Sharp Scratch

Accents and dialects are influenced by so many different things including race, gender, and class. They change frequently depending on where we are, who we are with, and even what we are trying to get out of any given interaction. But why does this happen? Do we gravitate towards a certain accent in order to fit in? In this episode, we'll find out what an accent actually is, we'll discuss how our...

Any medical student knows that medical school can be tough. The hours are long, the work is hard, and stress can build quickly. Throughout all of this, we’re taught about compassion - how to be a compassionate medical student, and eventually a compassionate doctor. But do our own medical schools show compassion towards us? In this episode, the Sharp Scratch team talks about compassionate organisat...

The relationship between our personal and professional identity has always been an important part of the conversations we have here on Sharp Scratch. What doctors and medical students do in their own personal lives is often brought into debates on professionalism. The Student Sex Work Project (2015) reported that around 5% of students have, at some point, been involved in the sex industry. In this...

A career in medicine can sometimes mean stepping outside of your comfort zone. No matter what stage of your career you are in, it is likely that you will have to manage uncertainty, and will occasionally feel out of your depth. In this episode, the Sharp Scratch panel talks about the reality of never being able to know everything in medicine, and the benefits of acknowledging your strengths and li...

Starting university can be a really exciting and really nerve-wracking time. There are so many questions you might have before you start. How do you know what to pack? How do you make friends? How do you study? Is it really going to be the best time of your life?! You might be just about to start university in the next week or two, or simply feel like indulging in the nostalgia of those first few...

Medicine is a team sport. We work with multi-disciplinary teams to deliver patient care. However, there may be times when you will work with a colleague who worries you professionally. You may find it difficult to address this unprofessional behaviour, especially as a junior member of the team. In this episode, we’ll be talking about when this becomes enough to act and what you can do about it. Ex...

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 Scrat...

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...

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 n...

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@u...

“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...

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 G...

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...

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 epi...

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 shar...

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 clinica...

Empathy is one of the essential qualities of a good doctor. One way this is assessed at medical school is the use of objective structured clinical examination (OSCE) stations. The use of OSCEs in medical schools is controversial - it can be used to simulate clinical examination and test students’ ability to express empathy while some perceive OSCEs as an artificial and narrow understanding of clin...

When going on placement, you are probably more interested in gaining experience in the clinical environment and less interested in how frequently doctors can take breaks. Doctors’ working conditions may seem irrelevant as a medical student but they are closely associated with work satisfaction and wellbeing. In this episode, the Sharp Scratch panel discussed doctors’ working conditions and how it...

Publications, presentations, citations - these are trophies that you can flash proudly on your CV. However, what medical students may underestimate, is the long hours required reading papers, processing data and revising manuscripts. While academic medicine can be rewarding and intellectually stimulating, it is not the only way to become a successful clinician, and it definitely isn’t the be-all a...

As healthcare professionals, we work with people from a myriad of culture and countries. At times, some patients may need a little bit of help with English. We may also elicit language skills from our diverse workforce. But is it the right thing to do? Timestamps: 0:00 - 1:17 - introduction 1:18 - 4:50 anecdotes of encountering patients who may need a bit of help with English 4:51 - 7:15 a bilingu...

‘Tis the season of giving and receiving gifts. In medicine, as demonstrated by the early phase of the pandemic, patients and the public may express gratitude towards healthcare staff by giving tokens of appreciation in the form of gifts. In this episode, we discuss: - the ethics and etiquette of receiving gifts from patients - how thank you cards can be a good addition to your portfolio, and - how...

FBC, BIBA, NBM - how many of these do you recognise? The healthcare system speaks an entirely different language. As healthcare professionals, our vocabulary is full of jargon and acronyms, and it’s something that we pick up in training. Communication is key in medicine. So why are we using language that our patients and colleagues may not understand? A sub-specialty of medical jargon is managemen...

The climate crisis is a health crisis. In this episode, we explored how climate change will affect how we practise medicine, the importance of sustainable healthcare practice and what you can start doing on a personal, professional and political level towards a greener future. Climate change is a complex and multi-faceted problem. It’s fair to point out that not everything is covered in this podca...

Do you hold any superstitions? We are trained as evidence-based healthcare practitioners, yet there are some superstitions that still persist in medicine. Superstition is an example of confirmation bias, where sometimes we would search for evidence to confirm one's beliefs. Confirmation bias is recognised as an important source of medical error and we discussed what we can do to mitigate this effe...

The government launched a Women's Health Strategy to improve health and wellbeing of women in March 2021 as the UK was found to have the largest female health gap in the G20 countries and the 12th largest globally. In this episode, we discuss whether our medical curriculum is doing enough to equip future healthcare professionals in providing adequate healthcare to women. Link to the government str...