Running Doc

@Pine_Ghosts @HoolyMcg Yeah, saving lives is so old hat.

@HoolyMcg Frankly it's refreshing that it's not a choice connected with health. Health health health is apparently all that matters these days

2026 Australian of the year …. Sorry. I don’t get it. Isn’t Aussie of the year meant to be someone that contributes to society selflessly? Not someone just chasing their own dream,and doing g their job.

@Halalmin Guess he is never planning to be a consultant himself. Otherwise it is a bit of an own goal to demand this of consultants whilst training to be one.

Fails to realise that all consultants have done at least a decade of night shifts and also fails to understand the training hospital model. If you want consultants around the clock on the shop floor it's expensive, doesn't exist in a publicly funded model.

@NealOKelly @DocMeezbah @Burnt2020 @XelenX1 @DoctorsVoteUK @BritOrthopaedic @NHSE_WTE Bit of an own goal statement there Neal. You are a Resident Doctor for maybe 10 years then spend the next 30 as a Consultant. Careful what you wish for.

@DocMeezbah @Burnt2020 @XelenX1 @DoctorsVoteUK @BritOrthopaedic @NHSE_WTE I don't think we need more Registrars. I think Consultant should pull their weight by covering more on-call shifts.

We literally run the hospital after 5pm.

@AriReddy Hi Ari. Spoiler alert. In medicine the “service iwork” is the actual work of being a doctor.

Most universal healthcare systems train competent doctors in 5–6 years. Only the NHS stretches “training” to 8–11 years by using juniors to plug rota gaps and cover service work that has nothing to do with learning. That’s not higher standards — it’s a structural choice that’s now breaking the pipeline.

@AriReddy @drnikkistamp Australia is moving to a PGY1+2 prevocational training pathway from 2026. No one enters specialist training in PGY 3 with the exception of general practice & psychiatry. Most enter in PGY3-4. Then add 5-7 years specialist training. Most become specialist around PGY10.

As I said earlier, the Australia figures I used came from official written sources. Hearing from you and others has made it clear that the real world pathway is longer than the published one, and I have already acknowledged that. I am not sure what more you expect from me on that point. It is also a tangent that does not materially change the underlying argument. Whether Australia has its own timeline inflation only reinforces the broader point, which is about the UK’s structural use of prolonged junior roles and post-completion limbo. That remains the central issue.

1️⃣ Most people don’t realize how unusual the UK’s doctor-training model is until they compare it internationally. France, Germany, Australia, the Netherlands — all move doctors to independent practice years faster. The UK isn’t the norm. It’s the outlier.

@Frank9478968518 @RCEMpresident @RCollEM Agree. Building bigger hospitals without addressing the inefficiencies of an inpatient stay is an expensive way to just perpetuate the same problem on a larger scale. Early specialist review on Day 1 of hospital admission would reduce LOS, improve care & reduce low value tests

@RCEMpresident @RCollEM We need to broaden our view to the entire hospital as opposed to focusing on ED. When beds are finite we need to focus on efficient IP stays under the correct teams as opposed to anywhere from ED will do. We need more direct admission pathways and early specialist input

If insanity is repeatedly doing the same thing and expecting different results … Overcrowding in EDs kills patients and harms staff. The core problem is the “back door” of our departments. Continued focus on the “front door” through redirection strategies won’t work. @RCollEM

@Thomidog1 @KobieThatcher Oh she can wait, she just doesn’t “want to”.

@KobieThatcher They're not Albo's - they're privately run. If you can't wait 3 hours you need the Emergency Department, not Urgent Care.

Currently dealing with a medical issue where I need to see a doctor. My local medical centre is closed today being Sunday, so gave one of Albo's Urgent Care Clinics a call. Asked what the wait time was. 3 hours. Australia is declining into third world standards.

@AlexGoldenNBA AT doesn’t drive on A’ja so it’s hard to compare. I am happy for Aces to beat them convincingly in the next 2 games.

Indiana would have smacked Phoenix in the WNBA Finals…

Some days just turn out to be really good days. 😊

@trendyhoopstars Anyone but Phoenix.

THE WNBA FINALS ARE HERE! 🏆✨ It’s prediction time. Who’s your pick to take home this year’s WNBA championship? 👀🍿✨

@LVAces @RAHLawFirm Congratulations, your fully healthy roster took down the hospital unit of a Fever team in game 5… in OT. Hardly a flex… but please beat the Mercury 🙏

Las Vegas Aces flopping their way to the #WNBAPlayoffs2025 final. Disgraceful tactics detracting from a competitive series.

All this stupid is hurting my brain. Make it stop. 🤯

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No stopping this #Fever team. Playing with such heart. Bring on the semis. 🙌#WNBAPlayoffs2025

@kds5140 Agree. The slow grind with all the stoppages from fouls & challenges favours ATL. Fast flowing basketball favours FEVER. Hope Coach White recognises this. A win is very possible.

Still thinking about the pace the Fever played last night. It was chaotic & frantic, yet somehow controlled. If they can replicate that tomorrow, they win. This hinges on rebounding. Tire out their bigs. I’m excited.

Seattle 🙌 #WNBAPlayoffs

The music guy is on the de-escalation committee for the #Fever #Atlanta game. Playing “Let it Be” during a ridiculous challenge by Atlanta bench. #WNBAPlayoffs