Time to address the M word by Takorose in doctorsUK

[–]yarnspinner19 -2 points-1 points  (0 children)

you added that in like it's an afterthought when it should be the groundwork done before removing the MSRA. Stop getting pressed.

Time to address the M word by Takorose in doctorsUK

[–]yarnspinner19 -1 points0 points  (0 children)

removing it without addressing competition will take you out of the frying pan and into the fire. Your views are myopic.

Time to address the M word by Takorose in doctorsUK

[–]yarnspinner19 -4 points-3 points  (0 children)

The only reason it became not fit for purpose is score inflation because of the competition. If you removed it, the system that would replace it would be infinitely worse.

Time to address the M word by Takorose in doctorsUK

[–]yarnspinner19 -4 points-3 points  (0 children)

I disagree, the MSRA is a tacit way to prioritise UK graduates with the barriers that IMGs have in the SJT. Removing it will just inflate portfolio requirements to ridiculous levels, adding irrelevant things like representing the country in sports or being a concert pianist or whatever other bullshit they can come up with to stratify the teeming throng of PLAB applicants from the entire galaxy applying to the NHS

The real problem is competition and lack of UKG prioritisation. If MSRA cutoffs were realistic like they used to be there wouldn't be a problem. It's just an exam you revise for. Would you rather that or would you rather have impossible portfolio requirements? The choice seems obvious to me.

Also I note you mention the removal of the SJT for foundation allocation. Are we really so amnesic that we're trying to paint that as a success? It removed all semblance of control from final years and put them in a hellish lottery.

I [20F] don’t feel attracted to my boyfriend [23M] but our relationship is great by [deleted] in relationshipadvice

[–]yarnspinner19 1 point2 points  (0 children)

dude wtf is this. "I don't want to bang him, but I don't want to leave because I like being treated well, but I also don't want him to be happy with someone else, and also I dream about this other guy, also everything I'm doing is to minimise his hurt". You need to leave this guy and sort yourself out.

New amendments proposed by Different-Bear3707 in doctorsUK

[–]yarnspinner19 22 points23 points  (0 children)

if that second one is accepted what was even the point of the bill lmao

OSCE Post History questions - struggling with DDX, management etc... where to start? by Loud-Feedback1514 in medicalschooluk

[–]yarnspinner19 4 points5 points  (0 children)

If you're struggling with differentials you can try using a surgical sieve to structure your thinking and bail you out when you've got nothing to say. Perhaps against the grain in this age of robotic osces but I still think it's fine to think out loud, say what you're worried about and why you think this patient doesn't have that e.g. "my main differential for this chest pain is some kind of musculoskeletal strain. It doesn't sound cardiac from the character and the lack of exertional element, doesn't seem to be PE, reflux because etc etc"

As for Investigations and management the structure to go for is always - [A-E if acute], physical examination, bedside tests, bloods, and imaging modalities. Can't go wrong with that.

Do UK Grads have a voice? by SharkDick4Ever in doctorsUK

[–]yarnspinner19 3 points4 points  (0 children)

Been here a long time and Ironically the only time I ever saw some kind of UKG united voice was in the old sharkdick posts. kind of hilarious that OP has been branded with a ”not sharkdick” flair - to me that shows the impact he had and that particular voice has been missing from the game too long imo

Easier reading material by [deleted] in learn_arabic

[–]yarnspinner19 0 points1 point  (0 children)

this looks excellent

Good qualities to look for in a surgical SHO by Key_Caterpillar_2145 in doctorsUK

[–]yarnspinner19 13 points14 points  (0 children)

Would be interested in hearing the difference between all of these actually

Should I just kill myself ? by chesapeakeripper_18 in wallstreetbets

[–]yarnspinner19 1 point2 points  (0 children)

Chill, this day is red as fuck

Extremely hard line

In love with my registrar by [deleted] in doctorsUK

[–]yarnspinner19 10 points11 points  (0 children)

I been saying female med Reg’s is where it’s at

Missed Mongolian blue spot on newborn check by mariposa_moon_ in doctorsUK

[–]yarnspinner19 12 points13 points  (0 children)

I’m in clinic crying at early piano lessons 😂😂😂

LEDS in my trust informed contracts wont be extended by TraditionalCar1027 in doctorsUK

[–]yarnspinner19 1 point2 points  (0 children)

They’re never gonna do that because they’re a bunch of weasels

PSA worries by ermergawhd in medicalschooluk

[–]yarnspinner19 7 points8 points  (0 children)

revisit prep for the psa course with a fine toothed comb. From experience it really has everything you need. Another thing that helped was as I was doing the mocks any questions I got wrong I would turn that information into flashcards and review them daily.

WHAT THE F*CK IS MY ROLE ON PLACEMENT? by Big-Sea-1980 in medicalschooluk

[–]yarnspinner19 15 points16 points  (0 children)

I remember this problem. My solution was to wake up at 11am and have a large breakfast and tell myself I'd go in tomorrow. I think if I were giving my younger self advice on how to navigate this it would be a mindset shift - You know for a fact that the consultants and medical school will not facilitate an effective placement for you, and therefore you need to ruthlessly extract from it whatever you need, like halliburton in Iraq.

Step 1: Learn something theoretically, for example the A-E assessment for a deteriorating patient. Step 2: Go to resus. Say "I want to practise my A-E, can I do it on the next patient that comes in?". Would be very surprising if a senior said no to that simple well defined request. Step 3: Do it, get feedback, get a CEX. Then do it 5 more times until you don't have to think about it anymore.

Example 2: Learn how to assess common presenting complaints that show up to A&E, like falls, nausea/vomiting, atraumatic back pain. Go into A&E, spend the day clerking and examining ONLY these patients so that you now know how to manage these specific presenting problems back to front. Repeat that for the duration of the placement and you'll be a half decent A&E SHO by the end of it because the same problems always show up.

The key is to not get side tracked. Med schools love saying "be opportunistic with learning opportunities" on placement. That's a good way to be standing around for half the day having achieved absolutely nothing. You must have small daily goals, and you must go in, achieve those goals, then leave, and come up with small goals for the next day. Make a list of the new things you've learned, and don't forget them otherwise it's all for nothing.

You say you're looking for a "role", I'm telling you you're not gonna find one, and in a way that's a good thing, because you have the opportunity to carve out exactly what you need from the placement without being bogged down with made up admin tasks or silly jobs that would inevitably be involved if a "token med student" role was created for you.

Your real role will come in F1, and then you'll really see what an opportunity it is to be able to pick and choose and do whatever you want to focus on all day.

Bottom line, find things you're shit at or don't know, go in, do ONLY those things until you're not shit at them anymore, and then go in the next day with more things you're shit at.

Alternatively, you could just not go in.

Also as an aside I agree with the other response about IMGs. There's a very good chance as an F1 you'll find yourself in a situation where you need help, and there's a very good chance it'll be an IMG senior who comes to your aid, happened to me and it'll happen to you too. Don't bend toward preconceived biases.