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The Doc

@acutemed.bsky.social
681 followers 710 following 9 posts

Consultant Physician and Clinical Lead. Coaching/Leadership/Systems/Culture/Curiosity/Compassion.

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Dr. Jeroen W.P. Wijnendaele @drdragases.bsky.social · 27/07/2026
Good grief, this hits home.
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fravery.bsky.social @fravery.bsky.social · 18/07/2026
"I am no longer accepting the things I cannot change. I am changing the things I cannot accept." - Angela Davis Boris Messerer art
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Alan Jagolinzer @jagolinzer.bsky.social · 23/04/2026
"Disinformation has become an industry, an outrage economy organized around a division dividend, which allows people to profit from division and poison." @london.gov.uk at the 2026 Cambridge Disinformation Summit. youtu.be/8Zip3CoDwGo
youtu.be
Sir Sadiq Khan, Mayor of London, on the disinformation "outrage economy."
YouTube video by Cambridge Disinformation Summit
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JAMA @jama.com · 20/04/2026
💬 Perspective: The FDA’s Roadmap to Reducing Animal Testing advances #NewApproachMethodologies as alternatives to routine animal studies, reflecting scientific, ethical, and regulatory shifts in preclinical drug safety evaluation. ja.ma/4sKqRAy
A JAMA article published online April 20, 2026, titled "Eliminating Unnecessary Animal Testing" by Tracy Beth Høeg et al. It includes a timeline from Apr 2025 to Mar 2026 of FDA roadmap accomplishments to reduce animal testing, with milestones like "International alignment on text@1 strategy".
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A Returning Doctor @returningdoctor.bsky.social · 26/03/2026
Not sure if this is widely known about and I have missed it, but here's a link anyway: www.gov.uk/government/c... "..seeks views on the draft General Medical Council Order 2026, which would reform how the (GMC) regulates medical practitioners, physician associates and anaesthesia associates.."
gov.uk
Reforming the General Medical Council legislative framework
Seeks views on the draft General Medical Council Order 2026.
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Andrea James @healthreglawyer.bsky.social · 25/03/2026
Extremely disappointing to see @rthonwesstreeting.bsky.social retweeting & endorsing the below without any commentary on WHY overseas trained doctors are 2.5 times more likely to get referred to the GMC. He's clearly uninformed about the GMC's own research into the huge role played by racism.
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Andrea James @healthreglawyer.bsky.social · 25/03/2026
2/ It's essential to participate in the consultation, which is open now and will run until 23 June "Reforming the General Medical Council legislative framework" www.gov.uk/government/c...
gov.uk
Reforming the General Medical Council legislative framework
Seeks views on the draft General Medical Council Order 2026.
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The Doc @acutemed.bsky.social · 31/10/2025
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Dr. Jonathan N. Stea @jonathanstea.bsky.social · 19/10/2025
A culture that tolerates and elevates pseudoscience will be at odds with the health of its citizens.
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The Doc @acutemed.bsky.social · 18/10/2025
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Rabbi Danya Ruttenberg @theradr.bsky.social · 10/07/2025
It doesn't matter if they are ever coming for you. It was always ever already too much that they were coming for anyone.
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Sethina Watson @sethina.bsky.social · 12/03/2025
Shame must change sides: fostering fairness and respect in medicine - @bjajournals.bsky.social www.bjanaesthesia.org/article/S000... This is such a powerful article. Recently I was addressed by a male as 'Little Missy'. A little missy with 20+ years of training Read it. Share it. Read it again.
bjanaesthesia.org
Shame must change sides: fostering fairness and respect in medicine
Editor—As physicians, we are taught to respect our colleagues, leaving behind gender, race, ethnicity, and background.1 Yet female physicians still face disturbing insinuations, or in some cases, dire...
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Martin McKee @martinmckee.bsky.social · 07/03/2025
9/11 And while some may argue, we have a workforce crisis and need more people, experience with nursing associates shows that adding less qualified people can make things more dangerous www.bmj.com/content/386/...
bmj.com
How will expansion of physician associates affect patient safety?
Experience with nursing assistants calls for extreme caution, write Rachel Greenley and Martin McKee Too often what seems like a good idea turns out not to be. The NHS is facing a staffing crisis. It...
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Caroline Roodhouse @daddyblackbird.bsky.social · 29/01/2025
We make 35,000 decisions every single day ‼️ After Steve died, I was shattered and all that thinky time made my brain want to explode 🤯 For anyone grieving, try to create routines and habits that give your mind a break for a moment 💛 #DaddyBlackbird #SuicideAwareness #MentalHealth #Hope 🐦‍⬛
A young deer sits asleep in a pile of autumn leaves, watched over by a blackbird. The text above the deer reads: Decision fatigue is perfectly normal when we’re grieving.
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Helen Bevan @helenbevan.bsky.social · 22/01/2025
Research shows for employees, “feeling respected” is 17.9 X more powerful a predictor of an organisation’s culture score than the average factor (& 2 X as strong as the 2nd most important factor, supportive leadership). Advice for leaders: sloanreview.mit.edu/article/are-.... Graphic: Gaping Void .
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Create the Ripple @createtheripple.bsky.social · 21/01/2025
“When we push aside normal emotions to embrace false positivity, we lose our capacity to develop skills to deal with the world as it is, not as we wish it to be.” Susan David Feel the feelings. 🧡 #kindness #emotions Art by letstalkmentalhealth
I’m allowed to make a big deal out of the things that feel really big to me 

Art by let’s talk mental health 

Bright coloured letters on cream background
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Pulin @pulin.bsky.social · 21/01/2025
What an absolutely brave, sincere, and compassionate message directly to Trump. Thank you to Bishop Mariann Edgar Budde www.youtube.com/watch?v=mI4h...
youtube.com
WATCH: Episcopal bishop asks Trump 'to have mercy' on LGBTQ+ communities and immigrants
YouTube video by PBS NewsHour
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Rachel Love-Howseman @rachlove.bsky.social · 21/01/2025
More bravery shown by Bishop Budde to hold Trump to account in under 3 minutes than by most of the media, most politicians from US and around the world and by the elite in years
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Barb McQuade @barbmcquade.bsky.social · 20/01/2025
"The ultimate measure of a man is not where he stands in moments of comfort and convenience, but where he stands at times of challenge and controversy.”
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Mayor of London, Sadiq Khan @london.gov.uk · 20/01/2025
I want to remind Londoners that our city is—and always will be—a place for everyone. We’ll continue to celebrate London as the diverse, open and welcoming city it is.
Photo of Mayor of London Sadiq Khan standing in front of Piccadilly Lights that's featuring the following message: London is, and will always be, a place for everyone followed by the image of a heart.
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Dr Anushka Aubeelack @bumblebeenush.bsky.social · 12/01/2025
To counter the “immigrants are stealing my jobs” rhetoric that I’m hearing painfully often in medical circles now… Let facts be your friend.
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Yasmeen Abu-Laban @yasmeenabulaban.bsky.social · 05/01/2025
Very happy to share our 2024 transdisciplinary book Resisting the Dehumanization of Refugees, which brings together academics, practitioners and refugees. It's open access so you can download the pdf for free or purchase a hard copy here: www.aupress.ca/books/120327...
An outline of a human with their brain and heart connected by hearts.
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civilitysaves.bsky.social @civilitysaves.bsky.social · 10/12/2024
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Dr Rachel Clarke @drrachelclarke.com · 06/01/2025
This example couldn’t illustrate more effectively the costly, inefficient madness of swapping triage by highly trained & skilled GPs with a whole cacophony of unnecessary scans, radiation, appointments & bureaucracy. If this is really Labour’s vision of the future NHS, it’s wildly misguided.
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Christina Lattimer @christinalattimer.bsky.social · 05/01/2025
Take some time to get away from the world and all its demands on you! I learned long ago it’s ok to be ok with where you are right now! The world is full of “be better” “do better” “strive for more” “make it better” It’s a journey and you need to fill your tank with selflove and being ok ❤️
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Society for Acute Medicine @acutemedicine.bsky.social · 03/01/2025
"The innovative elements of the plan are welcome.. without emergency care recovery, this elective plan will inevitably and predictably fail. The concept of continuing to ringfence elective beds whilst patients are dying, receiving degrading corridor care is immoral" @acutemed2.bsky.social
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Dmitry Grozoubinski @explaintrade.com · 03/01/2025
1/ I think the greatest success of the far-right hasn't been in marketing racism for its own sake, but rather deceptively positioning of it as an effective if perhaps distatestful answer to major policy problems. Like it's a necessary evil you have to swallow if you want to address the big issues.
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Trisha Elliott @trishaelliott.bsky.social · 27/12/2024
Quite rightly, @scarlettmcnally.bsky.social notes the circular nature of the relationship between health care and social care, in the @bmj.com this month. Link here, and I’ll also share some highlights in a 🧵… #MedSky #PublicHealth #EndPJParalysis www.bmj.com/content/387/...
bmj.com
Scarlett McNally: Improving our health will reduce the strain on social care
We’re stuck in a vicious cycle. Hospital beds are full. Over 12% of hospital inpatients no longer meet the criteria to be there.12 This has knock-on effects for emergency departments and leads to canc...
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Trish Greenhalgh @trishgreenhalgh.bsky.social · 23/12/2024
gh.bmj.com/content/9/12... Congrats to my ex MSc student Anne Neumann and supervisors for this new peer-reviewed paper!
gh.bmj.com
Changing power narratives: an exemplar case study on the professionalisation of community health workers in Liberia
Despite their central role in achieving health equity and Universal Health Coverage, only a minority of community health workers (CHWs) is formally recognised as health workforce and receives a salary...
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JAMA @jama.com · 21/12/2024
Most viewed in the last 7 days from JAMA: This review summarizes current evidence regarding the epidemiology, pathophysiology, diagnosis, and management of atrial fibrillation. ja.ma/3ZLQJzx
Atrial Fibrillation Stages and the Evolution of Atrial Pathology
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Emily Moin @emilymoin.com · 20/12/2024
Medicine subspecialists are spending 15-30 additional minutes working in the EHR for every hour spent seeing patients... not surprising per se but easy to understand why full time outpatient practice feels so untenable right now academic.oup.com/jamia/articl...
academic.oup.com
The number of patient scheduled hours resulting in a 40-hour work week by physician specialty and setting: a cross-sectional study using electronic health record event log data
AbstractObjective. To quantify how many patient scheduled hours would result in a 40-h work week (PSH40) for ambulatory physicians and to determine how PSH
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The Doc @acutemed.bsky.social · 22/12/2024
Wonderful..... www.bmj.com/content/347/...
bmj.com
The survival time of chocolates on hospital wards: covert observational study
Objective To quantify the consumption of chocolates in a hospital ward environment. Design Multicentre, prospective, covert observational study. Setting Four wards at three hospitals (where the aut...
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The Doc @acutemed.bsky.social · 22/12/2024
Excellent article on inequality in healthcare. thedoctor.bma.org.uk/articles/hea...
thedoctor.bma.org.uk
Inequality is an emergency too
It might be hard to see a chaotic emergency department as presenting 'opportunities', but a group of doctors committed to tackling health inequalities say they can be places where meaningful intervent...
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Literary Pearls @literarypearls.bsky.social · 20/12/2024
“We can disagree and still love each other unless your disagreement is rooted in my oppression and denial of my humanity and right to exist” James Baldwin
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Matthew Hodson @matthewhodson.bsky.social · 19/12/2024
“When you’re raped there is shame, and it’s not for us to have shame, it’s for them.” - Gisèle Pelicot
A mocked up alternative Time Person of the Year cover, featuring Gisele Pelicot.
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Dr Zubaida Haque @zubhaque.bsky.social · 19/12/2024
I will forever be in awe of Gisèle Pelicot - an extraordinary woman who stood strong in the face of unreasonable questions in court; who challenged France about its rape culture; who taught the world about who should carry shame, who reclaimed power back from her abusers.
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Techpriest @techpriest.bsky.social · 11/12/2024
It's taken until *2024* for government to *begin* to realise to realise the NHS should be setting the terms for IT suppliers, not the other way round NHS England is the single biggest healthcare IT procurement buyer in the world. Market power other health systems can't dream of
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Helen Bevan @helenbevan.bsky.social · 09/12/2024
Had a conversation today about the difference between "kindness" & "niceness" in leadership so decided to post about it. The article & graphic explain why, as leaders, we should choose kindness over niceness: lnkd.in/e6FfD8eQ. By Emmanuel Barrera. Graphic: @justin-mecham.bsky.social via Dan Grimes
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Society for Acute Medicine @acutemedicine.bsky.social · 09/12/2024
"The stark reality is not that hospitals and staff on the frontline are manipulating targets, but that they are simply unable to deliver safe care even when trying their utmost to do so given the impossible situations they are in" @acutemed2.bsky.social www.bbc.co.uk/news/article...
bbc.co.uk
Prioritise safety not A&E target, NHS leaders told
Health Secretary Wes Streeting delivers message amid mounting concern about winter pressures.
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Ken Koon Wong @kenkoonwong.bsky.social · 07/12/2024
Amazed by Co-active Coaching’s fresh insight thru my own lens: treating level 3 listening like 🧘, turning curiosity into powerful ❓ (wrote a formula of this), viewing emotions as 📊, not a symptom. I’m grateful for these insight and strategies. Hope to incorporate them to my daily routine 🙌 #coaching
kenkoonwong.com
My Coaching Notes: Mindful Coaching | Everyday Is A School Day
Amazed by Co-active Coaching's fresh insight through my own lens: treating level 3 listening like meditation, turning curiosity into powerful questions (wrote a formula of this), viewing emotions as d...
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Samantha Wathen @samanthajwathen.bsky.social · 28/11/2024
Researchers found that to address the epidemic of mental ill health among HCPs, workers needed: Targeted MH interventions Hot food Rest areas/lockers Free parking Essentially staff just need to be valued & treated like human beings. Rocket science it is not. evidence.nihr.ac.uk/alert/system...
evidence.nihr.ac.uk
NHS staff psychological wellbeing: system-level changes needed
System-level changes such as improvements in working conditions are essential in order to improve the psychological wellbeing of NHS staff.
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