Dr Louella Vaughan
@drlkvaughan.bsky.social
Consultant Acute Physician, The Royal London. Health policy nerd. Former Harveian Librarian, RCP. Antipodean. Views own.
Time is running out!
Less than 3 days left to vote in the @rcphysicians.bsky.social elections.
Links to voting in email from Civica.
Vote @drlkvaughan.bsky.social for Vice President!
Less than 3 days left to vote in the @rcphysicians.bsky.social elections.
Links to voting in email from Civica.
Vote @drlkvaughan.bsky.social for Vice President!
April 11, 2025 at 1:43 PM
Time is running out!
Less than 3 days left to vote in the @rcphysicians.bsky.social elections.
Links to voting in email from Civica.
Vote @drlkvaughan.bsky.social for Vice President!
Less than 3 days left to vote in the @rcphysicians.bsky.social elections.
Links to voting in email from Civica.
Vote @drlkvaughan.bsky.social for Vice President!
anywhere in the world. Except perhaps Germany.
The logical solution is train more doctors and to use carrots (+ the occasional stick). But this is expensive!
So the alternative, since the 1960s, has been workforce substitution. This is attractive, as it certainly is true
2/
The logical solution is train more doctors and to use carrots (+ the occasional stick). But this is expensive!
So the alternative, since the 1960s, has been workforce substitution. This is attractive, as it certainly is true
2/
April 1, 2025 at 1:45 PM
anywhere in the world. Except perhaps Germany.
The logical solution is train more doctors and to use carrots (+ the occasional stick). But this is expensive!
So the alternative, since the 1960s, has been workforce substitution. This is attractive, as it certainly is true
2/
The logical solution is train more doctors and to use carrots (+ the occasional stick). But this is expensive!
So the alternative, since the 1960s, has been workforce substitution. This is attractive, as it certainly is true
2/
Just off the Leng Review call.
Once again it strikes me just how existential the issue of workforce substitution is and what is at stake.
The root cause is not enough doctors. Historically, not enough in rural and remote places. With the coming 'Silver Tsunami', not enough
1/
Once again it strikes me just how existential the issue of workforce substitution is and what is at stake.
The root cause is not enough doctors. Historically, not enough in rural and remote places. With the coming 'Silver Tsunami', not enough
1/
April 1, 2025 at 1:45 PM
Just off the Leng Review call.
Once again it strikes me just how existential the issue of workforce substitution is and what is at stake.
The root cause is not enough doctors. Historically, not enough in rural and remote places. With the coming 'Silver Tsunami', not enough
1/
Once again it strikes me just how existential the issue of workforce substitution is and what is at stake.
The root cause is not enough doctors. Historically, not enough in rural and remote places. With the coming 'Silver Tsunami', not enough
1/
partly on the RCP and I have written 2 books on the History of the College.
I ran for Council because the SLT wanted to sell off a big chunk of the Historical Library. I was told that despite being the Librarian, my views didn't count.
3/
I ran for Council because the SLT wanted to sell off a big chunk of the Historical Library. I was told that despite being the Librarian, my views didn't count.
3/
March 26, 2025 at 1:10 PM
partly on the RCP and I have written 2 books on the History of the College.
I ran for Council because the SLT wanted to sell off a big chunk of the Historical Library. I was told that despite being the Librarian, my views didn't count.
3/
I ran for Council because the SLT wanted to sell off a big chunk of the Historical Library. I was told that despite being the Librarian, my views didn't count.
3/
Thrown off one for being bolshie.
I have co-authored Acute Care and the joint RCP-RAEng
Engineering Better Care toolkits. Special guest edited 2
@futurehealthj.bsky.social editions.
I wanted to be Harveian Librarian cos my DPhil was
2/
I have co-authored Acute Care and the joint RCP-RAEng
Engineering Better Care toolkits. Special guest edited 2
@futurehealthj.bsky.social editions.
I wanted to be Harveian Librarian cos my DPhil was
2/
March 26, 2025 at 1:10 PM
Thrown off one for being bolshie.
I have co-authored Acute Care and the joint RCP-RAEng
Engineering Better Care toolkits. Special guest edited 2
@futurehealthj.bsky.social editions.
I wanted to be Harveian Librarian cos my DPhil was
2/
I have co-authored Acute Care and the joint RCP-RAEng
Engineering Better Care toolkits. Special guest edited 2
@futurehealthj.bsky.social editions.
I wanted to be Harveian Librarian cos my DPhil was
2/
I'm running for Clinical Vice-President of @rcphysicians.bsky.social!
I have a long history of service to the RCP.
First as an Invited Services Reviewer in *2009*.
Have served almost continuously on various committees since then. Some not very glamorous.
1/
I have a long history of service to the RCP.
First as an Invited Services Reviewer in *2009*.
Have served almost continuously on various committees since then. Some not very glamorous.
1/
March 26, 2025 at 1:10 PM
I'm running for Clinical Vice-President of @rcphysicians.bsky.social!
I have a long history of service to the RCP.
First as an Invited Services Reviewer in *2009*.
Have served almost continuously on various committees since then. Some not very glamorous.
1/
I have a long history of service to the RCP.
First as an Invited Services Reviewer in *2009*.
Have served almost continuously on various committees since then. Some not very glamorous.
1/
Derek Bell and Adam Feather.
My clinical job is now at the Royal London, doing Acute Medicine.
13/
My clinical job is now at the Royal London, doing Acute Medicine.
13/
March 17, 2025 at 11:41 AM
Derek Bell and Adam Feather.
My clinical job is now at the Royal London, doing Acute Medicine.
13/
My clinical job is now at the Royal London, doing Acute Medicine.
13/
After I finished, I stayed on to complete my Physicianly training at the John Radcliffe in Oxford.
I made choices out of expediency, given the rules of the Home Office and the RACP.
My CCT is in standalone GIM, which was pretty unusual for the time. But it is not a choice
10/
I made choices out of expediency, given the rules of the Home Office and the RACP.
My CCT is in standalone GIM, which was pretty unusual for the time. But it is not a choice
10/
March 17, 2025 at 11:41 AM
After I finished, I stayed on to complete my Physicianly training at the John Radcliffe in Oxford.
I made choices out of expediency, given the rules of the Home Office and the RACP.
My CCT is in standalone GIM, which was pretty unusual for the time. But it is not a choice
10/
I made choices out of expediency, given the rules of the Home Office and the RACP.
My CCT is in standalone GIM, which was pretty unusual for the time. But it is not a choice
10/
I was accepted to do a DPhil at Oxford. Won several scholarships, including a Wellcome Trust Studentship.
While doing the DPhil, I locumed about the place, which gave me an insight into the state of the NHS in the early 2000s. Pretty awful, in comparison with home!
9/
While doing the DPhil, I locumed about the place, which gave me an insight into the state of the NHS in the early 2000s. Pretty awful, in comparison with home!
9/
March 17, 2025 at 11:41 AM
I was accepted to do a DPhil at Oxford. Won several scholarships, including a Wellcome Trust Studentship.
While doing the DPhil, I locumed about the place, which gave me an insight into the state of the NHS in the early 2000s. Pretty awful, in comparison with home!
9/
While doing the DPhil, I locumed about the place, which gave me an insight into the state of the NHS in the early 2000s. Pretty awful, in comparison with home!
9/
the History of Medicine at Cambridge.
Wow! This was a revelation!
Like, literally changed the course of my life.
I wrote my thesis on William Heberden the Elder. Which sent me down all sorts of other interesting trains of thought that continue to play out in my research
6/
Wow! This was a revelation!
Like, literally changed the course of my life.
I wrote my thesis on William Heberden the Elder. Which sent me down all sorts of other interesting trains of thought that continue to play out in my research
6/
March 17, 2025 at 11:41 AM
the History of Medicine at Cambridge.
Wow! This was a revelation!
Like, literally changed the course of my life.
I wrote my thesis on William Heberden the Elder. Which sent me down all sorts of other interesting trains of thought that continue to play out in my research
6/
Wow! This was a revelation!
Like, literally changed the course of my life.
I wrote my thesis on William Heberden the Elder. Which sent me down all sorts of other interesting trains of thought that continue to play out in my research
6/
I did my house jobs at the Princess Alexandra Hospital. My bosses were (mostly) outstanding. And despite the business of their jobs, they were prepared to help me become a much better doctor.
Like many SHOs, I got a bit burnt out. So I took a year off and did an MPhil in
5/
Like many SHOs, I got a bit burnt out. So I took a year off and did an MPhil in
5/
March 17, 2025 at 11:41 AM
I did my house jobs at the Princess Alexandra Hospital. My bosses were (mostly) outstanding. And despite the business of their jobs, they were prepared to help me become a much better doctor.
Like many SHOs, I got a bit burnt out. So I took a year off and did an MPhil in
5/
Like many SHOs, I got a bit burnt out. So I took a year off and did an MPhil in
5/
My time at the University of Queensland was terrific.
I went through in the Golden Age of Australian Med Ed. The course was tough, but well constructed. It produced excellent clinicians.
4/
I went through in the Golden Age of Australian Med Ed. The course was tough, but well constructed. It produced excellent clinicians.
4/
March 17, 2025 at 11:41 AM
My time at the University of Queensland was terrific.
I went through in the Golden Age of Australian Med Ed. The course was tough, but well constructed. It produced excellent clinicians.
4/
I went through in the Golden Age of Australian Med Ed. The course was tough, but well constructed. It produced excellent clinicians.
4/
I went to local schools and then to boarding school, like many rural kids.
I actually grew up wanting to be a lawyer. But was dissuaded from this by Maths teacher (thanks Mr Kerr!).
To get into Med School, I had to graduate in the top 1% of my school leaving year.
3/
I actually grew up wanting to be a lawyer. But was dissuaded from this by Maths teacher (thanks Mr Kerr!).
To get into Med School, I had to graduate in the top 1% of my school leaving year.
3/
March 17, 2025 at 11:41 AM
I went to local schools and then to boarding school, like many rural kids.
I actually grew up wanting to be a lawyer. But was dissuaded from this by Maths teacher (thanks Mr Kerr!).
To get into Med School, I had to graduate in the top 1% of my school leaving year.
3/
I actually grew up wanting to be a lawyer. But was dissuaded from this by Maths teacher (thanks Mr Kerr!).
To get into Med School, I had to graduate in the top 1% of my school leaving year.
3/
I come from rural Queensland. My mother is a community pharmacist and my father farmed and owned various small businesses.
My parents were big on honesty, decency, hard work (my mother thinks I am a lazybones!) and education.
This where I grew up:
2/
My parents were big on honesty, decency, hard work (my mother thinks I am a lazybones!) and education.
This where I grew up:
2/
March 17, 2025 at 11:41 AM
I come from rural Queensland. My mother is a community pharmacist and my father farmed and owned various small businesses.
My parents were big on honesty, decency, hard work (my mother thinks I am a lazybones!) and education.
This where I grew up:
2/
My parents were big on honesty, decency, hard work (my mother thinks I am a lazybones!) and education.
This where I grew up:
2/
I am running for Clinical VP of the RCP. Voting is now open!
For those lacking time to read the long version, here is my short candidate statement.
For those lacking time to read the long version, here is my short candidate statement.
March 17, 2025 at 11:29 AM
I am running for Clinical VP of the RCP. Voting is now open!
For those lacking time to read the long version, here is my short candidate statement.
For those lacking time to read the long version, here is my short candidate statement.
Right RCP Fellows! Voting for elections is now open. I am running for Clinical VP.
My election statement is here:
🧵
My election statement is here:
🧵
March 17, 2025 at 11:28 AM
Right RCP Fellows! Voting for elections is now open. I am running for Clinical VP.
My election statement is here:
🧵
My election statement is here:
🧵
They especially talk tough on reforming the GMC, which is seen as a BARRIER to their proposals.
14/
14/
March 14, 2025 at 2:48 PM
They especially talk tough on reforming the GMC, which is seen as a BARRIER to their proposals.
14/
14/
This is all backed up with nice words about improving pay and conditions for staff.
I cracked a wry smile at this one. And then cried a bit.
12/
I cracked a wry smile at this one. And then cried a bit.
12/
March 14, 2025 at 2:48 PM
This is all backed up with nice words about improving pay and conditions for staff.
I cracked a wry smile at this one. And then cried a bit.
12/
I cracked a wry smile at this one. And then cried a bit.
12/
Then there are the 'new roles'.
So not only will all HCWs be able to do doctors' jobs, but new jobs will be created to do their jobs too.
Make it make sense!
11/
So not only will all HCWs be able to do doctors' jobs, but new jobs will be created to do their jobs too.
Make it make sense!
11/
March 14, 2025 at 2:48 PM
Then there are the 'new roles'.
So not only will all HCWs be able to do doctors' jobs, but new jobs will be created to do their jobs too.
Make it make sense!
11/
So not only will all HCWs be able to do doctors' jobs, but new jobs will be created to do their jobs too.
Make it make sense!
11/
Distinctions between disciplines will dissolve, including having common stems for HCWs at uni and an increased ability to just swap between disciplines. 🤯
10/
10/
March 14, 2025 at 2:48 PM
Distinctions between disciplines will dissolve, including having common stems for HCWs at uni and an increased ability to just swap between disciplines. 🤯
10/
10/
Cos the Modernisation Agency will have created protocols for ALL common conditions.
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9/
March 14, 2025 at 2:48 PM
Cos the Modernisation Agency will have created protocols for ALL common conditions.
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9/
Strangely, at the same time as wanting more doctors and a consultant-delivered service, it is baldly stated that EVERY type of trained HCW will be able to function as a doctor.
8/
8/
March 14, 2025 at 2:48 PM
Strangely, at the same time as wanting more doctors and a consultant-delivered service, it is baldly stated that EVERY type of trained HCW will be able to function as a doctor.
8/
8/