So last night we had some friends come over.
They own a pub so they often bring exotic or unusual beers.
I have been working on drinking minimally for the last couple of months.
We had people over Saturday night and I had 5 Peroni leggera.
I felt average for most of Sunday morning and recovered after planting about 12 trees on my property with my wife.
This was definitely a good outcome and significantly reduced the number of unplanted trees on the property…
And landscaping is HARD work.
I was sweating a lot!
Anyway, later that afternoon our friends came over.
They had helped out with loaning me a spare car when my starter motor blew up and I didn’t have a car for 3 days.
I had two of these special IPA type beers.
Then I had 4 red wine glasses.
The impact of this decision was fine last night.
The drinks tasted pretty good.
The buzz was fun.
Then the consequences kicked in.
One of the other GP supervisors has been away for two days, so I've been looking after two registrars.
It is a interesting experience - just in taking all of the phones calls, and fully experiencing the demands that are placed on GP supervisors.
It's definitely an extra level of skill set that's required compared to not being a GP supervisor.
I think one of the big challenges is the interruptions.
Leaving the case where I'm dealing with my patient, then going and sorting out the other patient that the registrar's working with...
How do I help them sort out their patient?
How do I help the registrar to learn?
How do I make sure that they're safe, make sure that we're not missing anything?
Then coming back and then hopping back into my patient and helping them.
It's quite a demanding experience, and the hope is that despite this I can still go home confident that I've done my work for all my patients, as well as provided a growth experience for the registrar.
So how am I...
Okay, hi, it's Tom Rolley here for Graduate Medicine.
I've just completed my day and it was a pretty good day.
We had some interesting cases, but what I wanted to talk to you about is that some of you may be approaching the final hurdle in your path to fellowship, which of course, is the OSCE.
And if you're going to pass the AKT and pass the KFP, then you might think, "Hey, this OSCE thing, it should be pretty easy."
And you'd be right, because of course it is closest to how we actually work.
Yes, it's a little bit stylized, because it's eight minute cases, or it's the two long OSCE cases, which are 19 minutes.
But, you still need to know how to perform well, and also of course, it is quite a serious investment.
I think it's up around $4,000 plus mark at this point.
It's a long day as well, so you really want to have the capacity to step in confident, and actually know that yes, your money is well invested into getting this for RACGP and you've put the time in so you pass!
Well, hello everyone.
I'll see if the signal works.
I just got home.
It's been a long day because I did a nursing home visit and also a visit to one of my patients who's had a crush fracture and is recovering in her home.
So it's like ten past six, it's date night and I'm going to take my wife out for dinner tonight .
If you're a GP and I'm going to strongly recommend you try out weekly date nights to preserve your relationship with your significant other, your wife or your husband or whoever that is in your life.
I'm finding it pretty helpful so that's the first tip for tonight.
What I wanted to cover is how exam performance can be impeded by poor preparation across clinical knowledge, critical skills and clinical reasoning.
So I was talking to a doctor yesterday and he said, "You know, Tom, I've know I've failed 2018.2."
I said, "Well, how can you know that?" And he said, "Well, the night before I hardly slept."
So I said, "Okay. What happened there?"
And as we dug a little...
Hi, its Tom Rolley for Graduate Medicine.
Just checking in with the good news.
I received an email this morning that the petition that I spoke about last week has been successful.
Now, for those who are unaware, this petition covered a rule whereby any complaints, whether founded or unfounded, would be registered on the a doctor's record.
So the petition target was 15,000.
I'm not sure exactly how they got.
Actually I do...
It's 16,640 signatories to it, and if you click the link it will say "Congratulations. Medical board reverses policy."
So this is clearly a win for common sense, and also respecting the work and the challenges we face as GPs. So, very excited.
If you did sign the petition, thank you.
It's an interesting experience of the world that we live in, that when we combine signatures or work together, we actually get results.
Alright, that's all I got for today.
Very happy that common sense has prevailed, and look forward to seeing you again...
So.. I had an interesting experience.
On Wednesday I was consulting.
The patient came in and said, "Gee, Tom. I think I've got Addison's."
Now if you're a GP or GP reg, you would realize that it's probably relatively unlikely.
So I go, "Great. I'm going to cut across to my key feature checklist," and I found no Addison's disease.
And I'm like, "Ahh, this is no good. What happened to my Addison's disease?"
So it's in production...
We haven't got it out yet.
But I then was stuck with the issue of going, "Okay, now I have to go to Murtagh's, I have to look up the web what's going on. Okay, that's right.
This is what Addison's about."
I got through it and I good reassure them "I don't think you've got Addison's."
"But what was left for me, is the initial usefulness of the key feature checklist, if it had been there, was something that really powerful... I was like, "Damn, okay I've got to keep working on these things."
Now, today I had a different experience, which...
I thought I'd jump in on another topical discussion at the moment.
Thanks to everyone who supported the AHPRA petition!
Let's talk about My Health Record.
So that's been transferred from an opt-in system in Australia to an opt-out.
So, If you don't opt-out in the next 11 weeks then you will automatically get a My Health Record created for you.
Now the word on the street is, I don't have direct evidence of this, but many GPs are not opting in for this.
They are opting out.
And yes, indeed, I am opting out too.
I don't see a lot of upside benefit for myself.
I don't have any chronic diseases, and yet the downside risks include identity theft, and I'd already opted out by the time that the Singapore data theft had occurred.
If you're not aware of this, 1.5 million records were taken.
Now apparently, there's no health records stolen, but just people's date of birth and all of their identifying information.
Now, if that's not a risk for identity theft, then I'm not...
It's Tom Rolley here for GraduateMedicine.com.
I wanted to jump in around a petition that you hopefully know about.
If you don't, then this is to bring your awareness to this petition.
Now, this petition is about AHPRA going ahead with an idea that they will basically publish all complaints against doctors, even if those complaints are investigated and are found to be false and ridiculous or whatever's going on, that they're not actually saying anything wrong was done by that doctor.
They're still going to go ahead and make that complaint against that doctor's name on the register on the AHPRA website.
So this petition's saying, "Hey, this is ridiculous. How can you publish this stuff against a doctor when there is not even anything that they did wrong?"
Now, and you might think, "Oh, well, most complaints are actually legit, they are all going to be upheld."
According to doctorportal, where I was sent this link from, they say at least 70-plus percent of these are dismissed,...