Doing my last on-call tonight. Off the radiology on-call rota after 26 years I’ve jinxed it now, haven’t I? It’s going to be a shocker.

🐺 When every scan is flagged as urgent… is anything really urgent? In the latest instalment of his popular series 'A view from the dark side', radiologist Dr Paul McCoubrie explores how alert fatigue, defensive reporting, and inbox overload create unintended risks 🔗 buff.ly/LRAUKtL #surgsky

Been writing for a surgical audience again “The radiologist who cried wolf” I think you’d enjoy it www.bjsacademy.com//bjs-academy...

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. _______________________ The best kind of radiologist is li...

bjsacademy.com

St Jakob’s, Ortesi, Italian Dolomites. We climbed up the 3km steep path out of town but turns out there is a bus that takes you 7/8ths of the way I lugged my big Nikon all the way but it does have very good colours

Recent anecdote

Hey! It is my BIRTHDAY today and I am OLD. I know that most people will be outside, enjoying life BUT should you choose to shackle yourself to a screen instead, why not check out/share/re-watch/rate/review/shout at my film DUCKS? www.youtube.com/watch?v=L8vZ... ko-fi.com/moonjam 🎂🦆🍞🦆🎂

DUCKS | Award Winning Animated Short Film (2025)

YouTube video by AJ Jefferies

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My wife bought this book recently and I was disappointed to find out it was nothing to do with long exposure radiographs

Quiz time. Have a look at this xray of a smöl child’s forearm. They hurt it playing football; falling on an outstretched hand (FOOSH) What do you see? Answer in 24hrs

Nice to see it isn’t just radiologists that make VR howlers

A snippet from today A hapless colleague was described today as having the ‘Casanova touch’ “Everything he touches, he f*cks” I cackled

🏆ARTICLE OF THE MONTH: All roads lead to outsourcing ➡️ buff.ly/EjI95dt With demand rising, workforce gaps widening, and costs escalating, is outsourcing a solution — or a symptom? @pmccoubrie.bsky.social takes on the realities behind outsourced radiology #medsky #surgsky

Any radiologists on here? If so, are any are going to ECR 2026 in vienna next week? Might see you there. Particularly if you come to this session, a rollercoaster of a session - perfectly serious insights wrapped up in a cloak of humour.

If there was ever a t-shirt for radiologists, this is it

Overcalls and unnecessary hedging by younger #teleradiology doctors must be tackled if we're to solve the problem of sub-standard reporting, says @pmccoubrie.bsky.social. buff.ly/VmAHcNe #Radiology #outsourcing

As ever, my intentions are perfectly serious, clothed in humour

BJS Academy@bjsacademy.bsky.social · 6mo ago

🚨 All roads lead to outsourcing? 👉 buff.ly/quNoOGR 📈 Imaging demand up. 👩‍⚕️ Workforce down. 💷 Outsourcing up. 🆕 Blog by @pmccoubrie.bsky.social takes on the realities behind outsourced radiology — why it’s now unavoidable, why it’s controversial, and what needs to change. #medsky #surgsky

From one my regular correspondents: “Evidence of pacemaker” Isn’t it beautifully awful?

The first FRCR anatomy exam is fast approaching. Test your knowledge against this seemingly innocuous annotated abdominal radiograph. Answers in a week

Send by a radiologist pal. Fancy being met on a Monday morning by this horrific sight

Low incidence problems are the heartsink of radiologists across the globe. But they are everyone’s problem. Including the patient.

AuntMinnieEurope@auntminnieeurope.bsky.social · 7mo ago

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

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

This topic, whilst not sexy in a *traditional* way, is a modern phenomenon in medical practice. And no one is talking about it

BJS Academy@bjsacademy.bsky.social · 8mo ago

🩻 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

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...

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...

#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/...

This one is close my heart. I hope it resonates you

BJS Academy@bjsacademy.bsky.social · 9mo ago

🩻 “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

Anyone ever noticed that the big cat bean looks like a nose?

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