Ben Chadwick @BDChadwick Twitter profile

Last Seen Profiles

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Ben Chadwick

@BDChadwick

4 years

Infectious diseases teams are testing a point of care COVID swab at SGH. Results in 40 minutes, very impressive and clinically invaluable.

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Ben Chadwick

@BDChadwick

3 years

@ShaunLintern Our trust has advised FFP3 masks for all COVID positive or suspected cases since the new variant became known about in December. It's a really sensible decision and has helped hugely.

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Ben Chadwick

@BDChadwick

3 years

@Abi_Rimmer Write on the monitor and take a photo with your phone?

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Ben Chadwick

@BDChadwick

2 years

After a long period of time, and a LOT of work, we've finally had approval for the new AIM curriculum from the GMC. Here's a thread to illustrate some of the changes and (hopefully) highlights. Thanks to all involved in getting here. @nickscr1 @NHSmallwood and all the AIM SAC.

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Ben Chadwick

@BDChadwick

4 years

@DrJNurse I'm not giving them a 20 minute break. There's a pandemic on you know!

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Ben Chadwick

@BDChadwick

4 years

@mancunianmedic It quite easy to have a great culture when you have no patients and time and budget to train!!

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Ben Chadwick

@BDChadwick

9 months

@k_d85 Around 35% of hospital inpatients who have a cardiac arrest survive to discharge in our Trust. It's not a massive number, but it isn't near zero either.

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Ben Chadwick

@BDChadwick

5 years

I completely agree. From my experience trainees are no less diligent and professional than they have been in the past, and their working days are far busier than when I was training even 12 years ago. These comments from a senior leader are utterly destructive.

Beth Routledge

@sefkhet

5 years

The acute hospital workload in 2019 means if doctors wandered to the front door at the end of their shift and stayed voluntarily until there was nothing left to do, we would literally never leave.

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Ben Chadwick

@BDChadwick

2 years

@kaz_emalone @dr_lungs I'm in favour of compulsory vacations, as long as my Trust pays travel expenses.

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Ben Chadwick

@BDChadwick

3 years

@MedicGrandpa I'd ask to see their policy for the dress code for clinical attachments. That looks entirely appropriate to me. Certainly looks a lot smarter than I usually do!

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Ben Chadwick

@BDChadwick

2 months

@ShaunLintern It is also an issue with having enough radiologists to interpret the scans even if we did suddenly splurge a load of capital to buy the scanners.

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Ben Chadwick

@BDChadwick

1 year

@OrthopodReg @scullingmonkey @JonnyGucks @parthaskar @rosbarker @NHSEngland @RoshanaMN @doctor_oxford @trishgreenhalgh @LucyGoBag @RobJimFleming @AntonEmmanuel2 @UKGastroDr @PeaPeaspot @DrSelvarajah I think a lot of the problem is that most people in leadership roles around medical education and training are essentially doing a lot of it in their "spare" time, and a lot of mental energy is expended just keeping the current system running.

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Ben Chadwick

@BDChadwick

6 months

@fesshole You know what'll happen the first time you don't pack spare trousers, don't you?!

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Ben Chadwick

@BDChadwick

2 months

@ollieburtonmed I'm trying to set up something similar for IMT in Southampton with the option of taking people all the way through to CESR in one of the medical specialities.

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Ben Chadwick

@BDChadwick

3 years

@KirstieMAllsopp @vicderbyshire If we follow that plan, our ITUs will be overwhelmed quite quickly with those under the age of 50 who will require ventilation. The death rate will be much lower, but the effect on healthcare generally will still be very severe.

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Ben Chadwick

@BDChadwick

8 months

@docib There is none. There should be some documentation from the clinical team to the effect that the patient is leaving against medical advice and has capacity. There is no need for the patient to sign anything.

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Ben Chadwick

@BDChadwick

8 months

@NadiaKamil Standard acute headache presenting to AMU cocktail. 900mg aspirin, a bag of fluid and some iv antiemetic. Works well for most.

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Ben Chadwick

@BDChadwick

4 months

@parthaskar Was it a tattoo of you?!

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Ben Chadwick

@BDChadwick

3 years

@DrBenLovell "The headache came on over a couple of hours actually"

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Ben Chadwick

@BDChadwick

8 years

I'm going to be acting as a junior doctor for the next two days. Happy to keep patients safe whilst juniors protest

Dame Jane Dacre

@DacreJane

8 years

Being an SPR next week. It used to be the best job in medicine. Where has that magic gone? I want to find it again.

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Ben Chadwick

@BDChadwick

3 years

I've been incredibly impressed with how well AIM trainees across the 4 nations have responded to the COVID crisis. I'd add my personal thanks as the AIM SAC chair - you've all been fantastic.

Dr Katrina

@KatrinaSheikh

3 years

This is one of the #kindest messages I have received. I am SO #proud to be a #doctor , especially during the pandemic. The #NHS is my family and without all my colleagues & #support I would be lost. Thank you on behalf of your trainees 💙💙💙 #kindness #compassion #covid19

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Ben Chadwick

@BDChadwick

6 years

@elinlowri @joncstone Oh arse, really?!

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Ben Chadwick

@BDChadwick

5 years

I would like to reassure everyone that this is not me! My portrait is much grander.

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Ben Chadwick

@BDChadwick

10 months

@zackferguson My best tip for new F1s is that their role on the post take ward round is to tell me the story and then their plan. Then crucially MAKE SURE I SEE THE RIGHT PATIENT. I am like a poorly guided missile.......

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Ben Chadwick

@BDChadwick

4 years

Good luck to all the Acute Medicine teams in the COVID hotspots. I hope that the rates turn the corner there soon.

Ben Mearns

@BenMearns

4 years

To our colleagues in Liverpool I send my very best wishes. We know how you feel. You’ll do a great job. #NHS #oneteam

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Ben Chadwick

@BDChadwick

4 years

@alydenisof Proud to be this kids Dad! Recreation of the Last Supper in lego!

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Ben Chadwick

@BDChadwick

3 years

@DrJamieFryer @DrLindaDykes @profghjackson I am looking forward to many referrals to exclude myeloma in MSK chest pain. EM does a great job of risk assessment and holds risk better than any other hospital based speciality.

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Ben Chadwick

@BDChadwick

10 months

@ShaunLintern The biggest issue for the medical specialities is the comparatively lower fill rates for those specialities that have the biggest role supporting the acute take as a consultant. Internal Medicine, Acute Internal Medicine and Geriatrics have quite low fill rates.

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Ben Chadwick

@BDChadwick

5 months

Well, this is a first for me!! Never thought I'd reach the dizzy heights of number 3 in an advent calendar!!

LifeLab

@LifelabSoton

5 months

Meet Dr Ben behind door number 3 of our Advent Calendar. Open the door at #WeAreUoS @unisouthampton @UoS_Medicine

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Ben Chadwick

@BDChadwick

3 years

To be clear, ACCS-AM is definitely not being phased out. We've worked hard with @RCollEM and @RCoANews to produce a new curriculum that should improve the experience of trainees. The name is changing to ACCS-IM to reflect the fact it is an entry route to all medical specialities.

Zack Ferguson

@zackferguson

3 years

@iowmillie It was definitely between AIM and ED (rather than another medical specialty) for me. It’s a shame ACCS-AM is being phased out as it was epic.

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Ben Chadwick

@BDChadwick

3 years

I am prepared to accept this thread as evidence of attainment of a specialist skill. Please maintain this until CCT.

Zack Ferguson

@zackferguson

3 years

Star Trek if Starfleet was run by the NHS, a thread.

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Ben Chadwick

@BDChadwick

3 years

@techpriest @jaydbint @roisinamcc @rachelmillar_ It is, it's just not written down anywhere.

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Ben Chadwick

@BDChadwick

4 years

This is a really helpful thread, it explains why we don't need to be in "full" PPE for all patient interactions. There seems to be a lot of misunderstanding about this, causing a lot of anxiety amongst us all.

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Ben Chadwick

@BDChadwick

3 years

@RCPLondon I will miss him greatly. He was a really lovely man, and I enjoyed chatting to him when we were in the same meetings. My thoughts are with his family.

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Ben Chadwick

@BDChadwick

2 years

@drphiliplee1 If I'm reading the regs right, the negative lateral flows are only valid if they are posted to Twitter and get either 1000 likes or 50 retweets.

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Ben Chadwick

@BDChadwick

4 years

Completely agree with this. Our juniors on AMU have been amazing. They've accepted staying with us, and are an even more vital part of the team than ever. A really.impressive bunch.

Pranev Sharma

@psmedic

4 years

1. F1s/SHOs - my junior colleagues have really shown they are worth their weight in gold. They’ve had their normal rotations cancelled and are soldiering on in ED/Acute Med or have been redeployed to ICU.

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Ben Chadwick

@BDChadwick

6 months

@drphiliplee1 @mancunianmedic Surely one urethral, and 2 suprapubic? If I'm particularly worried, also 2 nephrostomies each side.

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Ben Chadwick

@BDChadwick

4 years

@mattdoc1988 @DrLindaDykes It's also worth reflecting that the majority of these decisions are not made by Intensive Care doctors, but by the doctors responsible for their care on admission or on the wards. Often Intensive Care doctors are involved only in the more difficult cases.

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Ben Chadwick

@BDChadwick

3 years

@SamuelBS85 I am troubled that the route is not specified. I imagine if they are delivered PR it may not have the desired effect.

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Ben Chadwick

@BDChadwick

3 years

@KirstieMAllsopp My son and daughter have been wearing masks since October half term. It doesn't bother them, and did seem to help keep on top of COVID cases in the school. I appreciate that it won't suit all, but it's a sensible way of trying to keep kids in school.

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Ben Chadwick

@BDChadwick

2 years

The biggest change to the curriculum, and the thing that required the most persuasion that it could be delivered across all 4 nations is the inclusion of POCUS competencies in the curriculum. I think this is an excellent addition to the curriculum, and now we have to deliver.

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Ben Chadwick

@BDChadwick

11 months

@parthaskar @OrthopodReg @RoshanaMN @doctor_oxford @NHSE_WTE @AntonEmmanuel2 @trishgreenhalgh @Trisha_the_doc @Richard_GP @HelenRSalisbury @scarlettmcnally New AIM curriculum includes training in POCUS and an explicit commitment for 1 day per week away from the shop floor to achieve it.

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Ben Chadwick

@BDChadwick

2 years

@nysuri It's hard to comment, as I think it is an AP film.

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Ben Chadwick

@BDChadwick

4 months

@parthaskar @RCPhysicians @NHSEmployers @NHSE_WTE @UKGastroDr @trishgreenhalgh @DrSarahClarke @DrLKVaughan @AntonEmmanuel2 @iDrSunny @doctor_oxford @RobJimFleming @OrthopodReg @RowanHarwood I think this bit is quite important as well. We need to work on ensuring that we get the postgraduate training part right for the increased number of doctors. We need to expand training places now, and make sure that the expansion is continued to accommodate new graduates.

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Ben Chadwick

@BDChadwick

10 months

I'm really looking forward to it. Graduation is a real highlight of the year for me.

Southampton Medicine

@UoS_Medicine

10 months

Congratulations to all our @UoS_Medicine students #graduating tomorrow. Stay in touch @SotonAlumni , we would love to know what amazing things you go on to do.

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Ben Chadwick

@BDChadwick

4 years

@drphiliplee1 @Knahyffac Bleach.

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Ben Chadwick

@BDChadwick

3 years

@DrBenLovell I do however love to see the expression on the doc's face as the patient tells me the exact opposite of what they've just presented.

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Ben Chadwick

@BDChadwick

3 months

@zackferguson @Medic_Russell There were many times I had to go through timelines with my kids before sending them back to school. "So if you are asked when you last vomited, what are you going to say?". "At least 48 hours ago Daddy."

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Ben Chadwick

@BDChadwick

2 years

@BruckelJeffrey It must have been especially tough to remove the ruler at the bottom of the picture.

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Ben Chadwick

@BDChadwick

5 years

Acute medicine is a great choice, and one I've never regretted. We are the specialists in diagnosis and management of a wide variety of conditions in the early stages. We are specialists in managing risk and patients out of hospital.

Saman Zehra

@SamanZehra16

5 years

Biggest dilemma of my life right now: acute medicine vs any other specialty? And why not acute medicine? That’s what I really want to do. But it’s discouraging to here people say “you won’t be a specialist in anything” 😐 out of the many other comments I get which makes me sad

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Ben Chadwick

@BDChadwick

4 years

Congratulations to all my BM4 final years who have had their degrees confirmed today. Good luck with the next steps!

Alex

@AlexTats93

4 years

Not quite the #graduation I had expected 3.5 years ago, but it’ll do. Now, where’s that bottle of @TaittingerUK got to.... @UoS_Medicine @BDChadwick @unisouthampton

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Ben Chadwick

@BDChadwick

5 years

@jfdwolff @PeterNg1984 @take__AIM @TamK2012 @wijewardanea @acutemedicine @AlexBThomson Approved by SAC today! In particular our lay advisor and lead Dean thought it was a great proposal.

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Ben Chadwick

@BDChadwick

5 years

@EricTopol @DrLindaDykes @pearsekeane @JeffDean @GoogleAI @natBME Wouldn't it be easier for the eye doctor to ask the patient?

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Ben Chadwick

@BDChadwick

2 months

@parthaskar @RCPhysicians @doctor_oxford @trishgreenhalgh @UKGastroDr @DrLKVaughan @RowanHarwood @mmamas1973 @ShivaniM_KC @RoshanaMN @RobJimFleming @OrthopodReg That seems really unfair, and I agree it seems like he has been made a scapegoat over this. I'm troubled by the fact that none of the data was shared with council prior to its presentation. If it had been I think there may still have been time to rethink how it was presented.

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Ben Chadwick

@BDChadwick

4 years

@jfdwolff @JonJHilton Absolutely. A well functioning AMU is key to a well performing trust, and one of the keys to a good AMU is excellent AMU consultants. It's not as easy as some make it look!!

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Ben Chadwick

@BDChadwick

1 year

@timricketts_ My juniors help me immensely by giving me a look when I'm about to do something non sensible. 😲

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Ben Chadwick

@BDChadwick

8 months

@DrBenLovell I must have been having some sort of recurring hallucination one weekend in five for the last 15 years. It certainly felt like I was at work?

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Ben Chadwick

@BDChadwick

3 years

@JoeTeape @UHSFT @SotonChildHosp He was my educational supervisor when I was an SHO. That was some time ago now! His been a great help to me over the years. Did an Xmas morning ward round on AMU for me once so I could have some time at home with the family. Lovely man.

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Ben Chadwick

@BDChadwick

8 months

@Beska From the perspective of someone working at medical school, the need to rank students into deciles was poisonous. It caused massive stress and upset to students. If similar numbers of applicants can get their top choice Deaneries using random allocation this is better IMO.

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Ben Chadwick

@BDChadwick

6 years

@BBCSport And I'd like my Ford Mondeo to drive like a Ferrari......

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Ben Chadwick

@BDChadwick

3 years

@bbclaurak The question wasn't really about the Oxford vaccine, they do have evidence for an increased gap between the first and second doses. It was the decision to do the same for the Pfizer without the trial evidence to back it up that caused a lot of consternation.

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Ben Chadwick

@BDChadwick

1 year

@ujwaliofficial @zackferguson Easily avoided by not speaking to them in the first place.

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Ben Chadwick

@BDChadwick

3 months

@clare_eliza I'd be very impressed with any hospital that manages to get someone admitted from home discharged to a care home within a couple of days if they aren't self funding.

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Ben Chadwick

@BDChadwick

2 years

@TurtonsOther That's EXACTLY what I would expect the person in charge of the account to say.

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Ben Chadwick

@BDChadwick

5 years

@kemslie89 @DhanupriyaSiva Some ward rounds I've been on have lasted longer than I can run a marathon. And I've never run one.

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Ben Chadwick

@BDChadwick

2 years

@clifford0584 Yes, and so it begins. Random talking heads with no idea of the overall messaging. What could go wrong?

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Ben Chadwick

@BDChadwick

2 years

@TheDepressedMed Works all the way to consultant to be honest.

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Ben Chadwick

@BDChadwick

2 years

@zackferguson You may find that it is a bit more expensive than Netflix. And harder to cancel.

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Ben Chadwick

@BDChadwick

10 months

@clifford0584 I think this is one of the reasons why graduate entry programs can do a good job of training people who didn't know they wanted to do medicine at the age of choosing A levels. One of the real strengths of our course is the variety of backgrounds that people come from.

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Ben Chadwick

@BDChadwick

2 years

@RoshanaMN I'm moderately confident it is a hip. Probably the left.

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Ben Chadwick

@BDChadwick

6 years

I think it's great that we have a president of the RCP who is still active in the general take.

Claire Burroughs

@BurroughsClaire

6 years

. @RCPLondon new president. Looking forward to working with you @bodgoddard #medicineisbrilliant #threeWs

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Ben Chadwick

@BDChadwick

2 years

@zackferguson I shall add that to the guidance.

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Ben Chadwick

@BDChadwick

3 years

@ShaunLintern I think this depends on what you want to get out of the process. If you are very clear that you are going to make a formal complaint, then I'd entirely agree. If you are dissatisfied with some aspects of care and want to get some more rapid communication then PALS can work well.

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Ben Chadwick

@BDChadwick

7 months

@Marktheliverdoc Generalism is good! @IgwigLiz !

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Ben Chadwick

@BDChadwick

3 years

Hopefully we can help to achieve this by making training in AIM more attractive with our new curriculum, coming in 2022. *Crosses fingers* #SAMGlasgow

Nigel Lane

@dr_nigel_lane

3 years

#SAMGlasgow @bodgoddard said it plainly. We need more Consultants in #acutemedicine Thank you. @RCPLondon @acutemedicine

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Ben Chadwick

@BDChadwick

3 years

@toates_19 Whatever you say, fellow colleague.

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Ben Chadwick

@BDChadwick

2 years

@zackferguson Would add something to the gravitas of my PTWR if I ended the review of each patient with an instruction to the team to "make it so"

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Ben Chadwick

@BDChadwick

2 years

@parkerflash You should probably use a cannula for a cannula.

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Ben Chadwick

@BDChadwick

7 years

@doctorcaldwell My general rule is that if a GP has been bounced by another speciality first, I'll always accept. We can sort it out when they arrive.

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Ben Chadwick

@BDChadwick

2 years

@nickscr1 @trentconsultant I'd think for 28 pounds per month you wouldn't have to dig out your own parking spot!

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Ben Chadwick

@BDChadwick

4 years

If you want cheering up this morning, go and have a look at the generosity and kindness displayed on @MarcusRashford 's timeline. And if you are able perhaps make a donation to . It's really inspiring to see everyone come together to make a difference.

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Ben Chadwick

@BDChadwick

3 years

@drphiliplee1 For you, I'd have thought it's you being married??

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Ben Chadwick

@BDChadwick

4 years

I can't quite believe he's retiring. I wish him all the best, he was a great leader in our speciality.

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Ben Chadwick

@BDChadwick

4 years

This is great news for anyone entering a higher specialist training pathway via an alternative route. Long overdue in my opinion.

Sarah Hallett

@DrSarahHal

4 years

*Breaking news*: confirmation from @gmcuk that doctors who complete CESR-CP will from now on receive a CCT. JDC have long been lobbying for increased flexibility; this represents a step forward in recognising alternative training routes, and valuing an individual's experience.

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Ben Chadwick

@BDChadwick

3 years

Good talk at #SAMLondon from @NHSLeader giving an overview of different therapy services on @acutemedicine units across the UK. Interesting to see how different teams have addressed common challenges. Also loved the speakers colourful backdrop!

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Ben Chadwick

@BDChadwick

3 years

@zackferguson My Mum is in hospital and is threatening to tell her doctors that I'm a consultant in Emergency Medicine. *sigh*

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Ben Chadwick

@BDChadwick

4 years

@sefkhet @DrLindaDykes I think pulmonary oedema is going to be a big one. I'm getting so used to seeing bilateral infiltrates in COVID that it's going to take real effort to think of anything else.

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Ben Chadwick

@BDChadwick

2 years

Woohoo! Glad we've finally got this sorted.

FICMNews

@FICMNews

2 years

FICM and @JCRPTB are delighted to announce that training in ICM and Physician Triple CCT programmes in Acute Internal, Respiratory, and Renal Medicine have been formally approved by the GMC. For further details:

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Ben Chadwick

@BDChadwick

11 months

Great to see so many interested attendees, gives me real optimism for the future of Acute Medicine.

SAM Online

@acutemedicine

11 months

Full house this morning at #takeAIM23 . Another sold out @acutemedicine conference. Faces of the future of Acute Medicine. Enthused and inspired. Fantastic!!!

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Ben Chadwick

@BDChadwick

4 years

@BoyGeekDrone @k_d85 My understanding, and our Trust guidance is absolutely no CPR until all in full FFP3 gear. Safety of team comes first. The real key is anticipating and planning response to deterioration to avoid the need for CPR.

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Ben Chadwick

@BDChadwick

4 years

@JonJHilton Your life choices. That's quite a big job.

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Ben Chadwick

@BDChadwick

2 years

@jfdwolff @acutemedicine Surely the Jungle VIP?

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Ben Chadwick

@BDChadwick

3 years

@SamuelBS85 Aren't all ITU plans small variations on: Wean inotropes Wean ventilation Discuss antibiotics with micro Scan [insert random body part here]

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Ben Chadwick

@BDChadwick

3 months

With the added bonus of working with me........

Trevor Smith

@GastroDrSmith

3 months

Brilliant opportunity to join our acute medicine service in Southampton ⁦ @UHSFT ⁩

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Ben Chadwick

@BDChadwick

1 year

@moribunddr If you are in a training post then you should be able to access careers advice via your Deanery? This might be worth a try if it applies to you.

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Ben Chadwick

@BDChadwick

3 years

@toates_19 Watching? Luxury. Where I come from we didn't have eyeballs.

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Ben Chadwick

@BDChadwick

2 years

@BellaRoscetti It's going to be really interesting to see where we go over the next few years. COVID has shown us that it is possible to deliver material online. We may well see a shift to providing some content online that is suited to it. This can be backed up with smaller group work.

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Ben Chadwick

@BDChadwick

1 year

@techpriest A geezer in the freezer?

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Ben Chadwick

@BDChadwick

6 years

@Trisha_the_doc And possibly the order of your acronyms! 😃

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Ben Chadwick

@BDChadwick

6 years

@dr_ashwitt It depends a lot what level of student you are talking about. Sometimes it is better to have an examiner from another speciality, as they may have a better idea of what a medical student should know than a specialist.

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