Rural Workforce

The MASON REVIEW on rural workforce was released in the past few days and the Executive Summary at least is worth a read. I think it’s generally on the money – a big emphasis on encouraging a rural generalist pathway, to de-emphasise costly specialist services in favour of effective primary care and to encourage more …

Real Doctors Don’t Need Checklists

Over the weekend just gone, Chris Nickson of Lifeinthefastlane threw down a challenge – the idea of a debate of ‘real anaesthetists don’t need checklists’ between Dr Minh le Cong and myself at next year’s SMACC14 conference on the Gold Coast (#SMACCGOLD). Not withstanding the obvious inequalities between Minh’s masterful martial arts technique and my …

Quality Care, Out There

I am delighted that the SMACC 2013 podcast is out – you can download via iTunes from this link. First up is Scott Weingart’s excellent talk on bringing “upstairs care, downstairs” – addressing the need to bring high-level critical care skills to the emergency room, for which FOAMed such as emcrit.org and other blogs have …

Sick Notes

My last post on GANFYD syndrome created some questions about the whole sick note system in Australia, which are perhaps worth exploring. Let me be absolutely clear – doctors have no problem issuing sick notes when appropriate – such as the patient who presents with a lower respiratory tract infection and, at the time of …

GANFYD Syndrome

No surprises in the recent Budget, with a huge deficit and not surprisingly significant cuts to be made across the board. Given the ever-increasing cost in health, some deductions have been announced, including – an increase in the Medicare safety net to $2ooo payable by patients before the Govt provides assistance – freezing of Medicare …