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MRCEM Intermediate Exam - Facts you should know (for aspirants)

Hey all ,  Winters make you overthink and act lazy. So here I am making a comeback before summer strikes. Professional setbacks are points where you either redirection or pivot your goals or come back stronger.  The exam that really tested my persistence and grit was MRCEM Intermediate. I failed thrice .The pattern of the exam changed after my second attempt with alot of additions and subtraction . A person who was always above average had to fail to get a perspective on life and explore her personality and get a reality check.  So , I call myself an exam veteran now after having appeared for exam sitting four times. For all those enthusiastic emergency physicians who want to get over this milestone, I have some 10 cents that might help you achieve your targets. I am the best person to give you an insight on the roadblocks , I saw them all. 1. Books to avoid : Moussa Issa text book.  Reason: It's a copy of RCEM learning. The text is totally picked up line...

Turning 29 years old , Learnings in last 12 months

Hey people Hello from somebody who calls writing her hobby and inconsistently shows up on her blog once in 3 months to deliver a monologue. I turned 29 years old couple of weeks back .I've chosen to measure my growth over a year rather than everyday to see how I'm growing as a person. The value system I'm building in. So continuing my tradition of writing down my learning. Here are things I learnt in last 12 months . 1.Knowledge compounds faster than money The number of experiences is proportional to number of goofups. Enjoy the process , carry the learning, especially your mistakes.I've always followed it , I did wander off my own policy but the head now is in right place. 2. Don't take opposition seriously This comes from a funny experience. I'd adopted a pet cat. There was alot of resistance from my family. Overtime, the person my cat likes the least is me. My family is more emotionally inclined to my cat than I am. Give people time t...

Undermining in ED - A common sight

Hi all This us again not an original article written by me. but found this article too good, not to reshare. Ill share the link to the orginal article at the end of the post. Having seen this in and out of department since day 1 of working in corporate hospital , felt nice as I found more literature on this topic. I am yet to study in detail about it. A gist of articles and tools you can use to make your or your colleagues life easy.  I would be surprised if you told me that you've never seen or experienced it at some point of your career.But we can work towards making the life easier for our colleagues just by acknowledging it. It happens in the ED , ICU , wards everywhere.   Being a healthcare professional is about lifelong learning, and occasionally getting things wrong. We have a duty to provide feedback to colleagues about this and take on board feedback ourselves. Sometimes when feedback is given, with the intention of improving competence and confidence ov...

First Male Sexual Assault Victim - Experience and Learning

Hello everybody  Hope you're doing well. This is slightly unconventional topic. I'm talking about but as an emergency physician, I think we'd be having more cases like this in future thanks to the awareness and I'm glad we'd be there to help people there. Idea is to learn and spread awareness about dealing with these cases in a civilized way rather than panicking. Men facing sexual assault is also a thing. I happened to read this article on ACEPs website. Thought of sharing my experience as well.Will drop the link in the end. Experience is not unique . Untapped , untouched and forgotten area of my specialty. I honestly did nothing there. But I guess it was God's way of telling me , this can happen , you better be prepared mentally, academically. I don't think I had read about this after I closed my Forensic Medicine textbook in my medical school , later in my MRCEM Intermediate exam.   The Event Last year, I was on night call ,my nurs...

After 4 months he said, Thank You for Saving my life !

Hey people Let's fast forward to the incident directly . I had seen the case of anaphylactic shock where the patient came choking and after giving multiple shots of adrenaline intramuscularly the patient had survived. He was pretty comfortable after the treatment and observation.Later ,he was shifted to the other unit after stabilization .This was a midnight case for me , so after I went home and dozed off.Later received calls that there were some concerns by the primary team as to the "kind" of setting he was shifted and the arguments kind of put off my mood ( ED versus Rest of the hospital , like any other day) . All the resuscitation satisfaction I experienced had gone to trash. Arguments have this vibe to drain you out. Like any other day, I forgot about it, got over it. Cut 2 , 4 months later:  My colleague is about 15 minutes late and I received another case . I was pretty mad at my colleague for turning up late and that I had to take a case at the en...

ISRO , Health Quest and World Emergency Day

Hey all In my life , I was a part of amazing gathering of intellect and execution on 26th May.Banter ahead . Read at your own risk.  ... Ok? Minds are like parachutes they work best when open. So with an open mind I took an invite to go to a HEALTH QUEST ( quality of gradation enabled through space and technology) meeting at ISRO. It was more of an impulsive decision I'd say honestly.I thought it was just "another" Quality Workshop. Despite reviewing the agenda my tubelight didn't lighten up. It was mainly " the aura" about ISRO that took me there but  the best thing I did was to go there with my mind open, open to possibilities open to troubleshooting open to take opinion from experts who are not from my field open to introspect   open to listen to scope of improvement open to create benchmark.  SAFETY IN CURRENT SCENARIO  It was very pleasant to hear that It was safer to travel in a rocket over a airplane in Bangalore and that the roads are ...

Art of dissing specialities

Hey all , Lets not waste time and start talking about this interesting topic. This is something I am guilty of and would want to change in me. The art of dissing certain professions starts from home where as kids you're told doctors and engineers are to be looked up and other professionals are just supporting caste of the movie called society.This continues where your professors of your specialty either be in doctors or engineers tell you that how superior they are or others .Its good in a way to have self-awareness but I wonder putting others down or making their job seem trivial makes one superior.  Step 2: You walk from medical school to the specialists post where you see your heads and consultants dissing other specialties .Like a cardiologist dissing out the gastroenterologist, physician dissing a surgeon, critical care dissing emergency physician so this is pretty engrained. As doctors most of us tend to have alpha personalities so the sense of valida...

Financial Literacy in Healthcare Workers - My QIP

  Hey all Why such a dry topic? Well this dry topic has annoyed me like my dry scalp in winters. Post residency, I had a decent salary in hand and didn't know what to do. I had just come out of a bad health crisis, so party was the last thing I'd do.  I sat down and navigated money management . Its been about a year and I am still exploring things. When I would go upto my colleagues to ask about their savings and investment strategies , I noticed something interesting.  Gender bias . Like a curious kid in the world of finance I would bombard them with questions.I found something interesting gender wise . Honestly majority of the doctors were unaware about where there investments are going. Male doctors acted like they got things figured out by Investing in the traditional real estate , mutual funds ( Suggested by their friends or CAs) , in worst scenarios Fixed Deposits. There was no logic why a certain mutual fund was picked , why a certain stock was picked ....

Passing Exam after Hattrick of Failures

Hey people I cleared my RCEM intermediate /SAQ exam. Good 10 days late in sharing the blog. It took me some time to put my mind together to jot down this post. The number of thoughts in words couldnt sync so it took a while. I jot down my failures and successes in this blog to optimise my mood.  I did not celebrate my success. Honestly, it was more of relief than happiness. I am immensely thankful to the almighty for my failures, as they helped me optimize my lifestyle.  November 2020 was the first time I failed an exam in 27 years of my life despite preparing well.I failed with a handful of marks. It took me good time to digest it. I still cut a cake to celebrate it. That was the first time I took a while and reviewed my life. I took a while to wait and blame the thing that caused my failure, I could see my anxiety tall and stout. I worked on controlling my exam anxiety.  March 2021 , I failed again. this time it was the exam , it was pretty tough for average...

Exhausting Virtual Conference-athon

Hello everybody It's been a while that I have written something on my blog. This time I have a valid reason . I was trying to absorb... Absorb knowledge from all over the world absorb best practices from all over the world listen to people from all over the world. Thanks to the pandemic most of the conferences went online and we had this opportunity to listen to the best speakers across the world virtually and economically , otherwise we'd have to spend lofty amounts just to go to a place to listen to somebody.  People who are in their residency will totally empathize and sympathize with the fact that somebody would have to let go of a conference to attend the other and the choice to pick which one would be difficult. The cold wars amongst the colleagues as to who finally goes to the conference would be never ending. The stress of accommodation to travel to food would be a different thing altogether. The fear of missing out good lectures versus the form of visiting ...