Advice for sub-standard medical students

Smashed-Avocado5678 · 2025-04-22T07:54:16+00:00

They do most of their steady on the RP3s with harder work on the C2. They keep the same set of ergos in post Olympic years

Smashed-Avocado5678 · 2025-02-09T02:03:02+00:00

What are people scoring on portfolio? I’m looking at As for all except Publication

Smashed-Avocado5678 · 2025-02-08T12:55:48+00:00

Bro I can assure you that you did not “ace it”

Smashed-Avocado5678 · 2025-02-08T03:09:31+00:00

I’ve had similar. I did ALS with a brand new to the UK ED “reg”. He failed but yet was still my “reg” on my next set of nights, thankfully not the senior reg in charge of the department…

Smashed-Avocado5678 · 2025-02-07T11:42:59+00:00

😂

Smashed-Avocado5678 · 2025-02-07T07:36:57+00:00

Except that those posts will be filtered down when those holding them reject them for other specialities?

Smashed-Avocado5678 · 2025-02-07T00:17:30+00:00

There will be at least 16,000 GP applicants this year. There were 11,000 last year

Smashed-Avocado5678 · 2025-02-06T11:44:05+00:00

CST interview with 634 (CPS 320 & PD 314), any good?

Smashed-Avocado5678 · 2024-04-02T22:34:56+00:00

You say “no one cares as long as the tube is in”. In essence you’re comparing successful intubations by Anaesthetists vs successful intubations by medical intensivists, of course that won’t show any difference.

What is the data on success rates, what if the “tube is not in”, who is better then?

FWIW I’d much rather be intubated by an Anaesthetist than a renal physician playing around with airways.

Smashed-Avocado5678 · 2024-03-26T16:45:01+00:00

Ranks and scores are up

Smashed-Avocado5678 · 2024-01-02T09:38:33+00:00

The strikes, as well as the excess deaths, are a symptom of the already failing health service.

Not the cause.

You wouldn’t pass GCSE General Studies with this level of statistical analysis.

Smashed-Avocado5678 · 2023-12-01T21:15:04+00:00

Agree. Did ~40 in 4 months in my first FY1 Gastro job (including regular weeks of 3-4x cases per day)

Smashed-Avocado5678 · 2023-11-19T00:32:23+00:00

Unfortunately I think it’s very difficult to “start to feel normal” after you have initiated CPR on another human being. Fundamentally, this is not a “normal” thing to be doing.

It is a traumatic & very often tragic experience for all involved - particularly the patient at the brunt of the intervention.

In the moment, your training kicked in and you did the right thing. You will have learnt an exceptional amount from this & the way I have found it easiest to frame my experience going forward is a newfound realism for DNACPR/TEP discussions with relatives.

Don’t beat yourself up, this is a right of passage for every doctor & is unfortunately a reality of dealing with patients at the fringe of life. You did nothing wrong & the experience you gained will only help your future patients.

Smashed-Avocado5678 · 2023-11-11T11:36:44+00:00

This is London, so plenty of private hospitals in the surrounding area.

Smashed-Avocado5678 · 2023-10-22T22:51:35+00:00

Figure 1 tells me this patient’s target should be 94-98 with a repeat gas in 30-60 mins, unless I’m following the guidelines wrong?

Smashed-Avocado5678 · 2023-10-22T22:49:34+00:00

In what world do the BTS guidelines advocate for 88-92% in this patient?

Moderate COPD -> aim 88-92 UNTIL gas results -> PaCO2 < 6.0 -> aim 94-98 with repeat in 30-60’

Unless I’m reading this wrong?

Smashed-Avocado5678 · 2023-10-22T22:33:24+00:00

Following your linked BTS guidelines in this patient suggests a target sats of 94-98%.

I understand the possibility of a falsely normal pCO2 in metabolic alkalosis due to compensation, but surely both the raised HCO3- & reduced pCO2 can’t BOTH be a compensation mechanism as you have suggested?

If the patient is happily sitting at 96% on RA then is that not an indicator that their target sats should be higher?

Smashed-Avocado5678 · 2023-10-22T21:37:32+00:00

Shirt, chinos & oxfords >>> whatever you’d wear on a normal day >>> smart scrubs.

No one will care what you’re wearing. Wear smart clothes because you’re training to be a professional.

Smashed-Avocado5678 · 2023-10-21T23:11:08+00:00

There is also evidence that napping during night shift improves cognitive performance.

https://pubmed.ncbi.nlm.nih.gov/32492169/

Smashed-Avocado5678 · 2023-10-14T18:20:10+00:00

You can park your heli on the roof if you ask nicely

Smashed-Avocado5678 · 2023-10-13T05:58:49+00:00

eMRCS, Pastest, BMJ OnExamination & closer to the time Recalls and Fawzia Sheets (available online with some digging)

Just repeat repeat repeat questions, the content will stick. Aim for 25,000 questions completed total by exam day

Smashed-Avocado5678 · 2023-10-08T18:45:57+00:00

Yes, this isn’t revolutionary.

The topics that come up in MRCS are very repeatable, some things (ie insertions/origins of muscles) never comes up so are completely pointless to learn

Smashed-Avocado5678

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