dancingmaster 

𝙼𝚎𝚍𝚒𝚌𝚊𝚕 𝙳𝚘𝚌𝚝𝚘𝚛🐾⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀ 𝙼𝚎𝚕𝚊𝚗𝚌𝚑𝚘𝚕𝚒𝚌 𝙸𝚗𝚝𝚛𝚘𝚟𝚎𝚛𝚝

[dancingmaster  @godlovesandiMD]

🫡

[Muhimbili University @muhimbiliuniver]

Congratulations to all!
You made MUHAS Community proud 👏 👏👏

[𝐃𝐫 𝐁𝐢𝐬𝐡𝐨𝐩 @DrJohnBishop]

I find it ironic that in modern medicine, a lot of procedures that are no longer primarily performed by doctors are still escalated to doctors as the last line of support.

But how would I be flawless in performing a procedure if I don’t do it regularly? A lot of repetition is vital so that one doesn’t de-skill on a procedure you get to do once in a blue moon.

Competence isn’t something you acquire once and keep forever. It has to be maintained.

Medicine seems to have created an interesting paradox. We redistribute procedures in the name of efficiency, role expansion and service delivery, but when complications arise or a procedure proves difficult, the expectation is that a doctor will step in and solve the problem.

The question is: where does that expertise come from?

Procedural skill isn’t theoretical knowledge. It isn’t something you can refresh by reading a guideline five minutes beforehand. It is muscle memory built through repetition.

Every successful cannula insertion, central line, chest drain, endotracheal intubation, or fracture reduction is built on dozens, sometimes hundreds, of previous attempts.

The reality is that infrequently performed procedures inevitably lead to de-skilling. That’s true for everyone, regardless of your professional background.

If doctors are expected to remain the final point of escalation, then healthcare systems also have a responsibility to ensure that doctors continue to have enough exposure to maintain those skills.

It is especially important for more junior doctors to get these opportunities regularly. Escalation to the current set of senior doctors might not really be an issue but what happens when the older ones are out and the younger ones haven’t had enough practice to lock in the muscle memory?

Because expertise cannot simply be reserved for the most difficult cases while routine practice is delegated elsewhere. That’s not how procedural competence works.

Procedural competence isn’t merely an individual attribute; it’s an institutional resource. Opportunities to perfect skills cannot simply be recreated in a simulation laboratory or recovered through a one-day refresher course five years later.

You don’t become an expert by being called only when things go wrong. You become an expert by doing something so many times that, when things do go wrong, your hands already know what to do.

[marie @astou_jolie]

One thing I have noticed in Africa is: the poorer the country, the richer the politicians. And the people don’t seem to be bothered enough.

[purple🍃✨ @doseofpurple_]

not using ai and still getting 60% ai detected has to be the modern version of being accused of witchcraft.

[Miss Teddy 🌸❤️ @Miss_Teddy0]

Till now I don't understand why we used to transfer notes from the textbook to exercise books.

[𝗠𝘂𝗵𝗲𝗲 ♛ @muheediva01]

The wildest part about POVERTY is how much time it steals. Waiting for buses. Calling assistance offices. Comparing grocery prices. Fighting insurance. Sitting at laundromats. Being poor is a second job nobody pays you for.

[People Of The Internet @PeopleOfTheInt]

Evolution of SIM card in mobile

[Sir Dickson @Wizarab10]

Your citizenship really determines so much for you. As a Nigerian, your matter long ooo.

I had a Saudi classmate when I was fling my Masters. He explained to me that all Saudis in the UK were fully sponsored by the government. I asked what his plan was after school, he said he was going back home to take up a job. He didn't even like the UK. I don't blame him, he struggled with the language and culture.

I had Korean classmates (those ones are always rich and clean). No one was staying back or had plan to.

I saw Chinese classmate 2 years later. He had started a business with his babe. He told me the government encourages them to take loan to invest abroad. I thought we were just having a discussion. I didn't know he had his plan mapped out.

My Spanish friend (the only one I still talk to), I asked him when he was going to pick up his British passport since he was eligible for it having been in UK for many years, he said he didnt need it that his passport takes him where he needs to go. I spoke to him recently and he said he is looking to leave the UK soon. He wants to return home to Barcelona. That reminds me, he has been inviting me to Barcelona 🤦‍♂️

At the start of Covid, my Canadain flatmate packed his bag and left. He told me he would finish his program from there. I once asked how he was paying for his program (Law Undergraduate), he said he took a loan from the bank in Canada.

Then you look at Nigerians- we are always looking for how to stay back at all cost because home offers nothing. Conversation always centred around sponsorship jobs - even if it is care job. This is after working 12 hours shift through out your Masters to pay for your fees and cover for your living expenses. People are even so desperate, they are paying 10k to 12k for sponsorship job just to stay back.

[✧ @whotfisDuke]

"If i were you" might be the most pointless hypothetical. If you were me you would do exactly what i did cuz you'd be me

[𝗠𝘂𝗵𝗲𝗲 ♛ @muheediva01]

Airports should have a post office so that you can mail things home instead of throwing them away

[Pharaoh👳🏾‍♂️👑 @MrMekzy_]

“What’s up” means why you texting me? NOT “how are you?”.

[Alabi @the_Lawrenz]

My contribution to humanity is that I haven’t watched polygamist

[Lyn🌺 @_ayandamay]

I overheard a girl saying yesterday ‘worrying is such a terrible use of your imagination’ … and I audibly gasped.

[Mr. SRT @TysBurnerAcc]

Apple need to stop worrying about how loud my music is playing

[‏ً @omgsidewalks]

Rich kids get capital. Middle class kids get “figure it out.” Poor kids get trauma and told it builds character. The starting line is not equal.

[Lawrence Kitema @lawrencekitema]

When you ask someone for money and they say they don't have it, don't take it personally — you also don't have it.

[Jamie Bonkiewicz @JamieBonkiewicz]

I think it’s funny how Christians say “god loves you unconditionally” but then make up all kinds of conditions.

[𝗠𝘂𝗵𝗲𝗲 ♛ @muheediva01]

Unpopular opinion: Landlords should not be able to increase rent unless they're upgrading the apartment.

[femiiiiii. @femiiiszn]

i don't care how you were raised. you're an adult, unlearn that nonsense.

[Henry Winkler @hwinkler4real]

Hunger