Every attempt to manage academia makes it worse

Great questions for complex systems. Whilst this references mostly performance metrics this pervasive buffoonery is also applied to health.
It lacks understanding of the sector and is misapplied.
Good to ponder and to rebut the bean counters who are necessary but should never be in charge. IMHO of course. You may have a different view. Enjoy.

Sauropod Vertebra Picture of the Week

I’ve been on Twitter since April 2011 — nearly six years. A few weeks ago, for the first time, something I tweeted broke the thousand-retweets barrier. And I am really unhappy about it. For two reasons.

First, it’s not my own content — it’s a screen-shot of Table 1 from Edwards and Roy (2017):

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And second, it’s so darned depressing.

The problem is a well-known one, and indeed one we have discussed here before: as soon as you try to measure how well people are doing, they will switch to optimising for whatever you’re measuring, rather than putting their best efforts into actually doing good work.

In fact, this phenomenon is so very well known and understood that it’s been given at least three different names by different people:

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Top Trip articles for 2016

On Hanson’s claims that women lie about sexual assault

Well written piece on the complexities bigotry and bias around sexual assault. Everyone is innocent until proven guilty. Well said.

No Place For Sheep

Michaelia Cash, Minister for Women, hugs Senator Pauline Hanson Michaelia Cash, Minister for Women, hugs Senator Pauline Hanson

My default attitude to Pauline Hanson is that my life is too short to spend much time contemplating her, however, an interview on Sunrise (no, I’m not linking) in which she gloated about the Trump victory and sputteringly claimed that women who accuse him of sexual assault are liars and women in general should toughen up when a man, uninvited, strokes our breasts and grabs our pudendas enraged me to the extent that I have to address it.

Aside: Sunrise enrages me as well, as does all breakfast television: who the hell wants to start the day with overly-cosmeticised women in tube frocks, and self-congratulatory men in nifty suits cackling & exclaiming, not me, I’d rather listen to the parrots & wattle birds brawling outside my window, they make more sense. Somebody thoughtfully sent me a clip of the Hanson…

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Health Care Home for sale?

As the Govt struggles to address the electorate on its reluctance to fund primary health care. It rolls out Trojan horses one after the other to Australias GPs.
We will not abandon our patients to poor policy.

Doctor's bag

Health Care Home for sale

The government seems to have lost the goodwill of the profession about their Health Care Homes model. On Friday afternoon the details of implementation stage 1 were published and it was underwhelming – to say the least.

A health reform like this, which should focus on better integration, coordination and team care, must be planned and rolled out in collaboration with the profession and consumers, not quietly published on a Friday afternoon.

Despite initial reassurances from Federal Health Minister Sussan Ley, there has been no consultation with the profession. Many GPs have expressed concerns during the weekend or indicated that they have lost interest in the model.

Restricted Medicare access

The government’s Health Care Homes model does not reflect the RACGP’s best practice model of the medical home, as outlined in the RACGP Vision for general practice and a sustainable healthcare system, released in September 2015.

Several details of the government’s proposed model, including…

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DIM SIMs

Another Reblog. Sourced from another clinician colleague on GPSDownUnder closed Facebook group for Australian and New Zealand GP’s.
I thought this was a great article explains the complexity of the pain experience to both clinicians and patients.
The DIM -SIM model may well help our consultations with these very complex patients
By deconstructing and reconstructing the pain there may well be advances in recovery and therapeutic relationship.

noijam

noinotes_march_2015large[2]

Ever since Explain Pain emerged in 2003, Lorimer Moseley and I have been asked by clinicians for a “simpler version… for patients”. We actually wrote something in 2005 but we resisted publishing this “short version” for a number of reasons – the data showed that people, even without medical training could get it – the material in “Explain Pain” wasn’t too hard or complicated, rather most clinicians underestimated their patient’s ability to learn about, and understand their pain. Additionally, and also important, the material was changing rapidly and so too were delivery modes. Remember YouTube only started in 2005.

Since Explain Pain, many clinicians have written their own short manuals – some are excellent, some are scary, others are plain wrong and many defy basic multimedia principles. We’ve noted that some, including published books and manuals, closely resemble the structure, text, ideas and style of Explain Pain

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Paracetamol and pregnancy: what’s the fuss?

A great message about the reporting of research in the media. Beware the unwary and salute the responsible science journalist.

drjustincoleman

1. pregnancy Could paracetamol be linked to ADHD? Photo by tipstimes.com

Yesterday’s study linking paracetamol use during pregnancy with behavioural problems in childhood has hit news headlines around the world, and this morning ranked first among Australian health news stories, according to Google trends.

[Clarification: paracetamol brands include Panadol and Tylenol. In the US, the chemical name for the drug is acetaminophen.]

What is the fuss about?

A study published yesterday in JAMA Paediatrics analysed data from 7796 mothers from Bristol, England, who were part of a prospective birth cohort study in 1991-2. The self-recorded data included maternal use of paracetamol during pregnancy (at 18 and 32 weeks) and five years later, and the presence of behavioural issues when the child was seven years old.

The study found an association between antenatal paracetamol use at 32 weeks gestation and behavioural problems for the 7-year-old children, as measured by a high scores on a conduct…

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