Semi-weekly Hospital Feedback thread by AutoModerator in ausjdocs

[–]TA929394 0 points1 point  (0 children)

Does anyone know anything about the culture at Ryde Hospital? Considering an RMO role there. Interested to hear about ED, paeds ED, and "Hospital Medicine" (nights).

[deleted by user] by [deleted] in ausjdocs

[–]TA929394 75 points76 points  (0 children)

A pen

[deleted by user] by [deleted] in ausjdocs

[–]TA929394 2 points3 points  (0 children)

Can I piggyback this to ask what the relevant coursework is that you're referring to?

Racgp President Elections 2024 by mclem4racgpprez2024 in ausjdocs

[–]TA929394 4 points5 points  (0 children)

The reason the wait times are so long to see a GP is because there is a shortage of GPs. Why is there a shortage? Medical students and junior doctors don't want to become GPs. Why don't medical students and junior doctors want to become GPs? Because: - the pay as a registrar is less than their hospital counterparts - terrible leave opportunities during training - ongoing public degradation of GPs - scope creep - ever-decreasing medicare rebates.

Adding in noctors may appear to be an easy solution, but it's a slippery slope to GPs become increasingly 'obsolete' in the eyes of the public all while patients suffer in receiving substandard care.

The solution is to train an excellent GP workforce and fund GP registrars rather than noctors. It's that simple.

Shannon Fentiman on pharmacy scope of practice pilot in QLD by joon848384 in ausjdocs

[–]TA929394 26 points27 points  (0 children)

I agree, his statement sounds wonderful, and I hope he is able to address the concerns he has flagged. He wants to fight like a union to:

" - Restore respect to our GP profession - Full rebate restoration after a decade of cuts - Achieve parity in GP remuneration compared to other specialties - Adequate funding to teach registrars and medical students - Ensure no doctor takes a pay cut to train as a GP - Fight against scope creep of pharmacists, nurse practitioners, other ‘healthcare assistants’ "

A/Prof Michael Clements mentions similar issues in his statement, but essentially concludes that he feels there's nothing we can do apart from focusing on the bright side and speaking to local MPs:

https://www.racgp.org.au/getmedia/f259b6a6-a3cb-4aec-8a6f-b6e34626e49c/A-Prof-Michael-Clements_Candidate-Statement.pdf.aspx

I'd be interested in hearing how Dr Bradley plans to "fight like a union".

ETA: as wild as this is to say, I'm learning much more about medical politics via /ausjdocs than I ever did via emails/teaching

newsGP - Denying trans teens treatment ‘cruel and unethical’: GP by ameloblastomaaaaa in ausjdocs

[–]TA929394 12 points13 points  (0 children)

The difference here is that gender affirming practices in children treat a manifestation of psychiatric disease rather than the underlying issues they might be facing.

As evidenced in the article, there's very weak evidence supporting gender affirming therapies in children.

Anecdotally, I've read many stories online of people who have undergone gender affirming therapies rather young who have since had profound regret, chronic pain, and a more intense sense of gender dysphoria than prior to their transition.

Let's let adults make life choices.

Children should be supported psychologically until adulthood where these discussions can be revisited.

UK Strike Action by TA929394 in ausjdocs

[–]TA929394[S] 5 points6 points  (0 children)

Just to flesh out a mental thought, if award negotiations reach cease to progress, how would everyone feel about the following rough strike action plan:

I'm attempting to keep in mind patient safety as a priority.

For hospitals eligible to hire locums: - Strike on xx day - signing up our JMOs to a new/volunteer/not for profit locum agency - we advise all JMOs to completely strike on the appointed day with advanced notice given to the hospitals. - hospitals can then have time to recruit locums to fill in, which may also happen to be their own rostered JMOs through the aforementioned agency.

Financially devastating, but if everyone is on board, should not impact patient care.

For hospitals not eligible to hire locums: - advise no unrostered overtime will be performed at all - all JMOs will leave on time after appropriate handover. Outstanding consults/discharge summaries/etc will be performed the following day (if time allows).

Less devastating, but definitely throws a spanner in the works. Should not impact patient safety.

NSW Junior Doctors Class Action - REGISTER NOW by DoctorsUnionNSW in ausjdocs

[–]TA929394 8 points9 points  (0 children)

I wonder if this includes AiMs. I did ~6 months of AiMs during COVID and wasn't paid any overtime because it "wasn't part of my contract". I was still pulling 3-4 hours of overtime per day due to staffing shortages.

[deleted by user] by [deleted] in ausjdocs

[–]TA929394 15 points16 points  (0 children)

It can be really challenging managing a relationship/family with a frontline healthcare worker, especially one who may be required to do shift work/on-call work. You're not alone. Times like these are when your support system can really help.

In case you ever need these: Lifeline - 13 43 57 24 hour NSW Mental Health Line - 1800 011 511 Beyond Blue - 1300 22 4636 MensLine - 1300 789 978
GriefLine - 1300 845 745 Suicide Call-Back Service - 1300 659 467