Dr Robert Marshall

905 posts

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Dr Robert Marshall

Dr Robert Marshall

@robmarshall

Medicine and health policy | MPA from @ColumbiaSIPA on @FulbrightPrgrm | #publicpolicy #healthequity #globalhealth #SDoH #VBHC | PastPres @yourAMSA | #FOAMed

Australia, mostly Katılım Eylül 2008
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Dr Robert Marshall
Dr Robert Marshall@robmarshall·
I love the concept of a community book swap... But because everyone will tend to take the best book available in exchange for an average book... Aren't they doomed to spiral towards mediocrity like some kind of airport-novel entropy?
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Dr Robert Marshall
Dr Robert Marshall@robmarshall·
Health Minister @GregHuntMP speaking at @ceda_news says telehealth should be a complement to, not a replacement for, face-to-face healthcare; gov't now working with stakeholders to see how to make telehealth a sustainable legacy of COVID-19
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Dr Robert Marshall
Dr Robert Marshall@robmarshall·
- Wash your hands - Practice sneeze/cough etiquette - Stay home if unwell ... We're seeing an incredible demonstration of how seemingly small individual actions, if adopted by many, can have huge impacts. #COVIDー19 (but see also: climate change, voting, etc. etc.)
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Ben Lovell
Ben Lovell@DrBenLovell·
With today’s little excursion to the bookshop I have finally reached book saturation point. It has to be one-in, one-out from now on. I have never ever thrown a book away in my life and will struggle with this.
Ben Lovell tweet media
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Dr Robert Marshall
Dr Robert Marshall@robmarshall·
It's great to be back on the wards again! Juggling clinical medicine with my consulting job (health systems improvement) is not always easy - but it keeps me grounded in the daily reality for patients & staff in our public hospitals, which is key to making good #healthpolicy
Dr Robert Marshall tweet media
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Dr Robert Marshall retweetledi
Dr Robert Marshall
Dr Robert Marshall@robmarshall·
Prof. Rodney Phillips at @ceda_news speaking to the burden of responsibility that even affluent nations have in the 21st century to consider the costs of health interventions when making decisions #VBHC
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Dr Robert Marshall
Dr Robert Marshall@robmarshall·
@char_durand Yeah... "Tell interns in ED they need to tell me about the [insert answer to the difficult clinical question the patient actually requires my specialist input on]" is not super helpful...
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Charlotte Durand
Charlotte Durand@char_durand·
@robmarshall Thank you! I appreciate you highlighting this again- if you read the other comments on the post you will see that’s not always the case 😅
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Charlotte Durand
Charlotte Durand@char_durand·
Intern referral cheat sheet! Thanks to everyone from #medtwitter who offered suggestions to help me put this together. Have given to a couple of interns to trial this week after approval from some local registrars. #meded #tipsfornewdocs
Charlotte Durand tweet mediaCharlotte Durand tweet media
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Dr Robert Marshall
Dr Robert Marshall@robmarshall·
@char_durand @acemonline Not saying we need to try to predict the future... .. but it's unlikely to be a straight line. So we should think about what critical changes in the world would mean for our workforce and then what we could (/should) do differently because of that.
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Dr Robert Marshall
Dr Robert Marshall@robmarshall·
@char_durand @acemonline These models are often just linear extrapolation of current numbers adjusted for population increases... when what we really need are robust assumptions / sensitivity analyses about what the future of medical work and changing community needs might actually look like.
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Dr Robert Marshall
Dr Robert Marshall@robmarshall·
@char_durand @acemonline E.g. what happens to those ED numbers when we have a larger proportion of the population living with cognitive impairment (i.e. more falls and injuries) or what happens to derm if AI helps reduce the need for human skin cancer diagnosis and follow up?
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Dr Robert Marshall
Dr Robert Marshall@robmarshall·
@MarkHohenberg We should be highlighting these best practices as part of the Royal Commission - showcase what is possible with concerted effort!
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Dr Robert Marshall
Dr Robert Marshall@robmarshall·
@DrSimonMc This demonstrates why you need an ISOBAR/ISBAR handover and not just a text page for unwell patients. What's the HR/BP of the lady with haematemesis or the neuro obs of the man post-fall? Knowing this helps prioritise and allows you to give phone advice while you're en route.
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Dr Robert Marshall
Dr Robert Marshall@robmarshall·
Absolutely! And I suspect many stick to jargon and 'conventional' ways of describing medical concepts as a way to psychologically cover because they don't fully understand them... Even if not fully aware that's what they're doing.
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