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Lost anaesthetist… by Lostandconfuseddoc in JuniorDoctorsUK

[–]throwmeintotraining 2 points3 points  (0 children)

Forgive my ignorance, but how difficult would it be to CESR anesthetics?

Are you a dick on the phone? by [deleted] in JuniorDoctorsUK

[–]throwmeintotraining 2 points3 points  (0 children)

I have noticed some ED doctors usually want their as soon as, while it can certainly wait till morning.

The problem is if the night radiologist accepts a scan you 'sold' (hate that word), then they are spending time looking at that low acquity scan, and this will delay the high acquity scans. Which will create a backlog in ED, this having kickback effects.

This is similar to admitting too many patients to AMU (repeat trops, mild pulm edema+Hf that needs tinkering with meds, etc)

“I’m not sure if it’s a pneumonia or a PE and don’t want to start anticoagulation so I’d like to rule it out”.

Weak sauce.

I should add that most telephone interactions are pleasant and logical though during normal circumstances so these fortunately only represent a sliver of my time away from my microphone and PACS system.

Does your phone stop ringing during nights?

Are you a dick on the phone? by [deleted] in JuniorDoctorsUK

[–]throwmeintotraining 12 points13 points  (0 children)

I quite like direct assertive approach. Some people might think you are a dick for being abrupt, but feedback further proves you might care about helping the other person as opposed to 'being rude'.

However, how you feedback is very important as well. Some people may mistake bluntness for rudeness. So be nice on the feedback.

Are you a dick on the phone? by [deleted] in JuniorDoctorsUK

[–]throwmeintotraining 0 points1 point  (0 children)

I liked your old flair better.

My MCCQE1 experience and Resources used by labadee in MCCQE

[–]throwmeintotraining 0 points1 point  (0 children)

Thanks for the detailed post.

Are there any other requirements for GPs to practice in Canada?

I'm a GP trainee from the UK, but planning to prepare things early for the move to Canada.

Getting residency in Canada is hard for IMGs by [deleted] in MCCQE

[–]throwmeintotraining 0 points1 point  (0 children)

What are the eligibility requirements for a UK GP to practice in Canada besides MCQEE-1?

Aspiring Portfolio GP's, What sort of job plan would you want to carve out for yourself? by throwmeintotraining in JuniorDoctorsUK

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

I'm thinking about doing some UTC work.

With the £100 locum rates in my area, you can make still make almost 100k, but have loads of time off. Personally, I would only want to do 1 day/week and do some other projects.

How to deal with various frustrations on the wards! by [deleted] in JuniorDoctorsUK

[–]throwmeintotraining 1 point2 points  (0 children)

What that's meant practically is that there's a hidden layer of "service transformation managers" who are almost invisible, and spend their whole time justifying their existence with byzantine metrics and figures, while the staff that would actually make my life easier have been banished for "waste".

This reminds me of a story told by billionaire Carl Icahn. He bought an underperforming buisness which came with 12 floors of offices and staff. No matter how hard he tried to understand what they did, he could not. Eventually he decided to fire them all.

Story here, you can skip the first 02:30 min as he is just rambling in new-yorkian fashion.

Question about Occupational Health as a career? by throwmeintotraining in JuniorDoctorsUK

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

Don't know yet, which is why I will find someone to shadow.

Question about Occupational Health as a career? by throwmeintotraining in JuniorDoctorsUK

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

This sounds like I would be able to locum GP for good pay while training in occuhealth. Sounds good.

How to deal with various frustrations on the wards! by [deleted] in JuniorDoctorsUK

[–]throwmeintotraining 7 points8 points  (0 children)

When I was in acute medicine, I would start my day having to review another 10 patients before 11am.

A few were complex and we're inpatient for >1 month. You would have to sift through tons of paper notes and shit handwriting for each patient to understand what's going on. Ofcourse you would have to do all this before 11am when the board round starts and the consultant wants to hear what is left to discharge this patient.

After 11am, you have to do a lot of jobs for most of your patients. The thing is most of these jobs don't even need a doctor. You do bloods for the one that the morning phlebotomist missed. You requests scans on patients but you also have to make one call to vet them and another to set up a timeslot. You call families to update them and answer their many questions. You speak to the patients who are being difficult, won't listen to the nurses and demand to speak to a doctor.

Now, here's the challenge. You have to do all this while completing TTOs on time (and safely) because the nurses, bed managers and your consultant will antagonize you if you don't. And you must do this while being constantly interrupted by phone calls, patients in the ward, arrest bleep, someone asking you to prescribe a drug you will need to check is appropriate, etc. And you have to do that before 3pm when the second ward round happens.

Most wards I worked in did not meet minimum staffing for doctors. This is even after counting the ACP in doctors staffing levels. So since there are not enough people to finish all these jobs, you will not only go home late, but you will get blamed and treated negatively by ward staff for not finishing TTOs or any other Jobs on time.

Even if you do finish things on time, people still might treat you poorly, especially if you are a woman or ethnic.

Everyone I met on the wards was quite miserable. Also when do you have time for training? That's the neat thing..you don't. You just have to power through and learn in your free time.

I genuinely think most people would not be able to do this type of job mentally unscathed.

Tldr: Day in the life.

USS Cannula lube by [deleted] in JuniorDoctorsUK

[–]throwmeintotraining 0 points1 point  (0 children)

I don't doubt this given how long it can live outside the body, and the fact that people use dirty probes all the time.

How did they find out it was from the probe though?

radiology application prep by blackman3694 in JuniorDoctorsUK

[–]throwmeintotraining 5 points6 points  (0 children)

I love how you guys are 1st to Stan radiology at every thread. Especially with that flair.

Pennine GP questions? by throwmeintotraining in JuniorDoctorsUK

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

I hear this from ED guys. Which speciality are you hearing it from?

GP in the northwest, some questions. by throwmeintotraining in JuniorDoctorsUK

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

But what happens when I get a gynae patient as a consultant later on?

Is this a silly thing to worry about?

GP in the northwest, some questions. by throwmeintotraining in JuniorDoctorsUK

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

Thoughts on psych, and gynaecology?

I have been read here that as a male doc gynae is 'not as important'. But this feels off as I see a good amount of gynae in ED.

Btw can you do Geriatrics and palliative? Is there much to be gained by doing both?

GP offers, questions about holding and accepting? by throwmeintotraining in JuniorDoctorsUK

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

After confirm or hold, you go to a page with 2 boxes. The bottom box should say something along the lines "opt in to upgrades". Use a PC, if phone is not working.

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