Rattled Doc

www.abc.net.au/news/2025-01...

Dr Megan Brooks is an incredible advocate for patients and staff. It's infuriating that it's such an uphill battle for her.

More than 70 Sydney hospital beds to shut as psychiatrists resign Public hospitals are preparing to shut seven mental health wards across New South Wales after more than 200 public psychiatrists resigned over a lack of pay.

www.abc.net.au/news/2025-01...

Emergency wait times blow out as hospitals struggle to discharge patients The amount of time Australians are waiting in hospital emergency departments is increasing with the wait time for admission now between 12 and 16 hours for 90 per cent of patients, according to a new ...

"In major cities vacancies for emergency medicine specialists are at 50 per cent, in regional and rural areas, that number increases to 75 per cent."

The psychiatrists are up first in NSW, but the Emergency Physicians won’t be far behind.

New health boss says Queensland 'has to' meet ambulance ramping targets In his first sit-down interview, Dr David Rosengren says his biggest challenge as director-general will be accessing the workforce needed to provide safe healthcare services.

www.abc.net.au/news/2025-01...

Queensland Health new Director General bringing in Physicians Assistants. Time to break out the popcorn.

#MedSky

Hospitals that delay the provision of required rotations to International Medical Graduates on the Standard Pathway, and in doing so exploit them financially, should be prohibited from hiring IMGs. PGY8 doctors stuck on PGY2 salary at the whim of their employer.

A drawing of someone using their tracheostomised friend as a bong

Basic principles for #Medsky

(Also very odd typing alt text for this)

archive.md/L0el5

Doctors’ mass resignation deepens NSW government’s worker woes Half of psychiatrists working in NSW public hospitals have tendered their resignations in the latest dispute between the state government and its workers.

www.smh.com.au/national/nsw...

Both doctors and nurses in Adelaide EDs will do cannulas

Years ago I was sent an article titled something vaguely along the lines of "Don't be a handover wanker" detailing the behaviours EM consultants should avoid when taking handover from night staff

Does anyone know what I mean and have a link?

#MedSky

An AMA Victoria advert for a property investment advisor

And then you have the likes of this from AMA Vic in the midst of it all

Africola are good people. They donated prizes to a raffle in the ED to raise money for a sick staff member a few years ago. Enjoy

You cannot run an A&E like an outpatient clinic, but you can run it like a fire service...
🏥🔥 🚒💨

A thread
.../1

#Medsky #EMedsky

I really need someone smarter to me to summarise the differences between assisted dying as exists in Australia as compared to that being proposed in the UK

The differences in reception of it by doctors in each location is so huge

I can't decide whether I'm more offended by the patient trying to be xenophobic towards me or that he misattributed my accent so badly

It was recommended for addition to the schedule by the JCVI in 2023 I think.

No more ‘business as usual’, says first Aboriginal doctor - Medical Republic The RACGP has also launched its first Aboriginal and Torres Strait Islander cultural and health training framework.

No more ‘business as usual’, says first Aboriginal doctor, by @hollypayne.bsky.social. The @racgp.bsky.social has also launched its first Aboriginal & Torres Strait Islander cultural and health training framework. www.medicalrepublic.com.au/no-more-busi... #medsky #FirstNations

Absolutely.

I was in ED and ICU in the designated COVID hospital for the state and didn't treat a single COVID positive patient for almost 2 years

I'm going to say a combination of well channelled ADHD and energy drinks

16 hours as the Emergency Physician in charge definitely seemed much more of a sensible decision when it was just words on a roster

Australia's second-largest private hospital operator to rip up contracts with two major insurers Australia's second-largest private hospital operator has announced it will terminate its contracts with two major private health insurers.

www.abc.net.au/news/2024-11...

American private equity taking over Aussie private hospitals and plundering their assets to cover the costs of the takeover while pretending to be the hard done underdog

@glaucomflecken.bsky.social

#CivilitySavesLives

Emergency prescribing and ‘shared care’ withdrawn by GPs Emergency prescribing and monitoring of patients with severe mental health conditions are among services being cancelled by GP practices as part of "collective action".

UK #medsky - a few thoughts on GP collective action, and GPs refusing to take on work from secondary care. 🧵

tinyurl.com/4pph93fb

Absolutely! My experience of Australian healthcare is that deficit discourse is rampant. It needs to be killed off.

Dr Karen Nicholls

"Racism is an uncomfortable topic, but if we can't lean in to the discomfort of discussing racism, then we can't change anything."
Dr Karen Nicholls at #GP24Perth

Also relates to:

🛑 ED crowding
🛑 Corridor care
🛑 Ambulance offload delays

Among others...
If it's enough of an issue to hammer front line staff, it's enough of an issue to need systemic solutions
#emedsky #emimcc #resussky #EMSsky #paramedicinesky

[😡 & monitor alarms which are not acted upon 🤯]

GP turned MP says govt-run locum agency could help fix workforce woes Bringing locum recruitment in-house could help doctors avoid repetitive training, said Dr Amanda Cohn.

www.ausdoc.com.au/news/gp-turn...

I find it hard to believe that political support would hinge at all on a desire to reduce irritating inefficiencies for doctors but rather to create downward pressure on locum fees (for both doctors and agencies)

Public humiliation is still a common teaching tool in medical education. Here’s how it leaves patients worse off Many doctors become reluctant to ask questions or seek help when uncertain. This is exactly the opposite of what most patients want in a doctor making crucial decisions about their care.

theconversation.com/public-humil...

The public humiliation teaching style I experienced in medical school (particularly by a notoriously abusive ID physician in Dundee) had me almost bailing out on medicine in my penultimate year.

Break the trauma cycle

One of those chaotic non stop days in Resus that finish with sitting in the car zoning out and staring into space to let my brain recover

Half of NSW's public hospital psychiatrists threatening to resign NSW's entire hospital system would be put under strain if half of the salaried workforce leave, but many psychiatrists believe it is the only way to get the government's attention, the doctors' union ...

www.abc.net.au/news/2024-11...