The most important thread on Bluesky.

I'm perhaps naively hopeful that big news stories about AI hallucinations wiil make more people check sources.

We asked comedian @michaelspicer.bsky.social to respond to the opinion "Working with organised crime to improve health: a modest proposal" from our #BMJChristmas Issue 2025. Read the opinion here: www.bmj.com/content/391/...

Advancing migration policy requires intersectoral collaboration. “[Migrant] worker protections are absent from national preparedness and response plans.” doi.org/10.1136/bmj....

First ever research publication! Ever been bored to tears by walls of slide text? Then this is for you. I have no shame - please share widely. (Thanks to @profnicolacooper.bsky.social for her support as co-author.) #MedSky #MedEd #EdSky asmepublications.onlinelibrary.wiley.com/doi/10.1111/...

My first publication credit! A great paper from Lara, et al on identifying the health risks associated with occupational heat exposure among international migrant workers. link.springer.com/article/10.1...

Med school achievement of the week: I can definitely probably spell pneumonia right on the first try now.

Very chuffed the distinction for my Global Health MSc from @citystgeorges.bsky.social has finally been ratified. A lot of hard work went into that and it was a perfect year easing back into education.

Very excited for Philip Pullman's The Rose Field to be released later this week. Though considering the amount of tears I've shed for Lyria over the years, I'm also pretty apprehensive that this really could be the end of her story.

A great article here from @samfr.bsky.social on his recent NHS experience. I’ve been wondering how staff could feel these kind of challenges for themselves. Following patients (rather than be based in departments) would be valuable experience for us. open.substack.com/pub/samf/p/o...

I was VERY annoyed this morning to learn that, on second watch, one of my professor's lectures is much more reasonable in terms of content, detail and context than I felt it was a few weeks ago. Damn you, Professor A, don't you know I've got feels of inadequacy to misplace as frustration at you!

@stevensenior.bsky.social Social determinants of health klaxon. Clinical skills on cardiovascular risks.

One thing I love about the Traitors is you really get a very profound insight into a country culture, and we really do love to kill the clever ones.

Na. I show up on time to the things I'm asked to attend and don't talk over others - seems to do the trick.

Yeah, it doesn’t look quite right as cabs go, but this is no way to boost its confidence.

i looked at the methodology for this and it is a. sex addiction counseling group in texas did a surveymonkey and extrapolated the results to the entire us population which is the sort of research design that earns you an ff on an intro methods class (the extra f is for extra effort), and b. p-hacked

Was surprised to learn today that the VALUABLE service of private healthcare, that people can choose to ADD to the services they pay off, isn’t VATable. As public schools finally have to charge VAT, is this what we’ll argue about next for 20 years?

I'm trying to think back to when I was teaching, would I say something wasn't important to understand and then talk about it for 20 minutes? ...Probably all the time. (This is of course in no way connected to my current experience as a student.)

I’m a few weeks into med school now and I’m starting to think potassium and sodium might be important.

Oh no. Google has informed my cloud usage is 25% full! It's exclusively used for my 10 year old email account. This is going to be a real pain in the arse to deal with in 30 years time.

To join the top 10 sitcoms bandwagon. In no particular order, mine are: - Community - The Good Place - Curb your enthusiasm - Brooklyn 99 - Staff lets flats - What we do in the shadows - Office US - Spaced - Grand Designs - Rick and Morty (There must be more British ones I’m forgetting…)

@stevensenior.bsky.social Social determinants of health mention klaxon! Clinical skills session. Dermatology/skin colour DEI challenges —> missed/late diagnosis —> Social determinants of health.

Who could have possibly foresaw that all the current fundamental flaws of generative AI would impact generative AI medical apps!?

Just watched a blurry 30 second video of a bacteria being chased by a neutrophil, while dramatic music playing over the top. It's brought tears of joy to my eyes. ...This may suggest my emotional states is currently more flimsy than I'd like to accept...

@dropout.tv My dear old dad just spent £100 on postage to get me a single tee from you. That's how committed to quality merch he is and uninterested in climate change*. And totally not because he didn't notice the P&P line. * = I assume the £100 is to hire a private plane.

only around a decade to go until another PM thinks "I know, I should hire Peter Mandelson"

Yesterday's insight: Molecular science, pharamcology and child development might each also be important. I'll provide more intel as this story develops.

Me: With an autosomal dominant trait, everyone who has the trait inherited it from a parent with that trait. Student: I have this condition which is listed as autosomal dominant. But neither of my parents have it. How does that work? Me:

My insight from first proper day of medicine school yesterday: Genes and protein production might be important. Please stay tuned for more breaking news.

Looks like there’s been a bunch of improvements in care from Martha’s rule so far. But I don’t think the lead stat of “720 changes in care” is one directly. Change in care doesn’t equal better outcomes. www.bbc.co.uk/news/article...

The difference between the text of the post and the headline of the article below it is staggering

Delirium develops over hours/days, dementia over months/years. "Dad was fine yesterday, today he's a different person" = think delirium, not dementia progression.

"Using race as a proxy for genetic differences limits understandings of the complex interactions among political-economic processes, lived experiences, and human biologies." This was published 25 years ago but we still don't seem to incorporate into practice. pmc.ncbi.nlm.nih.gov/articles/PMC...

Just a little Sunday afternoon reminder for you; you’re basically just a sack designed to carry around water, red blood cells and bacteria. Ok, bye for now.

Having actually moved to Derby today, it’s starting to actually feel like I will actually be starting to learn actual medicine on Monday. Like, really.

The fact that the thing we're calling artificial intelligence *can't do math* and yet we're jamming it into programs that successfully *have done math* for decades, then warning people against using the AI to do math, seems like an excellent summary of where we are.

One of the reasons innovation in healthcare (& the NHS in particular) is so difficult is the need for control. There is now a 10yr plan all sketched out with the assumption this will all be controllable when innovation by its nature is uncertain.

@watsoncomedian.bsky.social in case Becky hasn’t messaged you yet today; hydrate or diedrate.

Austentatious was an excellent first thing to see at The Fringe.

Is this what international relations experts mean by ‘strategic ambiguity’?

Very excited to think deeply and extensively about which one of the 32 options for Littmann Classic III Stethoscopes speaks most to me. Is it the all black? Is it one with the cooper finish? Is it the one that’s £5 more expensive than all the others?

Plus this one does do WRONG time travel stuff.

If healthcare staff are head down with patient care how do we enable innovation & change which requires looking up and out? The NHS 10yr plan is dependent on innovation, sharing learning & spreading change. All these require staff time.

Well this is something I thought I had four years before experiencing. I might have to move 130 miles, with less than a month's notice, to somewhere I've visited once and have no connection to. All because of an inflexible process, a faulty policy and over stretched support staff.

I found a lot of new ways to procrastinate from writing tasks this last few months (e.g. signing up for bsky and tidying up other peoples' offices). Today's is the best though, I'm going to give blood. It (1) basically turns me into a hero, (2) let's me listen to podcasts. I feel very smug about it.

This is the third heat wave in the UK this year. With climate change we’ll soon be talking about summer pressures the way we talk about winter pressures. Considering the state of the NHS buildings there’s a lot that needs to be done to get the NHS prepared for longer and hotter summers.

While it's in my bio here, I made my career change LinkedIn Offical today. Excited to start grad med next month.