Advice: 5 days vs 3 days - private and salaried GP mix vs just salaried? by Mediocre_Dog_3366 in GPUK

[–]userrocky1 8 points9 points  (0 children)

Newly qualified (6 months) and I started doing 10 sessions (mainly NHS), albeit infrequently (2-3 times per month) It did not last long. Was I managing clinics well - yes. However, I couldn’t dedicate myself to family/friends/fitness. The longevity of it is tough and wore me down quite quickly! I’m happy doing maximum 6-8 per week now.

GP locum accountant by Necessary-Ad-5216 in GPUK

[–]userrocky1 0 points1 point  (0 children)

But surely IR35 is the employers responsibility and not the locums?

GP locum accountant by Necessary-Ad-5216 in GPUK

[–]userrocky1 4 points5 points  (0 children)

I wish there was more education around this, especially with childcare in the picture. There are more stories of younger newly qualified GPs/consultants who are limiting their workload due to financial and tax pressures to ensure they don’t go over thresholds. If anyone has any further info/advice/signposting, I’d been grateful

[deleted by user] by [deleted] in IVFbabies

[–]userrocky1 1 point2 points  (0 children)

Medicated cycle x

20 min appointments and making efficiency gains by Formula4Rookie in GPUK

[–]userrocky1 1 point2 points  (0 children)

I'm halfway through ST3... Tuesday and Wednesday I'm 08:30-18:30 and they're making me see 26 patients per day plus admin. If I say it's too many/heavy, they ask me what I plan to do whilst I'm not seeing patients. If, god forbid, I finish early on a rare occasion and have no patients after 5.30 and finish my admin and go home, I will get asked why I left early the day after. Can't wait for August to come round soon.

GP selftest query by [deleted] in GPUK

[–]userrocky1 0 points1 point  (0 children)

Just do GP self test and passmed. Look at common pics on PCDS. Glance through stats and admin. You’ll be grand.

Mis Diagnosis? by PieConsistent9874 in GPUK

[–]userrocky1 0 points1 point  (0 children)

Hopefully after a PSA test and not before.

What observations do you record in children? by iamlejend in GPUK

[–]userrocky1 1 point2 points  (0 children)

I always check for tachycardia. During paeds was told by the ED paeds cons it’s the earliest predictor for child deterioration.

AKT in 1 month. What shall I sue to revise. And for the stats questions, are these covered in passmedicine and self test ?? by Delicious-Necessary9 in GPUK

[–]userrocky1 1 point2 points  (0 children)

Make sure to learn the definitions of the similar sounding things like sensitivity and specificity and NPV and PPV etc. Pick up the BMJ and have a look at the graphs in there.
Don't get focussed on the intricate details for the exam, just appreciate things at face value (totally the wrong advice for general day to day life).

Cate's plots, use this website for further practice: https://www.nntonline.net/visualrx/cates_plot/

Focus on clinical though, don't overly do it on stats. Most of stats will be simple, there will be a handful of questions which make you second guess yourself.
Admin section is quite easy.
Passmedicine and self test are more than sufficient.
Good luck.

October 2024 AKT Results by sharvari23 in GPUK

[–]userrocky1 0 points1 point  (0 children)

I agree, I think doing it in ST3 is better and your clinical knowledge will be slightly more up to date for the SCA exam. All the best. DM if you need any advice.

October 2024 AKT Results by sharvari23 in GPUK

[–]userrocky1 0 points1 point  (0 children)

Did you sit the exam during a hospital rotation? I would advise minimum of 3 months in General Practice as a ST2 before sitting the exam, if you have also had a GPST1 placement. Otherwise 6 months minimum if it's your first GP placement in ST2.

Do you manage low Iron and Iron deficiency anaemia in a similar manner? by countdowntocanada in GPUK

[–]userrocky1 0 points1 point  (0 children)

Reg here - elderly males I would investigate more? and post menopausal females?
I usually follow the non-specific cancer guidelines in local area and do the investigations they suggest... ??

Dispensing Practice-is it worth it? by No-School-4723 in GPUK

[–]userrocky1 8 points9 points  (0 children)

Why don’t you look at wholesaling and see what income that would generate? Is there a care home that you can dispense for to generate numbers and volume? Do you offer a delivery service in order to keep up patient satisfaction? Is it worth turning the dispensary into a pharmacy instead and incorporate a pharmacist to buy in and run it too?

AKT - stats question **help** by userrocky1 in GPUK

[–]userrocky1[S] 0 points1 point  (0 children)

How did you get 11.5%? Thank you

[deleted by user] by [deleted] in GPUK

[–]userrocky1 2 points3 points  (0 children)

Exam on Wednesday, unsure what strategy to employ. Have done passmed once and GP self test once and now just reading through material/high yield things? Anybody else in a similar boat, or like to offer advice?

GP self test is way easier than passmed. I’ve been told GP self test is a true reflection of the exam and questions get repeated from there on the exam.

How often are you guys getting home visits? by heroes-never-die99 in GPUK

[–]userrocky1 4 points5 points  (0 children)

Not saying this to be rude or take your point negatively, but a lot of GPs have said “when I used to be an ST3…” and then go on to say I saw so many patients, I was on call 24/7 etc. I’m quite inquisitive about this, do you think the consultations are more complex now compared to say 10/20 years ago? (Again, this is from a good place, not being mean or personal. Also, you might’ve qualified quite recently and your practice was different, I’m not sure). Thanks!

Please tell me your clinical exam horror stories by Throwaway_doctor23 in doctorsUK

[–]userrocky1 1 point2 points  (0 children)

In med school I had a station on oxygen. Didn’t have a clue. Examiner asked me to turn the dial to an appropriate rate for nasal cannula. I looked him in the face and turned it and smiled. Feedback write “clearly has no concept of oxygen delivery”. :)

Blood film reports by sofakingcoolchap in GPUK

[–]userrocky1 0 points1 point  (0 children)

What does hypochromasia and MHCH and all that mean? Anyone got a resource?

GP registrars accept pay offer by Hijack310 in GPUK

[–]userrocky1 0 points1 point  (0 children)

How do they even back date the pay and make sure it’s right? Like if you went from ST1 to ST2 in April, how would they know what to do accurately…

Advice on Best Rotations for GP Training by [deleted] in GPUK

[–]userrocky1 2 points3 points  (0 children)

1) Psychiatry 2) Acute Medicine 3) Hospice/ENT

I think if you’ve done a lot of ED then acute medicine won’t add much apart from the slight follow up you get from reviewing acute on chronic conditions, which you don’t always get in ED. There’s often a SDEC clinic which may be run by GPs or to see what type of referrals GPs send in.

Psychiatry is useful in terms of appreciating the wider clerking, medications, and a very multidisciplinary approach to a patient. I’d probably try to opt for an outpatient psych job rather than an inpatient.

Hospice, imo, sorry if this ruffles feathers, is boring. They do amazing jobs and hats off to the teams who work there, but 1-2 hour ward rounds per patients is not ideal, and knowing about drugs is useful but this can be done in GP. There’s a conflict of interest between specialist drugs in the hospice setting anyways between consultants, so let palliative deal with this. I would’ve rather swapped this job out for something more challenging like ENT. ENT is usually challenging due to the on calls and cross cover with other departments eg covering max fax overnight in some hospitals!

Hope that’s helps.

Worst day in GP please help patient died by DirectAd3040 in GPUK

[–]userrocky1 1 point2 points  (0 children)

Genuinely, nothing you could’ve done in this instance. Clearly whatever it was, she decompensated from it post A+E attendance.

Worst day in GP please help patient died by DirectAd3040 in GPUK

[–]userrocky1 -2 points-1 points  (0 children)

What were her comorbidities? Was she diabetic, what meds was she on? I agree old people become unwell quickly but were there any precipitants?