u/Glad-Drawer-1177

I did a GP placement in F2, but I was given almost exclusively emergency appointments. Much of it felt like assessing infections, deciding who could safely go home with safety-netting, and identifying who needed to be sent to ED, almost like working in a UTC without bloods

There were a handful of cases where I picked up really interesting things, and other parts were patients were very thankful and appreciative. those were probably the highlights of my placement. What I disliked most was the constant pace, I felt as though I was always racing the clock, with very little time to pause and properly think through a case.

For GPs who CCT’ed, how does the job feel for you? Does it usually feel like you’re constantly trying to keep up with appointments, or do you get enough time to stop, think, and investigate patients more fully?

There are many including ENT, MSK, psych, public health

Public health seems interesting, and I love the idea od preventative medicine, but my psych knowledge sucks and not sure if i should pick this instead.

Also aware that half the consultations are MSK related so dunno!!!!

GPST1, just started a/e. I did it in F2 and feel that I became completely dependent on investigations in my decision making. For example, a CRP of 200 with some abdominal pain, regardless of how the examination is, will almost always get a CT. Things like this are unfortunately deskilling my clinical acumen and decision making process.

I’ve only very recently started seeing patients before looking at their bloods/imaging, to see what decisions I would make based on the history and examination alone. It has helped, but I’m now looking for resources to help refine those skills.

Ideally, I’m looking for a resource (or multiple resources) with evidence based findings, something along the lines of “the presence of X has an 88% association with Y,” or information on likelihood ratios, sensitivity/specificity, etc. I only recently found out, for example, that the HINTS examination, when performed by an appropriately trained clinician, can be more sensitive for detecting an early posterior circulation stroke than an initial MRI.

I’m also looking for tips on how to actually improve clinically. I try as much as I can to get surgeons to give me feedback when I examine an abdomen, medics when I listen to a chest or neck, or the stroke team when I perform a neurological examination. However, everyone is always seeing patients and it is almost impossible to do this consistently. Any resources showing what different clinical findings actually look, feel, or sound like in different settings, as well as tips on how to perform examinations with greater precision, would be really useful.

Essentially, my aim is to get to a point where, to a reasonable degree and with an acceptable level of risk, I can confidently decide that a patient is safe to go home, particularly in presentations that can feel higher risk, such as a viral illness with a bad headache, abdominal pain, etc. I understand there is only so much that can be done without investigations, and I’m not trying to avoid them when they are indicated. I just want to refine my clinical judgement as much as possible, as this will ultimately be my bread and butter.

Also, for GPs who have done an a/e rotation, any tips on how to navigate the department and make the most of the placement would be greatly appreciated.

Thank you.

F2 about to finish and had a brilliant CS. Was a great mentor, very supportive, genuinely became a better doctor with his guidance/help, and honestly would hope to grow to be a clinician like him someday.

Just wanted gift ideas to show my appreciation.

FY2 in ED. There’s a specific subset of patients who attend with a list of symptoms that are usually not entirely connected, most of the time vague and almost always have been investigated extensively in the past.

My issue stems with the fact that, for me, I have a primary one or two complaints, I explore thise, a set of associated symptoms, red flags and then the rest of the history.

But for those patients there so much going on that communication breaks down and I lose sight on what’s actually important vs not.

How do you effectively navigate such patients ( beside asking them what worries them the most, ICE, or emphasizing about what changed or what’s new to which the answer is almost always “everything” )

Getting my first bicycle, a very cheap second hand one cause Ik that it will be stolen in a week so.

Just wanted to know what locks to get, budget is 10 quids, and any rules to know a i never cycled here before

Edit: Thank u boyz and Gurlz

I have come to realise that I have a significant procrastination habit that has almost caused me to fail a few exams in medical school and nearly prevented me from progressing through my ARCP during foundation training. The issue is that I often manage to get away with it by completing things at the last minute, but only after significant mental and physical turmoil. Despite this, I do not seem to learn my lesson, and I keep repeating the same pattern. As far as I can remember, this has been ongoing for most of my life, except during school, when I had people around me monitoring my progress and preventing it from happening.

Lately, this has contributed, although not directly, to a few potentially unsafe clinical situations. For example, I may delay certain non-urgent clinical tasks, such as writing a referral, or allow logistical delays to occur, such as not documenting in a timely manner.

The tasks that tend to get delayed are usually the ones that are not immediately urgent and can technically be postponed, which then leads me to keep delaying them. However, once I have delayed them, I develop a sense of looming pressure while trying to catch up, which makes completing the task feel even more difficult. It can reach a point where I wish I could avoid the whole situation altogether.

This has affected me throughout my life, and there have been several near misses, such as almost failing exams. I cannot seem to learn from this pattern. Although I am fully aware of the issue, I do not feel able to control it, no matter how many strategies I try. I have tried writing tasks down so I do not forget them, using the Pomodoro technique, breaking tasks into smaller steps, and associating tasks with things I enjoy. Despite this, I still cannot seem to gain control over it, which feels incredibly frustrating and, jokes aside, emasculating. I do not feel that I can fully trust myself with tasks, and I am not entirely sure what further strategies I can use to help manage this.

Edit: I am unsure who do I talk to about this or where to get help. I feel like it’s an issue where the answer is “get a grip” but I literally don’t know how.

As above, through jeddah airport.

Thank you.

Correct me if I’m wrong but didn’t we already have this as part of our training through the study budget? What did the pay deal offer that we didn’t have already?

Edit: seems I have been delulu

Just went on a first date today and the guy was hot and I was really interested in a second one, got hit by “can only see u as a friend “ and it just stings cause obv it means Im not their type. Kinda hitting my insecurities ngl. Don’t get that many dates tbh.

Thought I’d vent it out and seek some brotherly support for the next 2 hours 37 minutes to move on.

Edit: timer is up and I’m now fully moved on bros. Thank yall for all the advice!