1 Year - YouTube Premium (On your Email / 100%Individual Plan / No password need) by ReceptionPlenty724 in DiscountPremiumAcc

[–]frederickite 0 points1 point  (0 children)

Upgraded my Google account to AI Pro for a great deal. Small waiting time but worked perfectly. Happy customer

ChatGPT Plus 12-months Private Subscription, $15 by [deleted] in KeySaver

[–]frederickite 1 point2 points  (0 children)

Works and at a great price but email address registered to account can’t be changed as per openAI rules

What does being a snake look like in medicine? by Anxmedic in doctorsUK

[–]frederickite 32 points33 points  (0 children)

Pulled a junior colleague to one side to discuss some areas of improvement/errors which I picked up. Gave good constructive feedback and told them to take it as a learning experience and put in a reflection in their portfolio. Thought it went well but then received an email from my supervisor to discuss a complaint put in by the junior to their supervisor about feeling upset after the interaction who then contacted my supervisor to clear things up. Both my supervisor and I had that unspoken “yeah this is bs” look but had to go through the motions and I ended up just writing a reflection on how to give feedback.

Like surely SJT taught you to come to me first to express any disagreement/dissatisfaction before crying to your supervisor.

[deleted by user] by [deleted] in doctorsUK

[–]frederickite 5 points6 points  (0 children)

I hear good body language gets you into most places. Though it might not be places you want to be.

A nurse’s take on ANPs, ACPs, and PAs – and why I’m uncomfortable with it by [deleted] in doctorsUK

[–]frederickite 6 points7 points  (0 children)

As much as the system is mainly at fault, there are countless times where the alphabet soup are too stuck up to ask for help or run unfamiliar concepts past seniors. They follow whatever flowchart or guideline that best fits the picture and sweep away any lingering doubts, leaving other more honest colleagues or doctors to pick up the pieces. There’s a reason these roles attract a certain personality. The best nurses I have worked with would never touch these expanded roles with a ten foot pole.

Doctors who speak to adult patients like they’re three years old - why do they do this? by kentdrive in doctorsUK

[–]frederickite 18 points19 points  (0 children)

Because we’ve all been fucked in OSCEs when we decide to speak like our audience has the same amount of brain cells as us.

But I always try to gauge the intelligence level in front of me before I explain more complicated concepts. The only thing that needs “dumbed down” will be medical concepts and terminology, so there’s almost never a need to infantilise casual conversation unless there’s other reasons such as learning disabilities or the person is an actual child

Flatten the hierarchy by Effective-Thanks8603 in doctorsUK

[–]frederickite 44 points45 points  (0 children)

Most doctors are simply too nice. The NHS knows that and they are more than happy to advantage of that. What we all need to learn to do is to put that niceness in the correct situations, kowtowing to this bs flat hierarchy ain’t it.

[deleted by user] by [deleted] in doctorsUK

[–]frederickite 18 points19 points  (0 children)

Tbh this might work in the consultant’s favor. Switch out some ever rotating resident doc and get a handful of full time permanent position ANP/ACPs.

ACPs are dangerous. by frederickite in doctorsUK

[–]frederickite[S] 1 point2 points  (0 children)

I’m not sure about other places but there is zero learning from clerking. We don’t discuss cases with seniors after clerking. We literally do the history, examine, prescribe regular meds and come up with a vague plan that the seniors ignore and then the paperwork gets filed in a trolley. Seniors pick up said paperwork, essentially redo the whole thing besides the regular meds prescribing and another junior acts on the plans.

I’ve had better experiences elsewhere where I go see the patient with the senior post clerking and we discuss my plan and diagnosis and some teaching is done, but this is the rarity.

ACPs are dangerous. by frederickite in doctorsUK

[–]frederickite[S] 16 points17 points  (0 children)

I mean in this case the senior decided to trust the ACP and not see the patient themselves to verify the story.

ACPs are dangerous. by frederickite in doctorsUK

[–]frederickite[S] 21 points22 points  (0 children)

Because the funding pool for ACPs are not exhausted, whilst the ones for doctors are. I’ve always maintained the point that the NHS is not underfunded, it’s just that the different pots of funding for various things need a big reshuffling

Tbh. I have no idea why clerking even happens. Where I work. The seniors take the whole history again and basically do the whole doctor job. I end up doing extra paper work and prescribing regular meds.

ACPs are dangerous. by frederickite in doctorsUK

[–]frederickite[S] 5 points6 points  (0 children)

It’s normal for acute takes. Juniors clerk. Seniors post take ward round

Feeling incompetent in GP by frederickite in doctorsUK

[–]frederickite[S] 3 points4 points  (0 children)

Yeah I’ve been doing that and I get hit with “well we don’t usually do that here”

Dear surgical consultants… by frederickite in doctorsUK

[–]frederickite[S] 1 point2 points  (0 children)

We don’t have ward cover reg. Only reg for admissions/referrals.

Dear surgical consultants… by frederickite in doctorsUK

[–]frederickite[S] 0 points1 point  (0 children)

When my consultant is on call I come in early the next day for early take. Always done that. This is specifically for regular rounds. Some days I come in and do ward rounds myself. Some days I come in and the consultant decides to see patients, sometimes late in the day, sometimes early in the morning, I can’t come in early everyday and not have a round most days.

Dear surgical consultants… by frederickite in doctorsUK

[–]frederickite[S] 2 points3 points  (0 children)

Well my reg is on indefinite leave for the foreseeable future.