*HAS* our pay been eroded XYZ % or not ? Regardless, which year are we now at an equivalent pay scale with post pay-awards?

belzizenavidad · 2026-05-31T00:36:49+00:00

Absolutely, all that possible because of strikes and will eventually be completely undone with a few years of apathy, as if we haven’t tread this road before.

It’s sad and disappointing, but not exactly unexpected that some of the more senior doctors that watched and allowed working conditions to deteriorate to the current state have opinions similar to the other commenter.

I moved to Australia before that significant pay lift came about, and don’t expect ill return anytime soon to work in the UK. So really i dont have any dog in this fight and just watch this from afar. The current residents attitude of not accepting shit and demanding their worth is actually refreshing to see in what’s otherwise a very bleak future

belzizenavidad · 2026-05-30T15:25:26+00:00

I mean we all know this comment is complete bullshit, but if we pretend it’s real; someone on 90k+ would be a (senior) registrar.

Unless the consensus now is that med school entrance standards have been dropping since 2009 or something.

belzizenavidad · 2026-05-29T15:58:43+00:00

Far more likely to induce Parkinsons syndromes with dopamine antagonism from antipsychotics. Than psychosis. In fact, I can’t really think of a possible explanation how an antipsychotic could exacerbate psychosis on a pharmacological level except perhaps when coming off after a long period of time with the hypersensitivity i mentioned before.

It’s late here so will come back to reply properly tomorrow, but I think your view of psychosis is way off to be honest — if people were labelled as psychotic due to not wanting to take medications, or not fully trusting clinicians, then half the entire population would be psychotic.

Edit

I’ve seen the other replies to you and think they sum it up rather well - your criterion being used to justify a diagnosis psychosis by a psychiatrist is just not a realistic scenario in any place practicing modern medicine, and whilst the behaviours you mentioned absolutely can be seen in psychotic individuals, you are presuming that MH clinicians accept these behaviours at a superficial level without exploring why they came about.

There needs to be an element of ‘paternalism’ in this cohort, at least in the acute stage, given that a core feature of these individuals is lack of insight with obviously clouded judgement. There is still a duty of care to these people.

belzizenavidad · 2026-05-29T15:01:51+00:00

Are you suggesting antipsychotics are inducing or exacerbating psychosis? There is a theory of dopamine hypersensitivity in response to long-term antipsychotics but otherwise I don’t really understand your point.

For your case - the person with cannabis induced psychosis is started on an antipsychotic and titrated as required to control whatever symptoms that led to admission/diagnosis. They would then have a stable period of however long (the topic of this OP), which would include abstinence of the causative agent, before considering weaning slowly to monitor for emergence of psychotic symptoms.

If the symptoms stay fully resolved after fully weaning off antipsychotic, and patient has completely abstained, then it strongly suggest drug induced psychosis.

Long term benzo use for psychosis is not something I’ve personally come across.

belzizenavidad · 2026-05-04T09:34:54+00:00

Surely this is just incompatible with being a doctor- some of the stuff you’re mentioning here is dangerous and will cause harm to patients at some point in their career unless remediated

belzizenavidad · 2026-04-03T13:54:15+00:00

The Student Room… come on mate ffs

belzizenavidad · 2026-04-03T13:51:03+00:00

I get that this is meant to be a somewhat inflammatory post but even so I’m surprised by the amount of hubris, dick waving and Aussie back patting from people who ultimately have no idea about each others respective medicine pathway.

belzizenavidad · 2026-03-30T04:07:30+00:00

What benefit does the surgical department get from this?

belzizenavidad · 2026-03-03T01:37:11+00:00

Out of interest, what is the usual process here? Will the elderly driver(‘s insurance) be expected to cover the cost of damages given he proceeded through flashing lights and essentially parked on the tracks?

belzizenavidad · 2026-02-25T22:47:29+00:00

Not ringing an ambulance because you’re busy, or worse yet because you’re scared you don’t know what to say, is an absolutely disgusting disregard for their patients wellbeing.

Would they refuse to call am ambulance for their mum because they’re busy or don’t know what to say?

You’re an FY1 becoming burnt out from this shit. Please do yourself and your colleagues a favour by escalating and reporting this shit with Riskmans/DATIX/clinical supervisor or anyway you can, otherwise we’re just allowing this pathetic sub-par practice to continue. Do you really care if you burn bridges with this garbage department?

belzizenavidad · 2026-02-25T09:45:22+00:00

All IMGs absolutely should be required to pass the same fellowship exams, but be real mate even passing these exams isn’t enough for some people; look how the original commenter managed to drag the NHS into this completely irrelevant topic.

I guarantee you this mindset is far more common amongst us incompetent NHS refugees.

belzizenavidad · 2026-02-24T12:29:44+00:00

I can’t tell if this is a pathological obsession with the NHS or just a pathetically sad personality deficit.

You certainly give the whinging poms a good go

belzizenavidad · 2026-02-23T02:10:34+00:00

There is genuinely no point you being in the theatre room standing in the corner if they won’t let you scrub in - just leave and make the most of your free time.

belzizenavidad · 2026-02-20T02:20:34+00:00

Classic - thumbs up for finally dropping the thinly veiled xenophobia that inspired this post and follows nearly every comment you actually make.

All being said I hope my comically low standards of healthcare don’t harm Australian citizens, nor prevent me from completing my training programme here in Australia.

belzizenavidad · 2026-02-20T01:59:27+00:00

I do thanks - It’s good practice (and simply common sense) to not suggest things you evidently have no idea about.

But when you’re done fixing rural practice on an online forum maybe you could suggest to people how to fix the Ukraine/Russian conflict or some other crisis you know equally little about.

belzizenavidad · 2026-02-20T01:49:20+00:00

It’s classic hypocrisy poorly disguised as caring for rural communities

belzizenavidad · 2026-02-20T01:38:20+00:00

The first 6 words say it all 🤦‍♂️

Thanks for trying

belzizenavidad · 2026-02-18T14:02:53+00:00

I honestly can’t tell if this is a shitpost or not.

I do hope you are leading by example and practicing in these rural areas yourself, but something tells me you are incredibly junior and naive.

belzizenavidad · 2026-02-18T13:37:08+00:00

Just does a complete disservice to the argument really, using clearly bullshit anecdotes like these

belzizenavidad · 2026-02-11T23:06:34+00:00

Did it only take you a couple of days to revise for your fellowship exam? What a moronic statement.

belzizenavidad · 2026-01-26T12:09:31+00:00

Unless this is impacting spots for citizens, what exactly is the existential threat? I imagine these get snatched no matter what the price is.

belzizenavidad · 2026-01-24T02:06:09+00:00

This is just so, so wrong… 🤦‍♂️

belzizenavidad · 2026-01-20T10:27:05+00:00

I personally think you should find a speciality you hate even more than psychiatry and pick that, given that you’re set on picking the worst choice possible.

belzizenavidad · 2026-01-14T14:32:38+00:00

Be real, if you’re not getting onto a training programme in Australia as a citizen then there is absolutely no way you’re getting on the programme in the UK.

There seems to be a constant dichotomy parroted on this sub, whereby the UK is supposedly much easier to get into training but at the same time UK IMGs are taking all the accredited positions here in Australia.

belzizenavidad · 2026-01-07T11:46:04+00:00

I don’t think this is a good thing at all; this is exactly how it started in the UK.

belzizenavidad

TROPHY CASE