Paul McCoubrie
@pmccoubrie.bsky.social
A radiologist who thinks too much, talks too much and does too little
Order my new book here:
https://amzn.eu/d/6U2J1z0
https://link.springer.com/book/9783031640933
Order my new book here:
https://amzn.eu/d/6U2J1z0
https://link.springer.com/book/9783031640933
Pinned
Paul McCoubrie
@pmccoubrie.bsky.social
· Nov 18
If you haven’t bought yourself a copy, my books are Rules for Life (with a medical/radiology slant) that I think you will enjoy
Full of thought-provoking messages of hope with a very practical slant
DM me for a signed copy (UK only due to P&P)
PS Support your local bookshop
ISBN-13 978-3031640933
Full of thought-provoking messages of hope with a very practical slant
DM me for a signed copy (UK only due to P&P)
PS Support your local bookshop
ISBN-13 978-3031640933
Low incidence problems are the heartsink of radiologists across the globe. But they are everyone’s problem. Including the patient.
Faced with a low-incidence but serious condition, clinicians & #radiologists must discuss the case and the patient should be seen by experienced doctors before a scan, insists @pmccoubrie.bsky.social. buff.ly/uXnhZs8 #radiology
January 12, 2026 at 11:47 PM
Low incidence problems are the heartsink of radiologists across the globe. But they are everyone’s problem. Including the patient.
A neighbour left a festive present of some mistletoe on our doorstep, clearly well intentioned and seasonally appropriate
Yet I can’t help thinking that mistletoe is a parasite and therefore an odd choice
Imagine if I left a gift of a bucket of tapeworms on their doorstep
Yet I can’t help thinking that mistletoe is a parasite and therefore an odd choice
Imagine if I left a gift of a bucket of tapeworms on their doorstep
December 21, 2025 at 11:29 AM
A neighbour left a festive present of some mistletoe on our doorstep, clearly well intentioned and seasonally appropriate
Yet I can’t help thinking that mistletoe is a parasite and therefore an odd choice
Imagine if I left a gift of a bucket of tapeworms on their doorstep
Yet I can’t help thinking that mistletoe is a parasite and therefore an odd choice
Imagine if I left a gift of a bucket of tapeworms on their doorstep
This topic, whilst not sexy in a *traditional* way, is a modern phenomenon in medical practice. And no one is talking about it
🩻 Low incidence problems
➡️ buff.ly/dhX7aq5
In his latest blog, Paul looks at unintended consequences:
Radiologist burnout.
Surge in incidental findings.
Rise in false positives.
Rise in false negatives.
@PMccoubrie.bsky.social #surgsky #medsky
➡️ buff.ly/dhX7aq5
In his latest blog, Paul looks at unintended consequences:
Radiologist burnout.
Surge in incidental findings.
Rise in false positives.
Rise in false negatives.
@PMccoubrie.bsky.social #surgsky #medsky
BJS Academy
Welcome back to Dr Paul McCoubrie’s a 'view from the dark side' — a series looking at the world of surgery through the lens of a radiologist. _______________________ Every few years a campaign is…
www.bjsacademy.com
December 18, 2025 at 7:43 AM
This topic, whilst not sexy in a *traditional* way, is a modern phenomenon in medical practice. And no one is talking about it
Reposted by Paul McCoubrie
In the absence of a magical fairy godmother, we need to take charge of our own work patterns and look after each other to reduce burnout and boost morale, writes @pmccoubrie.bsky.social in a festive column. buff.ly/q6Ee5nr #radiology
December 16, 2025 at 2:37 PM
In the absence of a magical fairy godmother, we need to take charge of our own work patterns and look after each other to reduce burnout and boost morale, writes @pmccoubrie.bsky.social in a festive column. buff.ly/q6Ee5nr #radiology
🚨*self publicity klaxon*🚨
There is £6 off my books for the festive period. I’d say they’d make a perfect present for radiologists (and those that deal with radiologists)
If you live in the UK, DM me for a signed & dedicated copy
link.springer.com/book/10.1007...
link.springer.com/book/10.1007...
There is £6 off my books for the festive period. I’d say they’d make a perfect present for radiologists (and those that deal with radiologists)
If you live in the UK, DM me for a signed & dedicated copy
link.springer.com/book/10.1007...
link.springer.com/book/10.1007...
The Rules of Radiology
This book gets to the heart of what radiology is and what radiologists do and focuses on the key areas required for the newly qualified radiologist
link.springer.com
December 15, 2025 at 11:07 AM
🚨*self publicity klaxon*🚨
There is £6 off my books for the festive period. I’d say they’d make a perfect present for radiologists (and those that deal with radiologists)
If you live in the UK, DM me for a signed & dedicated copy
link.springer.com/book/10.1007...
link.springer.com/book/10.1007...
There is £6 off my books for the festive period. I’d say they’d make a perfect present for radiologists (and those that deal with radiologists)
If you live in the UK, DM me for a signed & dedicated copy
link.springer.com/book/10.1007...
link.springer.com/book/10.1007...
An absolute must read (but long read) about how AI is a massive bubble that is being exploited by big business to do us over. And radiologists are first on the list
It’s compelling and unarguably true
pluralistic.net/2025/12/05/p...
It’s compelling and unarguably true
pluralistic.net/2025/12/05/p...
Pluralistic: The Reverse-Centaur’s Guide to Criticizing AI (05 Dec 2025) – Pluralistic: Daily links from Cory Doctorow
pluralistic.net
December 9, 2025 at 10:36 AM
An absolute must read (but long read) about how AI is a massive bubble that is being exploited by big business to do us over. And radiologists are first on the list
It’s compelling and unarguably true
pluralistic.net/2025/12/05/p...
It’s compelling and unarguably true
pluralistic.net/2025/12/05/p...
Reposted by Paul McCoubrie
#Multidisciplinaryteam meetings are expensive and time-consuming, and they don’t advance patient care and should be replaced by protocol-driven care and smaller meetings for complex cases, says @pmccoubrie.bsky.social. buff.ly/XzK9gHG #radiology #cancercare
November 25, 2025 at 10:34 AM
#Multidisciplinaryteam meetings are expensive and time-consuming, and they don’t advance patient care and should be replaced by protocol-driven care and smaller meetings for complex cases, says @pmccoubrie.bsky.social. buff.ly/XzK9gHG #radiology #cancercare
U.K. cancer MDTs need rethinking - recent BMJ piece. All 4000+ radiologists would breathe a massive sigh if someone could. Please and thank you
www.bmj.com/content/bmj/...
www.bmj.com/content/bmj/...
www.bmj.com
November 23, 2025 at 12:25 AM
U.K. cancer MDTs need rethinking - recent BMJ piece. All 4000+ radiologists would breathe a massive sigh if someone could. Please and thank you
www.bmj.com/content/bmj/...
www.bmj.com/content/bmj/...
This one is close my heart. I hope it resonates you
🩻 “The radiologist sees the shadow, the surgeon sees the patient"
➡️ buff.ly/LHeUMAE
Paul McCoubrie makes the case for smaller, focused surgical X-ray meetings — and questions whether today’s giant MDTs are helping or hindering care.
@pmccoubrie.bsky.social #medsky #surgsky
➡️ buff.ly/LHeUMAE
Paul McCoubrie makes the case for smaller, focused surgical X-ray meetings — and questions whether today’s giant MDTs are helping or hindering care.
@pmccoubrie.bsky.social #medsky #surgsky
BJS Academy
Welcome back to Dr Paul McCoubrie’s a 'view from the dark side' — a series looking at the world of surgery through the lens of a radiologist. _______________________ This summer has been difficult…
www.bjsacademy.com
October 30, 2025 at 8:57 PM
This one is close my heart. I hope it resonates you
Anyone ever noticed that the big cat bean looks like a nose?
October 22, 2025 at 2:06 PM
Anyone ever noticed that the big cat bean looks like a nose?
Reposted by Paul McCoubrie
Decision-making is central to clinical practice, but no one seems to make decisions now, writes @pmccoubrie.bsky.social in part 2 of his series about interactions between #surgery and #radiology. buff.ly/8sT03Ls
buff.ly
October 21, 2025 at 12:06 PM
Decision-making is central to clinical practice, but no one seems to make decisions now, writes @pmccoubrie.bsky.social in part 2 of his series about interactions between #surgery and #radiology. buff.ly/8sT03Ls
Out on a walk? Look down as well as up. It’s fungi season in the Northern Hemisphere. These are all sheathed woodtuft #mushroommonday
October 20, 2025 at 10:30 AM
Out on a walk? Look down as well as up. It’s fungi season in the Northern Hemisphere. These are all sheathed woodtuft #mushroommonday
Some sympathy for the teleradiology company. General Medical Council again not fit for purpose. How hard is it to check that an individual is trained and licensed?
A #radiologist was able to work for a leading UK #teleradiology company, despite having had his licences revoked in Sweden and Norway. The firm has now issued a detailed statement on the scandal. Read our report: buff.ly/XXZwCHf #radiology
buff.ly
October 9, 2025 at 10:47 AM
Some sympathy for the teleradiology company. General Medical Council again not fit for purpose. How hard is it to check that an individual is trained and licensed?
Planning our walking holiday to the Lake District next week. Guess which hill we are going up first?
October 7, 2025 at 1:10 PM
Planning our walking holiday to the Lake District next week. Guess which hill we are going up first?
Storm Amy had an upside this weekend just gone. It was a wet walk in Ingleton but the rivers were very full. Made for some glorious snaps
October 7, 2025 at 7:41 AM
Storm Amy had an upside this weekend just gone. It was a wet walk in Ingleton but the rivers were very full. Made for some glorious snaps
Reposted by Paul McCoubrie
🏆ARTICLE OF THE MONTH: Decision paralysis
➡️ www.bjsacademy.com/bjs-academy/...
🏅In this month's most popular read by @pmccoubrie.bsky.social
#Radiology #Surgery #medsky #surgsky @bjsurgery.bsky.social @bjsopen.bsky.social #decisions
➡️ www.bjsacademy.com/bjs-academy/...
🏅In this month's most popular read by @pmccoubrie.bsky.social
#Radiology #Surgery #medsky #surgsky @bjsurgery.bsky.social @bjsopen.bsky.social #decisions
October 1, 2025 at 10:37 AM
🏆ARTICLE OF THE MONTH: Decision paralysis
➡️ www.bjsacademy.com/bjs-academy/...
🏅In this month's most popular read by @pmccoubrie.bsky.social
#Radiology #Surgery #medsky #surgsky @bjsurgery.bsky.social @bjsopen.bsky.social #decisions
➡️ www.bjsacademy.com/bjs-academy/...
🏅In this month's most popular read by @pmccoubrie.bsky.social
#Radiology #Surgery #medsky #surgsky @bjsurgery.bsky.social @bjsopen.bsky.social #decisions
Reposted by Paul McCoubrie
A #ClinicalExam or #physicalassessment lacks sensitivity, but to omit it entirely is short-sighted, writes @pmccoubrie.bsky.social in a new series of articles about interactions between #radiology and #surgery. buff.ly/IG5RAJl
September 30, 2025 at 10:52 AM
A #ClinicalExam or #physicalassessment lacks sensitivity, but to omit it entirely is short-sighted, writes @pmccoubrie.bsky.social in a new series of articles about interactions between #radiology and #surgery. buff.ly/IG5RAJl
I'm fascinated by decision-making and it's central role in clinical practice. But also it is hard these days and I explore why in my latest column
🧠Surgery isn’t about dexterity—it’s about judgement.
➡️ buff.ly/NNRATp4
In his latest blog, Paul reflects on clinical decision-making, its pitfalls, and the modern epidemic of decision paralysis in hospitals.
@pmccoubrie.bsky.social #medsky #surgsky #surgeon
➡️ buff.ly/NNRATp4
In his latest blog, Paul reflects on clinical decision-making, its pitfalls, and the modern epidemic of decision paralysis in hospitals.
@pmccoubrie.bsky.social #medsky #surgsky #surgeon
September 9, 2025 at 9:52 PM
I'm fascinated by decision-making and it's central role in clinical practice. But also it is hard these days and I explore why in my latest column
Reposted by Paul McCoubrie
🏆ARTICLE OF THE MONTH: I’m exhausted
➡️https://buff.ly/Jbcg4Bt
“These were the words of one of my surgical colleagues as they slumped into a chair next to me one morning. I felt a pang of guilt: they were everything I was not. ”
🏅In this month's most popular read!
➡️https://buff.ly/Jbcg4Bt
“These were the words of one of my surgical colleagues as they slumped into a chair next to me one morning. I felt a pang of guilt: they were everything I was not. ”
🏅In this month's most popular read!
September 1, 2025 at 7:03 PM
🏆ARTICLE OF THE MONTH: I’m exhausted
➡️https://buff.ly/Jbcg4Bt
“These were the words of one of my surgical colleagues as they slumped into a chair next to me one morning. I felt a pang of guilt: they were everything I was not. ”
🏅In this month's most popular read!
➡️https://buff.ly/Jbcg4Bt
“These were the words of one of my surgical colleagues as they slumped into a chair next to me one morning. I felt a pang of guilt: they were everything I was not. ”
🏅In this month's most popular read!
I loved this piece by Giles. Glorious. A paradoxical anti-law. Worth 5 mins of your time
Every #radiologist probably has a secret ambition to have something named after them, Dr Giles Maskell says. In a new column, he introduces Maskell's Law of #Cancer. buff.ly/KQEu1Ax #radiology
September 2, 2025 at 11:20 AM
I loved this piece by Giles. Glorious. A paradoxical anti-law. Worth 5 mins of your time
A rather fishy radiology request
August 28, 2025 at 7:51 AM
A rather fishy radiology request
Had to have a cold shower this morning - boiler on the Fritz temporarily. Not my usual thing TBH
You know how it’s supposed to make you all energised and refreshed?
I felt cold. Cold and miserable. And a bit angry
0/10. Would not recommend
You know how it’s supposed to make you all energised and refreshed?
I felt cold. Cold and miserable. And a bit angry
0/10. Would not recommend
August 21, 2025 at 7:44 AM
Had to have a cold shower this morning - boiler on the Fritz temporarily. Not my usual thing TBH
You know how it’s supposed to make you all energised and refreshed?
I felt cold. Cold and miserable. And a bit angry
0/10. Would not recommend
You know how it’s supposed to make you all energised and refreshed?
I felt cold. Cold and miserable. And a bit angry
0/10. Would not recommend
Today’s German-compound-word that-we-could-really-use-an-English-equivalent-of Number 238:
“Verschlimmbessern”
To paradoxically make things worse in honest but failed efforts to make things better
See also: NHS reforms of this century
“Verschlimmbessern”
To paradoxically make things worse in honest but failed efforts to make things better
See also: NHS reforms of this century
August 18, 2025 at 7:34 PM
Today’s German-compound-word that-we-could-really-use-an-English-equivalent-of Number 238:
“Verschlimmbessern”
To paradoxically make things worse in honest but failed efforts to make things better
See also: NHS reforms of this century
“Verschlimmbessern”
To paradoxically make things worse in honest but failed efforts to make things better
See also: NHS reforms of this century
Chris has been writing again. I know it is *another* column on AI but, as always, he writes with aplomb
www.auntminnieeurope.com/imaging-info...
www.auntminnieeurope.com/imaging-info...
Why I’m still so suspicious of AI
AI systems are remarkable achievements, but there is a way to go before I’ll lift my scepticism of their role as anything other than a tool to be deployed judiciously and alongside other, human, solut...
www.auntminnieeurope.com
August 12, 2025 at 9:39 AM
Chris has been writing again. I know it is *another* column on AI but, as always, he writes with aplomb
www.auntminnieeurope.com/imaging-info...
www.auntminnieeurope.com/imaging-info...
Bit of a game changer for the radiology of incidental adrenal lesions.
Fairly compelling argument for (1) doing away with washout CT (2) calling <4cm 10-20HU lesions benign
My life may just be about to become a little easier
insightsimaging.springeropen.com/articles/10....
Fairly compelling argument for (1) doing away with washout CT (2) calling <4cm 10-20HU lesions benign
My life may just be about to become a little easier
insightsimaging.springeropen.com/articles/10....
Washed up: the end of an era for adrenal incidentaloma CT - Insights into Imaging
Abstract For over 20 years, the two key tenets of adrenal incidentaloma (AI) evaluation have been the upper threshold of 10 Hounsfield units (HU) on noncontrast CT (ncCT) to delineate benignity, and t...
insightsimaging.springeropen.com
August 5, 2025 at 12:05 PM
Bit of a game changer for the radiology of incidental adrenal lesions.
Fairly compelling argument for (1) doing away with washout CT (2) calling <4cm 10-20HU lesions benign
My life may just be about to become a little easier
insightsimaging.springeropen.com/articles/10....
Fairly compelling argument for (1) doing away with washout CT (2) calling <4cm 10-20HU lesions benign
My life may just be about to become a little easier
insightsimaging.springeropen.com/articles/10....