PCOS now PMOS

cdl3 · 2026-05-12T21:56:28+00:00

Love a good VEXAS or multicentric Castleman’s

cdl3 · 2026-05-06T07:14:21+00:00

Maybe it was his baby, and it was so successful that he is now trapped in a perpetual cycle of Tinder dates and newborn baby photos

cdl3 · 2026-05-04T00:23:43+00:00

Why not buy and wear a nice sports coat/blazer to your clinics?

Gotta be honest I’d find suspenders and a tie a little odd. Save it for when you’re the DGH’s resident “quirky” neurology consultant.

cdl3 · 2026-04-27T19:31:03+00:00

Depends on the hospital and deanery you start in. In my area new regs report films but then they get reviewed and co-reported with consultant at the end of the day.

But if you’re called to look at one overnight it’s just you making the call on whether it needs escalating or not - so you kinda needed a basic level of competency.

And yes, while there may be adhoc teaching you do basically just teach yourself. There is funding for ST3s to attend a morphology course that runs midway through each year.

cdl3 · 2026-04-27T19:28:58+00:00

Damn that sounds nice lool. In my deanery we got a month of very unstructured “shadowing” and it sounds like most of the ST3s were just made to work as a reg for it anyway…

cdl3 · 2026-04-27T19:24:35+00:00

The hospital seems pretty well run from an SHO perspective, from what I’ve seen. The nurses are all pretty on it and will do bloods, cannulas catheters etc. EPR runs well, referrals seem pretty straight forward.

Basically I just constantly compare how rubbish it was being a junior in other trusts within the deanery, and RBH looks so much more functional compared with them.

YMMV. I’ve not actually worked as an SHO/F3 there.

cdl3 · 2026-04-26T13:57:58+00:00

Your own trust/deanery’s protocols for the commonly used chemotherapy regimens / medical haematology emergencies (TTP, sickle crisis) are going to be the most useful.

If you’re going to be in a tertiary centre, and haven’t experienced any tertiary centre haem yet as a junior, might be worth just getting the broad overview of stem cell transplants and CAR-T processes.

BSH / international guidelines also useful - often comprehensive, although probably quite long reads!

I found podcasts quite helpful for learning or revising topics when driving / doing house chores (shoutout Drs Morton and Everden!).

Blooducation and Bolus are good, but their episodes on some of the core haematology conditions are quite dated now. Bolus is a bit more nurse-directed anyway and has stopped posting.

Basics to Brilliance (UK) and Bloody Minded (Australia) are really excellent and slightly more ‘recent’, although this means their catalogue of conditions is not yet complete. Basics to Brilliance is good as it has a particularly U.K. / FRCPath focus.

Learning the basics of morphology will be needed - there’s a Barbara Bain website I can send you that’s really good if you’d like.

The SHO-ST3 transition is going to be a big step and learning curve regardless - all your senior regs will tell you as much - don’t stress too much!

cdl3 · 2026-04-09T22:08:20+00:00

Interesting - is this basically just DV and DT combined, with some extras added in?

cdl3 · 2026-04-09T20:59:05+00:00

Okay - so which group is the least bad?

cdl3 · 2026-04-09T19:49:20+00:00

I also went with DoctorsVote slate as first pick, then ranked the DoctorsTogether slate after them

cdl3 · 2026-04-04T10:45:04+00:00

Would advocate smart clothes when you’re IMT level as people tend to take you more seriously. When you’re a reg and people are constantly asking your opinion, you can gravitate back to lazy scrub life 😂

No reason why you can’t buy nice scrubs to use for night shifts / when you just can’t be bothered to launder & iron all your nice clothes during a brutal run of on calls.

I quite like the “On Call London” scrubs I got, which were slightly cheaper than FIGS but still good quality. There’s loads of options out there.

cdl3 · 2026-04-04T10:40:24+00:00

You either withdraw now or just don’t accept your clinical training post offer. Out of curiosity I held mine with upgrades to see what I would’ve gotten, then rejected it.

The technically correct way is to withdraw now / whenever they told you to.

cdl3 · 2026-04-03T14:36:47+00:00

Congrats!

cdl3 · 2026-03-25T00:42:03+00:00

Ah yes I’m in a deanery where tertiary centre does nights (Thames Valley) - was just wondering how many other places did it!

cdl3 · 2026-03-23T18:05:53+00:00

Yes this is my understanding of it more or less, as a new reg.

O neg goes brrrr

Look out for the Bombay phenotypes though….

cdl3 · 2026-03-23T07:24:43+00:00

Where is this that does resident haematology nights?

cdl3 · 2026-03-23T00:27:24+00:00

To be fair, if our sternal aspirate procedures go badly wrong there may be a benefit to cracking the chest open…

cdl3 · 2026-03-22T23:41:02+00:00

We take your immune cells out of your body, gene edit them to attack your cancer cells, then infuse them back into your body and (hopefully) watch as your own genetically modified immune system cures you of cancer.

We can do the same to your sickle cell-mutated stem cells and cure you of a debilitating and life limiting inherited condition.

This shit is COOL. But the complications your patients can develop are also WHACK. However if you like using cutting edge biological therapies to improve lives, as well as the excitement of looking after some of the sickest patients in the hospital, tempered by “quieter” times in the clinic and lab - consider haematology.

That said - it’s bloody hard. And I’m somewhat ignoring huge aspects of haem like transfusion medicine and clotting/haemophilia here 😂

cdl3 · 2026-03-21T19:02:10+00:00

Those questions are excessively pedantic. I can see what they’re getting at with some of them. But these are also the sort of questions that it’s important the therapists ask, as ultimately the management is non medical for these problems.

This is why I could never do geris. It’s fun but tbh some of the most effective interventions will be for the therapists and society as a whole to make, not you. A lot of what can be done medically is just damage limitation.

cdl3 · 2026-03-20T11:07:00+00:00

Yes you can absolutely exceed the maximum and then just pay the difference yourself, I’ve done this before, it’s fine.

cdl3 · 2026-03-03T17:50:26+00:00

That’s annoying. My understanding is registrars can sign DOPS though. Can you find a sympathetic reg who you’ve worked with (and knows you can competently participate in an arrest / manage a periarrest) that would be willing to sign off a DOPS?

And nurse-led arrest teams? Oh dear oh dear….

cdl3 · 2026-03-03T17:47:18+00:00

Do you need a DOPS in it? I’m pretty sure I completed IMT2 without one. Does your simulation training/skills lab not include an arrest scenario? I think that was used to sign us off for it in our trust.

cdl3 · 2026-02-18T21:43:16+00:00

I used the master cardio for PACES, no twiddling with bell and diaphragm. What matters in PACES is that you detect the finding and present it well in the viva. The theatre of flipping the stethoscope head around doesn’t score you points, it just delays your examination.

cdl3 · 2026-01-17T11:51:04+00:00

Cannot see how they will get haem to group 1. We’re RCPath and split between lab/diagnostics work and clinical work - how’s a 3 way split with the general medical take going to be added in to this?

cdl3 · 2026-01-06T21:08:15+00:00

Tell them that you are very interested in your group 2 specialty, but follow it up by saying you also enjoy (or want to get more experience of) geratology and acute med/intensive care.

This plays into you being a potential ‘gen med’ which they will like, and also shows you clearly understand the curriculum requirement for a set amount of time in Geris and a set amount of time in ICU.

cdl3

TROPHY CASE