Rhea Liang
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liangrhea.bsky.social
Rhea Liang
@liangrhea.bsky.social
7.6K followers 1K following 4.7K posts
General + breast surgeon, MedEd, DiversityAndInclusion, #KnittingLady (IT'S CROCHET). Bond University Clinical Curriculum Lead. Posts own opinion.
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liangrhea.bsky.social
It was a privilege to contribute to this wonderful resource.

btw, it's free, and available for EVERYONE- you don't have to be a member of RCOG. Just create an account, and you're in. Let's all build #NoToRacism🙅🏻‍♀️ into our work and #MedEd!✊️

MORE: www.rcog.org.uk/careers-and-...
Image tile with text: Royal College of Obstetricians & Gynaecologists Race Equity in the Workforce A resource providing practical tools to deliver meaningful change
November 14, 2025 at 11:51 AM
liangrhea.bsky.social
Incredible skies after a thumpingly heavy thunderstorm.
Little orange cotton wool puffs of clouds streak across a grey-purple sky, over a lake reflecting the lights of nearby shops.
November 14, 2025 at 8:50 AM
liangrhea.bsky.social
'Aboriginal art is all just dots'

no... no it really isn't mate. I'm very lucky to work in a place surrounded by gorgeous art like this.
#AlwaysWasAlwaysWillBe 🖤💛♥️
Rippling lines of red, orange and yellow on a black canvas A close up of a tiny part of the artwork showing the incredible texture, detail and colours packed into every line The art label- Ronnie TJAMPITJINPA born c1942 Pintupi Kintore, Northern Territory Bush Fire Dreaming 2005 synthetic polymer paint on linen canvas ASAART1218 On long term loan from the Corrigan Collection
November 14, 2025 at 6:39 AM
liangrhea.bsky.social
#ANZPMEF sure knows how to throw a masquerade gala dinner. What a incredible setting. My mask is very bling-y (thanks Spotlight!) and it's not even the most sparkly thing here 🤩
A masquerade mask covered in rainbow-coloured craft gems, sitting on a white tablecloth next to some wine glasses A view of the dinner venue. There are light projections of arches on the walls and a red and white striped pattern on the ceiling. A large round light hangs in the centre of the ceiling.
November 11, 2025 at 9:25 AM
liangrhea.bsky.social
Updating the Sargent R2C2 (2017) feedback framework to 'R2CPC', Dr Andrew Huang puts in the 'P' of Perspective shift, adapted from Balint work (1957).
#ANZPMEF #MedEd
Slide titled- What's New? The "P" That Makes the Difference Slide text- Perspective Shift borrowing from Balint work: "How might this look to someone else?" Examples: "How do you think the consultant felt when you walked away?" "What message might your actions have sent to the nursing team?" "If you were the patient, what would you assume?" Attempts to build professional insight and emotional intelligence
November 11, 2025 at 3:15 AM
liangrhea.bsky.social
'Med school is a walk in the park if the park is on fire and you're being chased by wild dogs'. Michelle Leech, president of Medical Deans ANZ notes multiple factors causing 60% of medical students to be on Centrelink. The success of widening access, needs to be matched by SUPPORT. #MedEd #MedSky
Slide titled Medical School is a walk in the park' but... Slide text- Placement poverty Rental stress Part time work Training uncertainty ahead 60% Australian medical students on Centrelink Why 'placement poverty' is a matter of urgency for our future workforce
November 11, 2025 at 1:34 AM
liangrhea.bsky.social
A/Prof Leonnie Griffiths presents fab qualitative work about feedback in #MedEd and notes that we pay insufficient attention to the emotional and temporal content of feedback. 'Lack of insight' might very well be an appropriate, self-aware pause to allow sense-making. #ANZPMEF
Slide titled Potency of Emotions Slide text is illustrative quotes from medical students about their responses to feedback. "I didn't speak to the registrar herself, just because I thought, honestly, at that point, I don't think I was in the right place to talk to her about it. I don't know if I would have held it together." "Some of it is really hard to hear even if it is true and delivered in a nice way. It still hurts" "paralysed* "overwhelmed" "shocked" Slide titled Sensemaking is iterative More quotes- "Weeks or months later she returned and, again, towards the end of the consultation, she fed back to me that she felt my answer was insufficient." and dismissive "I have thought about the encounter a number of times since." Slide titled Facilitating feedback sensemaking Slide text- When emotions surface- pause When time is needed- revisit When relationships matter- connect Leonnie Griffiths at the podium.
November 11, 2025 at 12:31 AM
liangrhea.bsky.social
Christopher Watling #ANZPMEF talks about the unease of supervisors doing both assessment and feedback; how high-frequency tools like EPAs can drive poor quality; and the need for lots of 'no-stakes time' to avoid CBME-based programs feeling like an extended job interview. #MedSky #MedEd
Slide with text Observation... Feels uncomfortable Alters performance May compromise relationship with patients And Is routinely perceived as assessment Slide with title Solution: Clarity of purpose Slide text: All actors in programmaticassessment should understand what they are doing, why they are doing it and why they are doing it this way. Otherwise, they are in danger of losing sight of the true purpose of assessment and will fall back on bureaucratic procedures and meaningless artefacts. Van der Vleuten 2012 Christopher Watling at the podium.
November 10, 2025 at 10:46 PM
liangrhea.bsky.social
Dr Anvesh Chalasani, PGY2, describes initiatives such as Low Paging Hour to improve resident nutrition as a human factors QI intervention. Still much to be done however- residents self-rated their nutrition only 6.6/10 on non surgical and 5.4/10 on surgical terms.
#ANZPMEF
Slide titled Strategies to Improve Nutrition at Concord Slide text- Education sessions at orientation 12:30-1:30pm LOW PAGING HOUR Healthy meal vending machines Toasties -theatre and ICU Water bottles with lunch prompt Tastebuds lunch program Supporting home-based meal prep Table that is actually a little difficult to interpret other than the numbers for self-rated nutrition reported in the post. Dr Chalasani at podium
November 10, 2025 at 4:05 AM
liangrhea.bsky.social
Rory Trawber reports on co-locating med ed, workforce (HR) and strategy and service (research and QI) into a single Doctor Support Unit at Fiona Stanley Hospital Perth. A 'Never Say No' leave policy! Paid in-person attendance at Grand Rounds! Better doctor retention! 🎉
#ANZPMEF
Slide titled The Process Slide text: Co-location - One team with a singular focus. Easy access: In person; Online; Phone Key Cultural Changes: Team training - "The Catch"- ANZPMEF 2024 Approach to Leave Management " "Never Say No" Overtime App Clear Communications New Education Initiatives: DiT Grand Rounds, Classroom 2 Clinic, Ripple, Career Expo A graph showing a clear uptick in PGY2 retention after establishment of the DSU, and a table noting FSH going from the least popular tertiary hospital in the state (as ranked by medical student applications for internship) to the second most popular.
November 10, 2025 at 3:38 AM
liangrhea.bsky.social
Prof Phillippa Poole compares graduation intention vs actual workforce, with surgery over- and GP under-subscribed. However, PhD of Antonia Verstappen, longitudinally tracking individual drs, busts the idea of a 'pipeline' and highlights pitfalls of selecting too early.
#ANZPMEF25 #MedSky
Graph of %NZ specialists in red bars vs student first choice of specialty in blue bars. GP is approximately 20% undersubscribed and surgery oversubscribed by almost 25%. All other specialties have less significant mismatches <10%. A graph showing the career pathways of doctors through the final years of medical school and first 5 years after graduation, with various specialties tracked in student colours- the graph has some solid bars (students who were still in their initial choice at PGY5) but mostly the graph looks like complete spaghetti- there is a LOT of fluidity in specialty choice. Prof Poole at the podium.
November 10, 2025 at 12:41 AM
liangrhea.bsky.social
Opening keynote at #ANZPMEF25 by Prof Sheona Macleod paints a level of support in the NHS for neurodiverse doctors that is almost unimaginable in Australia. Neurodiversity *assessments* provided by the majority of trusts! (In Oz we all pay $$$ privately). #MedSky #MedEd
Picture of conference slide titled Support Provision. The slide has a bar graph showing the provision of different categories across the 7 NHS regions- Enhanced educator support 57% Exam coaching 87% Linguistic support 43% Careers advice 57% PSU events 43% CBT 57% Counselling 71% Neurodiversity coaching 87% Neurodiversity Assessments 87% Coaching 100%
November 9, 2025 at 11:21 PM
liangrhea.bsky.social
Mmmm, fresh-baked bread smell. I do a pretty good impression of 'trad wife'. 🤣

(Laucke multigrain mix + extra cup of buckwhear flour + 8g dried yeast, double-risen in the usual way then braided into a pull-apart loaf).
A freshly baked loaf of bread on an oven tray.
November 9, 2025 at 8:20 AM
liangrhea.bsky.social
These are the only ones that work for us, and I'm not thrilled about the amount of packaging, but they work! My experiences with the dried ones were very similar to yours.
A large foil packet labelled 'instant tapioca pearl, 50g x 10' and an example of a single serve sachet next to it.
November 8, 2025 at 10:20 AM
liangrhea.bsky.social
Utterly tragic- not helped by Nine news editors' dreadful double negative that implies blame. (To be clear- there is NO blame for train driver or parents at this time). 💔
Screenshot from the Nine news website with the title ''Absolute tragedy': Toddler dies after being hit by train in remote NSW' followed by the teeth-squeakingly poorly worded byline 'Tiny town devastated after one-year-old killed, with police saying neither the train driver nor parents were not to blame for unfortunate accident.'
November 8, 2025 at 8:53 AM
liangrhea.bsky.social
Yikes. Time to batten the hatches... 😱⛈️
Screenshot from the 'old' Bureau of Meteorology site showing a large incoming storm.
November 8, 2025 at 8:02 AM
liangrhea.bsky.social
Oh boy. Just wait until the 'No More Woke Woollies' Facebook pages get a load of this 🤣.
💪🏳️‍🌈🏳️‍⚧️🖤💛❤️
A display of wrapping paper featuring variations of the Progress Pride flag, including trans and Indigenous colours.
November 8, 2025 at 5:48 AM
liangrhea.bsky.social
I love that bubble tea toppings are now available online, because they're still scarce in Asian groceries. Cheaper to make our own bubble teas, and more convenient- and we can use fruit from our garden, and have the ice and sugar levels just how we like.
3 jars on a kitchen bench- rainbow jelly, peach popping pearls, and lychee jelly.
November 8, 2025 at 4:53 AM
liangrhea.bsky.social
An older male surgeon, spotting my bag at a student career event, said 'Oh! do you want to be a surgeon?' and tried to tell me why it's a great choice. 🤣

That's not a response I ever got back in the 90s. We *are* making progress on gender equity. #ILookLikeASurgeon 🤗
A Royal Australasian College of Surgeons-branded tote bag made of hessian with royal blue piping on the edges and handle.
November 7, 2025 at 10:06 AM
liangrhea.bsky.social
Nearly there! Popped in a few other useful things too- notebooks, pens, handbags...
#ItsInTheBag #ShareTheDignity
Three tote bags in a cardboard box, each containing items for the anti-domestic violence Xmas campaign.
November 7, 2025 at 8:03 AM
liangrhea.bsky.social
Imagine being a successful singer, songwriter and actor like Danielle Spencer and not only being reduced by Nine news to 'Russell Crowe's ex-wife' but also your life-threatening splenic aneurysm surgery reduced to a mere 'health scare'. And we wonder why women feel dismissed. 🤦🏻‍♀️
#misogyny
Screenshot of nine.com.au website banner underneath which is a photo of Danielle Spencer with her ex-hubby, and the byline 'Russell Crowe's ex-wife's update after health scare'
November 7, 2025 at 4:12 AM
liangrhea.bsky.social
Fascinating @racsurgeons.bsky.social Academy of Surgical Educators webinar on Prof Sarah Aitken's year as Harkness Fellow in the US, and the switch to euphemisms like 'mission alignment' 'holistic review' or 'valuing life journeys' instead of the D word (diversity) in trainee selection. #MedSky
A screenshot of an online meeting with a video link of Dr Aitken speaking and a slide titled Shifting language and concepts of merit. Slide text- "We try to ensure that we're utilising a conceptual framework that allows us to look at every student as an individual, rather than just going by historical metrics like GPAs... We really try to take into account their lived experiences... We ask a fair amount about issues of resilience, like long learning, their whole life journey." Admissions Dean, Medical School B
November 6, 2025 at 7:47 AM
liangrhea.bsky.social
A gorgeous sunset after recent wild weather. Wishing you the same peace, whatever your storms. 🤗🙏
A row of tall palms silhouetted against a pink and orange sunset. The moon hovers above.
November 4, 2025 at 8:19 AM
liangrhea.bsky.social
We start 'em young over here 🤣❤️🔪
#MedSky #MedEd
(Da Vinci robotic trainer at a #SurgEd event)
A child aged about 5 sits on his father's lap at the robotic console. He is driving the surgical robot behind the console to stack rings on pegs. His view is projected onto a nearby screen. Another child aged about 7 is watching the robot's 4 arms in motion as they are being driven by the first child.
November 2, 2025 at 10:02 AM
liangrhea.bsky.social
Flowers of Fiji. And a tiny butterfly. 🤗
#Gardening #GardenSky
A cluster of round red flowers resembling tiny poppies, in the morning sun (Euphorbia millii) A tiny brown and white butterfly sitting in a vertical spike of white flowers resembling pointed foxgloves (Justicia betonica) A spray of an unusual pale orange bougainvillia on a fence where every other bougainvillea is hot pink A bright red fleshy upright flower- some sort of ginger I think?
November 1, 2025 at 9:27 PM