Posted by alexandra_k on January 18, 2019, at 11:08:13
In reply to Re: admin, posted by alexandra_k on January 18, 2019, at 9:57:03
as is the case... as is always the case in my life... i can't ask friends for help with any of this. they don't know how to help. they aren't able to say (well, except Damos, who is wonderful, honestly), but none of the other guys can say they don't know... but they are an ear. or whatever.
but sometimes i need something... and i go round and round and try and see my way out of it. but i guess posting here... sometimes people do know something to say that helps. sometimes they do. and here is an opportunity for that. i guess. that's why i post stuff here, still, sometimes.
i think it probably comes down to there being cohorts wihin the intake. pre-destined for different outcomes. they aren't supposed to know that, at the intake time... but that's the way that goes down. so there are a bunch of 'special entry' categories and the idea is that basically you are bonded. we don't say they are bonded, but we just sort of brand them, really, so it's next to impossible for the to get their way out.
for example, the Maaori people have been selected because they are acceptable to Maaori people. it isn't about equity for Maaori in the sense of a kid who is Maaori and smart and wants to be a doctor in the traditional sense getting to be a doctor. I really do not think that we believe in that, at all. The idea is to select students who are acceptable to Maaori so they can better persuade the Maaori to hand over their tissue biopsy samples (to just sort of do them / get them done as a matter of course -- if people aren't screaming 'no' then consent is implied) and having their immunisations and so on...
And the rural people are supposed to be GPs in rural communities for much the same thing. Again. Acceptable to the people.
And it seems like this is the Harvard endorsed thing. We hear a lot about Harvard this and Harvard that and I think this is the idea, here.
And so these students come through... And that's I don't know... 2/3rds the intake? Maybe 1/2... And they aren't supposed to be looking to overseas... They are supposed to come through here and spend however many years working in the public hospitals for the district health boards... And then apply to be selected to train as a general practitioner in NZ. And then go off into the smaller town rural regions and have some kind of general practice or allied health practice hub thing clinic where they are on call 24/7 for all the things so people don't go to the hospitals.
And that is one vision of medicine and what being a doctor is and lots of people want to do that and so that's fine as far as it goes.
And then I suppose there are the doctors kids. That probably means the GPs kids or maybe the general surgeons kids or.. I don't know... But these kids have their sights set on specialist training. As in, working in a hospital but as head of the unit. Or maybe workin in a hospital as one of a couple people who share being head of the unit.
NZ doen't much like this... Specialists.
Administration likes to pay for administration but not for specialists and not for the treatments that specialists can provide.
I don't really know about our private practice situation.
ACC (accident) is a source of funding...
Anyway...
They do this class division thing... And people have been inquiring about how they decide how to split up the class. How they decide to divide up the cohort and say where people do their placements.
I don't know... But it seems it's about putting like with like. So if you want to be a specialist you want to stay as close to the hospitals and university as you can. It would not be considered ideal to be shipped off to the rural communities with high need populations. I mean, you would get to practice more procedures when less supervised -- but you would get less supervision so you wouldn't actually be taught how to do things in a way that would be acceptable in the civilised world...
But what would they do with me?
My high GPA comes from Philosophy. And Psychology... Which is not so relevant. I have earned A's for relevant science -- but not on a full time basis, and other students have earned A+'s. It's clear to them I'm not a rural person but it's probably not clear to them that I am a hospital person / that I would fit with that cohort.
And they are thinking that people their (and nearly my) age are investing everything they can into their kids and their kids success.. And here I come saying 'I didn't have kids - I chose to invest in me' and they really don't like that. Don't know how to handle that. Don't know how to process that.
There's the whole line on 'stages of investment' or whatever that your bank sells you. About what you are supposed to be doing... About your mind-set... At diferent life-stages. People think of it as being like stages of rolling... Standing... SPeaking... For infants. Stages of learning to drive and having a boyfriend / girlfriend and graduating college and getting married and having however many kids...
And I opted out of that. Which makes people nervous.
They worry that I won't be controllable by the usual measures. Threaten to remove the exhorbatant salary. Threaten to move someone to a location where there is no adequate school for their kids...
And just the fact that people have regrets about their own lives. Have stories about what could have been. I say the people who got chucked back... But the people who quit working for their dreams and started doing something else. And there is some level of investment, sometimes, in my not doing things. To confirm beliefs they have about their own limitations.
I don't know.
Just let me f*ck*ng do it, already.
I don't understand how NZ isn't embarrassed about it can't even tell who is capable, anymore, and about how people won't even seem to let capable people get anything done. It's all about everythign being as slooooooooooooow as we can poooooosibly maaaaaaake itttt.
There never was anything wrong with me. It's an impossible country. It's awful here. And always, the people with the power have no f*ck*ng idea what they're doing / don't see how they make things worse. But will not listen to anybody else about what is good for them or what it is tha tthey need or anything else at all.
poster:alexandra_k
thread:1102325
URL: http://www.dr-bob.org/babble/poli/20181106/msgs/1102841.html