Pros and Cons of EMTCity

[MedicAsh]

Be gone all unwanted Trolls!! (Ok humor me, lack of sleep and nothing to do at this moment.)

[ERDoc]

Touche good sir; have I mentioned I am also a Consultant Kiwiologist?

Hmm this bloke looks a bit crook, nurse, 500 cc's of All Blacks stat!

Yeah that. Now if only you were a blonde female with some ample endowments (all-natural of course, none of that fake crap), I might be in love.

Edited November 4, 2011 by ERDoc

[Bernhard]

From wikipedia:

In Internet slang, a troll is someone who posts inflammatory, extraneoul, or off-topic messages in an online community [...] with the primary intent of provoking readers into an emotional response or of otherwise disrupting normal on-topic discussion.

From the hacker's jargon file:

troll

1. v.,n. [From the Usenet group alt.folklore.urban] To utter a posting [...] designed to attract predictable responses or flames; or, the post itself. [...] comes from mainstream “trolling”, a style of fishing in which one trails bait through a likely spot hoping for a bite.[...]

2. n. An individual who chronically trolls in sense 1; regularly posts specious arguments, flames or personal attacks to a newsgroup, discussion list, or in email for no other purpose than to annoy someone or disrupt a discussion. Trolls are recognizable by the fact that they have no real interest in learning about the topic at hand - they simply want to utter flame bait. Like the ugly creatures they are named after, they exhibit no redeeming characteristics, and as such, they are recognized as a lower form of life on the net, as in, “Oh, ignore him, he's just a troll.” [...]

Some people intend their trollish-behaviour for the reasons above, some only start troll-like and grow up to be a reasonable discussion partner, some (even experienced ones) degrade to a troll and some just don't get it. Sometimes an individual is mistaken for a troll, just because of misunderstandings and/or disagreement or wording in discussions.

To get back to the topic: one of the PROs for EMTcity is the ability to get something senseful out even of real troll-postings. I saw this happen in other high-level discussion groups on emergency matters - so maybe it's just the high competency of the emergency (medical) services to professionally deal with strange people (colleagues, patients, ...).

Edited November 4, 2011 by Bernhard

[Kiwiology]

Yeah that. Now if only you were a blonde female with some ample endowments (all-natural of course, none of that fake crap), I might be in love.

I think you're a Consultant yeah? Most of our hospitals have lots of jobs for specialist grade physicians - esp Emergency Medicine ... can you change planes twice and spend 24 hours getting here?

You won't have to deal with "bro I can't pay my bill!" but you dohave to deal with that strange species called House Officers/House Surgeon which the US/Canada doesn't seem to have

so maybe it's just the high competency of the emergency (medical) services to professionally deal with strange people (colleagues, patients, ...).

My extremely strange upbringing and psychological instability makes me great at dealing with the weird fuckers you get out there on the street;

Now, excuse me, I'm off to read the DSM-IV

[ERDoc]

I think you're a Consultant yeah? Most of our hospitals have lots of jobs for specialist grade physicians - esp Emergency Medicine ... can you change planes twice and spend 24 hours getting here?

You won't have to deal with "bro I can't pay my bill!" but you dohave to deal with that strange species called House Officers/House Surgeon which the US/Canada doesn't seem to have

That sounds pretty tempting, but tell me more about these house officers/surgeons.

[akflightmedic]

We have House!

[WelshMedic]

House Officer=Intern, Senior House Officer=Resident, Registrar=Chief Resident, Consultant=Attending Physician.

Lovely place to visit but wouldn't want to live there myself. I mean, how many bungy jumps can you do before it gets boring?

[Kiwiology]

That sounds pretty tempting, but tell me more about these house officers/surgeons.

House Officer/House Surgeon (from "medical officer of the house" or "hous chirurgeon") is a first year post-graduation doctor who a general dogs body that undertakes various "runs" through the different departments of the hospital e.g. ED, OB, gen surg, anaesthesia/pain, oncology, paed. Generally they must do at least two of six months duration.

They are responsible for basic clinical assessment and treatment under the supervision of the Registrar or Consultant (sometimes must be the Senior Registrar) and can do a limited number of investigations and prescriptions however this varies significantly by hospital system (DHB). Some DHBs state the House Officers are unable to discharge patients independently or order CT scans etc. A lot of it is the fact a House Officer, while a Physician, does not have any specialist vocational training in the service they are working on e.g. they have no formal training in emergency medicine.

A Senior House Officer is a second year or greater House Officer with at least one year of post-graduation experience, in reality there is no difference between an HO/SHO but it varies by DHB as to what they are allowed to do; e.g. in some places you must be a SHO or above to discharge people independently or run sole charge overnight.

A Registrar is a Specialist Trainee (Junior or Senior) and a Consultant is a Specialist Physician.

If memory serves me, in the US one must do some horrendous research project or something other than complete the required specialist vocational training to become a Fellow; here once you do your training you can use the appropriate post-nominal e.g. one can become a Fellow of the Australasian College for Emergency Medicine (FACEM) by completing both Part A and Part B of their training program and sitting the final exam.

This sort of structure is fairly common outside the US/Canada and variations are used in the UK, AU, NZ, Europe and I think some places like India / Pakistan.

<skip mention of MMC in the UK here> LOL

House Officer/SHO > Registrar > Consultant

Lovely place to visit but wouldn't want to live there myself. I mean, how many bungy jumps can you do before it gets boring?

Funny ... I should do another one

Edited November 4, 2011 by kiwimedic

[ERDoc]

This sort of structure is fairly common outside the US/Canada and variations are used in the UK, AU, NZ, Europe and I think some places like India / Pakistan.

You mean there is civilized medicine outside of the US?

Lovely place to visit but wouldn't want to live there myself. I mean, how many bungy jumps can you do before it gets boring?

But if I'm feeling a bit crooked, I can go and get buggered. How bad of a place could that be?

Edited November 4, 2011 by ERDoc

[Kiwiology]

You mean there is civilized medicine outside of the US?

Yeah, we dont bankrupt people and ruin their lives with medical bill debt, shucks

And prescriptions are only three bucks!

I'll stop now