Sharp Scratch

Understanding your payslip (special segment)

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.

What med school didn’t teach you about money w/ Medics Money

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.

Do doctors do what they preach

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.

Too much medicine

“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.

Funding medical school

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.

See it, say it, sorted?

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.

The role of medical students in activism

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.

Patient Confidential - is it okay to recount patients’ stories

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.

The clinical guideline will see you now

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.

There is no pill for homelessness

There is often a debate about whether medicine is an art or a science. Our medical curriculum tends to favour the science bit, with pathophysiology of diseases and treatment algorithms dominating our learning agenda. Social determinants of health also have equal importance in influencing one’s health, but are we taught enough to address this?
Timestamps:
0:00 - 3:15 Intro
3:16 - 7:19 How much do you get taught about social determinants of health at medical school
7:20 - 12:00 Do we apply what we learn in medical training about social determinants on health in actual clinical practice?
12:01 - 14:29 There is no easy one-size-fits-all managing social determinants of health
14:30 - 18:53 How do you adapt management plans according to the patient’s circumstances?
18:54 - 21:15 A medical student who has experienced homelessness before shares her insight
21:16 - 24:26 Importance of diversifying the demographic of medical students
24:27 - 28:10 The importance of empathy, compassion and being non-judgemental
29:20 - 34:20 Doctors make up the system that patients have to go through, and we can make the experience pleasant for patients
34:21 - 35:18 Vote for Lily as the next prime minister!
35:19 - 36:44 What medical students can do to address social determinants of health outside of medical capacity
36:45- 39:47 What you can do to learn more about social determinants of health in and outside of medical school
39:48 - 43:38 Final remarks
Expert guest:
Dr Andrew Moscrop (@andrewmoscrop on Twitter) is a GP working in a health centre for people who are homeless in Oxford and a researcher in social determinants of health.
Thank you to Maz Sadler who contributed to this episode.
Recommended reading:
If social determinants of health are so important, shouldn’t we ask patients about them? https://www.bmj.com/content/371/bmj.m4150
*We’re looking for new panel members!*
Are you a:
✅ Medical student
✅ Listener of Sharp Scratch
✅ Keen on representing the voice of medical students?
In the past, the panel only consisted of medical students studying in the UK. However, remote recording meant that we can extend this opportunity to medical students in other countries. If you’re interested, please apply via the link below. We look forward to hearing from you!
Apply here: https://forms.gle/QocryfkG137cWTb88
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.