Surgeon, Educator, Poor Crossfitter. Founder- YES Collaborative. ICRE resident co-chair 2024. Studying for a Masters in ClinEd. @rwc90.bsky.social

Joined September 2011
So guys, I had an idea for an educational network, I would love for you to take a look!
What's the YES Collaborative? Isn't that @rwc90? Why have I been followed? A short 🧵
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Was great to present my work at #ICOSET . The feedback from trainees and trainers was telling - we need to be talking about this more! – at Stannington, England
Another great #ICOSET @RCSEd talk Trainers value enthusiasm, professional behaviour & taking responsibility But need time, resource & support Survivor bias amongst trainers & they train as they were trained No incentive to be a good trainer nor change training
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Rory Clarke flying the flag for @NHSWTE_NEY Future Leaders Programme talking about the importance of giving trainees autonomy and resource to drive training improvements.
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If you're a gen surg Trainee in the UK please fill in this survey! Evri is doing great work teaching those of us less research inclined, and what more is trying to integrate it into training!
🚨 General Surgery Trainees 🚨 Final reminder: Evidence-Based Medicine in #generalsurgery #training survey 📨 shef.qualtrics.com/jfe/form/… Please consider filling out the survey to help shape the future of EBM in General Surgical training! #EBM #SoMe4Surgery #surgery
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Oh and we've done a webinar through the Moynihan academy last year app.medall.org/contents/v-ma… This needs all of us to act as allies, advocate for our colleagues and spread the word so that people know this before getting pregnant or supervising a pregnant trainee
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I genuinely want to know what surgical reg is going to agree to a locum at this rate? Surely the only outcome from this is the shifts don't get filled- so is this the intention? @wannabehawkeye
These new extra-contractual rates in @uhbtrust are abysmal. The average hourly rate for a plumber is £50 per hour. For an emergency plumber it is £112.50 with a £110 call out fee. Massive withdrawal of locums is the only answer to this.
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If you know this information, and you still make pregnant trainees in your programme do nights/on calls/unadjusted hours the SECOND you find out they are pregnant, your're not just part of the problem for these complications, you are directly responsible
Up to 82% of pregnant surgeons experience miscarriage, preterm delivery, and intrauterine growth restriction. Occupational hazards, including prolonged standing, physical exertion, overnight shifts, and teratogenic exposure, contribute to these risks. ja.ma/4eUXVQn
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Another comment that 5 yrs of 80 hr work weeks isn’t enough to train competent general surgeons. Listen ppl, if you can’t take a person & do this in 5 yrs, the problem isn’t limiting the work week, it’s why you are allowing so much of this persons time to be wasted.
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👉Excited to lead “NDA-UK International Surgical Skills Course, Nepal 2024” at the highest altitude (2500m) medical school located in rural Nepal 🇳🇵🇳🇵 ! ✨Our course is now awarded 6 CPD hrs by RCSEd 🙏🏽 👉Equally thrilled about our Post-Course trek to Rara Lake (2990m) 🙌
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Copy and paste for pretty much all specialties
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#MedEd friends encourage their peers to submit to intl conferences! We're accepting proposals for #ICRE2025 pre-conference courses and workshops. Details : icre.royalcollege.ca/en/prog… Submit by Nov 13. Tag a colleague! @AtkinsonAdelle @OrthopodReg @jobusar @JoshuaHartzell
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Um.......
At the Focal Point, Liu et al perform "Natural orifice transluminal endoscopic surgery for partial cholecystectomy: first clinical practice (with video)." giejournal.org/article/S0016… #GITwitter #GIEJournal
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Rory Clarke retweeted
‘Medical registrars are often put into leadership positions, but receive no leadership training’ @amelialloyd #SAMBrighton
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I didn't know my voice was that deep
There's a whole community at the International Conference on Residency Education ready to listen & support your passion for improving trainee education. Apply to be a #ICRE2025 Resident Co-chair by Oct. 21: icre.royalcollege.ca/en/prog… @rwc90 @ResidentDoctors @fmrq @MarResDocs #MedEd
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Best of luck to those sitting MRCS part B, especially our MOSCE candidates!
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How many times have we seen "leaders" not rock the boat or challenge the status quo? How many have we seen strive for the position, only to do nothing with the responsibility?
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And I'm not talking about heads of college or deanery's. Im talking about consultants in the job. How many of you have finished a ward round, then turned around and asked your team for feedback on it?
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If we don't make changes at all levels, no change will happen.
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Roughly most people spend between 5-10 years as a trainee. Why do we think people can automatically unlearn submissive behaviours once they are in positions of power.
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We are taught to not rock the boat, not to question those immediately above us in power structures, and more importantly " grin and bare " bad training and situations, and if you want to change things wait until you have positions of power
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Some thoughts on the debacle around training bottle necks. We talk about how " medical leaders" need to shout, argue with and challenge those in power to make the huge changes needed in UK training. However, how often are you encouraged to act like that, day to day, as a trainee?
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