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Simon Fleming

Jul 27, 2026

14:05
What do you notice as differences?
14:08
It's fascinating to unpack this because by definition, I've chosen to leave the UK, which in and of itself speaks volumes.
14:18
Training-wise, the similarities are probably greater than the differences.
14:26
And that's not surprising because Australian training is...
14:31
And again, I'm speaking broadly orthopedic and surgical.
14:34
But most Australian systems were historically at a DNA foundational level set up by... englishman and i say the word men knowingly like it was set up by poms who came across in the 40s 50s 60s 70s the the rotations the curriculum now what's fascinating is if you look at australian orthopedic training as a as an exemplar which of course i would have to say but happen to believe um they are pretty progressive and they look to countries like canada who are kind of market leaders if you like in a competency-based world and they are always looking to improve their training to make it as good as it can be and unpacking what good looks like is again interesting so you have people who believe that time is training whereas you've got other people that believe that Time is a resource, but actually training from a medical point of view should really be about competencies and behaviors and attitudes and developing you as a person.
15:38
And I say this, and it sometimes winds people up, but I'm not particularly fussed.

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