These videos have been put together by me to help ANZCA final exam candidates prepare for their exams. The reason I’ve put this together is because I’ve seen a few good trainees (whom my colleagues and I have seen as clinically competent, and who have passed their written exams multiple times) who simply haven’t developed […]Read More Anaesthetic part 2 viva skills tutorial pre-reading/ pre-watching
I’ve put together the following documents to help trainees in pain medicine improve their clinical skills, reflect on their own practice and develop evaluative judgement. Observing another doctor seeing a new patient Observing another doctor seeing a review patient Listening skills Empathy part 1 (podcast) Empathy part 2 (podcast) Empathy part 3 (podcast) History taking […]Read More Pain medicine trainee resources
Doidge, Norman, The Brain That Changes Itself, 2007 Written by a Canadian psychiatrist, this book is an excellent primer on the concept of neuroplasticity – the idea that the brain is not fixed; that it can change, regenerate and repair itself. It is written for a non-technical audience and provides compelling stories (case studies) of […]Read More Recommended Reading for holistic health and wellness
Your resume and cover letter get you an interview. Your resume basically tells your potential employer why they should hire you. Your CV tells them why you’ve chosen them. Make sure that the resume: a) does not have any spelling or grammatical errors (this shows attention to detail) b) is succinct and to-the-point (people don’t […]Read More The recruitment process – Getting your resume and cover letter in order
First the benefits I believe that a specialist qualification in Pain Medicine is a great value adder to any primary specialty. Think of your poor colleagues (or even yourself) who shrink back when thinking about that patient with chronic pain sitting on the ward that they are reluctant to see and interact with. The skills […]Read More Advice for doctors considering training in Pain Medicine
If there were any doubt about the importance of a comprehensive opioid stewardship program, this study dispels it. The program, outlined in reference 1 has 18 recommendations and I agree wholly with them. Specifically, they recommended AGAINST prescribing long-acting opioids for acute pain, which is consistent with the ANZCA/FPM guidelines. Proportions of patients with chronic […]Read More Impact of an Opioid Safety Initiative on Patients Undergoing Total Knee Arthroplasty: A Time Series Analysis.
Please have a listen to this podcast on opioid tapering. It’s recorded by NPR in a conversation with Dr Travis Rieder, a “philosopher by training” and a “bioethicist profession” at Johns Hopkins. He speaks from an informed position of both chronic pain and addiction. The transcript of the podcast is available here. As you’re listening to […]Read More Flipped classroom – Opioid tapering
So I stumbled across this article as I was clearing out my email. It interests me for a number of reasons: It highlights the importance of audit and feedback in our ongoing learning as clinicians It shows that with a little bit of feedback, we can change our ways. The intervention was simply a letter […]Read More Feedback – Do you have to be aware that you’ve contributed to someone’s death to change your practice?
https://iview.abc.net.au/show/you-can-t-ask-that/series/4/video/LE1817H006S00 Questions to consider: Did you learn anything about substance use disorders when watching the video? If so, what did you learn? Do you think there are common themes between alcohol and opioid use disorders? If so, what do you think the two disorders have in common? Did you learn anything that you could potentially […]Read More Flipped classroom – Substance use disorders
I felt this article in the Atlantic was worthy of a blog post. I picked up on it from the twitter feed of one of my favourite speakers, Adam Grant. (You should listen to his Work Life podcast by TED.com if you haven’t already, and as an aside, I first heard Adam when listening to […]Read More On the problem with HR
https://www.theage.com.au/national/victoria/this-popular-drug-is-linked-to-addiction-and-suicide-why-do-doctors-keep-prescribing-it-20181129-p50j1x.html This has got into the popular press, and I’m glad it has. Pharmacotherapy, in my opinion, is used far too commonly in modern medicine where a quick consultation and a prescription are rewarded over a good consultation and no prescription. I myself was so surprised when I saw this BBC documentary. Add link What […]Read More Lyrica (pregabalin), linked to addiction and suicide
1. Illusion of explanatory depth – we overestimate what we really know. Rebecca Lawson. Our brains are not designed to be knowledge banks Our brains were designed for action and reasoning. Diagnostic reasoning = ability to recognise what happened yesterday causing today. Reasoning from effect to cause is harder than cause to effect. Stories help […]Read More