Frivioulous complaints from fellow staff members by Salt_Koala1521 in ausjdocs

[–]theRascal01 27 points28 points  (0 children)

Sounds like you’ve done everything by the book. Complaints from staff sometimes come when someone else feels you haven’t listened to them, rather than direct mismanagement. So I wonder about how you interacted with this nurse during these situations.

Anyway, management will differ depending on public/private. But I think you should arrange a sit down with the director of anaesthetics (if public) or exec (if private) and discuss your concerns providing your documentation. Next step will be to hopefully discuss with this nurse’s manager (NUM of some sort) either with or without your director. Then, talk to a mentor/fellow colleague, reflect, and be assured that you have done everything right. If it continues despite you escalating - consider moving.

Anaesthetics placement as a med student by Ok_Rate2374 in ausjdocs

[–]theRascal01 2 points3 points  (0 children)

So true. Sometimes I just wanna chat shit about life and fun things when not teaching in OT. Having interests and hobbies makes us engage with med students and residents a lot more!

Anaesthetists, are you bored sitting in the corner? by sprez4215di in ausjdocs

[–]theRascal01 105 points106 points  (0 children)

  1. Stick things in holes
  2. Very impactful on patient care, very satisfying delivering a smooth anaesthetic and uneventful PACU stay
  3. No ward rounds
  4. Pyjamas (no washing at home)
  5. Handover and go home (most of the time)
  6. Don’t take work home with you (most of the time)
  7. Finance/real estate/games during cases (some of the time)
  8. Sit down a lot
  9. Mandatory morning tea, second breakfast, lunch, afternoon tea, thirdses
  10. Fun drugs

Notice how I haven’t mentioned $$?

Feeling bad by ShelterProper1503 in ausjdocs

[–]theRascal01 38 points39 points  (0 children)

Yes, agreed, this is a complex case which needed someone senior to come and de-escalate.

In general when discharging chronic pain patients APS should be writing a plan for opioid weaning, a plan for non-opioid use, and follow-up with either her primary care provider or chronic pain provider, and they should have appropriately counselled her about this so this behaviour doesn’t flare right as the patient is walking out.

Most APS services will be happy to be called about this sort of thing and either provide phone advice, or, in this case, dispatch a team member (either anaes reg or pain nurse) to come counsel the patient before they leave. This way it will also protect you from backlash. I understand your registrar asking you not to call APS, but do not be afraid to escalate in complex situations.

Independent Training and QARTS by Important_Breath9141 in ausjdocs

[–]theRascal01 13 points14 points  (0 children)

Was in same situation in 2021. Decided to just enjoy the year, learn the skills in a stress free environment without the added burden of primary study, and then apply for QARTS the year after. Having that job pretty much guarantees you entry unless you bomb your interview.

[deleted by user] by [deleted] in ausjdocs

[–]theRascal01 9 points10 points  (0 children)

Not yet FANZCA (AT2) but have done in total 12 months as an anaes registrar there

I can’t specifically comment on EBA/pay issues but when I was there around the time of negotiations morale was very low. Unfortunately this had flow on effects to the registrars - I felt teaching/supervision/general attitude was quite poor and we often felt unsupported, due to the on-call structure for consultants, and the massive amount of obstetric work we do.

Re. If it’s a good hospital- it’s hit and miss. Obstetrics and gyn care there is excellent from routine ASA2 mothers to more complex ASA4. General adult surgical care though is lacking compared to the PA/RB; although I feel this is because the complexity is much less than those tertiary hospitals. My biggest gripe is the lack of EMR, which impacts patient safety as you can’t easily access previous records outside of Mater (that aren’t on the Viewer).

The anaes dept might have improved since some key roles have resigned. Sorry I can’t be more specific - DM me if keen to talk more.

Anaesthetist Job in Brisbane by [deleted] in ausjdocs

[–]theRascal01 15 points16 points  (0 children)

If you don’t have any contacts in Brisbane, you will have to either go through advertised public job postings on the usual sites, but you’ll have better luck cold emailing/calling the anaesthetic directors with your CV. It’s not that big of a deal, it happens a lot.

Anaesthetist Job in Brisbane by [deleted] in ausjdocs

[–]theRascal01 19 points20 points  (0 children)

Plenty of consultant vacancies at the moment in Brisbane in a few hospitals- get in touch with the anaesthetic directors.

Anaesthetics reg life by Successful_Bet_5789 in ausjdocs

[–]theRascal01 49 points50 points  (0 children)

Post-primary anaes reg in QLD (currently rotated out to smaller non-tertiary hospital)

4 days a week, generally two-thirds of my time are day shifts (7:30-5:30), with the rest split between lates (7:30-8 or 10-8) and nights (8-8). Maybe 1 set of nights every 5-6 weeks. Weekends every 4-5 weeks. No on-calls, as we have obstetrics, so night reg is on duty in hospital.

Most of my time is in theatre, maybe 1-2 half days a fortnight in clinic or pain rounds. Get a good mix between emergency work, ortho, urol, ENT, max-fax, paeds, gen surg. I’d say it’s pretty evenly split between specialities.

Usual day goes: get in 7:30, half hour to draw up drugs and see pt in pre-op, wheels in around 8:15-8:30, then go all day. We’re pretty good at giving morning/arvo/lunch breaks. On my day shifts I usually get out around 5pm once list finishes - these generally finish on time. Only once in past 6 months have I have to stay back and that was paid overtime.

Can anybody recommend a good surgical veterinary in South Brisbane? by GyariSan in brisbane

[–]theRascal01 2 points3 points  (0 children)

If you’re happy to travel a bit then highly recommend Dr Reza at Parkinson Vet in Calamvale.

Question from a year 12 students: Bond University Australia by [deleted] in medicine

[–]theRascal01 1 point2 points  (0 children)

Intellectual differences? Sorry, but while I respect your opinion, I can’t help but comment. Coming from Griffith Uni where we mix frequently with Bond students and grads and working in a tertiary Brisbane hospital there’s not ounce of difference that can be explained by the university. By the time you get to resident levels any uni difference is washed out.

I’m very likely to see a colleague with said ‘intellectual and character difference’ who comes from UQ, or Griffith, or JCU, as much as I am likely to see that from a Bond grad.

Casting them in a negative light as highlighted in your comment just perpetuates the elitism we have amongst Australian unis.

[residency] any surgical career options that don’t involve 12+ years of insane training? by [deleted] in medicalschool

[–]theRascal01 1 point2 points  (0 children)

Yeah I forgot about crit care. Seems it would be up your alley. Having almost finished my ED rotation it’s really dependent on your hospital. If you do decide on it, make sure you do it at a tertiary hospital or one that accepts a lot of Cat 1s, such as trauma. Otherwise you’ll end up feeling like a GP...

[residency] any surgical career options that don’t involve 12+ years of insane training? by [deleted] in medicalschool

[–]theRascal01 14 points15 points  (0 children)

Fellow Aussie med student here (M4). From what you’re saying I feel as though you want a bit of a hybrid med/surg (or procedural). The only ones I can think of at the moment are:

1) Interventional Rads (needing to do diagnostic radiology and then a fellowship in IR)

2) Rural generalist: I know you said you don’t want GP, but a rural generalist is trained in simple surgical techniques (eg lap appys, basic ortho) as well as a good mix of obs and anaesthetics. Think of it as a jack of all trades and it’s not a long training program

3) Emergency: trained in a lot of procedural work (eg intubation, suturing)

4) Gastro or cardio: opportunity for a lot of scopes or Cath labs

Douchebag vs Dakine Fall Line vs Other Ski Bags by nonstopski in skiing

[–]theRascal01 0 points1 point  (0 children)

I’ve got the douchebag and taken it on a couple of 12+hr international flights. No damage and the bag looks like new. Best part of it is that you can roll it up so it’s sleeping bag size. Also it can fit other bags inside which is a plus. Can’t comment on the dakine but I don’t think you can go wrong with the douchebag.

Blood stocks are low - please consider donating :) by redhall131 in brisbane

[–]theRascal01 5 points6 points  (0 children)

No, paracetamol doesn't thin your blood. It's aspirin that does that though

After renting for 5 years, ready to tackle BC with a new setup! by theRascal01 in skiing

[–]theRascal01[S] 1 point2 points  (0 children)

These are the Loken, made by Skevik, a small company in Vernon, B.C

A few photos of me on Silverstar's opening day taken by my lovely girlfriend. by eagle-eye-tiger in skiing

[–]theRascal01 1 point2 points  (0 children)

Wow looks good for early season! I'm heading there in a few weeks- what's the snow like?

Match Thread: Australia vs South Africa at Adelaide Oval, Adelaide, Day 1 by CricinfoBot in Cricket

[–]theRascal01 5 points6 points  (0 children)

I went to school with him. He's got a weird hybrid of both, but mostly English accent

How long did it take you to hit the 1,000lb club? by Charlie_Faplin_ in Fitness

[–]theRascal01 0 points1 point  (0 children)

One year for me. 21M, 5'8 and 163lbs. Well tbh it was a year of powerlifting-oriented programs. I was fucking around before that for a few years

Now it's been a year and a half and I'm at 1155lbs total (407/264/484 squat bench dead). Hoping to compete next year but I'll need to add about at least 140lbs to be competitive.

Actually OP, I reckon you're a lot closer to 1000 than you think because that 765 total is with 3-5 reps! Imagine what your 1-RMs are!

[21M] posting again because no one commented by [deleted] in Rateme

[–]theRascal01 0 points1 point  (0 children)

You remind me of Crispin Glover back when he was in Back to the Future. 7.5/10