Professional Documents
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Document: A2O-ED-IG-RE-0004-02
Author: Dr Anna Chur-Hansen
Approved by: Medical Education Manager
Last updated: September 2009
Page 2 of 34
CONTENTS
What is colloquial English? ............................................................................................................................... 2
Why is it important for GPs to know slang?.................................................................................................. 3
What can I do if someone uses informal language that I dont understand? ........................................ 4
A strategy for use in the clinical situation....................................................................................................... 4
What strategies are there for learning this sort of language? ................................................................... 5
What are some common slang words that a patient might use? ............................................................. 6
Index of Australian slang .................................................................................................................................... 1
Document: A2O-ED-IG-RE-0004-02
Author: Dr Anna Chur-Hansen
Approved by: Medical Education Manager
Last updated: September 2009
Page 3 of 34
Document: A2O-ED-IG-RE-0004-02
Author: Dr Anna Chur-Hansen
Approved by: Medical Education Manager
Last updated: September 2009
Page 2 of 34
WHY IS IT IMPORTANT
FOR GPs TO KNOW SLANG?
Doctors need to know a great deal of medical terminology that they use when communicating
effectively with the colleagues, and must be able to use the correct, educated, elaborated code
of English.
However, this way of speaking is not sufficient if it is the only way in which you know how to
speak. You need to be able to interact with Australian colleagues and reception staff, members of
the community, your teachers and mentors. If you speak very formally all the time, you may
discover that people dont warm to you. They may feel uncomfortable with your interaction. They
may also perceive that you dont understand what they are saying. Therefore, they might restrict
their language to a very basic, formal level in response to yours. This is not a good start in building
rapport between you and other people, and it is not good for the development of your language
skills because you wont get to hear everyday Australian English.
You also need to know slang because you have to talk to patients. You are expected to listen to
people, understand them, and be able to accommodate their language level. An important skill for
you as the doctor is the ability to engage this such language accommodation, to be able to
communicate with a patient so that they understand you; doing so will foster the relationship
between you.
A GP is expected not only to master the appropriate communication skills to be a doctor, such as
rapport, open-ended questions and so on, but also to have a level of English-language proficiency
that is adequate for their doctor-patient interactions. Your proficiency must encompass not only
technical jargon, but everyday, informal language as well. Patients will often use polite forms of
language with the doctor, but their vocabulary may sometimes be limited to slang. During times of
emotional distress, patients may revert to speech that they have learned earlier in life, or which
they commonly use in their everyday life. This will include slang.
Document: A2O-ED-IG-RE-0004-02
Author: Dr Anna Chur-Hansen
Approved by: Medical Education Manager
Last updated: September 2009
Page 3 of 34
Simply ask them what they mean. There is nothing at all wrong with doing this.
2.
Use your knowledge of communications skills to summarise what they have said as you
understand it. That way, if you are mistaken they can tell you so.
Ask the patient what they mean. Ensure that you use open ended questions, to facilitate
rapport and openness. For example, you might ask, Im not sure what you mean by that;
are you able to explain it for me? or, Im not familiar with that word/phrase, what does it
mean? Similarly, you could summarise what the patient has said as you have understood
it, so that they can tell you if you are mistaken.
2.
3.
After the consult, or when you have a list of words, take your notebook with you to your
mentor, or someone who you trust, and ask them what it means.
4.
Document: A2O-ED-IG-RE-0004-02
Author: Dr Anna Chur-Hansen
Approved by: Medical Education Manager
Last updated: September 2009
Page 4 of 34
Talk to people. Talk to your friends and colleagues. This is not as easily done as said,
but you will discover that usually the effort in overcoming your fear or nerves will be
repaid in many ways. You might find out that there are some people who are quite happy
to share their knowledge of informal language with you.
2.
Participate actively in your community. If you have time, try to join a sporting club, or
a social club or organisation. Not only will it help you become part of your community, it is
a good way of finding out about how people speak in your immediate context. Other ways
you might find of doing this are by actively participating in activities that your childrens
school put together, or by going to the pub for a drink or a meal
3.
Notice what people say. Keep an exercise book of words that you hear people, in your
immediate context and region, or in the media, which you dont understand. Then ask
someone what the words mean and write the meanings down next to them. Be sure to
find out what the term means, who would be most likely to use it, under what
circumstances, and to whom.
Keep building on the list, and eventually you will have a good resource of informal
language specific to your region. We encourage you to share them with other IMGs by
forwarding your lists to Adelaide to Outback; we will update the lists in the rear of this
handbook, so that the resource continues to be valid and useful.
Document: A2O-ED-IG-RE-0004-02
Author: Dr Anna Chur-Hansen
Approved by: Medical Education Manager
Last updated: September 2009
Page 5 of 34
Document: A2O-ED-IG-RE-0004-02
Author: Dr Anna Chur-Hansen
Approved by: Medical Education Manager
Last updated: September 2009
Page 6 of 34
Document: A2O-ED-IG-RE-0004-02
Author: Dr Anna Chur-Hansen
Approved by: Medical Education Manager
Last updated: September 2009
Page 7 of 34
Word
Context of Use
Ace!
Thats ace!
Aliens
Visited by aliens
Menstruation (older)
Amber fluid
Ambo
Hes an ambo
Ankle biters
Young children
Apeshit
He went apeshit
Arab
Got an arab
Dry mouth
Around the
bend
Arse
Arse
B&S
Back of
bourke
Back out
Back
passage
Anus
Word
Context of Use
Bail up
To corner somebody
Balls
Scrotum
Bananas
He went bananas
Bathroom
Go to the toilet
Bent
Berserk
I went berserk
Very angry
Better half
Partner
Bingle
Birds
Bludger
Lazy person
Blue
Im feeling blue
Sad, depressed
Blue
Fight (rural)
Bogans
Scrotum (vulgar)
Bollocks
Boobs
My boobs hurt.
Document: A2O-ED-IG-RE-0004-02
Author: Dr Anna Chur-Hansen
Approved by: Medical Education Manager
Last updated: September 2009
Breasts
Page 2 of 34
Word
Context of Use
Bottle-O
Bound up
Im a bit bound up
Boys/ girls
room
Bathroom/ toilet
Breakfast
Brekkie
Bricks short
of a load
Bugger off
Buggered
I feel buggered
Tiredness
Bulldust
Thats bulldust!
Not true
Bum steer
Misled
Bummer
What a bummer
Disappointing.
Used by younger people.
Bun in the
oven
Pregnant
Bushed
Im bushed
Tiredness
Bushed
Butterflies
Anxiety, nervousness.
Females probably say this more than males.
Document: A2O-ED-IG-RE-0004-02
Author: Dr Anna Chur-Hansen
Approved by: Medical Education Manager
Last updated: September 2009
Page 3 of 34
Word
Context of Use
Cable
Lay a cable
Faeces
Cancer
sticks
Carked it
She carked it
Died
Check it out
Cheers
Thanks
Chicks
Chook
Chook = chicken
chook with its head cut off = flustered
Chook
Old chook
Mum/ wife
Chuck
I chucked
Vomit
Chunder
Clap
Gonorrhoea
Cloud 9
Shes on cloud 9
Very Happy
Cold day in
hell
Cold one
Beer
Document: A2O-ED-IG-RE-0004-02
Author: Dr Anna Chur-Hansen
Approved by: Medical Education Manager
Last updated: September 2009
Page 4 of 34
Word
Context of Use
Cold Turkey
Go cold turkey
Coldie
I had a coldie.
Beer
Cool
Sounds cool
Oh, cool
Yeah, thats cool
Cotton
mouth
Dry mouth
Counted
sheep
Crack the
whip
Working hard
Crap
Crazy
Hes crazy
She went crazy
Mentally unwell.
Can sometimes mean angry depending on
context.
Used in the third person.
Crick
Sore neck
Crock
What a crock!
Not true
Crook
I feel crook
Unwell
Crook
Bad
Curse
Menstruation (older)
Cut
[persons]
lunch
Cut snake
Document: A2O-ED-IG-RE-0004-02
Author: Dr Anna Chur-Hansen
Approved by: Medical Education Manager
Last updated: September 2009
Page 5 of 34
Word
Context of Use
Cut snake
Husband (older)
Dad
Daries
Darts
Cigarettes (rural)
Dead beat
Im dead beat
Tired
Dicky
Dill
Silly
Dim
A bit dim
Ditzy
Dodgy
Thats dodgy
Dogs
dinner, done
like a
Done and
dusted
Done in
Im done in
Doodle
My doodle hurts.
Doornail
Dead as a doornail
Dead
Document: A2O-ED-IG-RE-0004-02
Author: Dr Anna Chur-Hansen
Approved by: Medical Education Manager
Last updated: September 2009
Page 6 of 34
Word
Context of Use
Down
I feel down
Sad, depressed
Downer
Shes on a downer
Sad, depressed
Downer
What a downer.
Disappointing.
Used by younger people.
Downhill
Drongo
Oh you drongo!
Im not a bloody drongo!
Idiot
Dropped off
Fell asleep
Dry out
Duffer
Youre a duffer!
Dugans
I had a dugan
Dumps
Sad, depressed.
Elbow
grease
Work hard
Hard work (eg scrubbing)
Fags
Cigarettes
Fair to
middling
Im fair to middling
Fart
Pissed as a fart
Drunk
Fart
She farted
Pass flatulence
Document: A2O-ED-IG-RE-0004-02
Author: Dr Anna Chur-Hansen
Approved by: Medical Education Manager
Last updated: September 2009
Page 7 of 34
Word
Context of Use
Fat as a pig
Im fat as a pig.
Fatso
What a fatso!
Fish out of
water
Fit as a
fiddle
Im fit as a fiddle
Flat as a
tack
Flat strap
Working hard
Forty winks
Sleeping
Frog
Front
passage
Full packet
Full quid
Ga-ga
Galah
Youre a galah!
Silly (rural)
Gammy
Gander
Have a gander
Document: A2O-ED-IG-RE-0004-02
Author: Dr Anna Chur-Hansen
Approved by: Medical Education Manager
Last updated: September 2009
Page 8 of 34
Word
Context of Use
Glad rags
Dressed up
Egg
Goog
Full as a goog
Im full as a goog
Overeat
Hair brained
Silly
Hairy-arsed
goat
Flustered (vulgar).
Mainly used in rural areas.
Hatter
Mad as a hatter
Mentally unwell
Used in the third person.
Head down,
bum up
Working hard
Hell broke
loose
Hell for
leather
Very fast
Hell for
leather
Working hard
High
High as a kite
Affected by drugs
Home and
hosed
Finished
Hoons
rough people
Hubbie/Hubby
Husband
Document: A2O-ED-IG-RE-0004-02
Author: Dr Anna Chur-Hansen
Approved by: Medical Education Manager
Last updated: September 2009
Page 9 of 34
Word
Context of Use
Hungries
Lets go to Hungries
Hurl
Ooh, he hurled
Vomit
Iffy
Feeling iffy
Unwell
Iffy
Uncertain
In a bind
In a spot
Itchy bits
Itchy genitals
Jubba
What a jubba!
Kicked the
bucket
Died
Children
Kids
Knackered
Im knackered
Tiredness
Knocked up
Pregnant
Legless
He was legless
Drunk
Lights are
on but noones home
Like a
chimney
Document: A2O-ED-IG-RE-0004-02
Author: Dr Anna Chur-Hansen
Approved by: Medical Education Manager
Last updated: September 2009
Heavy smoke
Page 10 of 34
Word
Context of Use
Like a fish
Like a light
Fall asleep
Like a train
Heavy smoker
Little woman
Wife (older)
Load
Sit down
Loo
Toilet
Loopy
Shes loopy
Mentally unwell
Used in the third person.
Lord
Drunk as a lord
Lost it
Lousy
Im feeling lousy
Very unwell
Lousy
Thats lousy!
Awful
Lousy
Awful
Lurgey
Maccas
Lets go to maccas
Document: A2O-ED-IG-RE-0004-02
Author: Dr Anna Chur-Hansen
Approved by: Medical Education Manager
Last updated: September 2009
Page 11 of 34
Word
Context of Use
Make
yourself
scarce
To leave/ go away
Mental
Chuck a mental
Mental
Shes mental
Youre mental.
Missus
Monthlies
Mother
Wife (older)
Mr Wobbly
Penis
Newt
Pissed as a newt
Drunk
Nick off
To leave
Nick off
Nodded off
He nodded off!
Fell asleep
Noggin
Nose to the
grindstone
Working hard
Number one
Number Two
Document: A2O-ED-IG-RE-0004-02
Author: Dr Anna Chur-Hansen
Approved by: Medical Education Manager
Last updated: September 2009
Page 12 of 34
Word
Context of Use
Nuts
Hes nuts
Mentally unwell
Used in the third person.
Nuts
Oooh me nuts!
testicles
Off
Unwell
Off colour
Unwell
Affected by drugs
Off my face
Off the
planet
Affected by drugs
Old fella
Penis
Old man
One-eyed
trouser
snake
Penis
Other half
Partner
Out of it
I was out of it
Over and
done with
Finished
Over the
moon
Very Happy
Paint the
town red
Document: A2O-ED-IG-RE-0004-02
Author: Dr Anna Chur-Hansen
Approved by: Medical Education Manager
Last updated: September 2009
Page 13 of 34
Word
Context of Use
Pale as a
ghost
Pass gas
Flatulence
Pass water
Pass wind
Pass flatulence
Passed
away
Died
Pee
Urine
Percy
Penis
Periods
Pew
Pull up a pew
Sit down
PFO
Drunk
Pins and
needles
Piss
Piss off
Pissed
He was pissed!
Drunk (vulgar)
Pissed
I was so pissed!
Document: A2O-ED-IG-RE-0004-02
Author: Dr Anna Chur-Hansen
Approved by: Medical Education Manager
Last updated: September 2009
Page 14 of 34
Word
Context of Use
Plastered
I was plastered
Drunk
Pokies
Faeces
Poo
Pop
I popped!
Pop off
I popped off!
Porker
Hes a porker.
Porky
Shes porky.
Powder my
nose
Preggers
Pregnant
Prezzie
Present
Pub
Hotel (everyone)
Puke
Vomit
Pull your
finger out
Work hard
Doctor
Quack
Rabbits
Document: A2O-ED-IG-RE-0004-02
Author: Dr Anna Chur-Hansen
Approved by: Medical Education Manager
Last updated: September 2009
Page 15 of 34
Word
Context of Use
Rags
Menstruating/ menstruation.
Considered vulgar by some, but is very common
among lots of ages in rural areas.
Rapt
Im rapt
Shes rapt
Raw prawn
Innocence.
It means that you shouldnt lie to the person (old
fashioned)
Used more in rural areas
Red flag
Menstruation (older)
Red herring
Misled
Riff-raff
rough people
Rocket
scientist
Rollies
Roll-your-own cigarettes
Rooted
Im rooted
Tiredness
Rooted
He rooted her
Rooted
I was rooted
Children
Rug rats
Run down
Runs
Diarrhoea
Sandwich
short of a
picnic
Document: A2O-ED-IG-RE-0004-02
Author: Dr Anna Chur-Hansen
Approved by: Medical Education Manager
Last updated: September 2009
Page 16 of 34
Word
Context of Use
Scatterbrained
Scone
On me scone
Head.
Screamed
the place
down
Screw loose
Seedy
Im feeling seedy
Unwell
Seedy
Im feeling seedy
Shag on a
rock
Sheila
Shit
Shithouse
I feel shithouse
It was shithouse
That is shithouse
Shits
Shits
Diarrhoea
Shoot
through
To leave
Psychiatrist
Shrink
Sick as a
dog
I am sick as a dog
Document: A2O-ED-IG-RE-0004-02
Author: Dr Anna Chur-Hansen
Approved by: Medical Education Manager
Last updated: September 2009
Very unwell
Page 17 of 34
Word
Context of Use
Sickie
Take a sickie
Chuck a sickie
Six foot
under
Dead
Skunk
Drunk as a skunk
Slingshot
Smashed
Smoke-O
I noticed it on smoke-o.
Snag
Sausage
Snag short
of a barbie
Snooze
Sleep
Snuffed it
He snuffed it
Died
Sore thumb
So-so
Im so-so
Feeling alright
South
Spaced out
Spend a
penny
Document: A2O-ED-IG-RE-0004-02
Author: Dr Anna Chur-Hansen
Approved by: Medical Education Manager
Last updated: September 2009
Page 18 of 34
Word
Context of Use
Spew
Im gonna spew
I spewed
Vomit.
Spewing
Angry.
Used by younger people.
Spewing
Splitting
head
Headache
Sprog
Semen
Spun me out
Amazed (younger)
Spun out
Affected by drugs
Squiz
Have a squiz
Look
Squizzum
Stage
Adolescence
Stiff as a
board
Im as stiff as a board
Stoked
Im stoked!
Stoned
Im stoned
Stuffed
Im stuffed
Tiredness
Stuffed
myself
Overeat
Document: A2O-ED-IG-RE-0004-02
Author: Dr Anna Chur-Hansen
Approved by: Medical Education Manager
Last updated: September 2009
Page 19 of 34
Word
Context of Use
Stuffed up
Injured
Tacker
Little tacker
Tailors
Ready-made cigarettes
Tard
Dont be a tard!
Mum, is he a tard?
Tea
Technicolour
yawn
Vomit (older)
Thongs
Throw up
Vomit
Ticker
Tickets
Overconfident/ arrogant
Used in the third person
Can be used as an insult.
Tight
Tinnie
Can of beer
Tip-top
Im in tip-top shape
Tits
Breasts
Toot (sound
like book)
Toilet
Document: A2O-ED-IG-RE-0004-02
Author: Dr Anna Chur-Hansen
Approved by: Medical Education Manager
Last updated: September 2009
Page 20 of 34
Word
Context of Use
Top of the
world
Very happy
Trolley
Trolley
Mentally unwell
Trots
Trouble
down there
Tubby
Oi! Tubby!
Im a bit tubby.
Overweight.
Insult when directed at someone.
Tucker
Food
Tuckered
out
Tummy
My tummys sore.
Stomach
Turd
He did a turd.
Two bob
short
Under the
carpet
Under the
table
Under the
table
Under the
weather
Unwell
Document: A2O-ED-IG-RE-0004-02
Author: Dr Anna Chur-Hansen
Approved by: Medical Education Manager
Last updated: September 2009
Page 21 of 34
Word
Context of Use
Underdaks
Underpants
Undies
Underpants
Unreal
Thats unreal!
Oh, unreal!
I had an unreal time
Up him/herself
Hes up himself
Shes up himself
Overconfident/ arrogant.
Used in the third person.
Can be used as an insult.
Up shit
creek
[without a
paddle]
Up the creek
In a difficult situation
Up the duff
Up the spout
Pregnant
Vamoose
Lets vamoose!
To leave
Vegetable
Veggie
Visitor
Menstruation (older)
Wag
I wagged
I wagged it
Wally
Youre a wally!
Silly
Wasted
Document: A2O-ED-IG-RE-0004-02
Author: Dr Anna Chur-Hansen
Approved by: Medical Education Manager
Last updated: September 2009
Page 22 of 34
Word
Context of Use
Waterhole
Hotel (older)
Watering
hole
Hotel (older)
Waterworks
Wee
Urine
Wee wee
Whacked
He was whacked
Affected by drugs
Whinge
To complain
White balls
on a black
dog
Wicked
Thats wicked!
Oh, wicked!
I had a wicked time
Wild goose
chase
Misled
Wired to the
ground
With child
Wobbly
He chucked a wobbly
Got angry.
Used by/ to younger people.
Wog
Wonky
I feel wonky
Unwell, dizzy
Document: A2O-ED-IG-RE-0004-02
Author: Dr Anna Chur-Hansen
Approved by: Medical Education Manager
Last updated: September 2009
Page 23 of 34
Word
Context of Use
Wonky
Thats wonky
Crooked
Woozy
I feel woozy
Work like a
dog
Wrong end
of the stick
Work hard
Yobbo
Misled, misunderstood
rough people
Other resources and lists of words you mind find useful include:
Hunt, Ken. 1993. The Xenophobes Guide to the Aussie. Ravette Books: Sussex.
Lambast, J (ed). 2000. Macquarie Book of Slang; Australian Slang in the Noughties. Macquarie
University Press: Sydney.
Australian slang at www.koalanet.com.au/australian-slang.html
Document: A2O-ED-IG-RE-0004-02
Author: Dr Anna Chur-Hansen
Approved by: Medical Education Manager
Last updated: September 2009
Page 24 of 34