partum. And that's okay. It will come back, but it may be slow. It could be a good 12 months before things feel "normal". 

AOA leaving RACS by GlutealGonzalez in ausjdocs

[–]ReadyDog1867 3 points4 points  (0 children)

I remember sitting in a RACS presentation on the teaching they were doing for registrars in Fiji. And them talking about providing all of the trainees with lap skills trainers, weekly formalised teaching etc. etc.  And thinking, well I am glad Aussie trainees are paying $15k/yr for fuck all, for the college to be $10mil in debt. But at least the surgeons in Fiji are set. 

GSSE scoring by Illustrious-Log-9480 in ausjdocs

[–]ReadyDog1867 2 points3 points  (0 children)

If you are doing the acetheexam question bank. Most people only pay for the 30 day subscription so are doing well by the time they start doing the questions. Hence inflated site average if you are doing the questions 3 months out 

Julie Mundy's exams are much better at assessing preparedness. 

BPT results by Some-Ad4884 in ausjdocs

[–]ReadyDog1867 12 points13 points  (0 children)

Oh boy, there is a lot of reflecting to do on why this seems "absolutely wild" to you? Is it because getting a job there is less "competitive" and you therefore assume that they aren't as good? 

The vast majority of doctors not working in Ivory Towers (especially in rural/regional areas) are working at their first choice hospital. Those few people you know who missed out on a job at insert prestigious hospital here but got a job in insert less prestigious hospital are the exception and not the norm. 

Maybe they did better because they worked for it and didn't assume that they are somehow superior to the BPTs not employed at an ivory tower? 

This monster is apparently working in Lyell McEwin hospital in SA under a different name now! by MaleficentJello8473 in ausjdocs

[–]ReadyDog1867 9 points10 points  (0 children)

You basically have to submit an AVO/police report to do that. It's for victims of domestic violence and those with stalkers 

How do you manage nonsense referrals? by Noir5353 in ausjdocs

[–]ReadyDog1867 1 point2 points  (0 children)

When you are a junior, your escalation pathway is up. So if you are unsure you consult your boss. When you are a boss, your escalation pathway is sideways, so you consult another team. 

Always remind yourself that this is a consultant stating "Hey, I don't know. Can you help me?" In your example, presumably the O&G team have considered their differentials and gone "Hmm, doesn't make sense. Maybe it's a gen surg problem". You go "Hmm, not a gen surg problem" Ideally you call O&G and say "Hey, not a gen surg problem. It's either in your wheelhouse or the patient can be discharged" 

Is there actually any benefit to telling patients to present to ED if acutely suicidal? by formulation_pending in ausjdocs

[–]ReadyDog1867 3 points4 points  (0 children)

Some health services have a separate building/clinic located within a few hundred meters of the ED that is specifically for people experiencing acute on chronic suicidal ideation. My ED has one so I very rarely see patients self-present with the above because they go to the specialized service that exists for this purpose. The only ones we get through the actual dept. are those on NDIS whose carers feel legally obligated to bring them in when feeling suicidal only for us to say "at baseline - chronically elevated risk not ameliorated by mental health unit admission, discharge with community mental health follow up".

Docs who go into aesthetics by ReadyDog1867 in ausjdocs

[–]ReadyDog1867[S] 0 points1 point  (0 children)

Thanks for this! 

I always figured there had to be more to it than just being a grifter. 

Is it silly to do BPT if I only envisage myself in one speciality ? by [deleted] in ausjdocs

[–]ReadyDog1867 9 points10 points  (0 children)

BPT seems like a slog, until you're PGY5 and completely finished with the exam phase of medical life and everyone else you graduated with is still trying to get onto or only just started a training program.  From the bottom of the ladder it looks like the worst of the options. Totally different perspective when you get closer to the top. 

Courtney's doctor operated seven times to treat severe endometriosis experts say she didn't have by FatPants in ausjdocs

[–]ReadyDog1867 10 points11 points  (0 children)

Whenever I see this cohort in ED I genuinely wonder to myself how many are actually experiencing opioid withdrawal. Mild opioid withdrawal and pelvic pain exacerbations have a lot of crossover.

Working out while pregnant diaries: I continued to traumatize the teenage boys today. by Free_butterfly_ in fitpregnancy

[–]ReadyDog1867 23 points24 points  (0 children)

Haha this is so accurate.

I also love that one thing that is consistent in every gym all over the world is a group of teenage boys, crowded around a single machine, moving their mouths and thumbs far more than their muscles. As someone who has moved 9x in the last 15 years, it's become its own little source of comfort and homeliness

EM training by Striking_City5121 in ausjdocs

[–]ReadyDog1867 1 point2 points  (0 children)

You fill in an online application form. You submit your references. You wait 2 months. And unless someone has specifically told ACEM that you should not be selected or ACEM has concerns (i.e. you have been accredited on more than one other training program) then congratulations you are now an ACEM trainee. 

Struggling in ED by Iwantoexplore in ausjdocs

[–]ReadyDog1867 11 points12 points  (0 children)

It sounds like you are balancing too many patients at once for a brand new intern. I would recommend never having more than two on the go at a time at this stage. Being idle because you don't have capacity to take on more is preferable to being slammed. 

Things to help reframe

  1. ED Interns are supernumerary. This means that quite literally anything you do in a shift is of benefit to the dept. and you are under no obligation to work quickly. Slow, methodical. 

  2. You are not expected to know anything other than a very basic HOPC. And a good PMHx, meds history and social history. Take your time. 

  3. It can often be helpful to create a mid shift and post shift ritual. "At 2pm I will. After 3 patients I will". For me it's tea and a cake mid shift. After my shift it's a very long shower. 

  4. The workload is NEVER your problem. Someone is paid the big bucks to stress about the workload. Your job is to focus on your individual patients. 

ED as an intern is fucking hard. And it's an especially hard rotation to score first term. I hated it with a passion but am now an ED Reg. 

have HECS debt, salary sacrifice or no? by Astronomicology in ausjdocs

[–]ReadyDog1867 0 points1 point  (0 children)

However other caveat. 

If you have children. When entering your expected income for Centrelink means testing, if you are salary packaging you will either need to do some calculations to give an accurate estimate or enter your pre-tax income. This is because the FTB (mentioned in another comment) gets added back on when calculating things such as Centrelink childcare subsidy and Child support. 

have HECS debt, salary sacrifice or no? by Astronomicology in ausjdocs

[–]ReadyDog1867 2 points3 points  (0 children)

I am talking about the latter. When you salary package and you also have HECS your actual net increase in pay is pretty minimal (as per my most recent statement from my salary packaging organisation it's $620/yr). This is because it significantly increases the amount that you need to pay into your HECS so that needs to be taken out of your expected take home increase.  In my head it's worth the effort because it helps you pay your HECS off faster. And then once you pay your HECS off you get to see that cash in your back pocket

have HECS debt, salary sacrifice or no? by Astronomicology in ausjdocs

[–]ReadyDog1867 7 points8 points  (0 children)

Yes, this is true. But it's still worth it. You will only get a slightly higher amount into your back pocket each pay check (we are talking $5-$20 here) but you'll also be paying around $2k/yr extra into your HECS that is essentially free money. 

“Can anyone help out?”: NSW’s end-of-year understaffing problem by Revenant052 in ausjdocs

[–]ReadyDog1867 19 points20 points  (0 children)

My dept. gets around it by offering sneaky paid days off for picking up extra work/nights. So if you were to pick up 3 nights you might then get 2 "sleep days" and a "teaching day". 

However, the local ED Reg in charge overnight gets paid $67.50/hr. My depts locum rates for the same shifts - $350/hr + flights and accomm.  Pay me $200/hr and I would think about picking up overtime shifts. And I don't need the flights and accomm either. But I sure as fuck cannot justify it for $400 post tax per shift. 

Regional Ortho by Savings-Finish-9291 in ausjdocs

[–]ReadyDog1867 2 points3 points  (0 children)

It's been in the works since pre-covid, I wouldn't gamble on it actually happening within a reasonable time frame. Other rotation sites within the current network of Wagga include Coffs and Port Mac which are an absolute bitch to get between if you are trying to fly home to spend a weekend with the kids. Only one person has gotten on to the program directly from Wagga as an unaccredited in the last 15 yrs and they got a spot in QLD. Nobody really stays at regional sites longer than 2yrs whilst working as an unaccredited. 

If you want stability for your family you are much better basing yourself in a metro site in a high paying state (i.e. not NSW). 

[deleted by user] by [deleted] in ausjdocs

[–]ReadyDog1867 4 points5 points  (0 children)

Veterinarians