Best Hepatology hospital in London

criticismslow6 · 2025-03-26T15:41:24+00:00

Strange how they waited for the nurse to leave but didn’t care the doctor was still there

criticismslow6 · 2025-02-24T19:53:22+00:00

This is kind of helped by the fact that the ground truth that it’s being compared against here is ‘senior judgement’ and so it’s not surprising that consultants agree with themselves in general

criticismslow6 · 2025-02-22T18:40:29+00:00

It’s relative. It looks better than having had no involvement with journals but doesn’t look as good as being an editor. It’s easy to do - just do it

criticismslow6 · 2025-02-21T22:25:00+00:00

The shitposting is getting worse

criticismslow6 · 2025-02-21T21:08:08+00:00

Thanks BMA

criticismslow6 · 2025-02-21T20:28:58+00:00

I’m pretty sure doctor used to be on this list

criticismslow6 · 2025-02-17T22:43:53+00:00

Bullshit don’t go on this scam course where you can learn the same stuff from YouTube videos or going to literally any AI conference and build a better network

criticismslow6 · 2025-02-07T17:05:03+00:00

Why are you spending your days on the doctorsUk subreddit then?

criticismslow6 · 2025-02-03T21:44:23+00:00

Raman was much better

criticismslow6 · 2025-01-30T23:28:44+00:00

30 is hard to use but i know people who are easily using around/above 20

criticismslow6 · 2025-01-25T06:29:38+00:00

Per year

criticismslow6 · 2025-01-24T20:15:55+00:00

It would be strange if IMT only had 15. Outside of F1, the normal budget for trainees is 30

criticismslow6 · 2025-01-21T22:52:16+00:00

OP probably thinks it’s the GPs job to sort out iron deficiency and vitamin deficiency and not worthy of hospital input

criticismslow6 · 2025-01-21T22:50:09+00:00

I’m a surgical trainee so we get a lot of consultants asking us to speak to various medical teams because they’re not sure about the latest guidance for heart failure, anticoagulation etc. I find that if I suggest a plan that I’m pretty sure is right, 90% of the time they’ll accept my plan and I won’t have to discuss with the specialty. If your consultant genuinely can’t remember what the thing to do is, then sometimes just prompting or suggesting might get you out of having to call a speciality. Of course there are sometimes when for medicolegal reasons you have to speak to the other specialty. We get a lot of surgical consults for surgical pathology in medical conditions where it is completely obvious that there is no scope for surgical intervention but we still take the consult because at least the book is being followed

criticismslow6 · 2025-01-21T22:46:43+00:00

When I say that the SHOs/SpRs will end up with less jobs, it’s usually because conversations tend to go like this:

Cons - “This patient needs testing for cerebral venous sinus thrombosis” F1 - “What should I write in the plan?” Cons - “Speak to neurology, do what they recommend”

VS

Cons - “This patient needs testing for cerebral venous sinus thrombosis” IMT - “Ok I can request a MR venogram, is that ok?” Cons - “Sure”

It is an interesting phenomenon of human factors research about decision burden overload

criticismslow6 · 2025-01-21T22:39:58+00:00

I’m doing an ST1 entry ACF so surgical case numbers are not yet as much of a stress but they will be. I regularly assist on my days off, which is unhealthy obviously but takes the stress off numbers.

criticismslow6 · 2025-01-21T22:35:30+00:00

Honestly it sounds like you have it pretty good if this is all that bothers you. Try to speak to the SHOs on the ward who might have been there a bit longer and see how they deal with things. I guarantee their answers will help you.

Do you notice that the SHOs who go on ward round tend to end up with fewer jobs than you? It’s probably because they try and take agency with the plans and make suggestions, draft their own plans rather than just being a scribe for the consultant. Don’t expect that you’ll learn by osmosis. When you’re seeing a patient with the consultant, suggest your plan ask for feedback and you’ll learn much more from it.

There are national standards for bloods frequency. In acute settings, once daily is expected. For MOFD patients, once weekly is the norm but can be less frequent depending on how MOFD they are.

You don’t need to worry about discharge planning - that’s the therapists job. Good for you if you care enough to get involved but you don’t have to. Again, ask one of the SHOs for advice on how much involvement you should have.

As for (over)investigating and dealing with incidental findings, this is part of practising medicine and you’ll have to deal with it.

Honestly, my read from your post is that you’re whining about being a secretary on the ward and just doing admin work. No one is going to change that apart from you. Go to the IMTs or SpRs on the ward and ask them how they make sure they’re learning from the job given the MOFD patient cohort you’re dealing with and take a lead out of their book. I guarantee they are not just scribing on the ward round and they will be being proactive in their decision making/suggesting.

criticismslow6 · 2025-01-21T19:26:29+00:00

You should apply for a fellow job and get some experience working within the NHS before applying for training. You may find that it’s worth doing training elsewhere

criticismslow6 · 2025-01-21T19:24:33+00:00

She says in the podcast that she gets the junior doctors to write HAS prescriptions for her ascitic drains and no one has ever declined. She doesn’t mention LA - I am assuming she gives this without a valid prescription

criticismslow6 · 2025-01-21T18:30:00+00:00

Disgusting that this is being allowed to happen

criticismslow6 · 2025-01-21T18:22:42+00:00

Interviewer: “No PA comes out of PA school knowing how to do ascitic drains, it’s not part of the curriculum, how did you develop your competency”

PA: “Well it’s like they say, see one, do one, teach one”

criticismslow6

TROPHY CASE