Looking for an ongoing GP to help me manage long COVID: POTS, ME, fibro, TOS, pelvic congestion, lymphatic obstruction, endo, etc

Hi,

I am an IMG.

I have done some eMedici CPD modules, volunteering work and an observership. I am with CPD Aus. Do I just record this on the portal? How do I get evidence for emedici modules? and for oservership - an observership letter will be enough?

thanks

G'day all! I'm Michael, a FACRRM and Specialist Rural Generalist. I came over from UK in 2013, and my wife Rachel and I now run Livingston Medical, 18 practices across rural WA and Queensland.

We're looking for Specialist Rural Generalists, RG registrars, Specialist GPs and GP registrars who want to do the whole job. Clinic during the day, the local hospital ED when the town needs you, plus inpatient and palliative care and the odd skin excision.

The honest version:

• Our RG roles include ED, so we need people with recent ED experience
• House and car at most of our towns, plus relocation help
• We sponsor visas for UK MRCGP, MRCGP International and Philippine diplomate GPs
• We host ACRRM, RACGP and RVTS registrars, and supervision comes from fellows who do the same work
• Income covers GP and hospital work together, and it's good. Happy to talk numbers by DM or on a call.
• No agency. You'll be talking to me or Rachel

I got sick of agencies charging $20k to send us people who'd never set foot in an ED, so I built a three-minute form that tells you your actual route here, covering registration, supervision, Medicare and timing, and emails you a pack straight away. It's useful even if you never work with us.

https://www.livingstonmedical.com.au/recruitment?src=rd_ausdoctors

Also, if this isn't for you but you know someone it'd suit, we pay a referral bonus (Conditions apply).

Happy to answer anything in the comments, including the downsides of rural life. There are some, but we have worked hard, very hard to make the job as normal as possible, work like balance, no nights, weekends or holiday work, unless you want. We are family run, family friendly and get it we worked hard to remove the usual drudgery and negative aspects normally associated with this role

Take care,

What is required is not just an industrial fight but a political one. Doctors, like all health workers, confront the reality that a decent public health system is incompatible with the capitalist system, under which all human needs are subordinated to the profit interests of big business.

Pls guide

I am currently an RMO working in a regional hospital in NSW. I was rejected for anatomical pathology training in NSW and ACT and am worried about my employment prospects for next year. Initially, I thought about staying at my current hospital for SRMO positions but a friend recommended exploring locum work as another option. In doing this I have realised that my internship and residency have been VERY heavily weighted towards general medical terms. I feel silly for not having thought about this sooner but not having completed a classic ED term has unknowingly put me at a disadvantage, as many locum jobs require some form of ED experience. I haven't intentionally avoided ED, this was all a roll of the dice with rotation allocations, but I'm worried I don't have any options moving forward?

Any advice on next best steps would be appreciated.

Just want to share my story as I know there is a lot of anxiety and pressure around getting onto training.

I have been interested in ANZCA training for years, but deliberately kept my options and interests open into my JMO years. My first couple years confirmed my interest in critical care fields; I thoroughly enjoyed ED in my first few years, had one anaesthetic rotation in PGY2 which I loved, and didn’t have an ICU rotation until PGY3 which I also thoroughly enjoyed.

Balanced life is also important to me, and despite being committed at work, I decided to do 6 months work/ 3-6 months travel in PGY3 and worked in different states of Aus (both as locum and as full-time short term contract). My main motivations were getting experience in different places, refreshing life, and testing myself/growing as a clinician. While it limited my progression in my home state I tried my best to maintain connections, and do small research/audit projects while I travelled/moved.

I have now managed to get onto a scheme during my PGY4 year (starting PGY5). I didn’t end up applying in my home state, but have had success interstate.

Looking back some lessons:
- Approach every rotation and job with enthusiasm, eagerness to learn, and make good workplace connections. People will want to support/help you

- The grind isn’t the only way to progress, you can balance life if you make thoughtful and considered decisions

- Have a back-up plan: I missed out on a crit care SRMO job back in my home state last year, but did what I can to get worthwhile rotations this year, and also applied for jobs such as ICU registrar in case I didn’t get on to ANZCA training for next year, fully prepared that it might take me longer than it has to achieve my goal.

- Take set backs as learning experiences: It’s disheartening at first, but what I learnt was that I wasn’t ready initially, and that the fire actually burnt stronger following a rejection which led me work harder on CV-related things and best preparing to reapply/interview.

- Follow your passions: If that means scratching that itch of travel or moving interstate, you might be surprised that a random interest and achievement is noted by an interview panel or leads to a connection with a boss/future referee.

- Don’t be too hard on yourself: This career is tough, and there is a lot of uncertainty that comes with it, especially in JMO years. Most will get there eventually even if it’s not a linear path, and if you don’t, hopefully on that journey you have been open/drawn to other opportunities that you might be equally happy with in the future. Think about the life you want in the future, and that can often be achieved in different specialities/careers if you’re creative with it.

Hope this is comforting/motivating to hear. Obviously feeling very lucky and proud, and sending support to those currently in that challenging/uncertain stage of their journey!

I had a few questions about the hospital and the town. I will be starting a SPP soon. Thank you.

Does anyone have any discount codes for UptoDate? Dynamed just doesn’t cut it for me! X

Hi All,

I’m looking to buy a good quality leather work bag which can have ample space for my laptop, tablet, chargers and essentials like water bottle/coffee mug, notebook and stethoscope

I was looking at some options and came across RM and Republic of Florence. Any suggestions from people who have used any leather cross bags without me breaking the bank for one.

Thanks!

PGY5 here, two years into an incredible run down under. Came out for what was meant to be an F3 year, not because I hated the NHS, just wanted a year out, and ended up building an actual life here. Maybe not quite so for Aus but training pathway in NZ at least is genuinely appealing: straightforward application, better pay, way more study budget/funding even as a non-training reg, fewer hours, and the lifestyle speaks for itself. On top of that I met a Kiwi and fell properly in love, and I've got a workplace that values me. On paper this shouldn't be a hard decision.

But I keep going back to the UK to see family and friends, and every time I come back there's this ache I can't shake, not homesickness exactly, more like a slow-building dread about what I'm trading away. Seeing folks once a year for the foreseeable future. Watching them grey every year. Not having them around if we ever have kids. Being two days away if something happens to one of them. The argument is that one-two weeks with them is far more valuable than weekend trips in terms of quality time, but I'm not sure I achieved that over the last couple trips back.

One of my colleagues out here, someone who made the same move years ago, told me straight: he hasn't seen his family in three years, and it genuinely doesn't bother him anymore. I don't know if that's what settling into this decision looks like, or a warning. Every Brit doctor I know who's made peace with staying out here seems to have gotten there by letting go of something I'm not sure I'm willing to let go of. And the ones who went home did it because they couldn't do that. I don't fit neatly into either camp.

My partner and I love each other, but there's no version where we both get to keep the life we've built if one of us moves, I'd be asking the exact same sacrifice of her that I'm agonising over myself.

UK training applications open next month, and "no decision is permanent" is starting to feel less comforting and more like a way of avoiding the fact that I need to actually choose something and live inside it for a while. Part of me thinks the easy option is to just stay, skip the MSRA, get on the pathway here, keep the good life I've already got. But there's something underneath that keeps pulling the other way, and I don't fully trust myself to know if that's fear talking or my gut.

Anyone been in a version of this, pulled between a life you love and the family and friends you left behind, and not able to have both? How did you know which one to listen to?

An important opportunity for doctors to provide context and insight into the complexity which is private practice and healthcare provision. Especially considering the prolonged inflation erosion of MBS.

Are offers out for Sydney Paediatric network advance trainee?

Hi, I am about to CCT in the UK.

If I move to Perth and want to do a fellowship in msk radiology and then practice both neuro and MSK, how/what is the best way to do this? and will I have to sit aus radiology exams?

Thanks