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About drabhinavr

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    Consultant Psychiatrist
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  1. Which locum agency should I register for South Wales?
  2. am I right in assuming that this calculation does not take employer NI into account? After 6 years as a consultant with CEA points, I still don't earn £86k after tax, so locum pay still looks better..
  3. What's the locum market like at the moment? What rates are people getting at consultant level and how much does it translate in terms of take home pay. I hear different stories from different people. Some say its only marginally better than routine salary whilst others say you can earn much more..
  4. Thanks NY. I did fire away too many questions at the same time. My post is in NSW. I will wait to see what they offer but I don't think that I need them anymore than they need me. Can you please elaborate about AMC being eliminated from the process? The initial paperwork that I have received indicates that I have to submit application to AMC and RANZP.
  5. I have just been offered a staff specialist post in an area of need. The formal letter of appointment should arrive this week. I have a few queries and would appreciate any advice. Is there any trend of sponsoring site visit in Australia? How long does the whole process take? What catches should I be mindful of when the contract arrives. I am still a bit confused with the salary structure, if someone would be kind enough to explain it. I am expecting somewhere around 200,000 dollar mark as base salary plus on call and private practice allowance. How much should I expect to be my actual take home salary with some salary packaging?Are the salaries negotiable? Thanks for your help folks.
  6. i have done a core module and due to do two more this year. it's expensive but worth every penny. the courses are well organised, thoughtful content and excellent workshops.
  7. Very well said Anusha & Kamran. From my experience of failures, I have learnt its okay to quit if its something you want to do. But don't quit if you are angry with others (in this case the way exam is conducted). If you are so unhappy with the adversities you face, rise up to the occasion, beat the system and then fight to make it a more just and fair system. By quitting because others have forced you to, you will have just admitted defeat and would always be unhappy about it. Kamran you are a fighter, don't let anything change that. I sincerely wish that you would pass this time.
  8. I hope my reply is not too late for you.. First thing first, don't try to know the story beforehand. Because if you do, u will try too hard to get symptoms out which won't look nice. Sometimes you may a same station as in previous exams but a new diagnosis, if you go with a fixed mindset then you can easily mess up your station. Go with an open mind. Now back to this station, this was my first station in the exam and i found in nerve wrecking. This chap said no to anything and everything I asked and I came out feeling a complete fool, still aced it somehow. In retrospect, I think the key was not to get perplexed and follow a rational chain of thought. Go into depth of presenting complaint which in this case is urinating in garden. As when did this happen, did he try to get to bathroom, if not why not, has he had any difficulties in past in controlling his water works etc. was he aware that neighbour was watching him, did he try to conceal himself in any way, how does he feel about this incident, why does he think neighbour has complained, sensitively ask if he is embarrassed about what happened.. you should also ask if there have been similar incidences in past when his behaviour may have been viewed as inappropriate. then go to associated symptoms which should include his medical history as well as frontal lobe pathology and sexual offending. In regards to taking history for frontotemporal dementia, I tend to ask indirect questions such as 'have people been annoying you more than usual? or have people around you commented that you have changed a lot recently? or have they said that you have put them n embarassing situations? do ask about memory, adl's, risks etc. But don't be upset if you don't get any positive symptoms. The mark sheet is designed to assess how well you take history and not on how many symptoms you were able to get out of him. I hope you find it useful
  9. Hi Kamran, Hope you don't feel that I am getting on your nerves but I so much want you to pass. You have guided so many to success including myself. You are a great psychiatrist but in exam you have to show that you are an average psychiatrist. you see the concept of come unknown and go unknown applies very well to clinical exams. You need to strike the right balance, doing too little or doing too much, both can end disastrously. Even in ADHD station, I won't go into if mum was smoking during pregnancy or not unless and until the station specifically asks for aetiological factors. Smoking in pregnancy is one of the implicated factors but not a critical one. Infact evidence is just emerging so its still a new concept. Though there is much more evidence for behavioural disorders. Anyhow the point is the risk you take by asking it is much greater than the brownie points that you may earn. You have 8-9 minutes with the actor, they may have their own agenda which might be sidetracked if you probe deeper into aetiological factors even if it was not asked. The actor may start feeling guilty that its something that they have brought on to their kid. the examiner may think that you are not focussed etc etc. Birth complications is different on the other hand as they may indicate a different pathology and may help you to come to a differential diagnosis. simurgh
  10. Hi Kamran, The list you have done will do proud even to O&G doc's but you have to focus on points that have immediate relevance to the case at hand and in context of mental health problems. The risk of asking these questions (some or all of them) is that the examiner may conclude that you are not focussing on task or even worse that you are just bidding your time. I think you are being too harsh on yourself if you think that you are missing key issues. Nothing in that list if omitted should lead to failure to pass the station. First you have to work out if you are not missing big chunks in psych history and then focus on trivial things.
  11. Hi Kamran, i think you have covered everything. But it is also important to bear in mind that your time is limited and the exam in not knowledge oriented. In the first station, I think its okay to ask as many questions as possible but whilst talking to the father one has to be vigilant that the father may have a particular theme in mind. In my opinion we should be guided by the father and avoid information overload e.g. rather than talking about OT etc I would just say that we can offer practical help in his day to day living with few examples and move on. If father wants to explore it further, I am sure he will ask. The idea is to give a simplistic overview rather than detailed information. Same would go for medications. I personally won't ask about father's physical health as he may be taken aback or get confused. I would just ask if he has been able to cope and if he is aware of the help that we can provide to carers. If any issues emerge only then I would go deeper. Also I would not go into it in the very beginning as it may appear as if you are there with an agenda or you feel that the father is there only for his own sake (which he may very well be). I would acknowledge his distress and move on to discuss his son's problem but would be vigilant at the same time for cues suggestive of carer's fatigue and address those cues as they emerge. hope you find it useful.
  12. hi ajay, if you are looking at great barr area, you might want to try park hall in walsall, its not much further away from great barr but is much more nicer, excellent schools and good motorway connectivity. try ws53pu on rightmove.
  13. certainly the interest in housing market has increased. The house opposite to mine went on sale 4-5 days ao, already they have had 4 viewings. another friend is trying to buy a house and either there is already bidding wars going on the properties he liked or the vendors are not willing to negotiate. I think it is partly because of fewer house being on sale in good areas and partly due to increased lending. Its the poorer areas that will carry most of the burden of recession but we might see steady but slow increase in house prices in affluent areas. I think the market is begining to stablise a bit but it will be a long torturous process rather than sudden jump.
  14. I personally think that this is a very good ground for appeal. An area of concern is the framework within which an examiner needs to scrutinise a candidate's performance. It is the only way of incorporating some sort of objectivity into the exam which otherwise is purely a subjective exam(as their are no grades within areas of concerns) as well as a handicapped process (as an examiner needs to formulate his opinion both objectively and subjectively within 7 minutes unlike part 1 where checklisting made the task easier). It is erroneous on part of an examiner to fail a candidate outside the parameters or scope of the exam. Simply put if an examiner is not concerned about the key areas of performance he has no right to fail you. It is immaterial whether you passed 11 or 5 stations, if I were you I will still appeal or atleast bring to fore my concerns by writing a letter. Otherwise such mistakes will continue to cause casualities if they remain unnoticed.
  15. its a game of roulette, after a threshold of preparation you need luck to work out on that day. fortunately it did work out for me this time. I failed last time so I can understand the agony but don't loose hope. don't let this exam rule your life.