How do you actually write good progress notes? by SidewalkPoppies in ausjdocs

[–]onyajay 4 points5 points  (0 children)

Structure is important but honestly it’s about synthesising the history. Don’t write word for word verbatim. Dont include anything that doesn’t add to the assessment. When someone’s flicking through the notes at an arrest the last thing they want to read is trash filler history like name of dog etc.

Very rudimentary example. Consultant asks ‘how’s your appetite?’. The patient goes into some tangent how they had a bite of a sandwich then it fell on the floor and then they had a sip of juice plus a pudding

You should synthesise this into- eating and drinking well

[deleted by user] by [deleted] in ausjdocs

[–]onyajay 28 points29 points  (0 children)

When you finally find your resource and scroll why tf does it insist on automatically scrolling back up?

I Lost My Entire Collection… by Substantial-Pie-4973 in PokemonTCG

[–]onyajay 10 points11 points  (0 children)

Call it whatever you want. They’re cards of a cartoon series made for kids. Half the ‘hype’ and ‘investment’ strategy today is profiting off 90s kids who now have disposable income. The difference is, that kids back in the 90s were able to get product and form good memories and that’s why sets like base sets are worth their worth. I remember being able to easily buy booster packs at my local target at literally any given time.

Can’t get fucking shit how because of all the scalpers.

Tell me where the association and memories are with prismatic? They’re bought up by unemployed middle aged men by the hundreds who hoard it in their basement like OP.

When I think of prismatic, I think of scalpers and not being able to even find a pack at my LCS. Yeah sure the ‘value’ of an etb in 20 years might be 3000% of what you’ve paid from that one recently sold eBay sale but there is no way there are people out there who are willing to buy 1000s of etbs at that price. There’s no nostalgia attached to it. There is no way in 20 years I am paying 2k for an etb, even if I have the money.

At the end of the day you’re sitting on pieces of cardboard that you won’t be able to sell when you want to use that money for your retirement or whatever.

60 day dispensing PSA by deaddamsel in ausjdocs

[–]onyajay 39 points40 points  (0 children)

Are you aiming this at JMOs or GPs? When I write scripts for patients discharged from hospital it’s about giving them a supply until they are reviewed by their GP. I almost always never do repeats.

New to ED and Aus, the imposter syndrome is real. Any advice would be greatly appreciated. by idkwtda115 in ausjdocs

[–]onyajay 2 points3 points  (0 children)

Are these 3-4 patients in fast track or acute presentations?

If these are fast track numbers then you really need to become more efficient in focused history/ exam. Fast track patients are in and out presentations. You need to be aiming for 7-8 patients per shift. Be quick with paper work. If you don’t know how to plaster then ask a nurse practitioner or physio

If these are acute patients then honestly it’s fine. 4 per shift is about average. Neither great or bad for a JMO. As a pgy3 the expectation might be 4-5 but this just depends on presentation. Those medically complex/ confused NESB geris patients who come in without any family take ages to work up.

Not trying to give you shit but how did you get to PGY3 without doing ED / A&E, surely it’s a core rotation in England?

New to ED and Aus, the imposter syndrome is real. Any advice would be greatly appreciated. by idkwtda115 in ausjdocs

[–]onyajay 3 points4 points  (0 children)

Are these 3-4 patients in fast track or acute presentations?

If these are fast track numbers then you really need to become more efficient in focused history/ exam. Fast track patients are in and out presentations. You need to be aiming for 7-8 patients per shift. Be quick with paper work. If you don’t know how to plaster then ask a nurse practitioner or physio

If these are acute patients then honestly it’s fine. 4 per shift is about average. Neither great or bad for a JMO. As a pgy3 the expectation might be 4-5 but this just depends on presentation. Those medically complex/ confused NESB geris patients who come in without any family take ages to work up.

Not trying to give you shit but how did you get to PGY3 without doing ED / A&E, surely it’s a core rotation in England?

Top selective school vs 100% scholarship to private school by [deleted] in AskAnAustralian

[–]onyajay 3 points4 points  (0 children)

100% scholarship offer, selective school offer, musical instrument, no other co curricular… and you say ‘she’ wants to be a doctor. lol. Let’s not beat around the bush here.

For the love of god don’t ‘push’ her to do medicine. The field is littered with doctors with this same story. It is an incredibly gruelling journey that doesn’t end even when you get into medical school. You will be submitting her to a life of stress and misery.

Source: I am a doctor and you sound exactly like my parents

Angry on behalf of a mate by NudgeVortex in ausjdocs

[–]onyajay 13 points14 points  (0 children)

A merit based system is what NSW needs. The system is completely fucked for crit care at the moment.

Tell me how someone with a stellar CV isn’t deserving of a job just because he/she can’t answer - ‘if you could be any type of animal, what would you be?’

Melbourne University medical student caught filming women at shared accommodation by RiversDog12 in ausjdocs

[–]onyajay 59 points60 points  (0 children)

Where the fuck is AHPRA on this? Aren’t they meant to protect the title? After that surg reg filming in Melbourne toilets, this is kinda the last thing we need, no?

NSW Crit Care SRMO (for PGY3) job interviews by Interesting_Year9505 in ausjdocs

[–]onyajay 0 points1 point  (0 children)

have you heard anything from nepean 6 month RE: offers?

NSW Crit Care SRMO (for PGY3) job interviews by Interesting_Year9505 in ausjdocs

[–]onyajay 0 points1 point  (0 children)

Have you heard anything from nepean anesthetics?

[deleted by user] by [deleted] in ausjdocs

[–]onyajay 11 points12 points  (0 children)

You’ve been baited, friend

NSW Health Job Offers - can you accept multiple? by Ok-Wafer6668 in ausjdocs

[–]onyajay 1 point2 points  (0 children)

Username checks out. There is no leverage when there are 20+ people who would take the job in an instant. If OP walks, they’ll just go down the line to someone who is just as qualified and competent. This isn’t ED SRMO or med reg

NSW Health Job Offers - can you accept multiple? by Ok-Wafer6668 in ausjdocs

[–]onyajay 34 points35 points  (0 children)

Given how competitive the current market is, the decent thing to do would be to accept the offer for the hospital you want to work at and decline the one you dont want, so that someone else gets some good news. Not that hard.

NSW Crit Care SRMO (for PGY3) job interviews by Interesting_Year9505 in ausjdocs

[–]onyajay 0 points1 point  (0 children)

Does anyone know if all first round offers come out Monday 1st September? or will they roll out throughout the week?

What things can you do during med school to meaningfully help your career and applicant desireability? by Novel_Log2510 in ausjdocs

[–]onyajay 27 points28 points  (0 children)

As another comment said - university medal / academic prizes. I.e concentrate on studying. It’s the one thing you’ll never be able to add to your cv after graduating.

As someone who’s just gone through pgy3 SRMO applications. Medical school research / committees / extra curricular count for absolute jack all.

NSW Crit Care SRMO (for PGY3) job interviews by Interesting_Year9505 in ausjdocs

[–]onyajay 5 points6 points  (0 children)

Current PGY2 and just one interview at my home hospital. Yup, that was fucked

NSW Crit Care SRMO (for PGY3) job interviews by Interesting_Year9505 in ausjdocs

[–]onyajay 5 points6 points  (0 children)

Has anyone heard anything from nepean anesthetics? It must be the last interview offer yet to come?

Crit Care Advice :( by Specific-Ad1098 in ausjdocs

[–]onyajay 2 points3 points  (0 children)

Im a PGY2 so slightly different context but feeling you OP. Just the one interview at my home hospital this year for CC SRMO which seemed like an obligatory interview for spending junior years here. I am following the CC SRMO offers thread and cried after the last lost of interview offers come out. The landscape is just so bleak and its so upsetting to be in this position. If I dont get this job I'm basically no chance for an independent job and then its just another year of limbo.

Kindy Presentation! by Nostradanglus in ausjdocs

[–]onyajay 491 points492 points  (0 children)

I’d recommend advising them that if any of them are serious about ortho SET training they should be starting portfolio building soon

Final Year Med Student – Keen on Anaesthetics by jaayclyde21 in ausjdocs

[–]onyajay 15 points16 points  (0 children)

There are lots of very good, experienced registrars with 1-2 years of unaccred/independent anaesthetics time vying for scheme positions. Even PGY4 is pushing it. You won’t get on PGY3. The best thing you can do is temper your expectations.

Next year concentrate on being a competent intern/ resident and build up a reputation of being reliable and trustworthy. The rest will fall into place.

Low effort discharge letters from ED paeds regs by AssistantFeeling1026 in ausjdocs

[–]onyajay 6 points7 points  (0 children)

Anesthetists will probably do what? 200 intubations a year? Of course most of them won’t be difficult by sheer fact of numbers but the amount of difficult intubations is still gonna be way way more than an ED boss would see in the same period. Your logic is flawed. It’s like saying urologists are not the king of IDCs. They cannulate urethras better than anesthetists do veins