Dr Robert Marshall

Medicine and health policy | MPA from @ColumbiaSIPA on @FulbrightPrgrm | #publicpolicy #healthequity #globalhealth #SDoH #VBHC | PastPres @yourAMSA | #FOAMed

[Dr Robert Marshall @robmarshall]

I love the concept of a community book swap... But because everyone will tend to take the best book available in exchange for an average book... Aren't they doomed to spiral towards mediocrity like some kind of airport-novel entropy?

[Dr Robert Marshall @robmarshall]

Health Minister @GregHuntMP speaking at @ceda_news says telehealth should be a complement to, not a replacement for, face-to-face healthcare; gov't now working with stakeholders to see how to make telehealth a sustainable legacy of COVID-19

[Dr Robert Marshall @robmarshall]

- Wash your hands
- Practice sneeze/cough etiquette
- Stay home if unwell
...

We're seeing an incredible demonstration of how seemingly small individual actions, if adopted by many, can have huge impacts.

#COVIDー19 (but see also: climate change, voting, etc. etc.)

[Dr Robert Marshall @robmarshall]

Great to meet this year's scholars at the @AustAmFulbright 70th anniversary celebration! Congrats!!
@Eddie_Cliff @WongChrisX

[Dr Robert Marshall @robmarshall]

@DrBenLovell Also, as @nntaleb suggests - it's good to surround ourselves with unread books as a reminder of all the things we don't and can't ever know
#antilibrary

https://t.co/bzbEsHIC8N

[Dr Robert Marshall @robmarshall]

@DrBenLovell No! You just need to embrace the Japanese concept of Tsundoku!
https://t.co/zQhErxgvXL

[Dr Robert Marshall @robmarshall]

It's great to be back on the wards again! Juggling clinical medicine with my consulting job (health systems improvement) is not always easy - but it keeps me grounded in the daily reality for patients & staff in our public hospitals, which is key to making good #healthpolicy

[Sūlis @GeordanShannon]

Bravo @nanchanglu and all fellow medics the 🌏over who are taking a stand against #ClimateChange 💚

@DocsEnvAus @coopesdetat @robmarshall @NiksSimpson @DrRitaIssa @im4empowerment @madrugada007 @cbr_heartdoc @SMC54 @LancetCountdown @globalhlthtwit @rheasaksena

[Dr Robert Marshall @robmarshall]

NSW Health Minister @BradHazzard at @ceda_news #aushealth event says we need "better value care": better outcomes for better costs
#VBHC

[Dr Robert Marshall @robmarshall]

Prof. Rodney Phillips at @ceda_news speaking to the burden of responsibility that even affluent nations have in the 21st century to consider the costs of health interventions when making decisions
#VBHC

[Dr Robert Marshall @robmarshall]

Great to be at @ceda_news event #AusHealth to hear from NSW Minister for Health and Medical Research @BradHazzard on #healthpolicy challenges facing the state

[Dr Robert Marshall @robmarshall]

@char_durand Yeah... "Tell interns in ED they need to tell me about the [insert answer to the difficult clinical question the patient actually requires my specialist input on]" is not super helpful...

[Dr Robert Marshall @robmarshall]

@char_durand @acemonline Not saying we need to try to predict the future...
.. but it's unlikely to be a straight line.

So we should think about what critical changes in the world would mean for our workforce and then what we could (/should) do differently because of that.

[Dr Robert Marshall @robmarshall]

@char_durand @acemonline These models are often just linear extrapolation of current numbers adjusted for population increases... when what we really need are robust assumptions / sensitivity analyses about what the future of medical work and changing community needs might actually look like.

[Dr Robert Marshall @robmarshall]

@char_durand @acemonline E.g. what happens to those ED numbers when we have a larger proportion of the population living with cognitive impairment (i.e. more falls and injuries) or what happens to derm if AI helps reduce the need for human skin cancer diagnosis and follow up?

[Dr Robert Marshall @robmarshall]

@MarkHohenberg We should be highlighting these best practices as part of the Royal Commission - showcase what is possible with concerted effort!

[Dr Robert Marshall @robmarshall]

@DrSimonMc This demonstrates why you need an ISOBAR/ISBAR handover and not just a text page for unwell patients. What's the HR/BP of the lady with haematemesis or the neuro obs of the man post-fall? Knowing this helps prioritise and allows you to give phone advice while you're en route.

[Dr Robert Marshall @robmarshall]

@DrMelNaidoo @insightSBS @womenandmed @Dochansra @JenBrockie Did you run into @court_r0bertson there? I think you two would hit it off!!
#womeninmedicine
#womeninlaw

[Dr Robert Marshall @robmarshall]

Absolutely! And I suspect many stick to jargon and 'conventional' ways of describing medical concepts as a way to psychologically cover because they don't fully understand them... Even if not fully aware that's what they're doing.