William Cayley on the value of learning to practise in resource limited settings

“When life gives you lemons, make lemonade” goes the saying. Recently I was bemoaning with a physician friend the ease with which learners often default to “expert” interpretation for imaging, rather than relying on or trusting their one x-ray interpretation in light of clinical judgment. As we shared back and forth our stories of radiologist […]

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Sandra Lako on x-ray machines and emergency rooms in Sierra Leone

Today marks three years of working for Welbodi Partnership and it’s hard to believe that so much time has gone by. The last time I blogged, I wrote about getting more involved clinically. Well, that spell ended rather quickly, and before I knew it I was back to managing various projects. Managing projects might sound […]

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William Cayley: Are we getting too systematic for our own good?

“We need to standardize our systems of practice to improve our quality metrics and do a better job of caring for our patients.” Such was the thrust of a recent management meeting, yet it left me wondering whether or not we are headed in the right direction. Increased public reporting of quality “metrics,” focus on […]

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Richard Smith: “Longevity is one of the greatest curses introduced by the scientists”

“Longevity is one of the greatest curses introduced by the scientists,” wrote Evelyn Waugh in a letter to Harold Action in 1961, a few days after his 58th birthday. I read this a few days after I had given a talk on the pandemic of NCD (non-communicable disease) where I emphasised that the pandemic was […]

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