Niamh & I are absolutely thrilled to welcome this beautiful little bundle of a first child 👩🏻🦰👦🏻🐺 + 👶
Áine Maeve Toner-Hall born in Edinburgh on her due date 24/04/23 at 7lb 7oz
Proud as punch parents, and an inquisitive & protective big sister Lyra 🐺
Been asked by journalists how serious
#WuhanPneumonia
outbreak is. My answer: take it seriously bc of cross-border spread (planes means bugs travel far & fast), likely human-to-human transmission & previous outbreaks have taught over-responding is better than delaying action.
A real privilege to step into Match Day Orthopaedic Doctor role for first time 🦴
🏴 Scotland v France 🇫🇷
Super game & a pleasure to take my mum to Hospitality in the President’s Suite🍷
#AsOne
#scotland
#rugby
#sportmedicine
@rosieICM
Critical care indeed 🤨
seen ++ female docs judged liked this, with no shortage of what can only be described as jealousy. If they’re younger, or perceived as posh, pretty, or otherwise privileged it seems to exacerbate the issue
And my 32yo acne doesn’t reflect incompetence 😆
Is medical training adequate to promote health & give patients what they need?
🌍Inactivity = global health problem
🏃♂️Activity = preventative medicine
👩🎓 Doctors should be equipped to promote health
💊Medicine for 21st century!
@BJSM_BMJ
article:
No difference found between sham taping v kinesio or rigid taping on anterior knee pain during functional tasks... However sham taping demonstrated greater effects on limb biomechanics!!!
A fitting sign-off for a legend of
@Scotlandteam
&
@lionsofficial
- a genuine Titan of Sports Medicine 🏴🦁🏉
Thank you for your diligence, professionalism, fairness, and humanity Dr Robson. You led the way, then inspired and developed a generation
#AsOne
Absolutely thrilled to marry Niamh - on a wild Scottish day in the Pentland Hills ☔️ - with a small group of family & friends 🏴 🇮🇪 🏴 Going off-grid with 👰♀️ and 🐺 for some much-needed downtime 🥂 💤
@CatrionaRennis1
Tone deaf, or active trolling?
your trust have demonstrated how important they these facilities are for recruitment, retention, wellbeing
An audit of clinical facilities against this standard would be powerful (stick it in your portfolio too 😉)
@timricketts_
A few years ago, in a previous trust, the Snr Fellow and I needed to arrange urgent out of hours cover
Called on-call Medical Director, who said she was in theatre. “Oh great, which theatre, we’ll come around?”
“No, I’m at THE theatre. I’ll call back in the interval” 🎭
*Published Today* IMPACT-Scot 2 Report on
#COVID19
in hip fracture | Mortality, risk factors for community & hospital acquired infection, suggested care pathways | A nationwide study from the first wave | 🏴🦴🦠 |
@BoneJointJ
#orthotwitter
#medtwitter
🧵
📣Published!
Only 60% of👩🎓👨⚕️agreed that undergrad training in T&O=sufficient
📉Exposure declining
🦴MSk skills neglected
⛔️May harm careers/diversity
💻Virtual clinical teaching works
🔑May widen access
🤨Is it enough?
#orthotwitter
#MedTwitter
#MedEd
Arthroplasty training opportunities may be scarce. We find VR great (& sustainable) to learn steps of a procedure. Thanks to
@JNJMedDeviceUKI
for helping
@PhilWalmsley4
& I continue to develop T&O training in
@nhsfife
using their fantastic (and newly updated!!) kit
#orthotwitter
🏡 🛌 Day-case surgery in Planned Essential Ortho could be part of the solution to ⬆️ volume, efficiency, sustainability & boost post-pandemic recovery 🦠
📰 New article considers benefits & describes outpatient Arthroplasty services🏥
#orthotwitter
@G__Halliday
But we are told not to compare our pay to the self-employed (e.g. plumbers, electricians) because “they have overheads”
(p.s. you will be paying the GMC several hundreds more when you enter the next years of your career)
Really enjoyed the year-long
@EdClinEd
PgCert, supported by
@NHSLothianMedEd
. Great to formalise MedEd principles learned delivering the
@EdinUniMedicine
UG T&O Module, and to consider essays on Tech solutions in Surgical Training, Assessment, and Curricula
📣Published (Open Access)
IMPACT Frailty study🦠
❗️Important findings for health & social care after
#COVID19
Hip fracture patients that had COVID-19 & survived left with:
⬆️frailty
⬆️length of stay
⬆️readmissions
⬆️care needs
#orthotwitter
#MedTwitter
💻 Meta-audit = Health Data Science + Clinical Audit + Medical Informatics computer 🌍 EDITORIAL: We expect this field to flourish with evolution of research & audit driven by AI, ML, natural language, routine health data linkage + other techniques 🤖🔬
Working with the fastest💨 & fittest🏃♀️athletes in the world is a privilege🌍
Elite sport needs high-performing
#sportmedicine
🩺🚨💊🦴
@docandrewmurray
&
@paolo_emilio
built a multi-specialty team to deliver that in 🏴 - thrilled to work & learn with them
#WICGlasgow24
Unbelievable experience at the
#RyderCup
in Rome 🇮🇹
What a way to witness Europe🇪🇺 dismantling the USA🇺🇸 up close on a really lovely golf course
Swipe ➡️ for Viktor Hovland setting the tone at sunrise 🌅 on Day 1 🎯
Áine’s first Christmas Tree 🎄
All smiles, after some initial apprehension…
A little Newcastle-Belfast theme in the upper branches 🖤💚
#angelofthenorth
#harlandandwolff
How can we improve quality of care for hip fracture patients?
Financial incentive/penalty?💰
Peer-review & outlier reporting? 📈
Nick Clement (
@EdinOrthopaedic
) currently debating both side of “carrot vs stick” debate at
#ScotHip21
Thank you
@ojedathies
for your superstar hosting
@RNFCadera
🇪🇸 - an enthusiastic meeting!
A pleasure to visit - you gave
@xlgriffin
& me an authentic taste of Madrid! 🦴🍷🥩
No trauma list needed too! 🛴
We’ll reciprocate in warmer weather 🇬🇧. 🏴 🥶
#gracias
#orthotwitter
Just received advanced copies of The Surgical Portfolio and Interview.
The book is a practical guide to help you build an impressive portfolio and deliver a quality performance at interview.
Available from booksellers in about a week.
Full details and free sample on our website.
A pleasure talking at
@bota_uk
x
@RCSEd
about variety in this amazing training career 🔨🦴🔬🧬 🏃♀️
📣 Key message:
“You are professionals in charge of your own journey. It’s long and often challenging…you might as well make it picturesque!”🖼️
#MedTwitter
#orthotwitter
🏴
Rubber ✏️ and protractor 🤓 at the ready … Steep learning curve (hopefully to be corrected!) at the Hull Deformity Correction Course 🦴courtesy of
@britorthopaedic
📣Just Published
Well done Robert Kay + team for this super useful validation study!
🛌Frailty plays a massive (increasing) role in Trauma & Elective Orthopaedics
🔑This unlocks huge potential for further investigation of Frailty in T&O
#orthotwitter
📣 Published
Outpatient needle arthroscopy of the knee
@Arthrex
NanoScope
Feasibility study of:
💵 Cost
🚮 Waste production
🏥 Service efficiency
In progress:
🏴 Role in healthcare
❓Safety & clinical outcomes
🔎 Wider evidence base
#orthotwitter
🏉 Rugby Weekends = best weekends ♥️
Support Doc 🤕 for an attritional win for SCOvWAL U20s with
@dundeesportsmed
@DrDave999Pugh
And an impressive win for
@Scotlandteam
at Murrayfield on Sat 💪🏼
First taste of rugby for bump🤰
First taste of Guinness 0.0
@ntoner3
🍺
@OrthopodReg
How did the it become normalised that workload is increased by 50% without corresponding increase in safe time & pay?
Pay can be compromised (but it shouldn’t), but safety should not
Work-to-rule unpalatable to some
Work-to-safety more acceptable?
#orthotwitter
#MedTwitter
@miriam_khalil13
We hear lots of women say they’ve heard Surgery/T&O is:
Not for women
Not for family life
Not for LTFT work
Not for minorities
Etc
This negativity is part of the problem, and so often comes from outwith surgery
It’s BULLSHIT
#orthotwitter
#medtwitter
@bota_uk
@WISScotland
Excited to present
@FF_Network
Global Congress 2021 🦴 Finding opportunities in adversity 🦠 | How challenges bring nations together 🌍 | Introducing ‘meta-audit’ - interface between Clinical Audit / Medical Informatics / Health Data Science 🧬 💻 🏥
@IMPACTAudits
#MedTwitter
A change from Tynecastle 🇱🇻 &
@JamTarts
this weekend. Great time with pals at
@grangecricketacademy
covering T20 Cricket 🏏 between 🏴 & 🇿🇼
#sportsmedicine
brings the variety! Fresh produce courtesy of the Brenkels’ Garden 🍅 🤩Things aren’t normal (🦠) but still great to see
📣 New Infographic
🚨Key principals for successful emergency audit
🔎 Strategy for running a clinical audit collaborative
🦴 Hot T&O topics amenable to collab study
🦠Reporting standards for communicable disease studies
#orthotwitter
#MedTwitter
Stunning first of two weeks in Donegal our special place to relax & explore.
As always, it takes a week to get into the swing of relaxation!
Murder Hole Beach a highlight, followed by dinner at Fisk / Harbour Bar (Downings)
📣Published:
@IMPACTAudits
Deprivation
📖
💬People from low socioeconomic areas sustain hip fracture earlier
💬More likely to need further admissions
💬Could mean ⬆️ years in ill health state, or overall ⬇️ life expectancy
👏 Robert Kay!
#orthotwitter
📣Published
Blood transfusion in hip fracture🩸
Nationwide study of 23,000 patients🦴
💬Tx associated with adverse outcomes; likely due to perioperative anaemia itself. Tx doesn’t wholly reverse this. Key = ⬇️ periop blood loss
Well done
@docfarrow
& SHFA team
#orthotwitter
Superb from 🧙♀️Nick Clement coordinating this multicentre study across UK 🏴🏴 | Rate of post-arthroplasty
#COVID19
was 0.5% (similar to background); 0.09% mortality from COVID19 in study | Consider timing and context
@BoneJointJ
@EdinUniOrtho
@EdinburghTrauma
#orthotwitter
*Just Published* Another IMPACT-Restart Collaboration🦠 | Rate of COVID-19 & Mortality in Arthroplasty🔨 | Study from height of first wave🌊prior to service cessation/enhanced infection control precautions😷
#orthotwitter
| Follows
@RoshanaMN
“We give tough love as parents” 🤡
“I’m an adult learner. I need a trainer, not a parent”👩🎓
Thanks so much for smashing it (archaic tropes, the medical patriarchy, ‘it’) today 💪🏼 🔨
📣New Editorial
❓How to respond better to crises
❓How to handle new variants/pathogens/outbreaks of seasonal disease?
❓What can
#COVID19
teach us about our research & audit response?
❓Do we need new clinical risk scores?
#orthotwitter
#MedTwitter
@scotorth
Meeting 2023
🥲 Poignant presenting (hopefully!) last COVID-19
@IMPACTAudits
study🦠💉
🥉A wee research prize in a strong field
🚨Superb Major Trauma teaching
🦴Last SCOT Meeting as
@P_H_S_Official
SHFA Research Fellow🙏
#orthotwitter
📣Published for
@FF_Network
SIG
🖥️
🤝Registry compatibility
🌍International collaboration
🦴Embedding research
📊Enhancing data science
Based on our Minimum Common Dataset for Global Hip Fracture Audit
#orthotwitter
#datascience
Congratulations to the Royal Alexandra Hospital in Paisley - winners for the second consecutive year of the Golden Hip award for best performing unit on the Scottish Standards of Care for Hip Fracture Patients!
#ScotHip19
🔥
👏
@EdinburghSEMS
helping Undergrad access to Sports & Exercise Medicine grow 🩺 ⚽️
Pleasure to be talking about Immediate Care in Sports 🤕🚨
Great to hear
@GrangeCCAcad
discussing Exercise Prescription 🏃♂️
& ESEMS President Kat about anti-doping 💊
@ukantidoping
#sportsmed
Fantastic city break in Amsterdam - a real favourite of ours, and surely one of the world’s best small cities 🇳🇱🍁🥶
Love the Dutch manner: genuine, friendly, blunt 🎯
Cosy fondue 🧀 & drinking for two 🍷🍷