struggl

shout out to my friend lindsay who has been helping me get better at speaking again by having us read shakespeare together. there's genuine difference between when i first started vs today

speech has always been hard for me so this has worked out wonderfully

like. i genuinely might have a disability here. but it's also getting better with practice so it's ? maybe i just need to practice more?

shout out to my friend lindsay who has been helping me get better at speaking again by having us read shakespeare together. there's genuine difference between when i first started vs today

speech has always been hard for me so this has worked out wonderfully

i'm like. pretty much writing perfect answers. but. it takes me like 7min 30s to write them... i have to write those in 4min 30s.... bruh

ive studied so much. but it doesn't feel like i've done much?

i am very cute and small and adorable and deserve many pats because i am a very good bird no matter what. it's true

i am a bird? i am conkatiel?

give bird pats? bird deserves so many pats

crinkles up softly

i stretched wrong and now my bakc hurts

Good medical practice (Australia)

The patients' wellbeing must be the physician's first concern; everything else comes later. (duty)

They have the duty to speak out against discrimination in workplace - and in that, they must acknowledge the ongoing impacts of colonisation, systemic, and individual racism that Indigenous people experience in the present (duty)

They must be aware that there are power discrepancies between the doctor and the patient - and hence, it is essential that they must establish and foster a relationship of trust, in order to help people as best as they can, and so that they feel comfortable speaking to the doctors (self-awareness)

When there are potential conflicts of interest, they must let the patient know, and make arrangements to refer the patient to someone else. All patients have the right to complain and seek advice from another medical professional (self-awareness)

They must seek help when suffering from stress, depression, anxiety, and burnout - anything that can impact their practice. This also applies to other teammates (self-awareness)

The doctors have the obligation to report the authority when they notice the risks to patient safety. This includes physical and mental impairment, intoxication while practising, significant departure from accepted professional standards, and sexual misconduct (duty)

Note that public comments and actions outside work reflects your role as a doctor and the reputation of the profession (self-awareness)

The relationship between the patient and the doctor is akin to collaborative teamwork; you must actively listen to the patients and respect their views on health, keeping in mind potential differences in beliefs due to culture. There must be an open, honest communication if something goes wrong (in accordance to disclosure policies), and everything should be documented and reviewed to ensure that a similar incident does not occur again. One must also clearly and effectively communicate with the patient and their teammates (teamwork, self-awareness, communication, duty)

In saying that, cultural competency is essential in delivering effective care to the patients.

#mmistruggles.txt #mmi

STIs, social stigma, and contact tracing

Conversations and discussions about STIs are often stigmatised due to the nature of how it is passed on

However, it is essential that STIs are regularly tested for, as most STIs can be asymptomatic and can cause serious complications if it is left untreated

Doctors in Australia have a duty of care to notify partners of people with certain STIs by following up with the immunology clinic and report as permitted by the law

Otherwise, people have the right to notify the partners themselves

For an open discussion regarding STIs and contact tracing, it is essential to use de-stigmatising, inclusive language while being transparent about what contact tracing involves. It will also be useful to discuss confidentiality and privacy by encouraging teenagers to young adults to talk to the doctor alone instead of accompanied by parents

Some notes:

People who take antiviral therapy for HIV and has an undetectable viral load in their blood cannot transmit the virus.

PrEP is free for people who are eligible, and can prevent transmission of HIV

Rural populations have less access to regular GP visits, so it is useful to prompt patients on STI testing on every visit

STIs, social stigma, and contact tracing

Conversations and discussions about STIs are often stigmatised due to the nature of how it is passed on

However, it is essential that STIs are regularly tested for, as most STIs can be asymptomatic and can cause serious complications if it is left untreated

Doctors in Australia have a duty of care to notify partners of people with certain STIs by following up with the immunology clinic and report as permitted by the law

Otherwise, people have the right to notify the partners themselves

For an open discussion regarding STIs and contact tracing, it is essential to use de-stigmatising, inclusive language while being transparent about what contact tracing involves. It will also be useful to discuss confidentiality and privacy by encouraging teenagers to young adults to talk to the doctor alone instead of accompanied by parents

#mmi #mmistruggles.txt

Teamwork

Collaborative environment -> respect, working together, empathy towards others, going further than one would go alone, everyone knows what their role is and what they need to do

Setting an example -> important for establishing a culture of respect, integrity, etc

Having clear guidelines and protocols -> useful in navigating complex scenarios (especially involving culture)

Note that for workplace concerns, things rarely happen in isolation, so it is important to contextualise it; just relying on individual responsibilities can risk overlooking other factors. Ensure that conclusions are based on concrete evidence obtained by comprehensive investigations.

hugrghgghghghgh....

Notes:

Because I care….. / I respect / I want to help in any way

Thinking about the future

Looking at all the perspectives (individual, community, etc)

What other resources are available?

Collaboration / coming up with a compromise

When will I feel obligated to report?

Identify the most pressing issue

Acknowledge everyone involved in the situation

If/then statements, OR what's the worst that can happen? what's the best that can happen?

Thinking about the future/thinking about the wider perspectives

Extra time: Relating to medicine (note the code of good medical practice)

Being self-aware (constructive criticisms, boundaries, scope of practice, acknowledging power relations, knowing when to seek advice)

Duty (speaking out, reporting obligations)

Teamwork (recognising autonomy, collaboration, understanding your and others' responsibilities)

Teamwork

Collaborative environment -> respect, working together, empathy towards others, going further than one would go alone, everyone knows what their role is and what they need to do

Setting an example -> important for establishing a culture of respect, integrity, etc

Having clear guidelines and protocols -> useful in navigating complex scenarios (especially involving culture)