text stringlengths 3 10.4k |
|---|
Welcome to On The Wards, it's James Edwards and today we're talking about preventing and resolving trainee disputes and I have the pleasure of welcoming Penny Brown. Welcome, Penny. Thank you. Penny is a general practitioner and work extensively with general practice education and is currently a senior staff specialist... |
There's supervisors who are working in a stressed, busy system, often under-trained, often the junior person, and you probably know from your own department, often the junior person is the last person to put their hand up who may have very little skills or aptitude or interest. And depending on the college, they get va... |
You know, Mrs Jones didn't go so well what do you think happened what do you think went wrong what would if you could rewind the clock what would you do differently and often they'll tell me in which case my a my jobs done for me so be it's helping them because even if they get halfway there and I can help them go the ... |
I would genuinely be delighted if that happened. I think the other thing is to, we talked before about getting a mentor and I think that's quite useful or seeking some external validation of what you're thinking. I think we probably can use our colleagues, other registrars you're on service with, they'll probably often... |
Hello and welcome to On The Wards. I'm Sarah Dalton and today we're talking to Angelina Chakwajira about malignant spinal cord compression. Welcome, Angelina. Thank you very much, Sarah. It's lovely to be here. Angelina is currently a medical oncology clinical trials fellow at St George Hospital in Sydney. And today we... |
It sounds like you'll have a number of important phone calls to make in this situation. What do you think are the really salient pieces of information that need to be in your summary when you call people? Sure. So I think, you know, as a JMO, it's always good to use the ISBA framework, you know, introduce yourself, the... |
Welcome to On The Wards, it's James Edwards, I'm here again speaking to the junior doctors out there. Today we're talking about something that most junior doctors do get a tiny bit concerned about and it's inter-reporting and RCA's or root cause analyses and speak with me today I've got Andrew Baker. Andrew is the Dire... |
That's just a fancy terminology for a detailed investigation where you're trying to find out exactly what happened, how it happened, drill down into what you think the root causes might have been, and then try and come up with some practical recommendations that address those problems. In regard to a root cause analysi... |
Hi, it's James Edwards, welcome to On The Voice. It's February 2015 and today we're talking about assessment. So assessment's not one of our usual clinical topics but there's a lot of interest in assessment of junior doctors at the moment with some changes in Australia with our national intern assessment. And rather th... |
So they'll often under-mark themselves. Some junior doctors will kind of try and game things by marking themselves up in an attempt to get a better score from the supervisor. But I think the self-rating section should be a means for reflecting on your performance, and it's not so much about the number that you give you... |
There should be a continuum as you start moving towards a more senior doctor increasing dependence that can be reflected within your term assessment but assessment isn't required because assessment will give you feedback and you need feedback to improve as a junior doctor and as a registrar, as a senior doctor. So I do... |
Welcome to On The Wards, Jules Wilcox here, and today we're talking about peer mentoring with Rob Perlman and Sonia Chanchalani. This podcast is produced in collaboration with MedApps, a proud sponsor of On The Wards. So welcome Rob and Sonia. I'll give you a quick background. Rob taught himself to code whilst he was a... |
It doesn't matter what your level of seniority is. Mentoring is still good. And I think a lot of us as seniors often have our sort of informal mentoring groups and things. But I think that second point that you were saying about the leadership and the governance and having a structure to it is just so important, you kn... |
What would you say if you had people wanting to uh set it up or or thinking of i was divided into two um people who wanting to be mentored maybe there isn't a formal program in their hospital as a way that they can start to access or that to set it up at an individual basis, do you think? Or it's quite hard for people ... |
It's almost impossible to shift up the hierarchy without becoming, entering into a managerial relationship, even though we know that probably about 30% of people have no appetite for it. And another group of people are, you know, probably just fumbling in the dark. Now, I think it's very interesting to think about what... |
Welcome to On The Wards. It's James Edwards and today we're speaking about a topic very close to my heart, headache in the emergency department and we have with us Dr. Catherine Spira. Welcome Catherine. Thanks very much. Catherine's a close friend of On The Ward and is a neurologist who works privately also at Prince ... |
So vital signs are important and also neck stiffness goes along with that and potential infective signs. You need to do a full neurological examination on anyone with headache because you do not want to miss problems with the neurology plus headache is actually also very concerning for a secondary headache. So those ar... |
I mean, I always get... You're not confused, but we always kind of... Do we have IV contrast or a CTA? Because they are slightly different. Yeah. So it's just about the phase that they take the scanner and possibly... I'm actually not sure about this, but possibly also the volume of contrast that's given. For a CTA, th... |
Welcome to On The Wards, it's James Jensen and I'm here today speaking to Jo Ringleton who's a Senior Pharmacist for Education and training in the South East Sydney Local Health District. Welcome, Jo. Hi, how are you going? We're going to talk about opioids today, which is a really big topic. So we probably would like ... |
50 milligrams of morphine. It's pretty much, yeah. So just remember that, you know, that they aren't the same. It's really important. It's been linked to lots of incidents, hydromorphone, as I said. Tramadol probably isn't used so much nowadays unless it's pretty much for minor procedures. Tramadol is a pretty weak opi... |
I don't even know if they use it in maternity anymore, to tell you the truth. I don't work in maternity. So, yeah, there's too many issues with it. So it's very, very rarely used now. But, yeah, you do need to be careful if you're combining, say, one of those drugs with something like an SSRI or you would have to be ve... |
They're pretty much only licensed for use in cancer pain at the moment. People do use intranasal fentanyl, and I know in the US there is a formulation of intranasal fentanyl. I'm not quite sure how they use it here. But it's an off-label use. It's not an indicated use. So often those patients with renal failure, really... |
Great. Some excellent pearls there. I know working with a hospital and being on some medication safety committees that opioid prescribing errors or complications by far our way I think all others that I see pretty much things getting mixed up wrong doses so it's something that every time you prescribe an opioid it shou... |
Welcome to On The Wards. It's James Edwards today. I'm speaking to Associate Professor Amanda Walker in regard to the National Safety and Quality Health Services Standards and what it means for you as a junior doctor. We've asked Amanda to speak to us today because of her important role as a Senior Clinical Advisor at ... |
And it is how we do it and how we continue to get better at doing it. So all you have to do is pick something. Pick something that's important to you and then start. So measure how you're going and then have a look at how you might do better. And there's a whole lot of information about clinical practice improvement. T... |
We're always interested in your feedback, so if you've enjoyed listening to this week's podcast, feel free to let us know what you think by posting your comments or suggestions in the comments box at the bottom of the podcast page and don't forget to rate and review us in iTunes this really helps other listeners to fin... |
Welcome to On The Wards, it's James Edwards and today we're talking about upper GI bleeding, one of my favourite topics. Now we've got Dr Anastasia Volovets who's a gastroenterologist and hepatologist from Royal Prince Alfred Hospital. Welcome Anastasia. Thanks James. Upper GI bleeding is one of my favourite topics too... |
Whereas patients who have had maybe one small episode of melina, they've dropped their hemoglobin a little bit, but it's not terrible. They've responded to fluids and their ops have stabilised. They're patients that can be scoped within the next 24 hours. You really emphasise the importance of knowing where they've got... |
I sometimes get asked, although rarely these days, about whether we should put in a nasogastric tube if someone's, you know, have active hematemesis because we're concerned about aspiration. The answer is categorically no. If you're really concerned the patient's vomiting up so much blood that they're going to aspirate... |
What's the kind of management of upper jaw bleeders post endoscopy so that very much depends on what you find so if what you found is a very small ulcer or even a bigger ulcer but with no stigmata of high risk bleeding basically you can send them home on a neural ppi same day you just want to make sure you've done some... |
Welcome to On The Wards. As James said today, we're part two of our discussion with Dr. Sean Lau in the assessment and management of heart failure. Just going back into one of my original thoughts is from a clinical, before you have an echo, can you tell the difference between heart failure with reduced ejection fracti... |
But I think in this context, absolutely, if you see that, then you're thinking about, is this heart failure? When you send a patient, it's kind of 7.30 p.m. on a Friday, a roll of an echo. Yes. You know, when does an echo need to be, I guess, done that night, done as an inpatient, done as an outpatient? Yeah, absolutel... |
Also eliciting whether it's breathlessness with chest pain, whether there's been a history of stable angina, maybe that's led up to this. I think that's one we need to act upon quickly. And then you ordered the troponin appropriately based on that. And I think those ones on the ward probably just happen on cadu, preven... |
Welcome to On The Wards, it's James Edwards and today we're continuing on our focus on domestic violence and injury. In our first podcast, we talked about recognising and responding to domestic violence with Dr Rosemary Isaacs and today we're continuing the theme and looking at the more severe end of strangulation and ... |
Because did he strangle you? The patient might think, oh, I'd be dead if he strangled me and say no. But did you have difficulty breathing? Oh, his hands were on my neck and I was struggling to breathe is a really relevant thing. So if you can find out what happened and actually write that down in two or three sentence... |
All this sort of thing that's got to be worked through. Maybe their family likes and whatever. It's going to take them a long time. And fortunately in Australia, we do have services to help people with that. So these people would be social workers or domestic violence counsellors, and it's really important, if you can,... |
Welcome to On The Wards. It's James Edmonds today. I have the pleasure of speaking to Dr. Alice Gray, who's an immunology and allergy advanced trainee. Welcome, Alice. Thanks, James. Now, Alice, you were once my intern. That's correct. But now I'm asking you the hard questions. Ask about antibiotic allergy. Now, this i... |
Because if they do, then you're probably not going to want to give them related medications. So in this situation, look, the history is not particularly sort of suggestive of either an immediate reaction or a severe reaction. So I would say that it would probably be reasonable to administer a keflosporin because you ri... |
Any other myths you want to bust out there as well? No, I think that's pretty good. Now, before we go to take-home messages, we get a lot of emphasis on putting, with electronic medical records, putting allergies into the system. Who's taking them off the system? Yeah, that's a really good point. I guess if we see a pa... |
Welcome to On The Warts, it's Tom Aitman. Today we're talking about corneal foreign body removal. The presentation of a patient with a corneal foreign body is not uncommon in the emergency department. Junior doctors should attempt to become competent in removing an uncomplicated corneal foreign body by the end of their... |
Okay. And what equipment do you need to remove the object? So clearly it's easier with a slit lamp, anesthesia, and then of course the fluorothene. We use the 2% fluorothene, and I'll explain the reason for that in a minute. I always, removing a foreign body is kind of a stepwise process, and you should only ever remov... |
And then always arrange a follow-up, whether it's with an opt-on or with an ophthalmology, depending on what's available in your area, and educate the patient that the pain will be there today, but each day it should feel a bit better. And if it doesn't, you need to come back to the emergency department. Okay. And so t... |
Welcome to On The Wards, it's James Edwards and today we're talking about falls and we have the pleasure of having Associate Professor Mark Latt who's a geriatrician here at Royal Prince Alfred Hospital. Welcome Mark. Thank you James. So falls are a pretty common reason that a junior doctor will get called whereas they... |
If there is a history of head injury and a decision is made not to do a head CT at that point, then unfortunately I think the nurses are committed to doing neurological observations throughout the night which is quite disturbing for the patient. What are some of the common underlying reasons why patients fall especiall... |
Hi, I'm Josh. I think the real story goes when you really want to ask someone, you ask the other ICU fellow who's actually working this weekend, so then Josh gets stuck. No, I'm kidding. So we're going to talk really, really quickly about blood gases. We've only got 20 minutes. Blood gases are profoundly intimidating, ... |
And if it's in between somewhere, who knows, probably a little bit of maybe acute or chronic or something that's a bit indeterminate. But what you do know is certainly if your bicarb got nowhere near 26 even, right, if your bicarb is still even lower than that 26, then there's some other process that's stopping your me... |
In normal settings, a good chunk of your anion gap is made up from the negative charge that's on albumin, the most abundant protein that lives in your plasma. So that means that if your albumin drops, that when you're looking at the actual collection of unmeasured anions that you're actually interested in, right, those... |
There's a whole bunch of processes that influence hydrogen ion concentration that are independent of your bicarbonate concentration. And what's really important is that a really clever dude called Stewart said there's about seven of these equations, six of these equations, solved them all simultaneously and found that ... |
Hello and welcome to On The Wards. I'm Sarah Dalton and today we're talking to Mary Dobby about sexual assault as it presents in the ED. Welcome, Mary. Thanks, Sarah. Mary's worked in the day and after hours roster in the Sexual Assault Service at RPA and Liverpool hospitals in New South Wales since 2012. The RPA Sexua... |
But after that, we're going to need your specialist expertise as a sexual assault service. So how does someone go about contacting a sexual assault service? Well, usually there's a team, there's a dedicated intake person. At Prince Alfred, the intake counsellor is the person who's contacted. So usually SWITCH calls the... |
So it's important to direct the examination and the forensic swab collection. I understand. You just mentioned DNA and certainly that's something we see a lot in the popular press, I suppose, about the importance of DNA. Can you speak to that a bit? Yeah, we are lucky here that we have our own room and we have it foren... |
Welcome to On The Woods, it's James Edwards and today we're talking about hearing loss and we're welcoming back Dr Joel Hartman. Welcome Joel. Thank you. Joel is an ENT registrar currently working at the Sydney Adventist Hospital and Joel previously spoke to us about the Sawyer which was a surprise hit for Odd the Wood... |
And why would you hear it better in the ear that you've got conductive hearing loss? Yeah, so that's a good question. So the process that's causing the conductive loss actually acts as a bit of a masking. So then your brain is then interpreting that side louder because you haven't actually got the external or ambient n... |
You can also have autoimmune diseases manifesting as hearing loss. And then uncommon things like multiple sclerosis can sometimes the initial presentation can be hearing loss okay I mean we often see within the math department Bell's palsy you know which again more like a kind of nerve palsy and we use steroids for tho... |
Welcome to On The Wards, it's James Edwards and today we're doing something a tiny bit different. This is less on a clinical topic but more of us speaking to someone who's got a very interesting career in medicine. I'd like to welcome Dr Nicola Morton. Welcome Nicola. Thank you. Nicola is a general paediatrician workin... |
And also, I was also worried that I would love it so much I'd never go back and finish my training, which is why I waited until I'd finished my training. I think it's really important professionally to have worked in context outside a big city hospital to work in low resource settings, particularly for Australians. I t... |
Welcome to On The Wallwards everyone, it's James Edmonds today and today I have the pleasure of speaking with Catherine Spira. Catherine is a neurology trainee. She completed her internship at Residency Liverpool and basic trainee at Prince of Wales and East Coast Medical Network and now she's doing an advanced trainee... |
So benign positional vertigo very common and can happen in hospital because people are spending long periods of time lying flat and things like that. So the history someone will give there is usually in a hospital situation, either starting with a fall or starting in bed, turning over in bed, and then suddenly getting ... |
However, if you have vertigo and a normal head impulse test, what does that suggest? So if you have vertigo and a normal head impulse test, it suggests that there's a cause other than unilateral vestibular dysfunction, essentially. So you need to consider... Central causes. In regard to the whole pipe test, can you des... |
And finally, when would you consider asking for a neurology consult? So I think you should ask for a neurology consult whenever you don't know what's going on. But I like seeing a lot of neurology consults, which is unusual. I think there's the neurology consult you get when you activate a stroke call and the criteria ... |
Welcome to On The Boards, it's James Edwards and today we're having our 100th podcast. It's been a long journey to get to 100. Started here at RPA doing a few small local podcasts and now we've got a On The Wards website where we deliver a podcast a week. I'd like to thank a lot of people on the way, probably Evangelin... |
That was my sense of the world and that's how I decided to do the medicine that I wanted to formally practice. But I also recognised it was important to diagnose and make sure you didn't mess things up and that was another lesson that quickly came to the fore. What else? I don't know. First patient who died, you know, ... |
Certainly no one's infallible. I'm not infallible. No one's infallible. And, you know, everyone makes mistakes, hopefully less than one used to, but they're still made. So certainly don't believe the infallibility story. And actually, I think one of the great benefits of working in a team is it reduces the error rate. ... |
I mean, why do you need to go and listen to a lecture from so-and-so when you can hear the best person in the world deliver the lecture, you know, any time you want and in a way that you're going to enjoy much more? So a lot of the... And even tutorials can be delivered this way in massive groups, potentially. You know... |
You know, you look at those really successful entrepreneurs, they've always gone against conventional wisdom and they've never listened to anybody else. So I think that is a little bit a part of this. If you've got a good idea, don't worry that when you talk to other people about it, you're dismissed or it's dismissed.... |
Thank you so much for talking to us today. Is there anything else you'd like to say, I guess, to an audience predominantly medical students and junior doctors? Well, I think I'd just like to say this. You know, you're in a profession that is, I think, still and will remain for a very long time one of the greatest profe... |
Welcome to On The Wards, and this, the first of a two-part podcast interview in which Dr. Bruce Way discusses an approach to undifferentiated shock. As we know, shock's a complication of a number of different disease states and it presents both a diagnostic and a management challenge. Early recognition and treatment ar... |
If you think you've got sepsis, the patient's febrile, they're warm and peripherally dilated and have briscapillary refill, then you want to go and start looking for sources of sepsis, considering some volume resuscitation, starting some initial treatment for that sepsis because it's reasonably severe if that's what's ... |
Okay, welcome everyone to On The Wards, it's James Edwards and I have the pleasure today of speaking to Associate Professor Andrew Dawson who's a toxicologist. Welcome Andrew. Hi James. We're going to talk about toxicology and I guess from the perspective of a junior doctor and they're more likely to see a toxicology p... |
And indeed, sometimes these patients are taking drugs that can increase their risk of having those events. So things like amphetamines and cocaine can give you a whole range of vascular complications. Okay, so we kind of look for some toxic drugs, especially kind of the anticholinergic one, importantly. In regard to in... |
Welcome to On The Wards, it's James Edwards and today we're talking about anxiety disorders and today we have Dr. Julian Nasty, Julian. Hi, James. Julian is an advanced trainee in psychiatry, currently working at Canterbury Hospital. And we're talking today about anxiety disorders, which I guess are a very common disor... |
They're interested in a lot of clinical trials particularly relating to the use of new media and treating the anxiety disorders so they're always looking for patients to see so that's a very good resource and Headspace particularly I think is underutilised. So we've kind of gone through a bit of assessment and manageme... |
Welcome to On Awards. I'm Jane MacDonald and I'm an ONG registrar based in Sydney. Today we're talking about some of the clinical scenarios commonly faced by ONG SRMOs with Dr Becky Taylor. Becky is an ONG fellow at RPA Hospital based in Sydney. Welcome Becky. Hi Jane, thanks so much for having me. Today we're going to... |
From clinical experience, I often find that a maternal tachycardia is one of the things that first suggests that there's brewing infection. And you're monitoring, again, as I said, for the change in the colour of the PV loss, any development of abdominal tenderness, any fetal tachycardia on a daily CTG and any other si... |
Now, outside of PPROM, there are other ways of starting an induction. So, for example, if a woman was having an induction for post-dates, then there are other strategies that we will use to get to the point that we can break the waters. So that essentially refers to cervical ripening. So cervical ripening is when we pr... |
So again, call that obstetric emergency if you've got a bradycardia. That will get your anaesthetic team in the room as well, and then they can control the blood pressure appropriately and with their experience. Also really important to repeat, giant examination. Is the baby having a bradycardia? Because in fact, it's ... |
Welcome everyone to On The Wards. Hang on there James, you're not hosting this one, I am. This is Paul Hamer hosting On The Wards. Today we've got Dr James Edwards who's our special guest presenter today. We're going to be talking about clinical handover. James Edwards, who usually hosts the On The Wards podcast, is a ... |
The background is which is B what are the issues that led up this situation you know they day two post stop a hip surgery what has been happening in the last couple of days that led to your phone call tonight and then there's's the A, which is assessment. And that's kind of what the problem is. What your assessment of ... |
Look, I sometimes do, and that's really going back to what the goal is. Sometimes I see junior doctors, they give the presentation, ISBAR, they give the recommendation, but the recommendation they want, they may actually want the senior doctor to come and see that patient. Because it's right at the end, the senior doct... |
Welcome to On The Wards, it's James Edwards, I'm the host of the podcast series On The Wards. We're looking at different topics, especially aimed at junior doctors. And our first expert is Dr. Sean Lowe, who's an advanced catalogy trainer here at RPA and also did his junior doctor training at RPA, so he knows the wards... |
Okay. I mean, in the post-operative patients, sometimes we worry that they may be nil by mouth or may not be absorbing tablets. Would that change your management rather than going for more metocloprolol? I think in that case, again, once you've looked at reversible factors and if the patient is asymptomatic and there's... |
And again, rarely will that actually cause any symptoms unless the PR interval is very long in which case it's most likely there is some conduction disease but with your second degree heart blocks your Mobitz well the Mobitz type 2 heart block the one that we're really concerned about is where there's actual you know e... |
Welcome to On The Wards. This is Sarah Dalton and today we're talking about coaching for performance with Dr. Jules Wilcox and Tony Sloman. Welcome. Jules is an ED consultant, DPET at Gosford and trained as an executive coach. He has a strong interest in coaching and mentoring and a very strong interest in supporting t... |
The things that I have seen in people who've really had problems passing exams is sometimes it's actually less book work and it's more focusing on a lot of this behavioral psychological stuff. And so we have specific practices that if we have time we can talk about a couple of them. But it's really about shifting that ... |
And they were just, that's, and then of course that compounds the problem. And then that compounds the problem and compounds the problem. And if you've got an exam where you go from one case to another case to another case, short cases or OSCEs and things, mindfulness, live in the moment. What you just did in that prev... |
Welcome to On The Wards. It's James Edwards and today we're talking about palliative care and we have the pleasure of having Dr. Bridget Johnson join us. Welcome, Bridget. Thanks very much for having me. Bridget's a palliative care physician here in Sydney and we're going to have a really general discussion about palli... |
In the scenario of the medical team, I always say to people, is this person who's dying in front of you, are they dying the way that you would want your grandfather to die? So if they're comfortable and things are going well and people are managing it and confident, that's great. The palliative care team doesn't necess... |
Okay I think that's some excellent advice there for junior doctors. We're coming to the end of the podcast I guess I'd like to view whether you can provide to our listeners maybe three take-home messages for junior doctors in regards to palliative care. Yeah, I think that the first thing to say is that as a junior doct... |
Hi, I'd like to welcome John Saunders, who's a renter physician here at RPA, to our podcast series. As with a lot of our podcasts, we look at common after-hours problems, and this one is, I guess for every junior out there, a pretty common presentation, hypertension on the wards. Welcome, John. Thank you. Now, I guess ... |
If their blood pressure goes a bit low it'll wear off fast. So short-acting agents would be ones like clonidine, hydralazine, which will act within half an hour to an hour so you'll know exactly where you're getting up to and they'll last maybe three or four hours if the blood pressure does go a bit low. Putting someon... |
Hello and welcome to On The Wards. My name is Faitha Rau and I'm a third year obstetrics and gynaecology registrar based at Liverpool Hospital in Sydney. Today we're talking about infertility and I'm joined by Dr. Louis Angelopoulos, a staff specialist in obstetrics and gynaecology at Gosford Hospital. Welcome, Louis. ... |
As you mentioned, we attempt to correct any reversible causes of fertility, but some of the more general advice that we give couples with infertility include measures such as education regarding appropriate timing and frequency of intercourse, smoking cessation, reducing excessive alcohol and caffeine consumption, and ... |
Welcome to On The Wards. Today we're talking about palliative care and crisis medications and I'd like to invite Dr Jessica Bourbassy. Welcome Jessica. Thank you. Jessica is an advanced trainee in palliative care medicine and we're going to, before we kind of get into some of the nitty gritty, we're going to, I guess, ... |
Because ultimately, by the time you've determined which drug, how much, checked the medication, got the medication, the patient may well have already died. And it's better that they've died with you being there reassuring them than being alone. You described some of the first-line medications for the anticipatory medic... |
Secondly, treating physical symptoms is, of course, imperative in good end-of-life care and good palliative medicine. But that's not all we do. And the best thing you can do that's non-pharmacological is to assess and address someone's existential distress. And all you have to do is be kind, be patient and ask. Somethi... |
Welcome to On The Wards. It's James Edwards and today we're talking about ovarian cancer and I'd like to invite Dr. Caroline Ford to On The Wards today. Welcome, Caroline. Thank you. Caroline is the head of the Gynaecological Cancer Research Group at the University of New South Wales. And we thought we'd have the persp... |
But there is progress in that. There's many trials underway at the moment. So I do envision that in sort of five years, there will be a number of new agents for ovarian cancer. And do you think they'll be targeting different areas for therapy? I think they'll all be looking at different signaling pathways. I don't thin... |
Welcome to On The Wards, it's Amy Koops. Today we're talking about what makes a good boss with Ria Liang and Ellie Sobels. Welcome Ellie and Ria. Hi Amy. Hi Amy. Great to have you both. A little bit about Ellie. She's a final year medical student at the University of Sydney in New South Wales and she's currently comple... |
So I think, yeah, it's about allowing that 360 degree sort of feedback with views that are the same and dissimilar to really ensure that, you know, you're making the right choice. Yeah. See, I would be really interested in hearing from you both as medical students and junior doctors what you appreciate in a boss. Well,... |
And you're constantly torn between like, should I be in the hospital or should I be studying for exams? And should I be, you know, at the clinical school and doing, you know, those kinds of things and striking that balance is difficult. And I think, you know, you have to focus on the here and now really. So I think you... |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.