DrDave

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Everything posted by DrDave

  1. Hi Fludoc, thanks for your words. Specialty dr posts are around and difficult to recruit to so likely a good way to get experience and local contacts. only a few associate specialist posts around coz the grade was closed approx 2008. ST post you would have to apply and hope- again maybe easier with local experience. good luck, dave
  2. Hello PsychClub members! I joined this forum over 4 years (Nov 2014) ago, thinking seriously about moving from a SASG post to consultant. This was primarily to ensure job security but to develop within the role. It has been a long process and not to be underestimated but suited my circumstances. I would not advise anyone to follow if they would be better suited to re-enter training. I completed MRCPsych with help from the PsychClub forum and submitted my portfolio in March 2017. After what seemed like an eternity (Sept 2017) I was refused by the GMC. I submitted a review application in July 2018 with additional evidence. A few days ago I was approved for entry onto the Specialist Register! Many thanks to the support given by PsychClub members. Some things have changed in that time to make the process slightly easier and some areas are offering CESR directed SASG posts but it still needs a massive change to make the process clearer and to give more support to SASGs. I hope going forward I can help others follow this route if it suits their needs. Best wishes to all for the New Year! DrDave
  3. After about 3 years of slog, including MRCPsych, dozens of WPBAs, and documents from allover the place, it has finally been submitted! Well over the suggested 1000 pages, and I struggled to see how to cut it down further. I love my job and had great support from colleagues. Without the above, I would suggest SpR route would be less of a headache! Now time to wait...
  4. Hi, I am putting a CESR portfolio together and a colleague mentioned that it might be possible to apply for more than one specialty e.g. Adult/old age/liaison. I have not found any information about this anywhere and it seems to me that it would be unlikely without submitting slightly different portfolios and paying again in any case. if anyone has heard of this, let me know ta DrDave
  5. Doctor03, I would echo Laura's sentiments, that was a tough exam with lots that I had not even thought to revise. Small consolation but this will prepare you well for the resit. Over the past few months I have been looking at learning methods to try and maximise the revision time for my resit (I am greatly relieved to have passed!). The following link gives a systematic review of techniques well worth reading! http://www.indiana.edu/~pcl/rgoldsto/courses/dunloskyimprovinglearning.pdf I have also learnt how to memorise a pack of cards through my exploration of the subject - some good fun, psychodynamic ally fascinating and liable to get you run out of Vegas! Good luck on the resit! DrDave
  6. Agreed, Paper Ai was seriously hard! Loads in there that was not in SPMM or PsychMentor. If I fail, not sure how to revise for the resit even! D
  7. Carrot - shaped objects in Alzheimer's - ? Hirano which is more common in Famillial Alz - presenilin 1 or APP? something about a CJD protein with a 5 digit number(plus letter) asking what it is used for e.g. Monitoring progress; 60% sensitivity or less reliable than EEG asked what CT is better than MRI for ? Oedema lateral hemianopia lesion what illness most UNLIKELY in 3rd trimester of pregnancy - major depression, psychosis, adjustment disorder, anxiety drug with half life of 72 hours ?fluox, aripopraze, carbamazepine supra optic nuclei function supra chiasmatic nucleus function apperceptive visual agnosia- which function spared lots on age of child at certain milestones (including Piaget moral development that I completely missed on revision!) Nb first word age and words galore after that! a few questions on attachment, including one on a 'needy' patient over reliant of services adjunctive antipsychotic to reduce hyperprolactinaemia opioid mu receptor questions - methadone and buprenorphine Cross over time. from MAOI to SSRI
  8. Ai kicked off with DSM V and Autism Spectrum disorders classification (nearly fell off my seat - never even looked at DSM V!) Essential criteria for antisocial PD, with a load of additional criteria to confuse - also with essential criteria for harmful use of alcohol bipolar hormone changes/ structural brain changes antidepressants that inhibit antipsychotics AIMS and Simpson Angus came up in separate questions questions on antipsychotics and hypotension, hyperprolacinia Fat man on olanzapine and erectile dysfunction - what's the cause? Diabetes or huperprolactinamia
  9. ECGs came up a lot - a full EMQ LOTS OF FTDm - progranilin/MAPT Lol - a Q on female homozygous ratio in population if male has 1/100 recessive (?eh... Choices 1/1000, 1/4000, 1/10000, etc) Limbic cortex- amygdala or orbital cortex (put orbital but both possible)
  10. It was LESST likely to prescribe. Put TCA (not sur if right) as recall one of them inhibits it
  11. Darn, put Mirtazapine : coz I like it!
  12. Just sat down to start Paper A revision for December and hoped to use SPMM as this worked well for me for Paper B. Seems like you can only buy a 6 month course at £250, rather than a 3 month at £150 as you previously could. so have signed up for Psych Mentor - will let you know how it compares! Dr Dave
  13. I was under he impression of gabapentin (as with pregabalin) had its action through alpha-2-delta subunits of the voltage gated calcium channels (and were NOT involved in acting on the GABA receptor but received the name through it being an analogue of gamma amino-butyric acid). I have seen this written, seemingly in error in a course material. Dr Dave
  14. I had also spent time with SPMM doing a small quantitative survey and Andy Fields book on stats was a great help with this if you need a practical guide. A lot easier to remember stats if you have needed them to work out a practical problem! d
  15. Emily34, apologies, the PassTest book! By Gosall. I read the Lawrie Critical Appraisal one also and while more comprehensive, was a harder read, sufficient info in the other if time-strapped. Regards Dave
  16. I have just passed paper B (yay!) and am now going to sit paper A in December. For paper B, I did 3 months intensive SPMM online course and a couple of stats books. The PassMark book is the best IMHO and most readable but SPMM is also good for the PDF resources. I would write down the main half dozen or so statistical equations and main facts on an A4 sheet and learn them backwards. Then when you get in the hall, the first thing to do is to write them all on the front cover of the exam paper. This helped loads as by the time the stats questions came up my head was a bit fuzzy! Overall the stats were fairly basic but there were a few hard questions that needed you to know the equation 'route' as it did not lead you in step by step as the SPMM MCQs often do. SPMM was amazingly useful with loads (>50% I would say - Some on the psychclub website disagree with this) of questions that came up again (perhaps with a small tweak). Some were carbon-copies of the questions on SPMM. The SPMM MCQs were the most useful part and I went through them 3 times and read through the PDFs 2 times. I would say the MCQs were the best learning aid and would focus on these more (even with significant retest improvement accounted for). It gives a different perspective on the learning process. A lot of the info I copied onto my phone and use day to day now also to check and refresh myself and was a good learning aid of you are thinking of a question and can't remember the answer. Hope this is of some help Regards Dave
  17. I'd start with revising basic psychological defence mechanisms
  18. Methedrone -fishy smell Older man with Parkinson's symptoms and Risperidone And citalopram 40mg - stop citalopram as now CI >20mg in older adults. Alternative was reduce Risperidone (had it stated stop Risperidone, I would have agreed) I struggled with the £50,000 QALY – % improvement was 10 or 20 % and the value looked like 15%! Put 10% as the probability as it's good to be conservative where money is concerned! Question on Positive predictive value for 0.23 and the PEER question chose the mini-cog as best test (or other way round) Depressive projection - put externalisation Neurotic defence - reaction formation
  19. Hi Vishel and responders, Hope the December exam went well. I have decided to start the ball rolling with Paper B in April 2015 Which of the methods did you use and did you find a preference if more than one? Ta Dave
  20. Hi, a question for those who have completed MRCPsych and those nearing the end; Is this knowledge you have gained across the broad spectrum of use in your chosen specialty? I have worked 7 years as a specialty doctor and am thinking about sitting the exams but questioning if my time would be best spent actually learning more about the specialty I am in rather than on conditions I will never see. Ta Dave
  21. Thanks BobAukland! I suspected that might be the case! Lol! Admittedly, cognitive dissonance might suggest that it would be upsetting to hold an opposing view after months/years of hard work. Well, here's throwing my hat into the ring... Happy New Year! DrDave
  22. Hi, I am not bashing the RCPsych; it has a very valuable role to play, however not unlike herd immunity, the benefits extend to me without me having to expose myself to the jab (£££)! I am a Specialty Dr of several years and want the extra job security and potential options that CESR would give. I do not have MRCPsych exams and have had little in the way of WPBAs (I was in training pre MMC). My query is whether anyone knows if it is possible to get CESR without doing the formal WPBAs. The RCPsych does not have them freely downloadable anymore and they appear to be 'copyrighted' anyway which may restrict their use (some ST1 ACE forms etc are left carelessly around the web). If you have done alternative WPBAs or have provided alternative equivalent evidence this would be good to know. It is not clear that joining RCPsych as an 'affiliate' would get you the forms anyway, just the 'CPD Online' resources (which may be good to fill in gaps but is not the same as WPBAs). The CESR guidance from GMC does recommend being a member of RCPsych but does not insist on it - has anyone joined the specialist register without? Thanks in advance, Dave
  23. The CESR application must fit in a foolscap box file: 24 x 34 x 7cm. The advice is approx. 950 pages (I will use 1000 pages for illustration), split between the 4 GMC domains; Domain 1: Knowledge, Skills and Performance - 75% or ~750 pages Domain 2: Safety and Quality - 20% or ~ 200 pages Domain 3: Communication and Teamwork & Domain 4: Maintaining Trust - 5% or ~ 50 pages Domain 1. is to include the 'Specialist Qualification' subsection, which either includes the MRCPsych certificate or the equivalent (as cross-referenced with the syllabus - the 2015 syllabus has 208 items!). As the CESR application is for both MRCPsych and non-MRCPsych holders, the question is, should the CESR application; A) stick to the 950 page advised limit but risk not having enough evidence in other areas, certainly when compared to those with MRCPsych. have the MRCPsych equivalence as a subsection, in addition to the 950 pages advised, risking being unable to fit it inside the box and going way over the advised size. C) a fudge between A and B Ta Dave
  24. To reply to my own topic with my thoughts, having looked at the CESR guidance from GMC and the ST curriculum; The CESR guidance asks for evidence of CPD registration in a 'formal system' 'Participation in RCPsych CPD is not essential, but is one way of meeting this criterion.' Also; The Specialty Curriculum comments on; Intended Learning Outcome 18: Relevance of Outside Bodies 'Accept the responsibilities of professional regulation' - assessed by 'supervisor report' And the Guidance to ARCP panel for assessment of Advanced trainees; 'Demonstrate commitment... To professionally led regulation' Overall: sounds like "an offer I can't refuse"! ;-)