“It’s a really loud rumble as I’m driving along and it sounds like it’s coming from the back axle. I’ve spoken to my mate Dave (he used to rebuild old bikes you know) and he thinks it’s the wheel bearing. Not trying to tell you your job, you understand… You’re the expert.... Have a look and see what you think…” I trail off into a slightly awkward silence that the mechanic … [Read more...] about On Camshafts and Communication
Communication is the key. When it fails competent individuals can form an incompetent team. Communication researcher Lorelei Lingard has important lessons for all healthcare workers, and how the concept of individual competence drives medical education, in this TEDx Talk: https://www.youtube.com/watch?v=vI-hifp4u40 We need to become collectively competent. … [Read more...] about Collective (In)Competence
Communication is a core ICU and Emergency department skill - indeed, most would argue it is a core skill for every doctor. This month, the Victorian Intensive Care Network proudly welcomes Dr Rohit D'Costa and Dr Steve Philpot to talk at on Communication in the ICU. Dr Rohit D'Costa is an intensivist and lead medical donation specialist at the Royal Melbourne Hospital. He … [Read more...] about VIN: ICU communication – when good conversations go bad
Question A 40 year old male, with no significant past medical history, has a severe head injury following a motor vehicle accident one week previously. It is deemed that he has a non survivable injury, although he is not brain dead. The wife has raised the possibility of organ donation post cardiac death (DCD). In your conversation with his wife about donation after cardiac … [Read more...] about CICM SAQ 2009.2 Q8
Croakey recently published part 3 of their series on health reform in Australia. It features comments from Clare Skinner, an emergency medicine registrar in Sydney, on the introduction of the '4 hour rule' to Australia's emergency departments. Dr Skinner highlights that, “implementation will require major cultural and workplace change, including improved co-operation … [Read more...] about Emergency marketing in just 4 hours!