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#HeartFailure2024 #JACCHF LBCT SimPub: First randomized, cross-over study examining the effectiveness of 3 diuretic regimens in the setting of an in-hospital HF day-care unit bit.ly/3wyAafV 🔹IV furosemide 🔹IV furosemide+oral metolazone 🔹IV furosemide+IV acetazolamide

Great study! …And great to see more natural experiments in medical journals like JAMA Internal Medicine I think a lot of credit goes to Anupam Jena for this trend

"We see the proportion of consultants who are academically qualified is going down, and the proportion of consultants that can do research is going down. It’s a big concern for UK faculties of medicine that it’s harder to get clinical academics" - John-Arne Røttingen Wellcome

Our new paper on #XAI and eye-tracking in real hospital settings is out! We studied how doctors interact with AI recommendations during critical care decisions. 🏥🤖👀 #HumanAICooperation #HealthcareAI 1/5

Terrific analysis of the UK's stagnation, with many parts relevant to Ireland: ukfoundations.co.

This is a worry. How can we make clinical academic training more attractive? National Institute for Health and Care Research

"The visions of future healthcare that have produced the mission to generate more doctors in shorter timeframes do not come from those who see medicine on its front lines." Andrew Elder on the suggestion we “make” our doctors in shorter timeframes bmj.com/content/387/bm…

A typology of curiosity: 🔹 Diversive curiosity (e.g. scrolling on social media) 🔹 Specific curiosity (e.g. quickly looking something up) 🔹 Interest curiosity (e.g. rabbit holes, interest in others’ lives) 🔹 Systematic curiosity (e.g. scientific experiments, self-inquiry)

“Enhance career progression and flexibility” Posting this the day after this FT article which highlights doctors are getting stuck ft.com/content/ddb51e… Growing concern of actual unemployment What rock are NHS England Workforce, Training and Education living under?

Wow. So true. Reason for this is we don't teach how to make medical decisions when there is residual uncertainty, and there always is. People fall back on pathophys which is a poor substitute for empirical thinking.

Today, I got my job allocation as an incoming doctor. After 9 years studying at Cambridge, a PhD, and scholarships for ranking high up in my cohort, I’ve been placed in Northern Ireland - hours away from any friends or family and one of my lowest choices. #NHS #FY1 #UKFPO

I get a lot of messages from people thinking about leaving medicine but not sure what to do next I might add a "Leaving Medicine" section to my personal site Would look something like this: (see image) Should I do it? Do you care enough about what I would have to say here?

The evidence base on the safety and effectiveness of physician associate and anaesthetic associate practice in the UK is “sparse and of variable quality,” finds new study bmj.com/content/388/bm…

prediction: AI will collapse traditional medical specialties as we know them. medical specialties emerged out of necessity. as medicine became more complex, no single physician could master its full scope. we began dividing care by organ systems, technologies, and life stages —

Dr G Rajesh (Gopalan Nair Rajesh). Syamkumar One of the highest risk OMI/STEMI equivalent patterns there is. LAD OMI causing ischemic RBBB/LAFB. Often mistaken for VT, delaying understanding that it’s OMI. Steve and I have spent years cataloguing and posting this case on the blog. But anyone with any level of training

what happens when AI commoditizes diagnosis?