11/ On the other hand, NZ completely reimburses you for all costs of training. And I mean all costs. College fees, exam fees, textbooks, travel & accom. for courses and exams, annual registration, indemnity insurance, etc. There is no limit, even with multiple exam attempts.
13/ Parking monetary incentives aside, both have very similar work cultures. Almost all colleges are binational.
Both are trying desperately to attract junior docs, esp from comparable health systems.
In NZ, docs now get permanent residency on arrival.
Look, we know the placebo effect is a thing, but I suspect this wouldn't have made it into the guideline to treat testicular torsion pain.
#GenderEquity
UK national guidelines advice on using sterile water as pain relief for women in labour 👇
Shame on you
@NICEComms
. Agreeing that healthcare professionals can offer pseudoscientific pain relief to women in labour is nothing short of a scandal. Shame on you.
New NICE intrapartum guidelines
1/
@DrNavSidhu
@BMA_JuniorDocs
In NZ we also have meals included! Except breakfast for some reason.
And you can claim the money instead if you want, but then you have to sort your own lunch and I CBA.
17/end
Moving from ur land of birth is hard. Been there, done that. Some move and choose to return. Many stay. I always tell people it's a personal choice, as my reasons won't carry the same weight or meaning as yours.
We are privileged in that we have a choice - not many do.
When supervising residents, I find that men need to dial down their confidence ‘cos it makes them and others think they’re competent when they’re not. What’s perceived as ‘low confidence’ in women is just them being rational and safe. Society has set the wrong reference point
I call bullshit. This article is less how to be assertive and sell yourself, and more how to tiptoe around gender bias.
It’s like the ‘don’t wear short skirts and don’t walk home alone and carry your keys in your fist’ of career advice.
#genderequity
#bias
#systemsthinking
New Zealand Prime Minister
@jacindaardern
has announced new measures to control
#CoVid19
spread.
All travelers to NZ have to self-isolate for 2 weeks, apart from the pacific islands. Has been labeled as the strictest travel restrictions in the world thus far.
@glennmul
@RichardHills_
There should be a law against them approaching or intimidating ppl outside vaccination centres, just like the one for anti-choice protestors outside abortion clinics.
“Do we select the wrong trainees, or did we destroy the right trainees?”
Powerful words. I think about that every time I hear of a trainee ‘leaving’ our
@ANZCA
training programme
Dr Sarah Giutronich, Chair of Paeds surgery training board, challenges us to think about 'attrition'- do we select the wrong trainees, or did we destroy the right trainees? We need to consider intersectionality and a wider range of diversities, including neurodiversity.
#RACS24
2/ Firstly, agree that the term 'junior doctor' is not perfect and is misconstrued to mean young. A lot of junior docs in UK/NZ/Aus are well into their 30's and have families. All are qualified and trained doctors, who happen to not be consultants
The idea that ‘junior’ is equivalent to ‘young’ or even ‘inexperienced’ in the phrase ‘junior doctor’ does not tend to be true. They are all qualified doctors - many in their 30/40 and 50s. Speaking as a 50yr old - not what my children would define as ‘young’!
“The name’s Adam. Adam Gammadex. I think you’ve already met my wife, Su.”
Scene from latest Netflix special: Sux, Drugs, and Rocuronium
#Anesthesiology
#Anaesthesia
1/n
When should we label our syringes?
a) At the start, on the empty syringe before anything is drawn up
OR
b) At the end, as the final step after drug +/- diluent drawn up
A brief thread 🧵
#anaesthesia
#anesthesiology
#PatientSafety
#DrugError
“Focus on the why, not the what.” Swearing because of a frustrating situation that is adversely affecting patient care is not the same as swearing at a person.
@LiangRhea
at
#CombiSIG22
During obstetric cardiac arrest and resuscitation, focus on the mother and ignore foetal monitoring. Assume that what is good for the mother is good for the baby.
Dr Christiane Hadassin at
@ANZCA
#ASM23SYD
#anaesthesia
#anesthesiology
@DrSandman11
My personal favourite, a good 15 seconds after the surgical resident/registrar has done the incision without telling me: “you can start now”
Shocking - a GP is being sued for defamation and is already $350K out of pocket. Why?
He made youtube videos refuting claims by an overseas doctor, who said she could treat stage four cancer with herbs and vitamins.
@techpriest
Not just doctors (who need to be eligible for registration). Nurses, midwives, dentists, anaesthetic technicians, etc. Any role on this ‘green list’
Just 3 months short of being 20 years since completing med school at
@AucklandUni
Grateful and honoured to start new role here as Director of Medical Admissions.
18 months since
@OrthopodReg
and I began this project. Published in
@MedTeachJournal
#MedEd
#SMITHSEx
(DM if full-text link stops working)
Re-examining single-moment-in-time high-stakes examinations in specialist training: A critical narrative review.
Patient on GLP-1 RAs for weight loss, presented for surgery. They "did their research" so only had a small meal and fasted for 18 hrs. Gastric ultrasound comfirmed empty stomach.
#anaesthesia
#anesthesiology
Sometimes doing your own research can be good. (posted with permission)
16/ There are other differences that are harder to quantify: political leanings, treatment of indigenous peoples, social outlooks, levels of misogyny, attitudes to climate change, levels of religiosity, etc
There are not all important to everyone to the same degree
Mixing short- and long-acting local anaesthetics gives you the worst of both drugs in terms of onset and duration of action!
Dr Pia Jæeger at
#ESRAworld2023
3/ In trying to compare and contrast NZ and Aus, will try to present pure facts. Both places and pros and cons, and there will be nuances and exceptions. I have worked as a junior doc in both countries as an immigrant.
If you dread going to work because some colleagues are dickheads, you do not have a psychologically safe workplace.
- paraphrasing
@DrJaneMunro
at
#CombiSIG22
Addendum 2: Both NZ and Aus have study leave for junior docs, on top of annual leave.
Aus - 1 week per year (some states may be different)
NZ - 12 weeks for entire specialty training, but only once you get on training (i.e. not in PGY1-2)
Dr Lara Hopley is the new Chief Clinical Informatics Officer for
@TeWhatuOra
.
She is also an
#anaesthesia
specialist in our dept. Already developed a suite of electronic resources in-house, making our hospital probably the most tech-advanced in the country.
#anaesthesiology
Hi, I’m an anesthesiologist in a movie. You probably won’t know I exist cos the surgeon intubates patients, observes their vitals, leads the resus when the inevitable life-threatening bleed occurs, with 90% DC shock success. If I am there, am the 1st to exit when a bomb shows up
Hi, I’m a radiologist in a movie. You probably won’t see me or know I exist. But you’ll see my name in the credits along with a substantial bill. Not all heroes wear capes.
The appointment of an orthogeriatrician reduced mean length of stay for hip fracture patients in our institution, from 10.5 to 7.5 days. There is close routine communication btw them and the anaesthesiology dept.
#PeriOpMed
#anaesthesia
#anesthesiology
@thomaswoodcock
Aus is not a 'privatised health service.' There is a public healthcare service that pays very well.
For context, roughly 60% of all surgeries in Aus are private. 30% in NZ, 10 % in the UK.
@OrthopodReg
is doing a fellowship, not in private practice
Overheard ppl complaining about black Ariel. FFS, they had an animal as Robin Hood but a black mermaid is where you draw the line?
It's all fiction. Mermaids don't actually exist. They can be any colour the writers want them to be.
Gastric ultrasound in practice. Last patient on list had can of coke 3 hrs ago. Point-of-care ultrasound in RLD showed empty antrum (grade 0). Case proceeded as planned.
Slim patient, note shallow location and flattened discoid shape.
#POCUS
#GastricUltrasound
Goodbye Marsh, Schneider, & Eleveld.
A patent application for a propofol antibody has been filed. Potential use for direct plasma concentration measurement.
#anaesthesia
#anesthesiology
@EM_RESUS
Scene from a Filipino soap but you've missed the excellent written sarcasm in that post (in Malay): "Watching the efforts of the government in dealing with the pandemic"
15/ In terms of geography, both are beautiful countries. Aus is so much bigger of course, and in NZ you're never more than 125 km from a beach.
Owing to its vast size, there is more diverse wildlife in Aus, but also more dangerous. This is really down to personal preference.
20 Whakaari volcanic explosion victims had their tracheas intubated in the ED at Whakatane Hospital. The entire hospital has only 7 ventilators.
Huge response from local healthcare community to help.
Talk by Dr Tamsin Davies (ED Lead) at
#NZSA2020
#theNZinANZCA
5/ Aus pay is different in each state. Each has its own 'award' and some are better than others. You can google these yourself.
Generally, they all have an hourly rate (or a rate for 40 hrs/week) that increases each year, and then loadings for time >40 hrs, e.g. 1.5x or 2x.
Provocative question from the floor: Should we have professional educators in specialty training? Much like nurses have dedicated Nurse Educators.
@ANZCA
#MedEd
#EduSIG19
#GenderBias
in medical decision-making. If inexperienced & giving advice to other doctors, women less likely to be relied upon compared to men (p=0.04). Men's advice valued by other docs regardless of experience, but experience was prerequisite for women
4/ Everyone wants to know about pay. Aus does pay higher wages but that's not the whole picture. Both places have different tax rules and perks. A$1 = 0.54 pounds and NZ$1 = 0.50 pounds.
12/ For balance, the cost for items listed above are tax-deductible in Aus and they do give junior docs an annual CPD allowance.
Additional CPD allowance (over and above cost of training) is given to senior trainees in NZ.