Gabriel Beecham

Vere utile!

I’m sure I’m gonna get dragged for this, but I think AI is bad. AI has completely ruined Google search and it’s created a lot more slop that needs to be avoided on the Internet.

Jes, ankaŭ tiu estas uzata.

En iuj dialektoj de la angla, «bread» estas slangaĵo por mono

Statement by President Michael D. Higgins on the death of Manchán Magan president.ie/en/media-lib...

Laŭ mi, «Devus esti povinta vidi» 😂

Gaeilge 🤝 Esperanto

Incidence of post-induction hypotension following emergency rapid sequence induction with ketamine: a systematic review and meta-analysis - Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine Introduction Rapid sequence induction (RSI) is a potentially-life saving intervention in critically ill patients. An important adverse effect of this procedure is post-induction hypotension (PIH),…

Incidence of post-induction hypotension following #emergency rapid sequence induction with ketamine: a systematic review and meta-analysis

Link: sjtrem.biomedcentral.com/articles/10....

#RSI #anaesthesia #EMS #SJTREM #FOAMed

«Gaja» does not mean "gay" in the modern sense of the word - it means happy.

Yis don't trust evoting machines to calculate PR-STV transfers quickly but you'll let AI decide a young person's future. Hmm.

En la irlanda ni havas du vortojn por «verdo» - unu estas por natura verdo 🍏🍐🦎, alia estas por artefarita aŭ kemiaĵa verdo 🚃🧪🇮🇪. Sed tio ne signifas, ke Esperanto ne rajtas uzi nur unu vorton por tiuj du sencoj (kiel faras la angla/franca ktp).

La pelva ostaro ja havas formon de malprofunda bovlo. Depende de onia vidpunkto, ne temas pri duobla signifo.

America has turned on its friends Donald Trump’s abandonment of allies is real and will endure

Winston Churchill is credited with saying that America does the right thing after exhausting the alternatives. Donald Trump has turned that aphorism on its head. In the past 10 days, he has all but incinerated 80 years of postwar American leadership.

www.ft.com/content/1511...

We need to face uncomfortable truths about diversity in our medical workforce Stark inequalities exist in the number and distribution of ethnic minority doctors in specialty roles, writes Sethina Watson In my region, including me, I know of only three black anaesthetists who ...

We need to face uncomfortable truths about diversity in our medical workforce - my thoughts for @bmj.com www.bmj.com/content/388/...

Read the full paper here: bmjopen.bmj.com/content/15/2... We welcome your thoughts.

This research is dedicated to our late co-author, Dr Manuela Afrasinei, who contributed significantly to this work. Manuela was a postgraduate doctor in training who sought and actively promoted LTFT. She passed away in April 2024. We honour her memory.

Expanding LTFT requires more than policy—it needs real investment. Planning, resources, and cultural change are critical.

Misconceptions persist, but evidence shows LTFT can work without harming service provision. It’s time to challenge outdated views.

🔟

The takeaway: LTFT training isn’t just about individual choice—it’s key to a sustainable medical workforce.

When well-structured, it improves retention, reduces burnout, and enhances the quality of training. Ignoring it risks losing skilled doctors from the system.

9️⃣

What needs to change?

Our study, along with international data, suggests:
✅ Flexible LTFT options (not just 50% WTE)
✅ LTFT liaison officers to support trainees
✅ Clear payroll & funding structures
✅ Active promotion of LTFT as a viable pathway

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Quote from SHO in medicine: "The fact that they're also committed to their family, or their home life, doesn’t make them any less committed to the work."

🔑 Key finding 4: Attitudes are shifting, although stigma remains.

Many consultants and PGTBs support LTFT in theory—but despite a lack of evidence for any significant negative impact, some trainees fear negative perceptions from others about competency & career progression. 7️⃣

Quote from SHO in anaesthesiology: "I have been qualified for six years and ... have been working significantly more than full-time for every single year of that. The toll that that eventually takes is undeniable."

🔑 Key finding 3: Work-life balance matters.

Trainees complete most mandatory training requirements in their own time. Many doctors with caring responsibilities have considered leaving their specialty due to a lack of options. LTFT could help reduce attrition and burnout. 6️⃣

Quote from consultant in emergency medicine: "Basically, just take the brunt, just get through it and stop rocking the boat ... If I knew what LTFT was, that’s exactly what I would have wanted."

🔑 Key finding 2: Postgraduate training bodies (PGTBs) could do more to support LTFT training.

Many doctors don’t even know LTFT is an option, and existing processes are complex and restrictive. Clearer guidance, better admin support, and active promotion of LTFT are needed. 5️⃣

Quote from training administrator: "[LTFT should be] planned and in a managed way rather than, I suppose, in an ad-hoc way and sort of expecting it to work without actually putting the plan in place … saying, ‘OK, it’s flexible training and there is the option, but there’s no resources or … backup behind it.’"

🔑 Key finding 1: Current training structures are inflexible.

Admin challenges are real. Payroll, compliance, & rostering all become more complex with LTFT. A few trainees currently slot-share at 50% WTE, but many would prefer higher WTEs of 60–80% for a number of reasons. 4️⃣

Our group at the Irish College of General Practitioners, College of Anaesthesiologists of Ireland & Royal College of Surgeons in Ireland conducted interviews across multiple specialties & backgrounds including doctors, administrators & educators. Thematic analysis was used to identify core themes. 3️⃣

Why does this matter?

LTFT training is a promising solution to burnout, attrition & poor experiences—without significant harm to service provision. But to be effective, it must be well structured. Where it is currently available, often the only option is 50% of a whole-time-equivalent (WTE) post. 2️⃣

Matthews C, Beecham GB, Khan M, et al. Exploring experiences of less-than-full-time postgraduate medical training in Ireland and options for future improvement: a qualitative study. BMJ Open 2025;15:e093744. doi: 10.1136/bmjopen-2024-093744

🚨 New research alert 🚨

Our study in BMJ Open @bmj.com examines experiences of less-than-full-time (LTFT) postgraduate medical training in Ireland.

bmjopen.bmj.com/content/15/2/e…

A short 🧵 on why LTFT matters for training, burnout, and the future of the workforce. #MedSky #irishmed

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Temas ne pri preseraro, sed fakte pri postrestaĵo de «pra-Esperanto», t.e. la lingvo tiel, kiel ĝi ekzistis antaŭ la eldoniĝo de la Unua Libro.

Bedaŭrinde mi ne povas konsenti - usonanoj ja volis ĉi tion, po 49.8 por cent.