Gabriel Beecham
@gbeecham.bsky.social
Language lover, anaesthetist, politics junkie. Dubliner on exile in London. Sé/é, he/him. 🇬🇭🇮🇪
Jes, ankaŭ tiu estas uzata.
October 23, 2025 at 6:40 PM
Jes, ankaŭ tiu estas uzata.
En iuj dialektoj de la angla, «bread» estas slangaĵo por mono
October 23, 2025 at 5:16 PM
En iuj dialektoj de la angla, «bread» estas slangaĵo por mono
Laŭ mi, «Devus esti povinta vidi» 😂
September 9, 2025 at 5:59 AM
Laŭ mi, «Devus esti povinta vidi» 😂
Gaeilge 🤝 Esperanto
May 22, 2025 at 11:02 AM
Gaeilge 🤝 Esperanto
«Gaja» does not mean "gay" in the modern sense of the word - it means happy.
April 9, 2025 at 6:55 PM
«Gaja» does not mean "gay" in the modern sense of the word - it means happy.
En la irlanda ni havas du vortojn por «verdo» - unu estas por natura verdo 🍏🍐🦎, alia estas por artefarita aŭ kemiaĵa verdo 🚃🧪🇮🇪. Sed tio ne signifas, ke Esperanto ne rajtas uzi nur unu vorton por tiuj du sencoj (kiel faras la angla/franca ktp).
March 12, 2025 at 11:49 PM
En la irlanda ni havas du vortojn por «verdo» - unu estas por natura verdo 🍏🍐🦎, alia estas por artefarita aŭ kemiaĵa verdo 🚃🧪🇮🇪. Sed tio ne signifas, ke Esperanto ne rajtas uzi nur unu vorton por tiuj du sencoj (kiel faras la angla/franca ktp).
La pelva ostaro ja havas formon de malprofunda bovlo. Depende de onia vidpunkto, ne temas pri duobla signifo.
March 12, 2025 at 9:17 PM
La pelva ostaro ja havas formon de malprofunda bovlo. Depende de onia vidpunkto, ne temas pri duobla signifo.
Read the full paper here: bmjopen.bmj.com/content/15/2... We welcome your thoughts.
Exploring experiences of less-than-full-time postgraduate medical training in Ireland and options for future improvement: a qualitative study
Objectives Irish healthcare has struggled with attrition and emigration. Reasons include long working hours and work–life balance. Worldwide interest in less-than-full-time (LTFT) postgraduate medical...
bmjopen.bmj.com
February 20, 2025 at 6:32 PM
Read the full paper here: bmjopen.bmj.com/content/15/2... We welcome your thoughts.
This research is dedicated to our late co-author, Dr Manuela Afrasinei, who contributed significantly to this work. Manuela was a postgraduate doctor in training who sought and actively promoted LTFT. She passed away in April 2024. We honour her memory.
February 20, 2025 at 3:21 PM
This research is dedicated to our late co-author, Dr Manuela Afrasinei, who contributed significantly to this work. Manuela was a postgraduate doctor in training who sought and actively promoted LTFT. She passed away in April 2024. We honour her memory.
Expanding LTFT requires more than policy—it needs real investment. Planning, resources, and cultural change are critical.
Misconceptions persist, but evidence shows LTFT can work without harming service provision. It’s time to challenge outdated views.
🔟
Misconceptions persist, but evidence shows LTFT can work without harming service provision. It’s time to challenge outdated views.
🔟
February 20, 2025 at 3:21 PM
Expanding LTFT requires more than policy—it needs real investment. Planning, resources, and cultural change are critical.
Misconceptions persist, but evidence shows LTFT can work without harming service provision. It’s time to challenge outdated views.
🔟
Misconceptions persist, but evidence shows LTFT can work without harming service provision. It’s time to challenge outdated views.
🔟
The takeaway: LTFT training isn’t just about individual choice—it’s key to a sustainable medical workforce.
When well-structured, it improves retention, reduces burnout, and enhances the quality of training. Ignoring it risks losing skilled doctors from the system.
9️⃣
When well-structured, it improves retention, reduces burnout, and enhances the quality of training. Ignoring it risks losing skilled doctors from the system.
9️⃣
February 20, 2025 at 3:21 PM
The takeaway: LTFT training isn’t just about individual choice—it’s key to a sustainable medical workforce.
When well-structured, it improves retention, reduces burnout, and enhances the quality of training. Ignoring it risks losing skilled doctors from the system.
9️⃣
When well-structured, it improves retention, reduces burnout, and enhances the quality of training. Ignoring it risks losing skilled doctors from the system.
9️⃣
What needs to change?
Our study, along with international data, suggests:
✅ Flexible LTFT options (not just 50% WTE)
✅ LTFT liaison officers to support trainees
✅ Clear payroll & funding structures
✅ Active promotion of LTFT as a viable pathway
8️⃣
Our study, along with international data, suggests:
✅ Flexible LTFT options (not just 50% WTE)
✅ LTFT liaison officers to support trainees
✅ Clear payroll & funding structures
✅ Active promotion of LTFT as a viable pathway
8️⃣
February 20, 2025 at 3:21 PM
What needs to change?
Our study, along with international data, suggests:
✅ Flexible LTFT options (not just 50% WTE)
✅ LTFT liaison officers to support trainees
✅ Clear payroll & funding structures
✅ Active promotion of LTFT as a viable pathway
8️⃣
Our study, along with international data, suggests:
✅ Flexible LTFT options (not just 50% WTE)
✅ LTFT liaison officers to support trainees
✅ Clear payroll & funding structures
✅ Active promotion of LTFT as a viable pathway
8️⃣
🔑 Key finding 4: Attitudes are shifting, although stigma remains.
Many consultants and PGTBs support LTFT in theory—but despite a lack of evidence for any significant negative impact, some trainees fear negative perceptions from others about competency & career progression. 7️⃣
Many consultants and PGTBs support LTFT in theory—but despite a lack of evidence for any significant negative impact, some trainees fear negative perceptions from others about competency & career progression. 7️⃣
February 20, 2025 at 3:21 PM
🔑 Key finding 4: Attitudes are shifting, although stigma remains.
Many consultants and PGTBs support LTFT in theory—but despite a lack of evidence for any significant negative impact, some trainees fear negative perceptions from others about competency & career progression. 7️⃣
Many consultants and PGTBs support LTFT in theory—but despite a lack of evidence for any significant negative impact, some trainees fear negative perceptions from others about competency & career progression. 7️⃣
🔑 Key finding 3: Work-life balance matters.
Trainees complete most mandatory training requirements in their own time. Many doctors with caring responsibilities have considered leaving their specialty due to a lack of options. LTFT could help reduce attrition and burnout. 6️⃣
Trainees complete most mandatory training requirements in their own time. Many doctors with caring responsibilities have considered leaving their specialty due to a lack of options. LTFT could help reduce attrition and burnout. 6️⃣
February 20, 2025 at 3:21 PM
🔑 Key finding 3: Work-life balance matters.
Trainees complete most mandatory training requirements in their own time. Many doctors with caring responsibilities have considered leaving their specialty due to a lack of options. LTFT could help reduce attrition and burnout. 6️⃣
Trainees complete most mandatory training requirements in their own time. Many doctors with caring responsibilities have considered leaving their specialty due to a lack of options. LTFT could help reduce attrition and burnout. 6️⃣
🔑 Key finding 2: Postgraduate training bodies (PGTBs) could do more to support LTFT training.
Many doctors don’t even know LTFT is an option, and existing processes are complex and restrictive. Clearer guidance, better admin support, and active promotion of LTFT are needed. 5️⃣
Many doctors don’t even know LTFT is an option, and existing processes are complex and restrictive. Clearer guidance, better admin support, and active promotion of LTFT are needed. 5️⃣
February 20, 2025 at 3:21 PM
🔑 Key finding 2: Postgraduate training bodies (PGTBs) could do more to support LTFT training.
Many doctors don’t even know LTFT is an option, and existing processes are complex and restrictive. Clearer guidance, better admin support, and active promotion of LTFT are needed. 5️⃣
Many doctors don’t even know LTFT is an option, and existing processes are complex and restrictive. Clearer guidance, better admin support, and active promotion of LTFT are needed. 5️⃣
🔑 Key finding 1: Current training structures are inflexible.
Admin challenges are real. Payroll, compliance, & rostering all become more complex with LTFT. A few trainees currently slot-share at 50% WTE, but many would prefer higher WTEs of 60–80% for a number of reasons. 4️⃣
Admin challenges are real. Payroll, compliance, & rostering all become more complex with LTFT. A few trainees currently slot-share at 50% WTE, but many would prefer higher WTEs of 60–80% for a number of reasons. 4️⃣
![Quote from training administrator: "[LTFT should be] planned and in a managed way rather than, I suppose, in an ad-hoc way and sort of expecting it to work without actually putting the plan in place … saying, ‘OK, it’s flexible training and there is the option, but there’s no resources or … backup behind it.’"](https://cdn.bsky.app/img/feed_thumbnail/plain/did:plc:pll3gwcb4hliho4a4g5r5s7p/bafkreigug2j5tfan6xi5lvl7x4bydwubjillfnupnymr3mup73b24eq77u@jpeg)
February 20, 2025 at 3:21 PM
🔑 Key finding 1: Current training structures are inflexible.
Admin challenges are real. Payroll, compliance, & rostering all become more complex with LTFT. A few trainees currently slot-share at 50% WTE, but many would prefer higher WTEs of 60–80% for a number of reasons. 4️⃣
Admin challenges are real. Payroll, compliance, & rostering all become more complex with LTFT. A few trainees currently slot-share at 50% WTE, but many would prefer higher WTEs of 60–80% for a number of reasons. 4️⃣
Our group at the Irish College of General Practitioners, College of Anaesthesiologists of Ireland & Royal College of Surgeons in Ireland conducted interviews across multiple specialties & backgrounds including doctors, administrators & educators. Thematic analysis was used to identify core themes. 3️⃣
February 20, 2025 at 3:21 PM
Our group at the Irish College of General Practitioners, College of Anaesthesiologists of Ireland & Royal College of Surgeons in Ireland conducted interviews across multiple specialties & backgrounds including doctors, administrators & educators. Thematic analysis was used to identify core themes. 3️⃣
Why does this matter?
LTFT training is a promising solution to burnout, attrition & poor experiences—without significant harm to service provision. But to be effective, it must be well structured. Where it is currently available, often the only option is 50% of a whole-time-equivalent (WTE) post. 2️⃣
LTFT training is a promising solution to burnout, attrition & poor experiences—without significant harm to service provision. But to be effective, it must be well structured. Where it is currently available, often the only option is 50% of a whole-time-equivalent (WTE) post. 2️⃣
February 20, 2025 at 3:21 PM
Why does this matter?
LTFT training is a promising solution to burnout, attrition & poor experiences—without significant harm to service provision. But to be effective, it must be well structured. Where it is currently available, often the only option is 50% of a whole-time-equivalent (WTE) post. 2️⃣
LTFT training is a promising solution to burnout, attrition & poor experiences—without significant harm to service provision. But to be effective, it must be well structured. Where it is currently available, often the only option is 50% of a whole-time-equivalent (WTE) post. 2️⃣