Kate Grimwade

Infectious Diseases and General Physician, chief medical officer, Te Whatu Ora Hauora a Toi Bay of Plenty

[Kate Grimwade @grimwade_kate]

@Adam_Skeen , @drmattuk , @Dr_Done_ , @drokane , @mancunianmedic , @consultantplatinumpizza , @BMAResidents

[Kate Grimwade @grimwade_kate]

Exciting opportunity in New Zealand! We have got 4 new medical registrar positions in Whakatāne starting Feb to add to our amazing team. Live and work in one of the most awesome places. Come on your own or as a group of friends! Msg me for more info https://t.co/BZWjyVAzyR

[Kate Grimwade @grimwade_kate]

https://t.co/jUYGKPTKZq

[Antibiotic Steward Bassam Ghanem 🅱️C🆔🅿️🌟 @ABsteward]

🆕️⚡️⚡️Retrospective multicentre study @jac_amr
Outcomes of Enterococcus faecalis infective endocarditis according to MIC of amoxicillin
@DrToddLee @BradSpellberg #IEWiki #idxposts https://t.co/TtzsqIE5va

[Kate Grimwade @grimwade_kate]

@jocole76

[Helen Bevan @HelenBevan]

I really like this new article on psychological safety (a belief that we can speak up, take risks & make mistakes without fear of being judged, humiliated or punished) at work. It sets out a series of activities/approaches that all of us can use to build psychological safety in our teams. These include:
- Manual of Me
- Team Charter
- Lifelife
- Activity from Google that ranks sources of anxiety
- 5-word Fridays
- Team temperature check
https://t.co/ovclOccF9q. By @ChristinaLai1, via @Elaineking91.
A link to an archived version of the article, in case the above link doesn't work for you: https://t.co/yM5rmUD2LV

[ID:IOTS podcasting / idiots-pod.bsky.social @IDiots_pod]

Lets talk about Antibiotic PK. This week's 🧵: Distribution!

This is where the drug goes after it's absorbed/injected. Where it goes = what target sites it can be used at.

Main drug factors: Hydrophilic vs Lipophilic, plasma protein binding, and peripheral tissue binding

1/9

[ASIDANZ @ASIDANZ]

@ASIDANZ @anzpid @vacsig statement: Call for equity in #RSV prevention for #Australia and #New Zealand.
Read: https://t.co/GLHTmrWrRN
@NSWHealth @qldhealth @NTGovHealth
@WAHealth @SAHealth @VicGovDH
@TasmaniaHealth @ama_media
@healthgovau @_PHAA_

[Helen Bevan @HelenBevan]

Building a sense of belonging is one of the most important factors in improving performance & productivity. Research in @HarvardBiz showed high belonging was linked to a 56% increase in job performance. By fostering an environment of acceptance, understanding & appreciation for the unique talents that each person brings, we can help everyone feel like they belong: https://t.co/Yd4gktPAka. A new article by @inspiredleader. I've paired it with a graphic via @mme_hopkins

[Helen Bevan @HelenBevan]

The challenges of becoming a less hierarchical organisation. Restructuring to reduce layers offers the promise of increased collaboration, agility, value & shifting decision making power to more people. However, research suggests that "how" (it's done) is more important than "what" (the design is):
1) Don't underestimate "zombie structures": it’s not enough to build anew; you must also actively dismantle & guard against the resurrection of the old
2) Expect an uneven pace of change: different teams have unique histories, cultures & operational nuances
3) Leadership during restructuring needs to be a razors edge: too much control can stifle the initiative that the redesign aims to foster; too little control can leave teams directionless
4) Adapt external ideas to the internal culture: external consultancies can give helpful advice but the people in the organisation know what is likely to work best
https://t.co/ltIhQx35so. Via @yanche. Graphic by @zuzuzka

[Jason Trubiano 🆔 @TrubianoJason]

Thanks @obuphaintr for putting on a stellar #ASID2024 in NZ. Was fantastic to see #profferedpapers and @ASIDANZ endorsed trials presented! 👏 Quite a few highlights from team @id_austin, especially first class trainees and fellows!

[ASIDANZ @ASIDANZ]

One of the founding fathers of #Infectious Diseases in #NewZealand receives 2024 @ASIDANZ Life Member Award. #ASID2024.
Read: https://t.co/Iiibo6baNM

[World Health Organization (WHO) @WHO]

WHO statement on reported clusters of respiratory illness in children in northern China

WHO has made an official request to #China for detailed information on an increase in respiratory illnesses and reported clusters of pneumonia in children.

At a press conference on 13 November 2023, Chinese authorities from the National Health Commission reported an increase in incidence of respiratory diseases in China.
Chinese authorities attributed this increase to the lifting of COVID-19 restrictions and the circulation of known pathogens such as influenza, mycoplasma pneumoniae (a common bacterial infection which typically affects younger children), respiratory syncytial virus (RSV), and SARS-CoV-2 (the virus that causes COVID-19). Authorities stressed the need for enhanced disease surveillance in healthcare facilities and community settings, as well as strengthening the capacity of the health system to manage patients.

On 21 November, media and ProMED reported clusters of undiagnosed pneumonia in children in northern China. It is unclear if these are associated with the overall increase in respiratory infections previously reported by Chinese authorities, or separate events.

On 22 November, WHO requested additional epidemiologic and clinical information, as well as laboratory results from these reported clusters among children, through the International Health Regulations mechanism.

We have also requested further information about recent trends in the circulation of known pathogens including influenza, SARS-CoV-2, RSV and mycoplasma pneumoniae, and the current burden on health care systems.

WHO is also in contact with clinicians and scientists through our existing technical partnerships and networks in China.

Since mid-October, northern China has reported an increase in influenza-like illness compared to the same period in the previous three years. China has systems in place to capture information on trends in influenza, influenza-like illnesses, RSV, and SARS-CoV-2, and reports to platforms such as the Global Influenza Surveillance and Response System.

While WHO seeks this additional information, we recommend that people in China follow measures to reduce the risk of respiratory illness, which include recommended vaccination; keeping distance from people who are ill; staying home when ill; getting tested and medical care as needed; wearing masks as appropriate; ensuring good ventilation; and regular hand-washing.

WHO will continue to provide updates.

[Kate Grimwade @grimwade_kate]

These wahine rock!

[APhID @APhID_NZ]

Welcome to part 3 (final) of the ‘meet your ID pharmacist’ series!! This is the ultimate group of Super Women that is taking the country by storm! Watch the video and see what amazing work these gals are up to! #girlpower #WAAW2023

https://t.co/Is7kfJlzch

[Kate Grimwade @grimwade_kate]

Agree with everything in this post and I also loved my med reg job. We need to celebrate general medicine not make it a monster

[Ben Lovell @DrBenLovell]

Being the Med Reg, a thread 🧵

I have noticed that there are many myths about the med reg role, thrown around both on twitter & in real life, presented as absolute truths.

People are making career decisions, or living in mortal dread of being the med reg, based on these myths

[Kate Grimwade @grimwade_kate]

@Phil_Asquith14 @jocole76 although our context is different there’s sure to be good lessons from these two papers for us

[Peter Belfield @belliesleeds]

This is a brilliant reminder from the CMO of what is needed and a leadership role for the RCP

[Kate Grimwade @grimwade_kate]

@sandrafielding2 @fionahenny @Phil_Asquith14

[Kate Grimwade @grimwade_kate]

@sarahAHPRehab @fionahenny @judirid100