Rory Clarke

a man talking to another man with the words " the more things change " behind him ALT: a man talking to another man with the words " the more things change " behind him

An old post has gained a bit of traction so going to dip my toe again. Needs to curate my feed, went a bit mad with the groups at the start.
In other news just found out you can use case reports again in Gen Surg ST3 applications! When did that happen, and when was anyone told!!!!!!

Work based assessment- essentially formal written feedback( in prewritten tick box forms). A minimum of these need to be completed as part of annual assessment

Makes sure to walk around and see our posters. Here medical student Salma Zein presents her work on spiritual well being in residents - a topic I had never thought about before! I am always learning @icreconf.bsky.social

Imagine consultants in the UK openly talking about their frustration with the WBA system at a conference rather than just the coffee room. We all think it but no one would dare say it!!!? @jenahall.bsky.social @icreconf.bsky.social @orthopodreg.bsky.social

@icreconf.bsky.social

Equally her amazing panel of Dr Maria Mylopoulos, Dr Jordan Worchal and the brilliant resident co-chair @maxfg98.bsky.social . Max saying it perfectly- I want to be pushed and given real feedback so I can be the best doctor I can be for my patients

The amazing @jenahall.bsky.social leading the topical session on psychological safety- perfectly describing the scenarios every surgeon has gone through - how many of us felt uncomfortable operating and have asked for help to be told to just get on with it? Did that statement help?

Resident Co-Chairs are excited for day 2 at ICRE!

@icreconf.bsky.social @rwc90.bsky.social @olamideogunt.bsky.social @maxfg98.bsky.social @maddiecloonan.bsky.social

The amazing Simtrek with a scenario testing the ATTENDING/CONSULTANT not the resident- a simple switch but another example of challenging the norm!!!

Med Ed Conference or culinary walking tour? At @icreconf.bsky.social it’s the best of both worlds, wrapped in delicious conversations and reflecting on where to next….

@jenahall.bsky.social @rwc90.bsky.social @orthopodreg.bsky.social @olamideogunt.bsky.social @khoshnevis.bsky.social

Resident co-chairs exploring all Quebec city has to offer @icreconf.bsky.social

And we are off at @icreconf.bsky.social with the fascinating @caulfieldtim.bsky.social talking about misinformation and trust-very very topical and important for the residents of today!

We have arrived in Quebec city! Looking forward to meeting you all soon @icreconf.bsky.social !!!!

The latest KeyLIME+ episode delves into the complexities of clinical learning environments in medical education, including the dynamic nature of these environments, their impact on patient outcomes and the importance of adapting to external societal influences

Listen: bit.ly/4hiQ1Ck #MedEd

There's hospitality, and then there's Canadian hospitality. Little welcome gift from our family in Toronto

Essential packing for @icreconf.bsky.social

Clinical learning environments: Updates Academic exploration of the Clinical Learning Environment (CLE) has evolved over time. In 2009, Asch et al. drew a direct connection between the CLE, training outcomes, and patient care, highlighti...

Today's @icreconf.bsky.social plenary is Dr Jena Hall, a urogynecologist at the University of Calgary. She is interested in enhancing clinical learning environments and an advocate for resident engagement and collaborative learning. Read her ( and other big ICRE names) recent work in CLEs

#ICRE2025 #MedEd #Resident #Residency #MedicalEducation #MedRes @icreconf.bsky.social

Facing hierarchy: a qualitative study of residents’ experiences in an obstetrical simulation scenario - Advances in Simulation Background Residents in surgical specialties face a steep hierarchy when managing medical crises. Hierarchy can negatively impact patient safety when team members are reluctant to speak up. Yet, simulation has scarcely been previously utilized to qualitatively explore the way residents in surgical specialities navigate this challenge. The study aimed to explore the experiences of residents in one surgical specialty, obstetrics and gynecology (Ob/Gyn), when challenging hierarchy, with the goal of informing future interventions to optimize resident learning and patient safety. Methods Eight 3rd- and 4th-year Ob/Gyn residents participated in a simulation scenario in which their supervising physician made an erroneous medical decision that jeopardized the wellbeing of the labouring mother and her foetus. Residents participated in 30–45 min semi-structured interviews that explored their approach to managing this scenario. Transcribed interviews were analysed using qualitative thematic inquiry by three research team members, finalizing the identified themes once consensus was reached. Results Study results show that the simulated scenario did create an experience of hierarchy that challenged residents. In response, residents adopted three distinct communication strategies while confronting hierarchy: (1) messaging — a mere reporting of existing clinical information; (2) interpretive — a deliberate construction of clinical facts aimed at swaying supervising physician’s clinical decision; and (3) advocative — a readiness to confront the staff physician’s clinical decision. Furthermore, residents utilized coping mechanisms to mitigate challenges related to confronting hierarchy, namely deflecting responsibility, diminishing urgency, and drafting allies. Both these communication strategies and coping mechanisms shaped their practice when challenging hierarchy to preserve patient safety. Conclusions Understanding the complex processes in which residents engage when confronting hierarchy can serve to inform the development and study of curricular innovations. Informed by these processes, we must move beyond solely teaching residents to speak up and consider a broader curriculum that targets not only residents but also faculty physicians and the learning environment within the organization.

Today's plenary is Dr Adam Garber. He is an OBGYN, an Associate Professor at the University of Ottawa and acting chair of the national simulation working group for the Society of Obstetricians and Gynecologists of Canada. He will join Dr Crooks delivering a real time sim scenario. See his work!! 👇

@icreconf.bsky.social

YouTube video by Ottawa Anesthesia Simulation Education at The Ottawa Hospital/University of Ottawa

So after a slight pause, here is the next plenary speaker for #ICRE2025
Dr. Simone Crooks is an anesthesiologist based in in Ottawa, Canada. Her work focuses on effective debriefing and translating simulation skills into clinical practice. See more of her work below!!
#MedEd #Resident #Residency

Residents: there’s still time to register for #ICRE2025.

It’s a great opportunity to connect with your peers, meet new mentors and gain new insights into your trainee experience.

Online registration ends Oct. 6: icre.royalcollege.ca/en/registrat...

#MedEd #MedEdSky

@rwc90.bsky.social

Trump makes unfounded claims about Tylenol and repeats discredited link between vaccines and autism President Donald Trump is using the platform of the presidency to promote unproven ties between Tylenol, vaccines and autism.

Good summary...👇

“The saddest display of a lack of evidence, rumors, recycling old myths, lousy advice, outright lies, and dangerous advice I have ever witnessed by anyone in authority.” – Arthur Caplan

Trump Makes Unfounded Claims About Tylenol, Vaccines And Autism apnews.com/article/tyle...

YouTube video by Speakers Spotlight The effects of celebrity-driven myths | Timothy Caulfield

The first plenary is @caulfieldtim.bsky.social . He is a leading communicator known for debunking healthcare myths, covering topics from stem cells to alternative medicine.....and other very topical issues. He will be a fantastic opener and is not to be missed!
www.youtube.com/watch?v=g4bG...

In preparation of ICRE 2025, I am going to be posting previous works by our keynote speakers, to give a flavour of their background and what to look forward to....
#ICRE2025 #MedEd #Resident #Residency #MedicalEducation #MedRes

Things I thought I would never have to say. Please take paracetamol as the first line pain killers. Also, don't feel guilty if you need pain killers during pregnancy.

I was in Kingston, Canada, last year. I'm this university town, I was struck by the number of rugby pitches I saw, but more struck by the fact they were all filled with women. Grass roots are importsnt. Yesterday's result was not a fluke. Still epic though. #womensrugbyworldcup #canada

I know my circle is small, but if anyone has a code and is only planning on getting 2 tickets, please contact me! #radiohead2025 #london #dreamgig