Sharp Scratch

Have you ever felt like you had to dial up an aspect of your personality in order to fit in on placement? When going on placement, there may be times when you feel like ‘the odd one out’. But do you have to fit in? Are there benefits in being different? Does medical training shape us into doctors with identical tone and manner and does this bode well with patients? In this episode, the Sharp Scratch team recounts experiences of displaying different sides of their personality at work, the positives of working with people of different personalities, and the importance of being your true authentic self. Expert guest: Miss Clara Munro (@ClaraEMunro on Twitter)is a General Surgical Trainee in the North East of England and was the Editorial Registrar at the BMJ. Check us out on social media: Twitter: https://twitter.com/BMJStudent Instagram: https://www.instagram.com/bmj_student/ Facebook: https://www.facebook.com/BMJStudent/ This podcast is produced and edited by Dom Byrne and Duncan Jarvies.

This is a special segment from the Sharp Scratch episode - what med school didn’t teach you about money. Have you received your first payslip and not sure whether you have been paid correctly? Listen to this short clip where the doctors behind Medics Money will guide you through the key things to check on your payslip and decipher tax codes in under 10 minutes. If you would like to hear more about how to claim tax rebate, information about income protection and relocation costs, head over to episode 78, titled 'what med school didn’t teach you about money' to find more. Expert guests: Dr Tommy Perkins and Dr Ed Cantello are GPs and co-founders of Medics Money. Useful links that Dr Perkins and Dr Cantelo recommend: •Free Ebook www.medicsmoney.co.uk/ebook/ •10 top tips for junior doctors podcast www.medicsmoney.co.uk/ep-5-10-financ…unior-doctors/ •Tax code guide - www.medicsmoney.co.uk/is-your-doctor…-code-correct/ •Tax rebate guide - www.medicsmoney.co.uk/free-guide/ Check us out on social media: Twitter: twitter.com/BMJStudent Instagram: www.instagram.com/bmj_student/ Facebook: www.facebook.com/BMJStudent/ This episode does not represent any form of financial, legal or accounting advice and tax allowances and rates are subject to change.

At med school, we are trained to interpret blood tests but not much (if at all) on how to interpret your payslip. Financial literacy doesn’t feature much in our medical curriculum but it’s an important life skill to have: from interpreting your payslip to claiming tax rebate on your postgrad exams fees. In this episode, the doctors behind Medics Money share their experiences regarding costs that newly qualified doctors will have to consider after med school, some money saving tips for junior docs and things to look out for when you’re interpreting a payslip. Topics covered: •Things to look out for on your payslip •What should you do when you notice you haven’t been paid correctly •Sick pay •Claiming tax rebate on costs of training •Relocation costs Expert guests: Dr Tommy Perkins and Dr Ed Cantello are GPs and co-founders of Medics Money. Useful links that Dr Perkins and Dr Cantelo recommend: •Free Ebook https://www.medicsmoney.co.uk/ebook/ •10 top tips for junior doctors podcast https://www.medicsmoney.co.uk/ep-5-10-financial-tips-for-junior-doctors/ •Tax code guide - https://www.medicsmoney.co.uk/is-your-doctors-tax-code-correct/ •Tax rebate guide - https://www.medicsmoney.co.uk/free-guide/ Check us out on social media: Twitter: https://twitter.com/BMJStudent Instagram: https://www.instagram.com/bmj_student/ Facebook: https://www.facebook.com/BMJStudent/ This podcast is produced and edited by Dom Byrne and Duncan Jarvies. This episode does not represent any form of financial, legal or accounting advice and tax allowances and rates are subject to change.

At medical school, we learn about the importance of healthy health behaviours and promote them to patients at consultations. But do you always do what you preach? In this episode, we chatted about the importance of self-care, admitting to the inability to be infallible, and whether your health habits would affect the way you counsel your patients. Expert guest: Professor Erica Frank (erica.frank@ubc.ca) is a Professor at the Faculty of Medicine at the University of British Columbia; she is also the Founder of NextGenU.org. Articles mentioned in the episode: • Alcohol consumption and alcohol counselling behaviour among US medical students: cohort study - https://www.bmj.com/content/337/bmj.a2155 • Experiences of belittlement and harassment and their correlates among medical students in the United States: longitudinal survey - https://www.bmj.com/content/333/7570/682 Check us out on social media: Twitter: https://twitter.com/BMJStudent Instagram: https://www.instagram.com/bmj_student/ Facebook: https://www.facebook.com/BMJStudent/ This podcast is produced and edited by Dom Byrne and Duncan Jarvies.

“Do no harm” is a mantra that is drummed into medical students from day 1 of medical school. Most of us have gone into medicine as we believe medicine to be a force of good. However, too much medicine is capable of causing harm to patients and generating unnecessary waste. In this episode, we spoke about overdiagnosis, communicating risks and benefits with patients, and why you shouldn't take that free lunch sponsored by drug companies. Recommended reading: •Preventing overdiagnosis: how to stop harming the healthy. Link: https://www.bmj.com/content/344/bmj.e3502 •Who pays for the pizza? Redefining the relationships between doctors and drug companies. 1: Entanglement. Link: https://www.bmj.com/content/326/7400/1189 Expert guest: Dr Martin Brunet (@docmartin68 on Twitter) is a GP and a GP trainer at Guildford. He is also the author of The GP Consultation Reimagined: A Tale of Two Houses. Check us out on social media: Twitter: https://twitter.com/BMJStudent Instagram: https://www.instagram.com/bmj_student/ Facebook: https://www.facebook.com/BMJStudent/ This podcast is produced and edited by Dom Byrne and Duncan Jarvies.

Along with the general public, medical students are feeling the cost-of-living crunch. How are medical students faring with the increasing cost of living? In this episode, medical students from outside of the studio send in their perspectives on how they are making ends meet, balancing medical school and part-time work and navigating the student funding system. Thank you to Michaela Vernon, Elle Gordon, Alex Twist, Trisha Suji, Ruth Carter and Eilidh Garrett who contributed to this episode. Check us out on social media: Twitter: https://twitter.com/BMJStudent Instagram: https://www.instagram.com/bmj_student/ Facebook: https://www.facebook.com/BMJStudent/ This podcast is produced and edited by Dom Byrne and Duncan Jarvies.

If you see something that doesn’t look right when going on placement, do you feel comfortable raising a concern? In this episode, we discuss the topic of raising concerns and the considerations that med students and junior doctors may have when it comes to speaking up. Expert guest: Dr Natasha Malik (@1natasha_malik on Twitter) is a portfolio GP who works with Health Education England, UCL medical school and Imperial medical school. Top tip: “In moments of uncertainty, the first thing to do is to find those pillars of support and talk to people about it, because that increases confidence. It also allows you to find out information about where to go next.” Check us out on social media: Twitter: https://twitter.com/BMJStudent Instagram: https://www.instagram.com/bmj_student/ Facebook: https://www.facebook.com/BMJStudent/ This podcast is produced and edited by Dom Byrne and Duncan Jarvies.

As medical students progress through medical school, some students are becoming dissatisfied by the lack of attention to socially relevant healthcare issues in the conventional curriculum, and begin to understand that some of the frustrations we encounter at work arise from political decisions. These issues have prompted medical students to voice their concerns and advocate for change. In this episode, we will be talking about activism, how to get involved and what you can do to push for change. Topics: • What makes an activist? • There is a role for everyone in activism • Things to bear in mind when considering civil disobedience Expert guest: Dr Rita Issa (@DrRitaIssa on Twitter) is a GP, public health academic, and activist. The groups that she’s helped (co)founded or worked with include Doctors for Extinction Rebellion, Docs Not Cops and Medact. Shout out to the following student-activists: Mikaela Loach (@mikaelaloach on Twitter) Rhiannon Osborne (@rhiannon_osborn on Twitter) Amit Singh (@amit_ankhi on Twitter) Marina Politis (@marinadpol on Twitter) Interested in getting involved? Here are some organisations that you can check out: Health for Green New Deal - https://www.medact.org/project/health-for-a-green-new-deal/ Student for Global Health - https://studentsforglobalhealth.org/ Doctors for Extinction Rebellion - https://www.doctorsforxr.com/ Docs not Cops http://www.docsnotcops.co.uk/ Check us out on social media: Twitter: https://twitter.com/BMJStudent Instagram: https://www.instagram.com/bmj_student/ Facebook: https://www.facebook.com/BMJStudent/ This podcast is produced and edited by Dom Byrne and Duncan Jarvies.

As healthcare professionals, we meet people from all walks of life and collect stories along the way — stories of illness and convalescence. When we hear interesting stories, there can be an urge to share them. When something bad happens, you may want to talk and offload it onto your friends and family. As we know, patient confidentiality is a core value in medicine. So what is permissible to share? Is there a way to share these stories while respecting the ethical boundaries? In this episode, the Sharp Scratch team explores the ethical considerations involved in talking and writing about patients, and discusses the popular literature genre of medical memoirs. Expert guest: Dr Matt Phillips is a sexual health consultant and a honorary clinical professor in genitourinary medicine and ethics at the University of Central Lancashire. Recommended reading: The ethics of medical memoirs. Link: https://www.bmj.com/content/367/bmj.l6270 Check us out on social media: Twitter: https://twitter.com/BMJStudent Instagram: https://www.instagram.com/bmj_student/ Facebook: https://www.facebook.com/BMJStudent/ This podcast is produced and edited by Dom Byrne and Duncan Jarvies.

Medical students are taught about and examined a lot on clinical guidelines. What is best for patients overall, as recommended in guidelines, may not be appropriate for individuals. Blanket recommendations, rather than a menu of options or recommendations for shared decision making, ignore patients' preferences. So what do guidelines mean in practice? When do we deviate from them when your clinical acumen is telling you that guidelines may not be the best fit? Expert guest: Dr Liam Loftus is a GP trainee and a National Medical Director’s Clinical Fellow who has worked with the Personalised Care Institute. Recommended reading: How can tomorrow’s doctors be more caring? A phenomenological investigation. Link: onlinelibrary.wiley.com/doi/10.1111/medu.13684 Potential benefits, limitations, and harms of clinical guidelines. Link: www.bmj.com/content/318/7182/527 Check us out on social media: Twitter: twitter.com/BMJStudent Instagram: www.instagram.com/bmj_student/ Facebook: www.facebook.com/BMJStudent/ This podcast is produced and edited by Dom Byrne and Duncan Jarvies.