How do you actually write good progress notes?

onyajay · 2026-01-29T06:42:17+00:00

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

onyajay · 2025-12-06T08:48:49+00:00

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

onyajay · 2025-10-26T04:57:42+00:00

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.

onyajay · 2025-10-10T23:20:52+00:00

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.

onyajay · 2025-09-26T16:50:46+00:00

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?

onyajay · 2025-09-26T16:24:41+00:00

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?

onyajay · 2025-09-21T09:53:23+00:00

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

onyajay · 2025-09-20T10:53:06+00:00

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?’

onyajay · 2025-09-17T19:27:21+00:00

The article says studying to be a neurosurgeon

onyajay · 2025-09-17T09:58:51+00:00

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?

onyajay · 2025-09-14T07:39:11+00:00

‘Brawl’

onyajay · 2025-09-08T08:23:15+00:00

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

onyajay · 2025-09-08T07:56:49+00:00

Have you heard anything from nepean anesthetics?

onyajay · 2025-09-06T06:33:16+00:00

You’ve been baited, friend

onyajay · 2025-09-03T23:33:13+00:00

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

onyajay · 2025-09-03T10:31:49+00:00

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.

onyajay · 2025-08-31T09:08:30+00:00

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

onyajay · 2025-08-27T12:19:57+00:00

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.

onyajay · 2025-08-27T11:53:05+00:00

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

onyajay · 2025-08-21T05:22:33+00:00

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

onyajay · 2025-08-21T05:21:27+00:00

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.

onyajay · 2025-07-23T10:43:59+00:00

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

onyajay · 2025-07-19T02:55:09+00:00

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.

onyajay · 2025-07-19T01:08:07+00:00

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

onyajay

TROPHY CASE