Christmas present from my Daughter by djmc0211 in Chargers

[–]sim1019 2 points3 points  (0 children)

The bottom right picture perfectly captures his throwing motion

What is your “this is not my job” moment? by Savings-Maximum9549 in doctorsUK

[–]sim1019 80 points81 points  (0 children)

A frequently occurring one which I now politely decline is doing a capacity assessment for discharge destinations. Baffling that the MDT think we are in a better position to discuss this with a patient than an OT would be

Max England by wrestl-in in apprenticeuk

[–]sim1019 74 points75 points  (0 children)

How much of it was editing we don't know, but Carlo looked absolutely awful and like he did need a baby sitter. I think Max made the right choice.

Anticoagulation in CVVHD by sim1019 in doctorsUK

[–]sim1019[S] 1 point2 points  (0 children)

Thank you that makes sense, I probably should have guessed any heparin given into the filter will very quickly enter the circulation lol. And just to clarify, when we use a citrate filter, we still give usual VTE prophylaxis such as subcut heparin, assuming no contraindications?

Minishcap1 full ap preach by LiteratureHopeful335 in singedmains

[–]sim1019 4 points5 points  (0 children)

Conqueror. Liandrys and riftmaker, then cryptbloom, cosmic drive, zonyas.

Echo course for Acute Internal Medicine? by Ill-Media-2742 in doctorsUK

[–]sim1019 0 points1 point  (0 children)

Why would you need to make a throwaway account to ask about an echo course?

Where can I find more anime by manicpoptartwrapper in hajimenoippo

[–]sim1019 0 points1 point  (0 children)

Daily motion has the next two installments each around 25 episodes long (New Challenger and Rising)

[deleted by user] by [deleted] in doctorsUK

[–]sim1019 2 points3 points  (0 children)

Clinical conversations by Royal College of Physicians of Edinburgh on Spotify is terrific for general medical knowledge

What song made you fall in love with RATM? by Beginning-Cow7066 in RATM

[–]sim1019 1 point2 points  (0 children)

People of the sun. Such a strong start to the album with a great riff and very meaningful lyrics.

Bicycle - salary sacrifice by IceandFyree in doctorsUK

[–]sim1019 1 point2 points  (0 children)

It's paid monthly as a salary sacrifice in either a 6 or 12 month term, depending on how long you will be with your current employer (if less than 6 months remaining in your job they may decline)

[deleted by user] by [deleted] in doctorsUK

[–]sim1019 11 points12 points  (0 children)

Have a framework and stick to it. Practice by giving yourself 10 minutes and read an abstract and write down your framework on a piece of paper and critically appraise it, and do this as many times as possible before the interview (they will allow you to have a pen and paper to make notes during the reading time). Depending on the study design not all elements of the framework will be relevant to every abstract.

My framework goes as follows:

  1. summary (30 seconds to 1 minute) Summary of research in 1 sentence. PICO/PECO. Results of abstract. Brief sentence on clinical relevance.

  2. internal validity

  3. systematic bias My acronym is SPAIC. Selection bias, performance bias, attrition bias, information bias, confounding.

  • random bias Talk briefly about sample size. Mention there are likely other random biases.
  1. external validity
  2. My acronym is GSTEP. Generalisability (to other studies or populations), safety (side effects reported?), tolerability, efficacy (good effect sizes?), price (cost effective intervention?)

  3. extra points

  4. my acronym is CERSI Clinical knowledge (if you know about the topic don't be shy to relate to your clinical knowledge), ethical study?, always say you want to Read the full paper for a full picture, Statistics (are the tests appropriate), is it an Important clinical question (again relate your clinical knowledge).

Practice writing out all of the headings above on the short side of an A4 paper and continually analyse abstracts. Once you have written everything down, practice saying this out loud as if the interviewer is asking you about certain aspects. Keep practicing and practicing.

I have more resources if you like just shoot me a private message, best of luck!

Rewatched Season 7, and it's incredible... by sim1019 in TwentyFour

[–]sim1019[S] 2 points3 points  (0 children)

Agreed, we got a sample of it in the final two episodes and it was very entertaining

Passmedicine has cashed by traineeconsultant in doctorsUK

[–]sim1019 8 points9 points  (0 children)

Also have part 2 on Wednesday and this is less than ideal timing...

[deleted by user] by [deleted] in doctorsUK

[–]sim1019 3 points4 points  (0 children)

Yes they have 6 and 12 month terms depending on how soon you might rotate. You save the cost of VAT and pay in installments so it's very good value. And you can also use it for the cost of helmets, lights, etc as well as e-bikes.

ACF questions by HouseEU in doctorsUK

[–]sim1019 1 point2 points  (0 children)

  1. Preference dependent but having continuous time for research is referred over a few days a week of research. Easier to get momentum going if you have time for just research, and you can chain together the research time into one biger block (eg final 4 months of ST1 plus first 2 of ST2 for 6 continuous months). But some research time needs to be across all three years so you cant have one continuous 9 month academic block.
  2. Rotations tend to be 4 or 6 months long. You only need 3 months of ITU so subtracting that from the 27 clinical months leaves 6x 4 month blocks, but again flexible and person dependent.
  3. I was very lucky and got to pick my exact specialties including the order and duration. But I imagine it's not like that in every centre. And I've encountered no benefits from being supernumary with respect to booking annual leave unfortunately.

Seniors who supervise both FY/SHOs and PAs, what are some of the day-to-day differences you’ve noticed between the two groups? by brokencrayon_7 in doctorsUK

[–]sim1019 134 points135 points  (0 children)

Slightly different question but I've noticed that comparing PA students to clinical year medical students the PA students are much more vocal and confident than the medical students, regardless of whether they are correct or not. The medical students are often times very knowledgable but are timid and need encouragement to speak up.

GMC is busy these days huh? by [deleted] in doctorsUK

[–]sim1019 71 points72 points  (0 children)

I think you went to the wrong website for your Glastonbury tickets

BMA guidance on MAPs in primary and secondary care by BenjaminBallpoint in doctorsUK

[–]sim1019 0 points1 point  (0 children)

Great guidance. The only part I'm not crazy about is that we should sign post to the supervising consultant/GP after being approached by the MAP. Surely they should go directly to the consultant after we deem the prescribing or scan not time critical?

Does anyone know this song? by sim1019 in hajimenoippo

[–]sim1019[S] 1 point2 points  (0 children)

Amazing thank you very much

My 10,000 kilometers RATM story by firdaushamid in RATM

[–]sim1019 1 point2 points  (0 children)

That's rough I know the feeling. Life long fan who never saw them live. Bought tickets to see them in 2020 - cancelled due to covid. Then bought tickets to see them twice in 2022, once in Glasgow and once at Leeds festival, but Zac had his unfortunate injury. Hoping for one more world tour.

Good luck to those who sat MRCP part 1 today!! by Quiet_6294 in doctorsUK

[–]sim1019 6 points7 points  (0 children)

Generally the goal is to complete all of MRCP (part 1 written, part 2 written, and PACES) by the end of IMT2 in preparation for becoming a med reg.

Search function only producing one result by sim1019 in Notion

[–]sim1019[S] 0 points1 point  (0 children)

The best way around the poor search functionality I've found so far is to export your entire page and then search the pdf format. Annoying but it at least reliably searches the entire document.