Ahmad Barotchi @ABarotchi1 Twitter profile

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Ahmad Barotchi

@ABarotchi1

3 months

To all doctors feeling distraught about today's legislation, don't. This was inevitable. They still need our cooperation. And royal colleges which we are slowly reclaiming. The chess pieces are falling all around them and this is just a sign of desperation. Make no mistake

The BMA

@TheBMA

3 months

Extremely disappointing that Peers have tonight waved through legislation that will blur the lines between PAs and doctors, with potentially dangerous consequences for patients. We thank Peers who urged Government to heed the warnings of the medical profession.

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Ahmad Barotchi

@ABarotchi1

6 months

This individual is likely great at her job, but the title "trainee consultant" is absurd. Consultant in hospital to most patients means one thing. To double down, Rotherham trust have hilariously disabled comments instead of addressing the absurdity they were critiquing

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Ahmad Barotchi

@ABarotchi1

2 months

Deplorable behaviour from the unprofessional PA scam org pretending to be a union. The scope is to protect Drs & patients, and they're worried they won't be able to cosplay to the detriment of patient wellbeing

Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

2 months

The PA “union” is preparing to take action against NHS trusts and GP partners who try to limit PA scope of practice. They don’t give a shit about patients or medicine, only their own self-aggrandisement. Credit to @medicalmodelbri

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Ahmad Barotchi

@ABarotchi1

11 days

@StGeorgesUni If you have Drs, nurses, physios, dentists, all graduating together, this wouldn't have had so much attention. To do this at a time when there is a politically driven conflation between Drs & PAs suggests you are being disingenuous. You can't be that blind - this is intentional

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Ahmad Barotchi

@ABarotchi1

2 months

PA doing A-V fistula formations. Worried about current scrutiny - so holds off them a little... Why? Did they realise they weren't adequately trained for it? No. In case they mess up and it makes them & other PAs look bad. It seems public relations/image > patient safety

Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

2 months

@ExplosiveEnema2 @UMAPsUK “I hesitated just in case something went wrong and he would use it against me and PAs?” That’s utterly horrifying. Where are PA courses finding these people?

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Ahmad Barotchi

@ABarotchi1

2 months

Outstanding guidance from the BMA, and fair. You must question the motives of those who disagree with this. Now that a group democratically representing doctors has consulted with various specialties, that is all we need. Nothing as comprehensive has come out thus far

The BMA

@TheBMA

2 months

"Patients must know who is treating them and the skills and abilities that clinician has." Today, we have published new guidance on the scope of responsibilities for Medical Associate Professionals (MAPs). Read more here:

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Ahmad Barotchi

@ABarotchi1

1 month

@jkcyriac23 @gmcuk You have an issue with the truth and so you tag the regulator. You aren't equivalent even to a 4th year medical student in terms of educational rigour, training and selective course admission. If the truth upsets you, that doesn't make it inherently unkind

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Ahmad Barotchi

@ABarotchi1

5 months

Often, when people talk about "modernising" nhs workforce/staffing, it means one thing: Diluting standards. Replacing doctors and nurses with people who are less qualified. Remember this

LBC

@LBC

5 months

'They are there to work alongside doctors not instead of doctors.' Health Secretary Victoria Atkins reiterates 'regulations' on physician associates after the death of 30-year-old Emily Chesterton.

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Ahmad Barotchi

@ABarotchi1

1 month

Can i contextualise just how fucked this is for you all... Heading a major trauma centre comes with certain prestige and funding. Rather than confess they can't manage major traumas with this woeful staffing, trust has ploughed on to avoid admitting as much 1/2

Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

1 month

KCH should now issue a statement saying they are no longer an MTC as the service is unsafe. The Very Senior Managers should resign as they are being asked to do the impossible. They won’t, because they are prioritising their own careers over the lives of patients (1/2)

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Ahmad Barotchi

@ABarotchi1

4 months

If you are the consultant who has signed off on this monstrosity of inappropriate scope, you need to have a good, long look in the mirror

Richard Fitzgerald 💙 🦀

@r1chardf1tzg3r1

4 months

Northampton #Respiratory Patients #PhysicianAssociates #Pleural Procedures #EBUS Job Description ⬇️ Risks ? ⁦⁦ @BTSrespiratory ⁩ ⁦ @EuroRespSoc ⁩ @NHSEnglandNMD ⁦ @NGHnhstrust ⁩ @TheBMA @doctor_oxford @TheLancet @TheLawyermag @LBC

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Ahmad Barotchi

@ABarotchi1

3 months

Hi all, Some of you may be aware I'm running for the RCR Specialty Training Board this year. It's a council position - a chance to see how things work, and to promote pro-radiologist policies to maintain standards & help trainees

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Ahmad Barotchi

@ABarotchi1

2 months

A job advert for what seems to be a propaganda/PR role for PAs. Band 8B!! Could have hired a doctor or 2 for this much instead of trying to convince everyone to let underqualified people practice medicine

@medicalmodelwithabriochebun

@medicalmodelbri

2 months

Band 8B PAs to : ‘Ensure that best practice is shared and adopted across the system making use of and contributing to HEE transformational tools. Challenge ways of working and persuade, motivate and influence other senior managers to realign their practice where necessary’

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Ahmad Barotchi

@ABarotchi1

2 months

Twitter community notes went hard this time, and I'm here for it

Chris Subbe

@csubbe

2 months

Hard truths: 5-10% of patients seen by doctors in NHS suffer adverse events. Risks higher: emergency care, overstretched services, rural areas, people like myself (those trained abroad, working in rural or deprived areas). For PAs vs doctors ? I am not aware of comparative data.

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Ahmad Barotchi

@ABarotchi1

3 months

@nohandsup It's topsy turvy. PAs add nothing new to an MDT and can do less than a doctor. Nurses are uniquely trained in the MDT. Nursing pay should start above PA pay. As should doctor pay. The PA rollout, however, is an entirely political choice

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Ahmad Barotchi

@ABarotchi1

4 months

@DocShivSharma @Doctors_Vote @KateAndrs Absolute gutter journalism. Acting as though publicly sent messages to all doctor whatsapp groups are a "scoop". Oh, and cheltenham a&e closes evenings and bank holidays in normal circumstances. Selectively offering info, I see

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Ahmad Barotchi

@ABarotchi1

6 months

This is insane. That big bbc article showing that PAs were staffing quaternary paediatric liver service rotas and giving advice? It's been happening since 2019. And FPA-RCP knew about it. Here it is from a presentation boasting about it at their 2019 conference 🤯🤯🤯

ExplosiveEnema

@ExplosiveEnema

6 months

This is not rogue departments or rogue PAs This presentation was given at the national conference in 2019 clearly stating what was going on at @BWC_NHS It was open knowledge among @FPARCP leadership It's sensible to pause recruitment until all departments thoroughly reviewed

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Ahmad Barotchi

@ABarotchi1

1 month

Number of take-homes here in an i sightful SRT survey. The @RCRadiologists would benefit from asking some of these difficult questions. 1. Any loss of training opportunity to a non radiologist is not acceptable when the buck stops with us. 1/n

The Society of Radiologists in Training

@_the_SRT

1 month

Thank you to everybody who participated in the SRT UK Radiology Training survey! Here are some highlights of the results, with a full report to follow soon. #RadiologyTraining

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Ahmad Barotchi

@ABarotchi1

4 months

This is wild AF GMC knows about developments, and knows there is doctor opposition (pretending they think it's a vocal minority). It also knows very few supportive doctor voices, so trying to promote/support those and outsource advocacy to royal colleges. No integrity. See GMP

Ronald MacDonald

@quackophage

4 months

3. Indeed, they were specifically briefed on That Story during the summer, but have opted to keep an arm's length from the issue: "try recruit the Colleges to do a bit of Good Vibe PR instead". I wonder what the victim's family would say?

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Ahmad Barotchi

@ABarotchi1

3 months

Oh my, did anyone foresee this?

PulseToday

@pulsetoday

3 months

ARRS staff not reducing workloads due to lack of skills, warns report #ARRS #GPworkload

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Ahmad Barotchi

@ABarotchi1

6 months

@gmcuk As a doctor, I don't want you regulating them. RCR, BSIR and AoMRC have made similar sentiments known. You're ignoring us. Also, you've said you're registering them, not regulating them or defining scope/competencies. So you're contributing nothing to patient safety

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Ahmad Barotchi

@ABarotchi1

3 months

@ClareGerada @Jillyphys @ExplosiveEnema2 @rcgp I despair again at such a point. In no universe is a PA qualified to hold a doctor's bleep, unless to list numbers to the doctor can call back later. If you can't see how inappropriate this is, you're contradicting the NHSE/RCP joint guidance saying PAs shouldn't be on a Dr rota

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Ahmad Barotchi

@ABarotchi1

4 months

@InfoPars Hi, non anon here. You might see this as a win. But GMC granting faux legitimacy is a disaster. Funny how this is viewed as a win for your egos, but utterly no regard for patients who are being misled into thinking that PAs have more knowledge & expertise than they actually do

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Ahmad Barotchi

@ABarotchi1

3 months

Hi all, I've deleted my quote tweet about the tragic case at the royal berkshire on the advice of a doctor i highly respect. I don't think I wrote anything I don't believe, but I'll elaborate further and offer some advice 1/n

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Ahmad Barotchi

@ABarotchi1

9 months

@Dr_Done_ Very easily testable hypothesis - they do 5 years med school in 2 years? Get them to sit a med school finals exam.

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Ahmad Barotchi

@ABarotchi1

2 months

Why is this same little troll agency still being invited to recruit at events? Hardly becoming of official communications

PATH - Physician Associates

@InfoPars

2 months

PA’s, pharmacists, paramedics and now nurses. At this rate the dr-anon little crabs will start to come after the GP receptionists.

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Ahmad Barotchi

@ABarotchi1

3 months

This is one of the most horrifying things I've seen come out of recent MAP discussions. This, in a field with stiff competition

ExplosiveEnema

@ExplosiveEnema2

3 months

@Dr__Chloe @19MW98 @DrHuw I came across this in my travels Hopefully it gives you an idea...

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Ahmad Barotchi

@ABarotchi1

3 months

@UMAPsUK Undergrad doesn't count as it's not honed to be relevant to medical practice. The CPD is exceeded by GP trainees in a matter weeks. The post cert qualifications aren't defined benchmarks like postgraduate medical training. Vague/nebulous words to give impression of expertise

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Ahmad Barotchi

@ABarotchi1

7 months

We undergo competitive application processes, rigorous sign-offs & famously robust exams to be deemed safe to any of this. (Even then, most are not expected to be level 4 for CT ablation at CCT) Can you see why we're upset? @halliday_kath @DrStephenHarden @Dr_PriyaSuresh

Richard Fitzgerald 💙 🦀

@r1chardf1tzg3r1

7 months

#PhysicianAssociate #Oncology #Radiology Why & How Safe ? ⁦ @halliday_kath ⁩ ⁦⁦ @RBNHSFT ⁩ ⁦ @lungdiagnosis ⁩ ⁦ @JeanetteRCR ⁩ ⁦ @TheBMA ⁩ ⁦ @BSGAR_UK ⁩ ⁦ @BSIR_News ⁩ @_the_SRT ⁦ @BSSR_Site ⁩ ⁦ @myESR ⁩ ⁦

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Ahmad Barotchi

@ABarotchi1

5 months

I love this. Illustrates quite well why some people's job in healthcare should remain within its remit. In this case, even copy-paste or looking for a word to trigger a cost code seems a bit too cerebral

Bad Medical Takes

@BadMedicalTakes

5 months

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Ahmad Barotchi

@ABarotchi1

9 months

@ExplosiveEnema @jeannie_watkins @FPARCP If this were a doctor (or any academic in a rigorous field), failing to declare a huge interest, not only would they have all their research called into question - there would also be disciplinary consequences.

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Ahmad Barotchi

@ABarotchi1

2 months

I think you'll find the BMA is the most democratic and representative body for doctors in the UK The only organisation that can claim more members is the GMC - because we're forced to pay them to practice. You'll also find that we don't like how they're unelected & unaccountable

Physician Associate Association UK (PAAUK)

@PPaauk

2 months

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Ahmad Barotchi

@ABarotchi1

2 months

@Dr_Done_ Taking advice for some of the most dangerous patients to mess up with. I'm not intervening based on their advice. No one should accept this as valid. I wouldn't want it for my family

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Ahmad Barotchi

@ABarotchi1

3 months

@ClareGerada @aashfaque14 @Cleverclog67596 @ExplosiveEnema2 @rcgp That experience counts for nithing when working seeing undifferentiated patients. An F2s admittedly minimal experience is still superior to any prior experience a PA had when it comes to seeing undifferentiated patients. I despair at the dishonesty of your assertion

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Ahmad Barotchi

@ABarotchi1

2 months

@beckstweetering @GMB @susannareid100 @edballs False argument - if Drs who are better trained make mistakes, how can you suggest rolling out PAs with less training? PAs are not NEEDED in any sense. There are enough doctors - the government just won't fund jobs for doctors but will for PAs

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Ahmad Barotchi

@ABarotchi1

2 months

This. Just this. Message to GMC, NHSE, FPA, RCs - you had your chance to prove you cared about medical standards & patient safety. Cry more

Le Jacques de toutes les parades

@JacquesGalois

2 months

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Ahmad Barotchi

@ABarotchi1

4 months

No additional strike rounds have been called. @VictoriaAtkins @DHSCgovuk can you please do your jobs and get on with this? Surely this should be a priority for the SoS for health? What on earth else do you have scheduled that takes precedence?

Vivek Trivedi

@_VivekTrivedi

4 months

@TTOTrainee @VictoriaAtkins @TheBMA @RobLaurensonD4P Negotiations have not restarted despite the seemingly abundantly clear position the Government were ready. We are waiting and ready to restart as soon as they are. We will keep doctors updated with developments.

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Ahmad Barotchi

@ABarotchi1

2 months

@SecretPhysician @jabberwock951 @DrEilidhMaria I'm more concerned they kept suggesting primary care/community management and no one clocked this patient ought to be sent to hospital until the GP saved the day. Dearth of understanding of risk

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Ahmad Barotchi

@ABarotchi1

3 months

Many thanks to @drmattuk for bringing this tragic case to light. Keep up the fight. For patients And for the profession 6/6 end

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Ahmad Barotchi

@ABarotchi1

3 months

I wish I knew the RCP councillor who complained about Prof Kar's tweet below. Not for a trial by media. But physicians deserves to know who they may be voting onto council. Who has these views hidden behind the safety of a screen/anonymous complaint? Respect to prof Kar 🙌🏼

Partha S Kar 🇮🇳🇬🇧🏏🎥

@parthaskar

3 months

Now that it has been 'looked into' & thrown out? Let me share with all a formal complaint From within Council @RCPhysicians Tactics people use to shut down raising issues around IMGs Kids-please note! Beyond my parents? I don't give a fig about anyone else's 'disappointment'

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Ahmad Barotchi

@ABarotchi1

2 months

@drmattuk @fascinatorfun @GrumpyOldDoc @GMCharlatan @medicalmodelbri Honestly, despicable. Surely this should be perverting the course of justice/malicious misuse of police time? Like the other comments, I'm in for any crowdfunding

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Ahmad Barotchi

@ABarotchi1

3 months

Until then, keep raising concerns, and don't be cowed. The gov's workforce plan is a dangerous experiment with the lives of the british public who can't afford private healthcare. Replacing Drs with the less qualified a betrayal of patient trust & patients DO deserve better 4/5

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Ahmad Barotchi

@ABarotchi1

3 months

A propaganda push to belittle the views of doctors as expressed in every single sampling there has been so far. Bravo on the piece which, if true, would make your department an exception used to rubbish concerns of Drs nationwide. Reprehensible stuff

St George's Urology

@GeorgesUrology

3 months

1/4 It is sad to see the very public onslaught on Physician Associates. We are a unit with a proud history of teaching, training and investing in our junior doctors at all levels. We are an @RCSnews accredited fellowship training centre in Robotic surgery ( @IntuitiveSurg )

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Ahmad Barotchi

@ABarotchi1

3 months

@SecretPhysician Yep if you're dependent on doctors to work, they must call the shots about your scope of practice. A trainee's scope is also determined by the responsible consultant. The problem with expanded scope thus far has been irresponsible consultants (and trusts and DHSC)

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Ahmad Barotchi

@ABarotchi1

1 month

Omg this so much

Askforadoctor

@Ask_foradoctor

1 month

@veggieequallife "Flatten the hierarchy!" - Shit hits fan - "Doctor informed", buck passed.

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Ahmad Barotchi

@ABarotchi1

3 months

Unbelievably despicable behaviour. Maybe the @gmcuk should reflect on how its processes are so harmful for Drs that some are weaponising referrals

Eilidh 🦀

@DrEilidhMaria

3 months

This was about me.

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Ahmad Barotchi

@ABarotchi1

3 months

These guys need to understand what rebuttal means. There was an internal investigation at the hospital. @JanetEastham if this organisation is questioning your journalistic integrity, could the paper please, perhaps, take them to court for libel?

UMAPs.org.uk

@UMAPsUK

3 months

REBUTTAL The Telegraph Article from 27/01/2024: "Physician associates accused of illegally prescribing drugs and missing diagnoses." #physicianassociate #anesthesiaassociate #maps #umaps #medicalassociate

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Ahmad Barotchi

@ABarotchi1

5 months

This is an important and oft neglected point. Our exams can be hard, especially the post grad ones. But passing (admittedly rigorous) exams without doing the rest of medical training doesn't make you a doctor or equivalent

ExplosiveEnema

@ExplosiveEnema

5 months

@JonnyGucks Neither Exams are just one of many filters. That's why opening up exams to non-medics is a terrible idea. There are a litany of other barriers Drs have to pass to get where they need to be Would you drink water filtered just through the rock layer?

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Ahmad Barotchi

@ABarotchi1

2 months

@glurcher @scrivvyfloor @dr_lungs @sh_abbers @dannyjnwong @pcricoarytenoid The issue is the taskification of medicine into little aliquots of doctoring, protocols/pathways & tasks that can be done by technicians without the same education & training. It's not medicine. They're not clinicians. It's a supervised technician.

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Ahmad Barotchi

@ABarotchi1

3 months

@RCPhysicians @NHSEngland It is implied that a PA shouldn't be on a doctor's rota. I applaud that, but it's not enough. I would much rather this was made explicitly clear. Lest some hospitals interpret it liberally (which we all know they will try)

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Ahmad Barotchi

@ABarotchi1

7 months

@EileenBurns13 Prof Greenhalgh has been nothing but professional in this whole discussion and as far as I can see, those expressing an interest in co-signing to raise concerns have done so with utmost courtesy. Why the caveat?

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Ahmad Barotchi

@ABarotchi1

5 months

A very important thread. What she's describing is appalling, but the themes are seen time and again across the NHS. I mean this in terms of management attitudes towards doctors, patient safety, and adequately qualified staff

Dr Nat 💙🌞

@sugarplumNat

5 months

I'm leaving my current role in a community hospital due to safety concerns that have not been addressed adequately. I'm sharing this because I'm deeply concerned about what is happening in the NHS and I'm worried about the risk our patients are facing.

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Ahmad Barotchi

@ABarotchi1

8 months

@anonPA5 @dx_mighty Why is there a risk of being reported to the med school? And what's the relevance of bringing up that she's a mother? No one even suggested this, which makes it look like a threat. "Lovely kids and career you have there; would be a shame if something were to happen to them"

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Ahmad Barotchi

@ABarotchi1

3 months

@Plyons251 Parking charge notice is not a penalty charge notice. It's a lot more legal hassle for them to demand payment. NHS hospitals basically source their parking enforcement to private companies. They rely on spooking people into paying without challenge. But know your rights

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Ahmad Barotchi

@ABarotchi1

13 days

Over 700 shifts. Equivalent to 2 and a half doctors' annual shifts. Yet Dr jobs are limited while there are willing candidates. All while claiming they "struggle to recruit" to justify having underqualified folk filling doctor shifts

Kat

@KatPaton13

14 days

Lol same trust that rejected me without an interview

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Ahmad Barotchi

@ABarotchi1

2 months

@Xeon4f145d96s1 BSG will need a colonoscope to search for whatever morsels of dignity might be left after this

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Ahmad Barotchi

@ABarotchi1

2 months

@Dr_Done_ It's a lie as well. If we're being pedantic (i.e. understanding that language matters), a clinician is, by definition, a doctor. Another attempt to trick the public into seeing underqualified folk. We can all see that's the aim of this charade 1/2

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Ahmad Barotchi

@ABarotchi1

8 months

Anyone wondering why some docs go anon - there are some pretty vindictive people out there. People who disagree or don't like your tone and choose to make your life harder with a vexatious GMC referral. They get REALLY frustrated when they can't use that threat. See below

Dr Done

@Dr_Done_

8 months

LOL please guys. I'm shaking. If my identity comes out I'll go with it. Bank details? Ive been a doctor in the UK, there's not much in there.

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Ahmad Barotchi

@ABarotchi1

6 months

@Dennisw99863685 @MichelePaduano You can be a technician. The technical skill isn't hard. A flamenco guitarist probably has better manual dexterity than most doctors, PAs or ACPs. But you wouldn't teach them to do a chest drain or lap chole without a medical degree

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Ahmad Barotchi

@ABarotchi1

3 months

@iDrSunny And if we're talking about them doing the same job, who does that role more effectively and with more expertise? It's such a false economy

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Ahmad Barotchi

@ABarotchi1

5 months

@DyfrigH You all certainly believed as much

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Ahmad Barotchi

@ABarotchi1

2 months

@Ask_foradoctor I tell PAs they can call the secretaries, or get a doctor to call me. Inappropriate, when radiologist time is limited, and with the risk of ionising radiation, for the risks/banafits to be discussed with someone who doesn't grasp either

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Ahmad Barotchi

@ABarotchi1

2 months

@glurcher @scrivvyfloor @dr_lungs @sh_abbers @dannyjnwong @pcricoarytenoid Yes. Yes they are. I think that's what attracted so many comments on your original post. Because of healthcare policy to undermine Drs & break our monopoly. And lazy consultants who would rather train a technician just once to relieve them of a task/training the next generation

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Ahmad Barotchi

@ABarotchi1

4 months

@quackophage I'm in awe @quackophage , amazing work getting this FOI and getting it out there. One positive of all this is that it shows they ARE scared of doctor opposition, and they recognise that their plans have significant obstacles if we don't comply. We all know what we need to do

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Ahmad Barotchi

@ABarotchi1

2 months

Important perspective in this whole debate. Medical educators have let down PAs & missold what the course actually prepares them for. Not everyone will have the insight to realise this as early as the OP. PAs have a right to be angry/upset.

Dru

@doctor_dru_

2 months

I’ve been out all day & just read that MPTS tribunal and I’m trying to come up with the words to capture how I feel about it all and honestly, I just feel a very profound sense of sadness. I will come back to the sadness at the end of this 🧵

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Ahmad Barotchi

@ABarotchi1

8 months

@BMA_James_Steen @MandloiJaideep The issue is if you have a weak or complicit clinical supervisor, they will flag it as "poor teamwork" or "interpersonal relationships" and make obstacles for your progression. DiTs need to be strong, but you need consultant support or some imposition of standards from higher up

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Ahmad Barotchi

@ABarotchi1

3 months

So I'm commenting because if there is a cover up as was suggested, I really REALLY want examples to be made of people. If that's the case, the repercussions have to be prohibitive enough that trusts become more likely to come clean than hide wrongdoing 3/n

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Ahmad Barotchi

@ABarotchi1

3 months

@DrAsifQasim The greatest cost demanded by this career is not, in fact, any of the above. It's our youth

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Ahmad Barotchi

@ABarotchi1

5 months

@SaulStaniforth @_VivekTrivedi Leading questions much? Very well done to him

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Ahmad Barotchi

@ABarotchi1

1 month

If they were honest about capabilities, patients might be routed to nearby alternative MTCs. But no, because that would lose some income stream and embarass some managers. So other managers anonymously leaked info. If you're not scared you should be 2/2

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Ahmad Barotchi

@ABarotchi1

4 months

@ellorakamineni @JoshuaSoane To be terrified you have to understand how many gaps there are in your knowledge and understand the gravity of missing something crucial. In their cases, they learn a few patterns of presentation, a few guidelines and protocols, and crack on. The bliss of ignorance

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Ahmad Barotchi

@ABarotchi1

3 months

Spotted this on reddit, and thought of my favourite meme writers on twitter to be up to the task @mouseter_chef @ExplosiveEnema2 @GMCharlatan

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Ahmad Barotchi

@ABarotchi1

2 months

This is now 3 resignations that we know of thus far. It seems the RCPL is losing those with integrity. Those in the leadership who remain have a short window of opportunity left to resign with dignity #RCPEGM

Martin McKee 🇺🇦

@martinmckee

2 months

@jfnephlolz @FutureHealthJ @RCPhysicians I wasn’t planning to publicise it but, in light of your announcement, I can say that I resigned from the Advisory Board of Clinical Medicine last week, for the same reason.

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Ahmad Barotchi

@ABarotchi1

3 months

@FrankCoffey26 I was going to say, this does not constitute bullying in any form. No individual has been targeted. It's a joke about safe practice. But, this account summarised it with much more panache

Jamal Binh

@JamalHu69

3 months

Roses are red, The jokes not that serious, To think this is bullying, Is rather delirious.

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Ahmad Barotchi

@ABarotchi1

8 months

@ExplosiveEnema @Ormerod84 @LocumPA_Ltd @RCPhysicians @FPARCP Some of the comments are missing the point. The big issue here is that this company: 1) Advocates for unsafe scope for PAs 2) Sponsors RCP giving a RCP a clear COI regarding the topic of PAs and scope - because of point 1

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Ahmad Barotchi

@ABarotchi1

3 months

Care to comment why the majority of your trainees felt workload & training were inadequate in the most recent training survey? While you're at it, could you also make the soulless corporate messaging less blindingly obvious? There's a saying somewhere about glass houses

Christopher Anderson

@roboturologist

3 months

@GeorgesUrology @RCSnews @IntuitiveSurg Our Physician Associates are outstanding and an absolute asset to the dept . They are fully engaged ,caring,are permanent members of the team , well trained,learn skills quickly . The NHS would do well to embrace them as essential contributors to patient care .

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Ahmad Barotchi

@ABarotchi1

6 months

@Dababydoc @r1chardf1tzg3r1 Mad thing is she was RCP president during last JD disputes/IA when they sent out shameful communications blaming JDs for the strikes. In 2015, she set up the Faculty of PAs. Workforce plan seeds planted then. Anti-doctor to the core

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Ahmad Barotchi

@ABarotchi1

5 months

@UKGastroDr @Molly2323232323 PA locum ahency PATH allows PAs to accrue points for hours worked that they can then use to... wait for it... Get private health insurance! So that even PAs aren't treated by their colleagues. You couldn't make it up. @iDrSunny

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Ahmad Barotchi

@ABarotchi1

5 months

@iDrSunny @PAsRTSolution1 @pppforpatients You cluld train anyone to do the technical skills. Get a pro gamer and their fingers would smash through our lists. But we don't treat real patients like video games. That's why we don't want standards watered down. 15/end

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Ahmad Barotchi

@ABarotchi1

5 months

@Xeon4f145d96s1 @Cray_tweets1 @rcpsych I suggested to a consultant who hired a PA, to put out a trust grade fellowship (post foundation/f3) to help put instead of hiring a PA His response was, he'd love to. But funding won't get approved for it. But funding was offered for the department to hire a PA without asking

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Ahmad Barotchi

@ABarotchi1

3 months

With investigations ongoing ny coroner and potential legal/criminal proceedings, commenting definitively on anything might actually harm the justice system's case for actual justice. Every case in the public eye could affect how hard they come down on any wrongdoing. 2/n

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Ahmad Barotchi

@ABarotchi1

1 month

Oh, as an extra note, about NHS "freedom to speak up" culture ((🤣🤣🤣)), notice how those managers not happy with the current direction ANONYMOUSLY leaked this info to the press? Great post @GMCharlatan

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Ahmad Barotchi

@ABarotchi1

23 days

After a while, you get the jist of what sort of person you're speaking to through the way they hand over/request. I'd enourage you all, for the sake of patients and your careers, to figure out quickly. And don't be afraid to ask - it's fair to know who you're talking to

Dr Done

@Dr_Done_

23 days

🚨🚨Lost for words again. The danger that patients, like the one below, are put in when assessed by a PA instead of a doctor can lead to serious morbidity or death. Is this what we want for our families? Replacing doctors with PAs will be the medical scandal of this century.

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Ahmad Barotchi

@ABarotchi1

3 months

Things don't always go to plan when it comes to grand governmental schemes. *ahem* rwanda *ahem* The public haven't been consulted when the government decided that they didn't deserve to see doctors. And the tide is turning

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Ahmad Barotchi

@ABarotchi1

2 months

@JoshuaSoane Quite the opposite. PAs as a workforce are less ethnically diverse than doctors

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Ahmad Barotchi

@ABarotchi1

2 months

Time for medical leadership to read the room Every vote and consultation thus far has proved that they're acting against the will of the profession, and worryingly (possibly) to the detriment of patient safety. Never mind that they've often tried to quash any free vote. LEAVE

Luke

@Shr_Nottingham

2 months

The #RCPEGM was a worldwide joke It was the most spectacular backfire that also exposed high level probity concerns for those involved @RCPhysicians The fact the @DrSarahClarke is still embarrassingly clinging to power makes me sad for integrity and leadership in medicine 😢

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Ahmad Barotchi

@ABarotchi1

3 months

@ExplosiveEnema2 @mancunianmedic @veggieequallife Exactly, we shouldn't have to feel like we can't raise voices. Stamping out dissent is an NHS cultural disease We need to have so many people speaking out that those who want to harm our careers don't know where to start. Are they going to delay every Dr's progression?

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Ahmad Barotchi

@ABarotchi1

5 months

This. I can't even. 😂😂😂 Genuinely made me spit put my coffee. This is the lady who argued with a world leading expert in diabetes management systems @parthaskar about why schoolkids should go back to finger pricks rather than closed loop systems

Ronald MacDonald

@quackophage

5 months

@Zaeem_Mahmood1 @Xeon4f145d96s1 @RupraRoshan @goldstone_tony @misspaulalondon @TheBMA careful mate, after two degrees she's a ... [checks notes] ... lawyer? ... I think?

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Ahmad Barotchi

@ABarotchi1

3 months

@cannula_service @AjEusuf @ExplosiveEnema2 @mancunianmedic @veggieequallife Just reflected on my reply above, and realised that vindictive individuals WILL know where to start. They'll start with those who they believe should know their place. Ethnic minorities and women. Unless there's too many of us, which is why we need voices

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Ahmad Barotchi

@ABarotchi1

6 months

@drcolinm @davidianpyle @drdernial @wendyburn Hi Prof Melville, I'm wondering with the level of concern & displeasure at these proposals, have you considered whether a renewed consultation is the wiser course? I trust you've seen the RCR statement on this, or the BSIR motion at the last AGM? My specialty at least united here

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Ahmad Barotchi

@ABarotchi1

5 months

This is wild. Account now deleted. I think they realised they said the quiet bit out loud. That or they've been advised to keep hushed on this

Meg 👨‍👩‍👦‍👦💙👩🏻‍⚕️🇮🇳🏏🎥🇬🇧⚽️

@Megsenmumdr

5 months

@Shamz_141 Think they deleted their account😏 I got these screenshots before they did so.They were exposing something significant Apparently FPA has Year onYear in their conferences discussed how PAs r “utilised”in“every tier”(below consultant)of Dr’s Rota.Major concerns for patients safety

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Ahmad Barotchi

@ABarotchi1

4 months

Brilliant thread from a colleague from across the pond. A veteran of the campaign for patient safety against unqualified individuals practicing medicine, there are some wise words of advice here

Taz

@Suburbanbella

4 months

@Xeon4f145d96s1 Seriously, all of this s**t is dejá vu. As you advocate loudly and publicly for patient safety and transparency in medicine, you will be accused of being misogynistic, patriarchal, arrogant, yada, yada, yada...When our organization, Physicians for Patient Protection(PPP),

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Ahmad Barotchi

@ABarotchi1

5 months

@KhyjaMccalla @ExplosiveEnema @millybrookman @KatieMorrigan @north_forum @aiysh_97 @LocumPA_Ltd @__nhm_ @ZoeCostigan @PA_CharlotteC @PAealish @HajaraPa @KomalRaval @harriet_68 @glambystefania @Connor_Cashmore @Popoporoo87 @incognito_pa @AnalysisDrawer This is the issue. The junior Drs should not be prescribing for PAs, ever. An exception would be an emergency in which case the Dr should be reviewing the patient themselves. BMA is clear, the supervising doctor is the one who should be doing the prescribing. I.e consultant/GP

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Ahmad Barotchi

@ABarotchi1

7 months

@DrLindaDykes There was a sense that this was a taboo topic when I first left med school. Risk being called a bully, not respecting #oneteam , getting called elitist, told you're punching down (from a lower salary might I add) & consultants supporting scope creep who could make your life hell

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Ahmad Barotchi

@ABarotchi1

5 months

@mouseter_chef @DyfrigH I don't agree with a pile on targeting a PA trying their best. If consultants have put a PA in an uncomfortably out-of-depth work environment, that's on you and your department. I feel this presumed defence of the PA is in fact just an attempt to defend your management

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Ahmad Barotchi

@ABarotchi1

3 months

@bicmyhead @sheffielduni are you aware of this idea being taught at your PA course?

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Ahmad Barotchi

@ABarotchi1

3 months

Hi, so I said a few days ago I'd post some thoughts about running for the Specialty training board. I'm not fooling myself that I'll be able to enact major changes in a relatively minor council position, but I'll use my voice. One voice can sometimes be enough. 1/n

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Ahmad Barotchi

@ABarotchi1

4 months

@ClareGerada @mari_fonseca @Dr_BellaR Bullying is a grand claim, from your position of authority. Especially for opinions held by a majority of doctors, as recent consultations by BMA, DAUK, and ASiT have shown. You are out of touch with the mood of doctors and throwing accusations. Do reflect on that as per GMP

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Ahmad Barotchi

@ABarotchi1

6 months

@Molly2323232323 The "evidence" being case studies and opinion pieces referencing and citing each other

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Ahmad Barotchi

@ABarotchi1

4 months

Couldn't have put it better myself. Why having a PA in the IR department is misguided, and training them in procedures as technicians is unacceptable.

“Raj” Anandarajah | Rajiology

@Dr_Rajiology

4 months

@Dr_Done_ @RCRadiologists This justifies many fears Drs in IR training have regarding PAs All of the procedural skills listed have potentially significant complications. I hope patients are made aware during consent that the PA will not be able to manage post-procedural pain, bleeding or request a CXR…

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Ahmad Barotchi

@ABarotchi1

3 months

@CatbytheC @DrNeenaJha @JimBethell You may have to make a specific request for every appointment. Or change practice. This is the gameplan - at the moment you can decline. Gov want to take that option away unless you pay privately. Resist while you still can. Patients are key to bringing this crashing down

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