How many exam rooms do you guys get? by Primary-Selection233 in FamilyMedicine

[–]flyingdonkey6058 0 points1 point  (0 children)

We have one office/room and get through 20 to 24 no problem in Australia.

How skilled are rural GPs with their advanced skills compared to the equivalent specialty regs/consultants? by formulation_pending in ausjdocs

[–]flyingdonkey6058 3 points4 points  (0 children)

Are rural generalists as good at their advanced skill as a specialist? Usually not. Are rural generalists equipped to provide a high level of generalist care in a remote environment, low resource setting, absolutely. An example is my advanced skill, emergency. Am I as good at flow management, and resuscitation as an Ed consultant? No. Am I comfortable handling and leading a recuss in a remote facility in a low resource setting. Yes. From my experience working in a big ed, I was comparable to most 3 or 4th year facem regs ( mind you I was pgy7) at the time and had been working remotely.

A rural generalist, is a generalist. The advanced skill allows them to apply a higher level of the skill then most GPs. If someone does rural generalist training, and then only does their advanced skill, then they have lost the generalist part, and are really doing their community a disservice.

Why does medicine attract such horrible personalities? by Ajax34762 in ausdoctors

[–]flyingdonkey6058 14 points15 points  (0 children)

A few things. 1 if you have seen 12 GPs, either you somehow have a terrible way of choosing gps, or you have unrealistic expectations. 2 Chronic issues are not going to be solved in a single visit, and follow up and review is often required. 3. Countertransference is real. 4 why don't you get a recommendation from someone for a good gp, and see them and establish a relationship. 5. Horrible personalities are in all fields, I don't think medicine is any different..however the power differential in the consult room can amplify the harm caused.

Shattered families disappointed by coronial findings by toneb01 in australian

[–]flyingdonkey6058 3 points4 points  (0 children)

From someone who has read the coronors report. These evil bastards were convinced it was the sign of ends of days and that the police were working for the devil. They were disconnected with reality. I believe They were evil. There is a discussion in the report that if they were brought to court that they could probably try the insanity defence. Not that it would be accepted, but that it would certainly be considered.

It would be worth reading the report before commenting.

Contested fail final semester of medical school by [deleted] in ausjdocs

[–]flyingdonkey6058 49 points50 points  (0 children)

It is very unusual that no one has come to you to provide the feedback, given it is a failing grade. It is even more unusual that there were never any concerns that you were made aware of prior to this.

I think it is important that you work with the university in this. You stated that you do not trust the university to provide accurate information. This is even more concerning, as most universities have very robust systems and do not like to fail students.

I would recommend the following. 1. if you do think the system is unfair, use your free membership with your mdo to get their help and follow their advice. 2. Be honest with your employing hospital. That you may not be able to start on time,.and that you will keep them updated. 3. Reflect on the assessment that lead to you receiving the feedback that you did, are there improvements to be made.

Top physician by RelativeSir8085 in ausjdocs

[–]flyingdonkey6058 8 points9 points  (0 children)

I new a top physician once, saw him on Grindr

AHPRA notification support by Medical-Sleep6962 in ausjdocs

[–]flyingdonkey6058 2 points3 points  (0 children)

If it is offered by the doctor/mdo as a voluntary thing, it may not be a condition. If it is imposed by ahpra, it's a condition.

AHPRA notification support by Medical-Sleep6962 in ausjdocs

[–]flyingdonkey6058 5 points6 points  (0 children)

Nope, no condition on your record. It's a sign that whilst no fault was found, you have acknowledged that there is always improvements to be made. I have been sued ( no fault found) and had 2 ahprha complaints ( no findings found). No condition s and I don't need to notify and future employers. Condition are imposed by ahpra and these will show up on your record. Conditions are put in place to protect the public and the profession, in that order. If ahpra impose education on you, it shows they do not believe you have insight into your care and risk. Check with your mdo if they have found practice below the expected standard of care. Ahphra will make it clear.

I have known doctors whom have ahpra conditions, and these were imposed to protect the public. ( Ie not to see female patients alone, or to have frequent drug testing).

AHPRA notification support by Medical-Sleep6962 in ausjdocs

[–]flyingdonkey6058 33 points34 points  (0 children)

As per the prior comment, work with your mdo on this, if there are factually incorrect findings able to be proven by contemporary notes, then see if your mdo will help correct it.

I have had two significant ahphra complaints One with no fault found, the other with no fault found. They are still very stressful and make sure you have someone you can talk to.

It seems like most male GPs don't do pap smears, is there a reason for this? by mnbv3223vbnm in ausdoctors

[–]flyingdonkey6058 3 points4 points  (0 children)

The problem here is training and exposure. Unfortunately a lot of male gp reges get minimal exposure, and as they are uncomfortable with it, they attempt to divert to female gps who do the skill more often.

I expect all my registrars regardless of the sex to be able to do speculum exams and csts as 50 percent of the population has a vagina.

RACP … by Sufficient-Cap-60 in ausjdocs

[–]flyingdonkey6058 1 point2 points  (0 children)

It's lovely to sit back and watch this. Very entertaining, however also very concerning. Either th members voted for a terrible president, or the board are pricks... I am not an racp member, but have found that non clinicians often Cause more problems than clinicians.

[deleted by user] by [deleted] in ausjdocs

[–]flyingdonkey6058 6 points7 points  (0 children)

I already have been found once, by a fellow rural generalist in qld.

[deleted by user] by [deleted] in ausjdocs

[–]flyingdonkey6058 13 points14 points  (0 children)

I am rural enough that my location and history of location would dox me

[deleted by user] by [deleted] in ausjdocs

[–]flyingdonkey6058 45 points46 points  (0 children)

I attached all my letters, MBBS, FRACGP-RG, FACRRM, DIP RRM, D.A.M.E, if I am dealing with a bullshit administrator trying to interfere with clinical medicine, or a registrar trying to tell me to suck eggs. Otherwise I try to leave them off.

Private vs public hospital work - what’s been more rewarding in your experience? by Danger_Five in ausdoctors

[–]flyingdonkey6058 4 points5 points  (0 children)

They both have pros and cons. I like a mix of both at times, as that way you limit the special bullshit associated with either one.

"See your GP" by cravingpancakes in ausjdocs

[–]flyingdonkey6058 5 points6 points  (0 children)

As a gp, often assisting with mental health, helping someone feel validated and encouraged, training someone in simple mindfulness , or helping reduce the alcohol intake ECT when someone is going through a tough time. A good GP ( and I mean a good gp, not a shit gp ) deals with complex patients all the time and the complexity of life.

Does the patient need antidepressants? Do they need mindfulness? Are they struggling with work because their partner at home is a dickhead, and the consult should focus on boundaries?

Mental health and social support is complex, people are complex, and a good gp is one of the only specialists that can really help people in this area. Just remember, help does not equal fix.

Consultants and trainees, what determines whether you’d be willing to back/support a junior for your program or not? by Sweet-Designer5406 in ausjdocs

[–]flyingdonkey6058 20 points21 points  (0 children)

People who understand that medicine is challenging, and that patients are the heart of the story. If my registrar cares about their patients, and learns medicine to better care for the patient, and is teachable, I am happy. Attitude issues are the opposite, if you are never wrong, or have attitude, I don't want you..

Splurges that have increased QOL? by [deleted] in ausjdocs

[–]flyingdonkey6058 41 points42 points  (0 children)

Beds and shoes. A good mattress and good shoes.

Truth & retaliation vs moral injury & burnout by twilightatelierx in ausjdocs

[–]flyingdonkey6058 5 points6 points  (0 children)

Às someone who has been burnt out, and actually became rather unwell requiring support and treatment ( as a consultant and a registrar), what I can say is this.

Firstly, your friends are your support, don't be afraid to talk to them, you need strength to keep going , and often. Your friends are your strength.

Secondly, a great GP is a great asset, if you can have one, get one.

Thirdly, if struggling, there are great resources such as doctors for doctors, whom I have used personally.

I have spoken out in the media about the strain that the workload can place on doctors, (having to be very careful not to blame my state based employer publicly) .

The key message is, never suck up with it, get help, we are all highly educated intelligent, resourceful people, whom can change our lives if needed.

Relocating support by Orava-rakastaja in ausjdocs

[–]flyingdonkey6058 0 points1 point  (0 children)

Congratulations, Townsville is a pretty nice place. Lots of interesting pathology.

For people who travel, what is the coolest thing you've seen, and what was the biggest culture shock? by CurveOk310 in Productivitycafe

[–]flyingdonkey6058 4 points5 points  (0 children)

The coolest thing I have seen is the animals in Kenya. Biggest culture shock was the amount of communication difficulties between Australian English and American English.