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15 May 2012

Query about job from an IMG

I was recently contacted by a doctor and asked me following question (name has been removed for privacy). I am posting this as it is a general question.

Hello sir

how are you? I am Dr A  living in Sydney. Hope you remember me, as you had told me about DCH course in Westmead I have enrolled and its really helping me to boost my confidence.  I recently passed my amc part1 exam and language test. I have been offered a position as gp in one of the rural areas of brisbane. i ve only 2years experience as gp in india and the employer is ready to give me position but im concerned about my future and also im not sure whether the AHPRA would give me registration even after passing PESCI. could you please tell me what would be the right step and whether AHPRA would give me registration?

Hi Dr A,
Of course I remember you. First answer about your last question.

AHPRA usually do not have any problem about your registration as long as you have registrable degree and good character (no problem in past registrations) in past. If it is sponsored visa and registration then they would like to have job contract. In general, they are making sure that you are real doctor, nothing more than that.

First question is bit complex and difficult to answer in straight yes or now. If depends upon you what you want to do in future. If you are planning to do GP in future then it is good opportunity as otherwise it will take few more years for you to get entry in GP training ( full registration, PR and required experience in ED, Gen Med and Paed).

If you are not sure or thinking about doing hospital specialisation then you should look for job in hospital, although you can always come back in hospital system but it is bit hard.

In general, I would if you are unsure then take the opportunity as getting in the system is getting more and more difficult. You can always change your mind later on if situation change.

Hope this answer your question.
Regards,

14 May 2012

Fitness to drive

I strongly advised you to read through this publication for free. Often question comes regarding fitness to drive and restriction regarding driving. You can rely on this publication for all those questions.

http://www.austroads.com.au/assessing-fitness-to-drive/assessing-fitness-to-drive

I will make question and publish from this publication.

11 May 2012

Question 30


A patient with diabetes  and CRF on dialysis presented with acute fever, no glucose or ketones in urine
what would be your next management plan:
  1. admission to hospital for Rx
  2.  ring dialysis unit
  3. increase insulin
  4. decrease insulin
  5. give antibiotics


10 May 2012

Question 29

40 years old obese patient, smoker (20 cigarettes a day) presents with 3 hours of retrosternal chest pain which improves with rest. He has a past history of intermittent chest pain, which improved with rest or nitroglycerine. His pain is improving as you see him. He belched and felt better. Initial cardiac enzymes are normal. What is the next step in management (this would be mastery question):
  1.  refer to gastroenterologist
  2. send him home with reassurance asking him to come next day
  3. arrange an immediate exercise stress test
  4. admit him to CCU and monitor his ECG and do serial cardiac enzymes
  5. send him home and ask him to come when worse

Question 28

Prolonged QT interval is caused by:
a) digoxin
b) procainamide
c) propranolol
d) hecainauride
e) atenolol

08 May 2012

Female Genital Mutilation (FMG)/Female circumcision

Guys this is recent "hot topic" in Australia and I think you should have knowledge about this. Just to spark your thinking about this topic I have created this question.
Which is true from following?
1. FMG is legal in Australia and recommended procedure for all female.
2. FMG is illegal but recommended by most of the surgeons in Australia.
3. Australian Citizen can travel legally for this procedure and have that done overseas as there are not lots of expertise available in Australia.
4. FMG and male circumcision is not recommended in normal circumstances by College of Surgeon in Australia at this stage.
5. Male circumcision is illegal in Australia.

07 May 2012

Hi all, Sorry for not posting anything for a long time. I have been busy with lots of things in life. I will start posting again very soon.