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Okay, welcome to On The Wards, it's James Edwards and today we're going to be talking about anemia and I'd like to welcome Shaka Inam who's a Haematologist Registrar at Concord and Royal Prince Alfred Hospital. Welcome. Good to be here. So look anaemia is pretty common in hospital patients so we'll start fairly general... |
Iron deficiency anemia is fairly common in inpatients. What's your approach to the management of this anemia? So as mentioned, the first step is diagnosing the cause of the iron deficiency. Iron replacement is the mainstay in the management of iron deficiency. Remember that transfusion of red cells in stable patients w... |
Well, welcome everyone to this latest podcast for On The Wards, and this one's entitled Heart to Swallow, an approach to esophageal disorders. My name is Bruce Way and I'll be interviewing today and joining me for the conversation is Dr. Reg Lord and Reg is a upper GI surgeon at St. Vincent's Hospital and also at Macqu... |
So whatever it is, it's getting worse over a relatively short time period and that's also concerning for cancer. You can get a food bolus obstruction with achalasia and motor disorders. But I think it's his general presentation with risk factors, esophageal adenocarcinoma and this progressive food dysphagia that's tell... |
After an esophagectomy? Where do we start? Just anything, like anything major in terms of, you know, that would impact. Yeah, after an esophagectomy a patient will usually go to ICU for at least one night. Okay. But they can, when they're back on the ward, they can still have some quite catastrophic complications. Yeah... |
Okay, welcome everyone to On The Wards, it's James Edwards and I'm here with Jenny Liu who's a resident here at Royal Prince Edward Hospital. Hi Jenny. Oh, hello. Jenny's also part of our On The Wards team. We're going to talk about something today which I think is very important for junior doctors and it's discharge p... |
That's something that definitely can delay discharges and often does delay discharges. So as an intern, things that you can do right from the beginning, getting a bit of a social history, maybe when you're putting in a cannula, it can help raise flags about things that might be things that may delay discharge. And then... |
Okay, welcome to On The Wards. It's James Edwards and I have today Dr. Ed Aberdeer, who's a Haematology Registrar at Concord and RPA and this is part two of our anti-correlation series. We've spoken about warfarin and today Ed's going to talk about the heparins. Welcome Ed. Thank you Jack. We will start with a question... |
It can inactivate 100% of heparin, though it's not without its difficulties in administration. So I would only give that with consultation with someone who's got experience in whether it be an anesthetic situation or a hematology. And the cyan question, but they're on clexane. Yeah, so all the standard same measures yo... |
Okay, welcome everyone to On The Wards, it's James Edwards and today I have the pleasure of speaking to Angela McGilvray, a neonatologist at RPA. Welcome Angela.. Thank you, James. Look, we're going to talk about neonates, and I know as a consultant, I get very nervous when I see a triage that says two-week-old baby, s... |
Are there any other particular words or descriptions that parents give that make you particularly worried? Really, if a parent is worried, you've always got to take that seriously. Trust the parents really. Don't try and second guess. If a parent is worried they're just not right, not feeding well, not latching on well... |
They're all per kilo and they're all age-dependent, even week-dependent, so just look them up. They're available online. The question about fluid resuscitation also gets raised with babies of this age. And whilst sometimes they do need a bit of fluid resuscitation, it's important to be careful with how much fluid you g... |
Welcome to On The Wards, it's Jules Wilcox here. Today we're talking about orientation and handover for junior doctors when starting their internship with Rob Perlman and Sonia Chanchlani. And this podcast is produced in collaboration with MedApps, who are a proud sponsor of On The Ward. So welcome, Rob and Sonia. I'll... |
But do you think the difficulties with handover and stuff only apply to JMOs or do you see problems in other areas as well? Well, I think, you know, I know that basically it's not just JMOs, but I would say it's not just in medicine. We've recently run pilots using MedApp to help with orientation and engagement amongst... |
Yeah, going back to the orientation then and the handover though, how can we... Because there's undoubtedly benefits to technology as well. So how can we utilise the technology in a good way, in a positive way for the orientation and handover then? Yeah, well, I mean, speaking specifically about MedApp and how it works... |
And then I think, you know, the reality is that there are, whether it's the nature of resourcing in a public health environment, there are places that just haven't been able to support it as well as the, you know, be able to use the full capacity of the platform. And I guess that's one of the interesting struggles that... |
Welcome to On The Wards, it's James Edwards and a pleasure today of speaking to Associate Professor Kate Wyburn. Hi, thanks for having me. Kate's a Senior Staff Specialist and Nephrologist at Royal Prince Edward Hospital and a Clinical Associate Professor at the Faculty of Medicine at the Central Clinical School at the... |
So they've often got ischemic heart disease, so making sure that they're not having a cardiac event. Sepsis is also very common, particularly with lines or fistulas, and so it's important to assess that. So someone might be hypertensive from sepsis. Just being a diabetic might mean you've got autonomic neuropathy and t... |
Welcome to On The Wards. I'm Rebecca Taylor. And I'm Emma Watson. And today we're talking about COVID-19 and pregnancy. Emma has worked as an antimicrobial stewardship pharmacist for six years and excitingly she has just started her maternity leave and is expecting her first baby later this month. Rebecca is a fifth ye... |
And obviously that makes sense. The less people you come into contact with, the less risk of contracting COVID-19. But obviously there's a large number of people who aren't in jobs that can be done from home, such as yourself, such as myself. So, you know, you want to make sure that your employer is helping you to main... |
Is this true? Is this likely to happen? What's happening with that? Yeah, so the concern is that the nitrous oxide, the things that you put in, I don't know what the exact term is, but things you put in your mouth to breathe the nitrous in and the way that it's administered could potentially aerosolize the virus, which... |
Hi, it's James Edwards, welcome to On The Wards. This is a podcast for supervisors, so not for junior doctors, and the podcast about assessment. And we're going to talk about assessment today because there has been some changes in assessment within Australia. There's a new national intern framework, new national intern... |
So not saying you can't use it, but we'd like to limit the amount that boxes use because if somebody happened to have five terms in a row where they're not observed in one domain, then they would not be able to get general registration because there'd be no evidence that they've met that intern outcome statement. Okay,... |
There'll be something that is identified as an issue or problem, give them feedback. Really involved other senior people, you know, the Director of Prevocational Education Training or DCT are there for those difficult or gene daughters that aren't performing well. So if you do identify any of those issues like you just... |
Welcome to On The Wards, it's Jules Wilcox here and today we're talking about rational test ordering with Dr. Deborah Leach and Dr. Paul Bunting. Deborah is the clinical director of the ED at Box Hill Hospital for the last 21 years, Eastern Health Director of Emergency Services from 2003 to 2009. She's director of the ... |
And they've looked at that with doctors and given them a certain amount of information, and then given them more and more, and rated the confidence of their diagnoses when they have a lot more information, and the confidence goes up hugely. And yet the diagnostic accuracy does not. And I think that's got a real issue f... |
It's very easy to, look, it's all observational research and it's not particularly robust, but it's very easy to say, look, you know, we reduced, you know, CTPAs by 30 percent and we did x number and we're now doing x number and they cost four or five hundred dollars each on the medicare rebate schedule and times that ... |
And it's actually really, really satisfying to actually say, wow, I changed someone's behavior there. I changed everyone's behavior there. And you can do that as a junior doctor. And you've got a good outcome there as well because you can measure it very easily and you can show a really good benefit, which is, I mean, ... |
Okay, welcome to On The Wards, it's James Edwards and I'd like to welcome Dr. Ken Liu. Hello. Ken is a liver transplant fellow at RPA. He did advanced training in gastroenterology at Concord after doing his junior doctor training and BPT training at RPA. So for all the listeners out there, today we're going to talk abo... |
So in the setting of cirrhosis, for example, you might have someone whose liver doesn't have many functioning hepatocytes and they're not releasing AST, LLTs. So they might have normal liver function tests, but their INR is high because of cirrhosis and therefore their liver is obviously not functioning well. So you ca... |
Welcome to On The Wards. This is Eli Matter. I'm the Vice President and Co-Editor of On The Wards, and I'm also a neurologist working in Sydney, Australia. Today's podcast was created in conjunction with Global Medics, your career solutions recruitment specialists in permanent and local medical jobs across Australia, N... |
And then when you're writing, that can be a bit heavy because it's just sitting at a computer or in a library or whatever. And so low-coming periods of that is quite good. Definitely. I think some of what you've said touches on my experience in that a lot of junior doctors I was mentioning offline come to me and they s... |
Yeah, so obviously this is a broad audience. I would just say in general that you just don't want to be vulnerable. And that's fine in terms of what most people understand. So if I was to go off and do a local role and they would say, can you do this procedure, which I can do as a cardiologist, and it wasn't an emergen... |
And I think in general, people, they like to have people working on one visa for at least three years within the region. So that's just a few practical things, but you know, you don't need that to necessarily work. It's really the APRA, the working visa. And then you need to have at least a couple of years of experienc... |
Welcome to On The Wards, it's James Edwards and today we're talking about teamwork and the role of patients in the team. I'd like to welcome Dr. John Samet. Welcome, John. Hi, James. How are you going? Look, John's a senior emergency physician who I've known for a long time, a mentor of mine, but we've got him to speak... |
Partly you've answered this question if the patient was within the meeting, but if it's more the traditional model where the patients aren't there, whose responsibility is to liaise with the patient following the meeting? Yeah, I think I can answer this two ways. It's everybody's responsibility, but I know that in sayi... |
You know, I'm sure some of your juniors, even as I talk about it, identify the biggest barrier. And that is the ward that has multiple teams. So if I'm the coronary care unit, if I'm the intensive care unit, the neurosurgical unit, the orthopaedic unit, the colorectal and so on, and I've listed all the ones and there a... |
Welcome to On The Wards, it's James Edwards and we are going to continue with Professor Andrew Dawson talking about the management of the toxicology patient. Resuscitation we won't really mention now but maybe we'll talk about decontamination. What's the kind of rationale behind decontamination and I guess activated ch... |
And because our issue with giving N-acetylcysteine is the longer we delay that treatment, and particularly if we delay it after eight hours, the more, the greater likely the patient will get organ damage, specifically liver damage or renal damage. So they're the two most common antidotes. Then there's a range of other ... |
It's easy enough to get information very rapidly by looking at the books or ringing up someone experienced at the Poison Centre to inform your risk assessment. Because like a lot of stuff, in particular in the emergency department but mostly in medicine we spend a fair bit of our time trying not to get into a situation... |
Welcome to On The Wall, it's James Edwards and I have the pleasure today of introducing Dr. Ryan Downey, who's a licensed here at Royal Prince Albert Hospital, so at Lifehouse. Welcome, Ryan. Thank you. Hello. Now, Ryan used to be one of my interns, but now he's now a consultant. And what we're going to talk about is s... |
What is your approach to the patient who has a difficult vein to cannulate? Sure. So I do lots of things. So put the tourniquet on early. That's the most important thing that I can encourage people to do. Over time, with the arm hanging down, usually something will pop up for you. I then start tapping over my usual are... |
Hi, it's James Edwards. I'm here for On The Boards. It's February 2015. We're going to do something different today. Everyone's sick of my voice and speaking to other consultants. What junior doctors really want to know is how to manage on the ward and really hear from some of their colleagues on some tips and tricks o... |
You write how many days worth of IV and then how many days worth of PO they've acquired. Don't fool yourself into thinking that you're going to remember when you started them, because you won't. But yeah, so just at the bottom, like right, day one or, and that's, so when people reach out the meds and if you're, if you'... |
So my first port of call was to call some registrars from other teams, and although it wasn't their patient, to see if they could come. Unfortunately, they couldn't come either. Yeah. But that would be my first port of call. Second, it happened that we had a pre-op cardio consult on this patient, so I thought, you know... |
And I think there's been studies that show that interns who try to act independently and take on too much responsibility actually tend to kill the patients. Whoa. So if you're ever worried, especially towards the beginning of internship, registrars understand that you've never had to manage these things yourself. So th... |
Welcome to On The Wards. It's Jake Edwards and today we're doing a bit of a different topic and I've got Dr. Claire Hooker who works at the University of Sydney Health Ethics. She's going to talk about a play. We are. A verbatim theatre play. The play is called Grace Under Pressure. Maybe tell everyone a bit about it a... |
So all of the advice that people are given about how to use their social networks, their pleasures, their play, the things they love, and to reprioritise some time around that, even at the expense of maybe a little bit of steady state in their careers, can sometimes be a survival mechanism in the short term if you view... |
Thank you for letting us have time to tell you about the show. Okay, thank you, Clare. Thanks for listening to On The Wards. For more podcasts, visit the onthewards.org website or download via the app. We're always interested in your feedback, so if you enjoyed listening to this week's podcast, feel free to let us know... |
Welcome everybody to part two of non-invasive ventilation. We have Paul Hamer, a respiratory and sleep physician from Wilkerns Alfred Hospital who spoke to us in the first session on non-invasive ventilation, the difference between CPAP and BiPAP and how to use CPAP and some of the tips and tricks on introducing CPAP. ... |
And certainly in someone who's already hypercapnic, the oxygen level shouldn't be that high. Aim for a level between H8 and 92. If they're hypercapnic with a level of 88% or 90%, you don't turn down the oxygen further. The treatment is to give them non-invasive ventilation or refer them to intensive care because they w... |
Generally it's a rating of 1, 2, 3, 4, 5. One is 100 milliseconds and five is 500 milliseconds or half a second. So you can imagine if you're someone with COPD and you're trying to breathe really fast and it takes half a second to go all the way from the lower pressure to the higher pressure, they won't feel like they'... |
Welcome to On The Wards, it's James Edwards speaking to the junior doctors of Australia and beyond. Speaking about technology and healthcare, I'd like to welcome Professor Tim Shaw. Welcome, Tim. Thank you. Professor Tim Shaw is Australia's first professor of e-health at the University of Sydney. So maybe we'll start, ... |
We've got the federated system and we've got states and we've got the federal government and then we've got, within the states, that means got people controlling different aspects of care obviously the hospitals being state largely and primary care being federal and I think that's made it really challenging to get uniq... |
Sometimes I think we do emphasise too much on the technology part of it and not the change management around that. What are your thoughts on that? Yeah, look, I 100% agree. And I think healthcare is littered with poor implementations of technology. So I think we do. And I think there is a focus on trying to get that te... |
Okay, welcome everybody to On The Wards, it's James Edwards and I have the pleasure today of speaking to Penny Gordon, one of the advanced trainees in urology here at RPA. Welcome Penny. Thank you very much. Look, we're going to talk today about headaches and we're going to talk more from a headache perspective of one ... |
Any patient with new headache age over 50, and I guess that will also depend on the clinical scenarios to the urgency of that being done. And then another group, it would be HIV or immunosuppressed patients. So I think, you know, those would be the main indications. And we haven't mentioned space-occupying lesions in o... |
And people might say no because they don't know what those classic features of migraine are. So if you get the patient's description in their own words, I think that can be helpful. The other thing I'd like to say is, I guess, don't assume that an initial diagnosis is correct and be willing to re-evaluate headache as t... |
Welcome to On The Wards. This is John Scott and today we're talking about financial wellness with Dr. Jules Wilcox. Welcome Jules. Hi. Jules works at Gosford as an emergency physician and is also the DPET. So welcome, Jules. So today we're going to talk about financial wellness. So I guess, what is financial wellness a... |
I think before we move on to anything about investing and all that sort of stuff to do that you've got to put yourself in a situation where you can invest. So you need to sort out your finances on a sort of day-to-day level, first of all, on a week-to-week and a month-to-month thing, and end up with some savings and a ... |
And plans can change, but you just need to think about it. Write your plan down as well. Write it out. You're far more likely to achieve things if you write them down, even if you don't necessarily stick to them. But, you know, it may not be that it's that that's the thing, but maybe in fact you've got kids and you wan... |
So it doesn't matter when you buy. It's all about the position sizing and the exit strategies. So people have got to, but people don't want to put that work in. They want the quick tip that's going to get them rich and make them money and all that sort of stuff. And it just doesn't work like that. So really for our GMO... |
Exactly. Yeah. Well, that's the story of my friend I was just telling you about. He started looking after himself when he was 23, and he's 40, and now he's free. You know those things of only I know. I know. I I'm 40 and I'm not free. Yeah, exactly. Not yet. Okay, so that's great, Jules. I think we're sort of coming to... |
Welcome to On Rewards, it's James Edwards and today we're speaking about the medical issues in pregnant patients and I'd like to welcome back Dr. Nhi Nguyen. Welcome back, Nhi. Thanks, thanks, James. Nhi's an attentivist at Nepean Hospital and has previously spoken on the wards. In regard to this topic, because you rea... |
Okay so that's really an indication that the fetal growth if it's impaired at all occurs over a period of time and it's usually about placental insufficiency. So in a setting of someone with a three-day history, it's unlikely that there's been any issues with that. From the point of view of clonus and reflexes, patient... |
It's this grey group in middle okay where they fall into the intermediate groups and I think that at 32 weeks it would be unusual for me to say that there was a they were absolutely low risk okay so I think that for a patient like this I would be stuck thinking about what's the next best investigation there really isn'... |
And the implications for the subsequent pregnancies is a really important factor in our counselling of these patients. Great, well thank you Nhi. Okay, thanks James. Thanks for listening to On The Wards. For more podcasts visit the onthewards.org website. We're always interested in your feedback so if you enjoyed liste... |
Okay, welcome to On The Wards, it's James Edwards and today we're having a talk about improving communication between hospital, secondary care, community care and general practice. I'd like to invite Associate Professor Sharla Hesby. Welcome. Hi, thank you James. Associate Professor Sharla Hesby is a general practition... |
And so the GP is this sort of ongoing link and the person who might know them when they've been extremely well, as well as then can take them through all of the other things that go up and down. I've been a GP long enough now that I've got this wonderful group of patients that I've been able to look after for almost no... |
So from a doctor perspective this is I think a great opportunity to be able to really take hold of what this means in terms of actually having sort of good documentation. I think it puts an onus on the GP to actually make sure that there is an up-to-date, relevant, accurate summary available in the My Health Record. It... |
It's the same. I don't like discharge summaries from, I mean, the sense of being discharged from the mental health team. I don't like being discharged from the community teams for other things because generally speaking, they're not discharged. It's just that they don't need that service right here and now. And so it's... |
Okay, welcome everybody to On The Wards. It's James Edwards and it's March 2015. We have the pleasure today of having Dr. Bethan Richards with us. She's a staff specialist rheumatologist based here at Royal Prince Edward Hospital and is also the Network Director of Physicians Training. We're asking you to speak about a... |
So clinical handover in that way suffers. Mary herself in her discharge summary that she will read is not aware that this has happened. Mary's family won't know this has happened. Importantly, Mary's GP won't know that this has happened. So you can see just with a small error with clinical documentation that there can ... |
And when we look at the primary diagnosis, that presenting symptom is sometimes written down as the diagnosis. And that actually is not very helpful to anyone because it doesn't explain what the cause of that person's symptoms. So one of the tips is don't let the admitting symptom or the lab finding be your default fin... |
Welcome to On The Wards, it's James Edwards and today we're talking about a really important topic, recognising and responding to domestic violence. I'd like to introduce and welcome as a guest Dr Rosemary Isaac. Welcome Rosemary. Hello James, great to be here. Rosemary and I both work together. Rosemary is a forensic ... |
So really good advice to think about a head-to-toe exam because otherwise if you don't look, you won't find. That's right. So when the patient discloses some violence has occurred within the home, what are some helpful responses from the doctor? Well, the most important thing is to validate. Even if you're on the cardi... |
If you phone that number, they can talk to the patient on the phone while they're still in the ED. They can help you. And you can give that number to the patient and they can phone when it's safe for them to do that. Maybe we just transfer over to the health staff. I see health staff looking after people with domestic ... |
Welcome to On The Wards, it's James Edwards and today we are talking about liver transplantation and we have Anastasia Volovets who's a hepatologist and gastroenterologist at Royal Prince Alfred Hospital, which is a centre that does liver transplants. So we're very lucky that you're able to speak to us today. Obviously... |
Okay, so for most of our patients we work them up as outpatients provided their liver disease is stable and that process can take several weeks or even months if they're from far away and really that's probably a good thing for us because we get to know the patient really well and identify what extra help they'll need ... |
So the veins, the portal vein gets reanastomosed, the IBC, the hepatic artery and the biliary tree. And sometimes you can't form another biliary anastomosis and the surgeons need to bring up a little bit of bowel called the roux loop. So basically there's much, much stitching involved. Fantastic description for a non-s... |
Day five to ten you start to have actually pictures of the liver starting to play up. So liver tests starting to go off, which can be the rejection, problem with the artery, patients can get more jaundiced or they can leak if there's where the bile ducts are joined to each other. If that part leaks, they can develop, y... |
Welcome to On The Wards. 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 interns and residents in a two-part podcast series with Dr Becky Taylor. Becky is an ONG fellow based at RPA in Sydney. Welcome Becky. Hi, thanks for havin... |
Like this is your chance to get the experience in that examination and you will take that to ed and to other specialties and whilst you're starting get your senior to supervise you initially but i really think that anybody who has done an ong term as an internal resident should be confident to do speculum examinations ... |
Any issues of incontinence of urine, stool, flatus? So particularly with vaginal delivery or women that have had third, fourth degree tears. Breastfeeding, it's important to ask about this. It's not that we're expecting you to have in-depth knowledge on this, but it's important to ask about how it's going, whether thei... |
Welcome to On The Warts, I'm Becky Taylor, an ONG fellow based in Sydney, and today we're going to be talking about spinals and epidurals with Dr. Blake Kesby. Dr. Kesby is a consultant anaesthetist at Royal North Shore Hospital in Sydney. Welcome Blake. Hi Becky, thanks very much for having me. So today we're going to... |
Thanks, Blake. I think that's an important point that you make about a woman's progress in labour. So it's always important for the obstetric and midwifery team to do a vaginal examination before a woman has an epidural. One, so that the team know how she's progressing in labour. Two, because it may change the woman's ... |
And very rarely, this can give us a very high spinal anesthetic. So that can sometimes mean that it can be potentially unsafe and that patients may need to have further intervention. Okay. So one of the things I've noticed is that we not infrequently see a fetal bradycardia just after an epidural has been cited. What a... |
If it's been working well, then what we simply do is we use some stronger local anesthetic, often in the form of rapivacaine 0.75%, which is considerably stronger than the 0.1% that we've been using just for the labor analgesia or lidnacaine 2% which again is a much stronger solution and has a very fast onset and as we... |
Welcome to On The Wards, it's Abhi Pal. Today we're talking about human factors in medicine with Dr. Kirill Musa. Welcome, Kirill. Kirill is an ICU senior registrar at Royal North Shore Hospital and worked with Medicine's On Frontier in 2020, and he was deployed to Yemen and Iraq as part of the COVID-19 response. Apart... |
I thought that was really hard to sort of come to terms with. And then, of course, seeing other vulnerable people, women and children, who were also being hurt from landmines and IUDs. And I think that that was just like a taste of humanity that I never really, I guess, seen before beyond what we saw through lenses of ... |
So a lot of them were very educated. Like a number of our patients and family members could speak English, which was different to Yemen where basically no one beyond our own kind of national staff spoke English. So they were more educated, they were more aware, and which kind of gives slightly different flavor to the w... |
I think the work that they do is really important. And now that I've had a taste of it, I do feel like I can continue to work and contribute to the great things that they're doing. And so that is my hope. Let's continue doing it. You mentioned you're completing a diploma of palliative care. And I found that quite surpr... |
Just don't forget those things. It's tough, isn't it, for real? I think I remember the first days of the intern at a big hospital, you're like, whoa, this is it. This is the universe. That's it. No, no, no. Like we've all been there. And I think a lot of- It's quite claustrophobic, I think in big hospitals, you feel li... |
Welcome everyone to On The Wards. This is Tony Sloman. Today we're talking about coaching with Sarah Dalton and Rita Holland. Now Sarah is a paediatric emergency doctor and she's also a professional coach who's passionate about supporting junior doctors to be their best. Rita's director of Capstan Partners and she's al... |
Where's the hardest part for you? What things could work for you? So for example, I remember asking a trainee, how did she think through how she was going to answer a question that she didn't know the answer for? And she said, I've never thought about that before. And so then I said, well, how do you think other people... |
Thank you. Rita, if any of the JMOs were interested in being coached, where would they go? And what about if someone wanted to train as a coach and develop their coaching skills? How could they do that? Look, it's a fascinating question because to be honest, Tony, coaching is such an unregulated industry. There is no i... |
Welcome to On The Walls. It's James Edmondson. Today we're talking on a really important subject, how to care for yourself as a doctor or as a medical student. And I've invited Associate Professor Amanda Walker to speak to us today. She has previously spoken to all first year students at the Western Sydney University a... |
Any comments in regard to that? Look, I suppose the first thing is, yes, there is mandatory reporting if a student is seriously impaired, but APRA isn't there to try and take away your registration. It's actually about making sure that you get the help you need. You know, ARPA has a responsibility to the community to m... |
And the last one is about relationships. And I think it's really easy to get cut off from your school and uni friends as you move into shift work and rotations and being out in the country and then coming back. And it's really easy to let go of people. And some of that's a normal transition from university to working l... |
Welcome to On The Wards, it's Chris Elliott. Today we're talking about Croup with Dr. Daniel Wurzel. This podcast is produced in collaboration with Therapeutic Guidelines, publisher of ETG Complete, who are proudly supporting On The Wards. Welcome, Danielle. Thanks, Chris. Danielle is a paediatric respiratory physician... |
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