Maybe we should start a list of major losers and trademark it @Scaramucci.

Aeromedical retrieval thought for the day:. I can't transport a rumour. That "heads up" you're giving me about a case that might or might not happen - well ultimately it usually doesn't help. Except when it does.

I may have received the most clinical handovers by telephone of anyone on the planet. Mid shift I'm up to 17.

There are many seemingly random issues that also impact on the zone of influence:.- from the availability of refuellers to flight team fatigue rulings. I'll say it once again - there are ideal scenarios and then there's being a team player in a tough game. I choose the latter.

The zone of influence for any individual asset depends on:.- location (of course).- time remaining in shift.- clinical priority of patient - higher acuity patients can maintain the zone of influence.- weather events at either current location, destination, or en route

In this week’s lesson associated with aeromedical retrieval, I came to a greater understanding of time as a perishable commodity. And the concept that each asset has a circle of potential influence at the start of the shift that progressively degrades throughout the shift.

PGY 3 and 4 - for many, their first year or two as registrars, often a specialty that is not their destination specialty. Confidence sky high, competence modest. It's the most dangerous period of many careers.

Post graduate year (PGY) 1 and 2, the reality of working as a doctor hits hard. Most come to understand the significant differences between student life and working life. Confidence takes a hit, the slope of competence improvement is steep, but initially remains low.

In medical school, we're repeatedly told we're the "best of the best" which is not only untrue, but leads to an inflated sense of self worth. For the most part, confidence is high, competence low.

Evolution of confidence and competence in doctors. (thread).

Had me worried there for a moment A 22 months, much better.

Whenever we get to a “no tomorrow game” I’m reminded of Bulls / Cavs. Go Freo.

Accidentally became important at work and it's ruining my life. Should never have volunteered to run the roster.

AFLW preseason

When coordinating aeromedical retrieval, my GCS is 16. Not only am I alert and orientated x3, I'm vigilant and ready for anything.

Thanks to @EmpirePodUK I got this immediately.

One way to define experience in aeromedical environments is to develop a load of actions, treatment and patient cohorts that subsequently become closely associated with deep regret amongst the clinical team!. I've got a few of those. Some things only learnable via experience.

I've got big roles left in front of me, my main concern is to enter a situation where success in the role is possible, doing good work with a team of people who care. Wonder if I'll ever get the call!.

The upside:.- approx 50% pay rise.- work as little or as much as I want.- need lots of time off? No problem.- want to work a specific date - usually no problem.- no meetings, no complaints to answer (unless I generate them).- no colleagues to cajole.

For just over 2 years now, I haven't "had a job". It was quite confronting:.- no regular hours, annual leave, sick leave, or study leave.- relevance deprivation. I thought the phone might ring, offering me an interesting job, it hasn't.