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Mind the Bleep
United Kingdom
เข้าร่วมเมื่อ 10 ธ.ค. 2020
Medical Education Platform providing free webinars, articles & resources on mindthebleep.com. Before viewing any of our content, you must read our disclaimer.
Specialty Careers: A Career in Forensic Psychiatry
For exclusive discount codes for Pastest, Medibuddy, Quesmed, Passmed and others, check out: mindthebleep.com/discounts/ Topic: Forensic Psychiatry
Presenter: Dr Dominique Calilung MD MRCPsych
Feedback & Certificate: app.medall.org/contents/v-specialty-careers-a-career-in-forensic-psychiatry
Description: Welcome to our webinar on Exploring a Career in Forensic Psychiatry. We're thrilled to have you join us as we delve into the fascinating intersection of mental health and the law.
Forensic Psychiatry is a unique and challenging field that plays a crucial role in the justice system. It involves the assessment and treatment of individuals within the legal framework, often providing expert opinions in courts, working with offenders, and addressing complex ethical issues.
During this session, Dr Dominique Calilung MD MRCPsych, a higher trainee under Severn Deanery in Forensic Psychiatry (ST4) will explore what it takes to pursue a career in Forensic Psychiatry, the diverse opportunities available, and the impact you can make in this specialized area of medicine. Whether you're a medical student, a psychiatry resident, or a practicing psychiatrist considering a subspecialty, this webinar will provide you with valuable insights into the rewarding world of Forensic Psychiatry.
Let's dive in and uncover the pathways, challenges, and opportunities that await in this compelling field!
Learning objectives
1. Understand the role and responsibilities of a specialist in forensic psychiatry, especially in relation to the legal system and behaviours associated with criminality.
2. Gain insights into the training process, curriculum and the life of a forensic psychiatrist registrar.
3. Learn about the recruitment process and opportunities related to forensic psychiatry in the healthcare system of the UK.
4. Understand the structure of secure services within the healthcare system, including the three-tiered system of low, medium and high security, and their relation to the treatment of mentally ill offenders.
5. Familiarize with the role of integrated care boards and how they influence the delivery of specialized healthcare services, especially in forensic psychiatry.
Presenter: Dr Dominique Calilung MD MRCPsych
Feedback & Certificate: app.medall.org/contents/v-specialty-careers-a-career-in-forensic-psychiatry
Description: Welcome to our webinar on Exploring a Career in Forensic Psychiatry. We're thrilled to have you join us as we delve into the fascinating intersection of mental health and the law.
Forensic Psychiatry is a unique and challenging field that plays a crucial role in the justice system. It involves the assessment and treatment of individuals within the legal framework, often providing expert opinions in courts, working with offenders, and addressing complex ethical issues.
During this session, Dr Dominique Calilung MD MRCPsych, a higher trainee under Severn Deanery in Forensic Psychiatry (ST4) will explore what it takes to pursue a career in Forensic Psychiatry, the diverse opportunities available, and the impact you can make in this specialized area of medicine. Whether you're a medical student, a psychiatry resident, or a practicing psychiatrist considering a subspecialty, this webinar will provide you with valuable insights into the rewarding world of Forensic Psychiatry.
Let's dive in and uncover the pathways, challenges, and opportunities that await in this compelling field!
Learning objectives
1. Understand the role and responsibilities of a specialist in forensic psychiatry, especially in relation to the legal system and behaviours associated with criminality.
2. Gain insights into the training process, curriculum and the life of a forensic psychiatrist registrar.
3. Learn about the recruitment process and opportunities related to forensic psychiatry in the healthcare system of the UK.
4. Understand the structure of secure services within the healthcare system, including the three-tiered system of low, medium and high security, and their relation to the treatment of mentally ill offenders.
5. Familiarize with the role of integrated care boards and how they influence the delivery of specialized healthcare services, especially in forensic psychiatry.
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Prescribing in Surgery: Diabetes medication
what is the green and white book can't find it online can you provide a link or adequate name
The book is called "Core Surgery Interview: The Definitive Guide With Over 500 Interview Questions For Core Surgical Training Interviews". Hope this helps!
Question 9 is written poorly in my opinion. Although 33 weeks is not close to term, it is a much better option to go for Nitro rather than Trimethoprim which is mainly contraindicated during the first trimester.
Hey there, Thank you for your feedback. You may find the “additional information” comment in the comments section helpful. Perhaps a value <30 weeks would have been better in the question however nitrofurantoin would still be a safe answer. Good luck in your exams :) KR, MTB
Hi hi thanks Josephine and the team. Could you please point me to the practice papers? Couldn’t find them anywhere online
Explained very nicely and easy to understand.
That was super helpful . Thank you .
Thanks. Good session
Learned a lot! Great explanation on super pubic catheters!
Dr Sophie Schofield you were incredibly amazing, thank you
Thank you for uploading this video ❤
what are the official past papers?
Please I’m echoing this question
Very helpful video. Thanks!
Thanks guys ❤
Excellent presentation and explanation 👏
I'm just trying to find out if they are medicine for it
Thank you
highly educating- kudos to yall
Interesting cases and well presented ! tyvm !!
That was very informative. Thank you!
Hello! Many thanks for this very useful series on the PSA exam. Can I ask if the new version of the interaction checker ("Stockley's Interactions Checker") is available during current sittings of the PSA? It seems to be only accessible under particular subscription conditions (which I unfortunately don't have access to), but would be good to know if it is still accessible during the exam, as it is indeed much handier and faster than the BNF way of checking for interactions. Many thanks!
Hey there, Thank you for your question. There is a bnf interaction checker that the first lecture in this series makes reference to which is a very good interaction checker. It would be best to speak to your university PSA lead regarding the Stockley’s version as they will have the most up to date information about your query but I suspect you won’t have access to Stockley’s specifically in the exam. Please do let us know if there are any updates 😊 good luck for your exams, MTB
@@MindtheBleep Thank you!
Starts at 11:00
U
Thanks a mil for this series. Genuinely helps a lot of us students and young doctors (especially graduates outside the UK). Looking forward to more of your amazing work!
I have been binging the FY1 playlist for about two days now because I will be starting as an FY1 in about two months and this has been massively helpful. Thank you
Thank you that's very kind! No doubt you'll do a smashing job :)
Do you know where can I find the pdf version of 250 sjt book for foundation programme? Thanks
Thank you so much for this briliant talk. I wonder why in Q9 : Option C is not before Option E ??
Fundamentally, the SJT doesn't look favourably on answers where you relinquish responsibility to somebody else when it is within your remit and you haven't attempted to resolve the situation. Therefore, E is before C.
Thank you
11:00
thank you very much, very important topic.
Very nice ❤
Excellent lecture. Very helpful.
for case 7 **and this only works on the BNF, not medicines complete** you could search pancreatitis and (metformin or amoxicillin or etc..) should help guide towards the top 2 drugs
'PromoSM' 👌
Thanks very much for putting together this thoughtful and comprehensive series. I have my exam tomorrow and now feel well prepared. It's especially helpful that you have discussed the most important sections of the BNF. Many thanks!!
Hi, For Question 5 I noticed in the BNF it has the copper coils as a caution in Epilepsy patients due to inducing seizures. Will this change the answer or does it still remain as the answer?
Hey Vassysoma, Thank you for your query. The copper IUD is listed to be used with caution in the BNF in epilepsy (risk of seizure at time of insertion), however if you refer to the FSRH guidelines it is listed as UKMEC category 1 and therefore ok to use. You can find the guidelines here: www.fsrh.org/standards-and-guidance/documents/ukmec-2016-summary-sheets/ Please let us know if you have any further questions. KR, MTB
I didn't understand the answers of question 4 which were provided.
I agree to you, for question 4,the sequence in which she explained are not the same to which she chose as answer . A should be last ,D should be first according to her explanation.
how to become Consultant in Community paediatrics?
Hi, just a quick question about the last asthma question. We are taught for peak flow to take the three readings and then record the best, if you do this with the best being 390, then his PEFR is >75% his usual of 500ml. Therefore, shouldn't this be classed as a mild exacerbation? Why is it that the worst is used here? Thanks so much for all your videos!
Dear Mhairihunter, Thank you for your question, You are correct, you take the best of the 3 readings. The BNF treatment summary classifies moderate exacerbation as Peak flow > 50-75% best or predicted. The patient's peak flow is >75% of their best/predicted and therefore would fit into the moderate category as there is no mild classification in the BNF. We hope this helps, KR, MTB
Just a quick question about the patient in case 5, as she has migraines, is the COCP not contra-indicated?
Dear Mhairihunter, Thanks for your question. In regards to COCP being contraindicated in migraine, it really depends on whether migraine is with aura and whether you are initiating or continuing the COCP. You can find out more information about this by referring to the UKMEC guidelines. We hope this helps, KR, MTB
Hey guys, thank you so much for this. Feel so much better prepared to sit the PSA next week. Just wondering where is the info about blood glucose monitoring and Nicotine in the BNF, can't find anywhere? Thank you
Hey there, Thank you for your kind words, we hope your exam went well! If you are still wondering, you can find the information about glucose monitoring in the nicotine drug monograph under cautions. KR, MTB
For case 12 - Why does the case sound more like an infective exacerbation and would prescribing an antibiotic be wrong?
Hey Anastasia, Thank you for your question. This could indeed be an infective exacerbation. Azithromycin is used in CAP however there is no indication in the drug monograph specifically for COPD. NICE guidance recommends first line amoxicillin, doxycycline or clarithromycin. We hope this helps! KR, MTB
If you would like to scroll back up to the top quickly when using NICE (discussed around 27:00), then you can use the "home" key as a shortcut, which takes you right to the top for the search bar. The "end" key takes you to the bottom.
If you did you use the first set of answers for question 3, im confused as to how you'd answer it. Because theres a cefalosporin AND co-amox. is there one that is a stronger risk factor for c.diff?
Hey there, thank you for your query. Please do not worry - the PSA questions undergo review to ensure there are no ambiguity in the answers. It would be unlikely for you to be faced with choosing between a cephalosporin and co-amoxiclav as they can both cause C.diff. There is a useful treatment summary in the BNF: Gastro-intestinal system infections, antibacterial therapy - this discusses the different generations of cephalosporins and which are more likely to be associated with C difficile. Good luck in your exam :) KR, MTB
This video cleared many ambiguities of mine. Thank you guys!
I can't seem to find how to get onto "appendix 1" from the interactions tab. Could please let me know
Dear Ayeshaa, Thanks for your query! If you type "interactions" into the search bar in medicines complete, the second result down is "appendix 1 interactions" Let us know if you are still struggling KR, MTB
Nitrofurantoin is c/i in the 3rd trimester (33 weeks) so why is it not the answer for Case 7? trimethoprim is c/i only in the 1st trimester
Dear Upeshala, thank you for your comment. Please see 'additional information' section in the first comment above. KR, MTB
Hi there, on the bnf it mentions that senna can be prescribed 7.5-15mg, for the first question would it be sufficient to prescribe 7.5mg?
Yes that would be fine too!
Bit confused on the last question, why is it 2 ampoules per day?
Hey Med_made-easy, Thank you for your query The answer is 4 ampoules per day, not 2 :) The dose is 60mg Twice daily (BD). each 5ml ampoule contains 50mg, therefore you will need a second ampoule to get the additional 10mg to make the total 60mg dose. The ampoules should be discarded immediately after use and so you would need 2 ampoules for the first 60mg dose, and another two ampoules for the second 60mg dose of the day. I Hope this helps. KR, MTB
Thanks for this! Brilliant video as always. Just with the fact that the rate of increase in Na in 24 hrs should not exceed >10mmol/L in 24hrs... if you are giving 1L of 0.9% NaCl to a patient in order to correct their hyponatraemia, wouldn't you be giving 154 mmol/L? and thus far exceed the limit? Please can you clarify the confusion
That sodium that you give will diffuse across all the fluid compartments. However giving 0.9% saline isn't always the correct thing to do - it depends on the cause of the hyponatraemia and how best to manage it.
When prescribing NaCL with K+ 0.3% (40mmoL), why is it preferred to be infused over 8-12 hours? This is what your slides say at 31:58, and one of the questions on the mock PSA which gives full marks. I put 4 hours as I thought you can infuse pottasium at 10mmol / hour - but I didnt get the marks. Will appreicate the help!
If prescribing maintenance fluid, there is no need to give so much fluid and potassium so quickly. It could risk overload.
@@MindtheBleep thank you!
All this hoop jumping to earn less than a physician associate (assistant) with less than half the GCSEs/A levels/No medical school/no foundation years?