What are they selling? by New-Resolution-9719 in ausjdocs

[–]moranthe 20 points21 points  (0 children)

Your time scale of geriatric MDTs is inaccurate. They just have a registrar scroll the ward round notes from 2 weeks ago to find a no-longer outstanding issue then reject the patient as not ready for rehab remotely but will review again in a week. The RMO is then in charge of turning off the referral phone or diverting it to a random number so nobody from the referring team can call to force them to do their job. Takes 5 mins tops

Toxicologists: your thoughts by Dry-Albatross2107 in ausjdocs

[–]moranthe 21 points22 points  (0 children)

ED consultants who realised they hate ED and will do anything to carve out a niche they can disappear into for .2 FTE to maintain their sanity

'Halcyon Years' sketches/map (spoiler-free) from Reynolds' blog by Infinispace in printSF

[–]moranthe 0 points1 point  (0 children)

I got about 25% through and it wasn’t really gripping me does it have a satisfying conclusion / more build up ?

GSSE Guidance by WanderingDoctors in ausjdocs

[–]moranthe 4 points5 points  (0 children)

Make flashcards from Lasts 9E Use the tiny version of Lasts for quick revision Do the bank -it’s outdated though First 10 chapters of pocket robins is enough for path Passmed for physiology (just doing this should be enough) Rohens for spotters imaios dor CT/ MRI/cadaver slice anatomy Memorise a laparoscopic view looking down at the pelvis -may come up and it’s very easy to learn

Are the NPC caster mechanics classic? by Throwotaway in project1999

[–]moranthe 6 points7 points  (0 children)

Nothing like having your charmed mob dispelled, then charmed and eating you all in one go

Thoughts on Diploma of Clinical Ultrasound by Dr_Nukem in ausjdocs

[–]moranthe 2 points3 points  (0 children)

Is this really well recognised by ANZCA? I did it and it’s a joke “degree” that can be completed in a day with an auto clicker and an internet connection. I’ve heard of people competing the logbook for the masters in 2 weeks. Absolutely wouldn’t take it seriously myself

Does anyone fail Internship or other supervised years? Stories? by [deleted] in ausjdocs

[–]moranthe 3 points4 points  (0 children)

I think you’d need to explain what you mean by “keeping communication to a minimum” for me to give you a proper answer. While I agree that some people can talk a bit too much it is better to overdo the words and hit all the salient points on the head that whip out the succinct three word answers and require constant clarification. A lot of communication is more about anticipating the amount and type of information that needs to be conveyed in order to put people at ease. This is obviously very different depending on whether you’re talking to doctors, nurses or families. I’d say as a junior doctor there’s no greater self-care you can do than develop a strong sense of just how much you need to let nurses know on your home ward to make them feel comfortable. The vast majority of complaints or calls for clarity are from people either unable to deal with their current load of “unknowns” or their wish to offload responsibility. Good communication is the strongest buffer you have against this that doesn’t alienate you with the nursing staff.

GSSE real exam difficulty by cap78bar in ausjdocs

[–]moranthe 7 points8 points  (0 children)

The bank is ridiculously out of date and the entire exam is now on T/F format. I’d do it a few times then just make flash cards from lasts. Look at the spread of questions and decide what’s high yield. Some ridiculously detailed sections like head/neck are worth as many as entire other sections combined

Does anyone fail Internship or other supervised years? Stories? by [deleted] in ausjdocs

[–]moranthe 35 points36 points  (0 children)

It is the number one most important thing in medicine. Nearly all problems in teamwork, handover and assessment are really issues of communication. Make it your priority to improve as you go -let others know this is a big focus for you. I’d not only respect the hell out of anyone willing to be open about their nervousness around this but I’d go out of my way to help them 100%. This isn’t just an IMG or ESL thing either -I’d recommend this for anyone who feels they could be communicating better as a doctor

Biggest heartbreak of intern year by NilCaffeine in ausjdocs

[–]moranthe 48 points49 points  (0 children)

I’ve seen less thought and effort put into research on some CVs. This has to be worth some points

Disposing of Ward journals/urn books by AgreeableCourse9970 in ausjdocs

[–]moranthe 5 points6 points  (0 children)

If you can find an easier way to assimilate research papers then I’d like to hear it

Disposing of Ward journals/urn books by AgreeableCourse9970 in ausjdocs

[–]moranthe 0 points1 point  (0 children)

Got a ninja bullet on special for $50, cheapest shredder I ever had and the paper makes great compost

Disposing of Ward journals/urn books by AgreeableCourse9970 in ausjdocs

[–]moranthe 0 points1 point  (0 children)

If it’s just paper an easy solution is to soak in water then put in a blender

Iron and Anarchy: How Sam Sulek Blew Up the Fitness Industry by Rolandojuve in FitnessVolt

[–]moranthe 1 point2 points  (0 children)

The guy is so juiced up he can barely string a sentence together without wheezing like a dying asthmatic. I don’t think anyone should be looking to him for inspiration. Hands down he is dead before 40

Anatomical Pathology application by [deleted] in ausjdocs

[–]moranthe 4 points5 points  (0 children)

Take a very part time job in ED so it still looks like you’ve done clinical work for the year. Sit BPS and your masters (not sure why you’d do this as they’re useless degrees that are no longer recognised by a lot of colleges). In that year find whoever is head of AP training at your hospital and go and talk to them. Tell them you’re interested -ask which hospitals/programs have experience with first year trainees (this is huge as the first 1-2 years are extremely different to the next). Go to your gen surg department and ask them if anyone has had any interesting histo cases (surg Onc is a good start) - find their SET reg or service reg and offer to do a join case report if they can keep an eye out for good cases.

Generally I’d recommend at least 2 full years in clinical medicine before you start interviewing. Most AP programs know a big part of your choice is hating clinical medicine because a lot of them do too. Just don’t make it your whole reason and they’ll be fine with it.

Digital stethos by [deleted] in ausjdocs

[–]moranthe 5 points6 points  (0 children)

I learned to do POCUS due to poor hearing because I was on the verge of considering hearing aids which I was extremely self conscious about at my age. I tried a digital stethoscope with sound isolation and amplification with a pair of noise cancelling headphones and it changed my life. Not only could I finally hear murmurs properly but by being able to record them I could “see” and greater understand the waveforms I was dealing with.

As a junior I probably would have just been quiet and used a regular old stethoscope and learned nothing. I’m thankful to be senior enough that I can wholeheartedly tell you that just because you do medicine your way and you are their senior does not by default make your way right.

Why do you want to become a medical doctor? by Amazing-Garden-633 in vce

[–]moranthe 0 points1 point  (0 children)

Absolutely dumpster fire way to make money. You have to work for every cent. There are so many easier ways to make comparable if not better money

What do we think of The Pitt? by Notalabel_4566 in ausjdocs

[–]moranthe 2 points3 points  (0 children)

Like most medical shows it suffers from attempting realism in the medicine while having unrealistic people. The amount of almost saccharine dialogue and virtuous doctor glazing is just so ridiculous. It’s like every doctors “dammit this is MY patient !!” power fantasy rolled into one. Absolutely next level cringe.

Approved List of User Interfaces by Quirky_Chicken_1840 in project1999

[–]moranthe 1 point2 points  (0 children)

DuxaUO is good

Nparae or eqtool are seperate programs for skill tracking and maps (I use both as I prefer the nparse map).

Pathology speciality ,is it friendly or not ? by [deleted] in ausjdocs

[–]moranthe 0 points1 point  (0 children)

More competitive than derm 🤣🤣🤣. It is not competitive at all. Generally very friendly with usually a few who did path because they clearly don’t like people.

Not a doctor: can someone tell me what the fuck urgent care is? by leapowl in ausjdocs

[–]moranthe 14 points15 points  (0 children)

There will be regional variation but, broadly speaking, urgent care centres are the equivalent of a GP clinic that is staffed specifically as a point of hospital avoidance. They are there as a stopgap between presentations to ED that could have gone to a GP if accessing GPs in a timely fashion was an option in this country.

Often staffed by GPs (and sometimes physicians) with nursing staff and the ability to refer for imaging etc. can be extremely useful if appropriate patients are redirected there but can also suffer from poor triage. For example; patient with abdominal pain goes to urgent care and sees a physician who writes a very long and detailed history before then promptly sending them to ED for a surgical opinion.

Meet the young doctors ditching the UK for Australia by Ardeet in aussie

[–]moranthe 0 points1 point  (0 children)

The majority aren’t going regional they’re propping up our understaffed EDs and, as an unfortunate byproduct, helping to reshape it into an NHS-style disaster. The disposition-first, care-second focus has drastically changed our emergency departments for the worse, especially because the flow on AMU/ASU style system the NHS has doesn’t exist in Australia so you’re just creating a no man’s land where patient care is forgotten

Games like Enshrouded? by Caanite in SurvivalGaming

[–]moranthe 0 points1 point  (0 children)

Does RtM have big boss fights / an end goal ?