@SallyLawry @PaulMeekPerth Geriatric trainee here. Older adults don’t ‘block’ beds, though might be waiting for more appropriate care, eg a rehab unit.
Transitional care wait time is almost non-existent at the moment so also not the culprit.
The system is generally under-resourced for current needs.
@GdayPatriots If Biden copped some aerosolized COVID at the debate and both end up incapacitated, who would be the backup nominees? Elevate the VPs or start fresh?
Inside Italy’s ICU:
🇮🇹Italian hospitals are at their absolute limit, hundreds of deaths daily, huge challenges in caring for those infected
🇮🇹Three weeks ago, Italy barely had a #coronavirus problem
🇮🇹Cases #escalated fast and the coronavirus #overwhelmed the healthcare system
@amacdt @santemondial @DrTimLinds @healthgovau@RACSurgeons@simplyjak@DrSanjayHettige 3/
- Justify service vs trainee positions.
- Promote cross-pollination in service roles to give broader experience.
- Do away with CV buffing
- Length of training of some programs needs review. Inc would give time for req’d experience & inc trainee # w/o inc graduating fellows.
@amacdt @santemondial @DrTimLinds @healthgovau@RACSurgeons@simplyjak@DrSanjayHettige 1/ Challenging to cover complexity on Twitter..
(Some) Issues:
- Growing disconnect between service and training
- Too much emphasis on expecting individual fellows to hold college to account. Being a fellow doesn’t mean any real connection w/ college. Neglects system issue.
@amacdt @santemondial @DrTimLinds @healthgovau@RACSurgeons@simplyjak@DrSanjayHettige 2/ - Easy for employer and college to look to other for solutions
Model:
- Whole of training accreditation. Accredit service reg roles, require longitudinal mentoring and education standards. Create ownership.
-Wary of CMOs becoming easy option for health services
We don't make the rules, but we do create best practice position statements. A PS gives us consistent ideals to advocate for. It takes A LOT of discussion, reworking & nit-picking to get right. We also update them every few years. @amacdt usually has 2 or 3 on the boil.
@DrDan2410@dr_ashwitt Re gender divide; Undoubtedly yes - some of that unavoidable. However greater recognition of need to de-gender parenting responsibilities by employers, colleges and trainees would lessen this. Feels like we’re (slowly) heading in this direction.
@drmichaelgannon@MCG@SFFCBulldogs @IndigPlayaAlli I was only 8, but I have vivid memories of watching the ‘92 GF and being amazed by his skill, while camping in Toodyay in a crowded tent with the hum of the generator in the background. Hooked on the blue and gold from that day forward.
@PenelopeTurnip Absolutely. Devolved financial responsibility from hospital admin to dept head particularly problematic. Clinicians with little/no HR or admin training expected to staff service on supplied budget. Often ends with juniors asked to cover gaps at no cost.
Audit from above a must.
@venessb@jilltomlinson@AMA_WA Voucher supply is fatigue-related, so not determined on time of day or length of shift. Assessment is made by the practitioner, not the hospital. Probably the best approach I’ve come across.
Worth mentioning it’s a taxi voucher home and back (to a hospital 50km from Perth).