Chris Wilson

@adameslick1 @amacdt Caffeine has helped us both feel better about life.

@CQCWilson @amacdt Hang in there!!!

@SallyLawry @PaulMeekPerth Geriatric trainee here. Older adults don’t ‘block’ beds, though might be waiting for more appropriate care, eg a rehab unit. Transitional care wait time is almost non-existent at the moment so also not the culprit. The system is generally under-resourced for current needs.

@Clarke_Melissa #DorothySixers

@GdayPatriots If Biden copped some aerosolized COVID at the debate and both end up incapacitated, who would be the backup nominees? Elevate the VPs or start fresh?

@anthonystewart Thinking of you and the Vic crew, Ants. Stay safe.

@anthonystewart Have you come across the @TheWestWingThi1 podcast? Not even well written fiction!

Inside Italy’s ICU: 🇮🇹Italian hospitals are at their absolute limit, hundreds of deaths daily, huge challenges in caring for those infected 🇮🇹Three weeks ago, Italy barely had a #coronavirus problem 🇮🇹Cases #escalated fast and the coronavirus #overwhelmed the healthcare system

@STLee_au Clearly Londoners are finely attuned to the subtle variations in showers with patches of sunshine. All looks the same to me!

Wait...is it going to be a 💩 storm on Thursday?

@amacdt @santemondial @DrTimLinds @healthgovau @RACSurgeons @simplyjak @DrSanjayHettige 3/ - Justify service vs trainee positions. - Promote cross-pollination in service roles to give broader experience. - Do away with CV buffing - Length of training of some programs needs review. Inc would give time for req’d experience & inc trainee # w/o inc graduating fellows.

@amacdt @santemondial @DrTimLinds @healthgovau @RACSurgeons @simplyjak @DrSanjayHettige 1/ Challenging to cover complexity on Twitter.. (Some) Issues: - Growing disconnect between service and training - Too much emphasis on expecting individual fellows to hold college to account. Being a fellow doesn’t mean any real connection w/ college. Neglects system issue.

@amacdt @santemondial @DrTimLinds @healthgovau @RACSurgeons @simplyjak @DrSanjayHettige 2/ - Easy for employer and college to look to other for solutions Model: - Whole of training accreditation. Accredit service reg roles, require longitudinal mentoring and education standards. Create ownership. -Wary of CMOs becoming easy option for health services

@mindbodymiko @DrMCpsych More to safe hours than the number worked. @ama_media has well established guidelines. ama.com.au/system/tdf/doc…

Here's one we prepared earlier: ama.com.au/position-state… Find plenty more here: ama.com.au/advocacy/posit…

We don't make the rules, but we do create best practice position statements. A PS gives us consistent ideals to advocate for. It takes A LOT of discussion, reworking & nit-picking to get right. We also update them every few years. @amacdt usually has 2 or 3 on the boil.

@DrDan2410 @dr_ashwitt Re gender divide; Undoubtedly yes - some of that unavoidable. However greater recognition of need to de-gender parenting responsibilities by employers, colleges and trainees would lessen this. Feels like we’re (slowly) heading in this direction.

@dr_ashwitt I find it disturbing how many people think 50% is a low number! I wonder if it depends on what you mean by “putting your life on hold”. I also wonder if there is a gender divide... does training disadvantages women more than men when it comes to children etc?

Wait, 50% are NOT putting their life on hold?? How?

@drmichaelgannon @MCG @SFFCBulldogs @IndigPlayaAlli I was only 8, but I have vivid memories of watching the ‘92 GF and being amazed by his skill, while camping in Toodyay in a crowded tent with the hum of the generator in the background. Hooked on the blue and gold from that day forward.

Had to be headlined by that magnificent day @MCG in 1992. What a marvelous player. Maybe the best I’ve ever seen. Sorry Lukey but also the best #AFLGF performance ever @SFFCBulldogs @IndigPlayaAlli 🦅

@PenelopeTurnip Absolutely. Devolved financial responsibility from hospital admin to dept head particularly problematic. Clinicians with little/no HR or admin training expected to staff service on supplied budget. Often ends with juniors asked to cover gaps at no cost. Audit from above a must.

@BrianFern_ @SydneyLHD Good luck @BrianFern_ !

Received this letter this afternoon from the @SydneyLHD Chief Exec ahead of the BPT exam next week. A small but significant gesture that values junior doctors. An example of how culture change is set from the tone from the top.

@venessb @jilltomlinson @AMA_WA Voucher supply is fatigue-related, so not determined on time of day or length of shift. Assessment is made by the practitioner, not the hospital. Probably the best approach I’ve come across. Worth mentioning it’s a taxi voucher home and back (to a hospital 50km from Perth).

@CQCWilson @jilltomlinson @AMA_WA That’s great, Chris. Taxi vouchers when working late are standard practice in most corporates. When is your service saying they will provide them?

How cold is it in the Midwest? Bubbles are freezing. Remember to take your pets inside. #PolarVortex2019