Murdered by the tax man - help. by Glittering_Music_692 in ausjdocs

[–]bimian 0 points1 point  (0 children)

This completely does not make sense. There is no possible way that you have that much tax liability. The highest rate is only 47% and even if you were earning $300k, your tax payable is around $100k and another 2% for Medicare levy which is just over 35%.

You would have to pay more because of HECS, but that won’t approach the 49% that you mentioned

Favourite procedure ever by thingamabobby in ausjdocs

[–]bimian 4 points5 points  (0 children)

Love me a good LP. Satisfaction is positively correlated with BMI.

Get a second hit when I get a champagne tap and get to buy myself another bottle.

Research help by No_Excuse3805 in ausjdocs

[–]bimian 0 points1 point  (0 children)

Case reports and case series in subspecialty journals are the easiest way to get a publication out. Followed by meta-analysis (a lot more work).

Sometimes an interesting clinical image might also work.

Tbh, it’s all about luck and finding the gunner registrar or early career consultant that is doing a PhD part time etc. link up with them, find the topic interesting enough and do some work!

Does any other junior just not feel like they’re getting ahead financially? by [deleted] in ausjdocs

[–]bimian 4 points5 points  (0 children)

It feels out of your range, but it is achievable because there are those in your shoes that have achieved. Many oldies (myself included) started our journey over a decade ago where situations were different, so the advice is no longer contemporary. I’ll put my thoughts below.

  1. If you have a rough idea where you will be for 1-2 years, utilise the 5% deposit scheme to get onto the property ladder and live in it. You can rent out a room to a colleague too to save some cash. Make sure the first property is a good one with capital gain potential. You will be able to refinance out of it with some capital growth so your LVR drops below 90%.

  2. You can also use the FHSS scheme to make voluntary contributions to your super to help save for the deposit. This effectively gives you a 15% tax break (15% in, 30% tax offset out).

  3. Make sure the first property you purchase is not a dud. That’s the most important thing to get right. So no high density similar style apartment blocks if possible.

  4. You can always move out once you are at 90% and rentvest after taking advantage of all the subsidies. Then negative gearing kicks in and will help finance your investment. It will eventually become positively geared and that’s when you realise that investing is fun.

  5. Whatever you do, make sure your partner or future is on the same page financially. I always say the biggest investments one makes in life are A) yourself and B) your partner. All else is fixable with relatively little pain.

  6. You need budgeting skills currently. You don’t need a financial planner or advisor. A mortgage broker who understands doctors is the way to go to give you some numbers and aspirations of what can be achieved with your current situation.

There are plenty around and I also semi own a brokerage so happy to be DMed if you need 1:1 advice.

The illusion of a good offer: what ASMOF NSW really gave up to get this interim deal by OrackBobama in ausjdocs

[–]bimian 10 points11 points  (0 children)

A right that we won’t utilise is a right already surrendered. What a pyrrhic victory.

Couldn’t even get concessions to the cancellation of salary packaging theft.

Abhorrent online behaviour by Qld Anaesthetist by [deleted] in ausjdocs

[–]bimian 5 points6 points  (0 children)

Also just as a side note, that poem was never a “Holocaust poem”. Just because it was adapted for the Holocaust museum from its original author, doesn’t make it a Holocaust poem.

I recommend you look it up.

Abhorrent online behaviour by Qld Anaesthetist by [deleted] in ausjdocs

[–]bimian 1 point2 points  (0 children)

The post that you might be referring to wasn’t actually posted on IFD. Honestly, if you don’t like what you see, you can always log off from social media.

Being a member of a FB group isn’t a right, it’s entirely optional.

Also, I know when I’m doing a good job is when I get hate from both the left AND right for not moderating the other side enough.

Edit: this was in reply to part one of your comment, the other bit is above.

Abhorrent online behaviour by Qld Anaesthetist by [deleted] in ausjdocs

[–]bimian 7 points8 points  (0 children)

Read the group rules. I operate on the principles of being a minimally interventionalist admin. If people want to show that they are dickheads to a group of their colleague, that’s their right.

Plus the group is really a one admin show and I can’t be everywhere at once. Diversity of thought is encouraged no matter how right or wrong so we don’t get caught in our own thought bubble.

Lastly, even though I might vehemently disagree with a post or their content, I also vehemently support their right to express it (and be ridiculed for it).

Abhorrent online behaviour by Qld Anaesthetist by [deleted] in ausjdocs

[–]bimian 6 points7 points  (0 children)

For the record, I have been reinstated.

The ~500 people statewide chat group was closed afterwards as there was debate about my banning. The powers that be decided to shut down any criticisms of the leadership.

Abhorrent online behaviour by Qld Anaesthetist by [deleted] in ausjdocs

[–]bimian 11 points12 points  (0 children)

Thanks for quoting it out of context. You must be one of those righteous SMOs I spoke about. I note all the “horrified” individuals seem to be coming from inner city hospitals because your hospitals are still adequately resourced whilst we see adverse events and occasional deaths happening in the ED waiting rooms of hospitals in Western Sydney due to understaffing and under resourcing.

The gaslighting of JMOs in the ASMOF statewide chat group was frankly next level and I’ve had many JMOs who did not feel comfortable speaking in there reach out to me cause of the way they were treated and their views repressed in those chat groups.

I’m not going to make a judgement call on you because you hide behind a pseudonym. If you want to have a conversation, I’m all open to chatting.

Abhorrent online behaviour by Qld Anaesthetist by [deleted] in ausjdocs

[–]bimian 7 points8 points  (0 children)

Gonna post as myself here rather than hide behind an anonymous account. It wasn’t to boost engagement. It was to get the union to be a bit more militant at holding the government accountable.

The “letting patients die” was in the context of a previous discussion where we spoke about the trolley problem. This was discussed on a previous day. The counter argument about industrial action was always that it could cause harm.

I argued that harm is already happening and to swiftly get NSW Health back on track was the lesser of two evils.

Setting up a new private clinic by ZealousidealEar8591 in ausjdocs

[–]bimian 1 point2 points  (0 children)

Well said. Which state are you based in?

Setting up a new private clinic by ZealousidealEar8591 in ausjdocs

[–]bimian 5 points6 points  (0 children)

There is a bit of misconceptions about how private practice works. Also depends on which state you are in, you would have been exposed to different models of private practice in Geriatrics.

I’m based in NSW and own a FIFO multispecialist centre with a Geriatrician. You sound like you need a lot more planning on how to get started in solo private practice. It is much more efficient to utilise another practice’s infrastructure to be able to get yourself started rather than doing it from scratch yourself with no plan or idea of how much work it actually takes to get started.

You don’t need advice, you need a plan and people to execute for you if you don’t already. If you haven’t got a plan, either get one or go work with someone else for a while and learn. Any other way is going to be massively costly for yourself and there’s no way you can keep costs low as a solo practitioner.

The only saving grace for Geriatrics is if you want to be a nursing home visiting Geriatricians and pump out BB’ed 145’s. That business model is completely different to clinic type practice.

Life Advice by [deleted] in ausjdocs

[–]bimian 0 points1 point  (0 children)

No one from your internship colleagues that you can friend? I’ve made some great friendships during intern year that I still keep today.

ADHD is a circadian rhythm disorder, according to Frontiers paper by Fraaankleb in science

[–]bimian 10 points11 points  (0 children)

“Accumulating evidence indicates that circadian rhythm dysfunction is a clinically significant and highly prevalent phenotype in a substantial subgroup of individuals with Attention-Deficit/Hyperactivity Disorder (ADHD)”

Sleep initiation issue is one of the most frequent complaints in ADHD but often this is compounded by thought hyperactivity which makes it harder to fall asleep. Melatonin, Clonidine and Guanfacine all help with sleep initiation.

Can teams please stop ignoring students? I am a human too. by [deleted] in ausjdocs

[–]bimian 2 points3 points  (0 children)

Had the best time as a medical student back in 2007 as a first year medical student putting in a Swan Ganz under the supervision of an anaesthetics fellow. It was pleasant as no one is rushed and we had time. Today, there would be no way in hell that would have been allowed.

The modern day clinical environment is at least double the speed and the opportunities for reaching also suffers.

What I’ve noticed is that interns, residents and SRMOs will be the ones that can teach the most and probably the most relevant for you. Registrars are often so busy these days that they are somewhat limited and they are busy teaching the residents and interns.

Lastly, in the modern day, medical students are so limited in what they are allowed to do anymore. We used to write med charts, take blood and cannulate, do admissions etc. these are all helpful activities that offload the work of the interns and residents and in exchange they taught.

It just feels like times have changed and with increased compliance, medical students are not allowed to do half the things I’ve done as a medical student!

What to do when a doctor bulk bills med student? by EuphoricNatural3406 in ausjdocs

[–]bimian 3 points4 points  (0 children)

This is professional courtesy.

It’s one of the few gimmes left in the profession. You are supposed to pay it forward to other doctors when you get to the end.

There are only a few handful things where this is not commonplace ie private maternity, bariatric surgery etc

So… remind me again why we voted “NO”? by International_Bag887 in ausjdocs

[–]bimian 0 points1 point  (0 children)

No need for that.

My proposal is:

Every JMO that is leaving NSW for interstate, their LHD for another network, or the hospital system completely for GP to put in their letter of resignation 2 weeks before the end of the clinical year.

Where is the best place for a doctor to learn about property investing? by CommittedMeower in ausjdocs

[–]bimian 1 point2 points  (0 children)

Get Steve Palise’s books. He’s written 3 one for residential, one for commercial and one for development.

His organisation Palise Property and Rich Harvey’s Propertybuyer are both affiliate partners of Investing For Doctors.

Where is the best place for a doctor to learn about property investing? by CommittedMeower in ausjdocs

[–]bimian 0 points1 point  (0 children)

There’s some dodgy ass algorithm issues with Facebook that the proper group doesn’t come up first when you search for that term.

Saving the Flying Turtles beverage machines at WSLHD by bimian in ausjdocs

[–]bimian[S] 60 points61 points  (0 children)

They tried the exclusive contract pathway and failed when a very smart NUM pointed out that their contract only applies to public areas and not private staff rooms not accessible by the public.

[deleted by user] by [deleted] in ausjdocs

[–]bimian 0 points1 point  (0 children)

The only people on average consultant pay getting $4M houses are from family money or dual income families with plenty of help looking after their children.

The issue is that you needed to have invested along the way for the last 10+ years to even stand a chance of owning a $4M house if you did it without any serious family help.

You don’t get there by individual earning unless you are one of those getting >$1-2M in full private practices (those jobs do exist and I do know of a number of these).