ClinOncDoc @ClinOncDoc Twitter profile

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ClinOncDoc

4 months

I’m excited to announce I will be joining the Bermuda Cancer Centre in the coming weeks. I look forward to joining the fantastic team in Bermuda and working in close collaboration with the Dana-Farber Cancer Institute in Boston. A 🧵 on how I got here.

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ClinOncDoc

@ClinOncDoc

3 years

I don't know who wants to hear this, but being single during this pandemic has been downright dreadful. I'm not taking away from the seriousness of the pandemic. Please take it seriously, but by God has it been hard when you simply don't have anyone to share time with.

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ClinOncDoc

@ClinOncDoc

4 years

This weekend there wasn't a single bed in hospital for a lung cancer patient with an emergency spinal cord compression requiring emergency radiotherapy. I spent over half the day looking for a bed rather than looking after my patients. You are a joke.

Matt Hancock

@MattHancock

4 years

More progress with healthtech saving lives 👇

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ClinOncDoc

@ClinOncDoc

3 years

The national rules are so strongly geared towards couples and families, and really leaves single people in no man's land, fending for themselves. No one is forming a bubble with a guy they met in a park that one time just so they can get to know each other.

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ClinOncDoc

@ClinOncDoc

3 years

Effectively I and probably others have been penalised for an entire year where it has been nigh impossible to start or develop any new relationships. During the first few months it was ok. I told myself it was self-reflection time. Time to improve on myself.

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ClinOncDoc

@ClinOncDoc

3 years

If anyone feels the same, or has sage words of wisdom, or a story to tell of their own singledom turmoil, I am here for it.

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ClinOncDoc

@ClinOncDoc

3 years

So yeah. I don't really have a point other than it has been an absolute waste of a year on a personal level. Not only has it been impossible to date, it was also nearly impossible to meet friends who would normally have been a support during this time. Social isolation is real.

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ClinOncDoc

@ClinOncDoc

3 years

But month after month, it kept dragging on. There is only so much you can do on your own. During summer, I managed a couple of socially distanced park dates, where despite the sunshine, we managed to get rained on. Meetings were awkward. Do we hug? Do we not? ...

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ClinOncDoc

@ClinOncDoc

2 months

As a consultant oncologist this is hugely worrying. A 🧵. Somehow the UK is elevating PAs (w/ 2 years basic training) to a level expected of a doctor with 5-10 far more rigorous years of training and exams.

@medicalmodelwithabriochebun

@medicalmodelbri

2 months

Straight out of the 2 year PA course No experience in oncology necessary Is this safe for cancer patients? They’re running outpatient clinics unsupervised ( consultant in the adjacent room ) What could possibly go wrong ?

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ClinOncDoc

@ClinOncDoc

4 years

He does not deserve to be treated as 'the other' (no one does). Especially when he has dedicated his life to serving the British public when they need help the most He is an amazing, caring, conscientious doctor. The UK is lucky to have him, & in my opinion, do not deserve him.

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ClinOncDoc

@ClinOncDoc

3 years

While professionally my life has continued progressing (and I know that isn't the case for so many people), on a personal level this year has been one of stagnation and even regression as the already slim chances of developing a connection become vanishingly more thin.

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ClinOncDoc

@ClinOncDoc

3 years

...a stranger for the first time in an already awkward and unprecedented situation, goes a long way to breaking the ice. Then there was the absolute absence of bathrooms. Almost as if the government assumed people who go to parks were a superior breed of human...

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ClinOncDoc

@ClinOncDoc

3 years

...despondent in a way I hadn't felt before. There is no end in sight. It's been a year of 'trying to make the best of it'...but it has been godawful. The suspicion with which we now view strangers, potential dates or otherwise, is a behavioural paradigm shift that will have...

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ClinOncDoc

@ClinOncDoc

4 years

@california6182 @bbcquestiontime I'm a doctor. I don't earn over 80k. I may one day after 20-30 years on the job. Getting taxed a small amount extra so that the vulnerable in our society can get by is reasonable. Working in the NHS, I see the vulnerable on a daily basis.

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ClinOncDoc

@ClinOncDoc

3 years

If you did hug, it was this awkward uncomfortable nervous pat where neither side knew if it was allowed and looked over your shoulder to see if you'd gotten away with it. More often you'd meet and give each other a nod from 6 feet away and then start walking in a given direction

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ClinOncDoc

@ClinOncDoc

4 years

...the Brexit celebrations, he explained he has never received so much racist comments and abuse in his life. My friend works unforgiving arduous shifts as an a&e doctor, and does the job that the majority of medics (including me) simply could not or would not do...

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ClinOncDoc

@ClinOncDoc

3 years

Now, in the winter. Even if you're lucky enough to arrange for a date. The only thing to do is to go for a cold and almost always wet and blustery walk which makes the summertime pitfalls seem like...well...a walk in the park.

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ClinOncDoc

@ClinOncDoc

3 years

...lasting repercussions. Meeting new people...dating...has changed. I should caveat that I am fortunate and grateful to still have a job, and also doing my bit to help the NHS through the pandemic. I am aware there are many much less fortunate than me.

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ClinOncDoc

@ClinOncDoc

3 years

...that many just give up before they've even begun. When you add this to the mix of what is already a dating scene where every contestant is disposable with a left or right swipe of one's finger, it makes for a disheartening story. With Tier 4 announced, I've genuinely felt...

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ClinOncDoc

@ClinOncDoc

3 years

..like driving on the motorway in two separate lanes but at the same speed. Almost as if by happenstance that this occured at all. Most often there wasn't anywhere to pick up a beverage (alcoholic or otherwise). I'm not a big drinker, but social lubrication when meeting...

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ClinOncDoc

@ClinOncDoc

4 years

...and there is a national shortage of doctors willing to do the coal-face job. He continues to do it because he feels it is where he can do the most good with his skills and mindset for the British public. For the British public to racially abuse him is utterly deplorable...

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ClinOncDoc

@ClinOncDoc

3 years

...who had evolved superior mechanisms of bladder and bowel control. In summer, you could still get by. There was still that opportunity to potentially meet someone. As the days shortened and the weather turned prospects of dating nose-dived.

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ClinOncDoc

@ClinOncDoc

3 years

That's not to say I haven't tried video dating. But the pitfalls are the same, developing a connection and intimacy is awkward, and even after a few video dates with the same person, moving to real world is taxing. It is now such a laborious effort to meet someone in person...

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ClinOncDoc

@ClinOncDoc

4 years

...and the public simply do not deserve to have a person like him look after them when they are at their worst. This is his home. He was born here. He speaks with a British accent (not that it should matter). The only thing that marks him as different to racists is his skin...

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ClinOncDoc

@ClinOncDoc

4 months

Today, I cover my junior colleagues on #JuniorDoctorsStrike I’m manning AOS to look after acutely unwell cancer patients Clinic is delayed by a few hours. I will work extra hours, but no appointments have been cancelled I support #fullpayrestoration @TheBMA @BMA_JuniorDocs

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ClinOncDoc

@ClinOncDoc

6 years

Dear @Jeremy_Hunt , I signed up to the NHS to help people. I did NOT sign up to cover the job of 3 doctors due to #rotagaps . I did NOT sign up to treat people in corridors. I did NOT sIgn up to kick patients out because there are no beds.

Jeremy Hunt admits NHS winter crisis is 'worst ever'

Health Secretary says doctors and nurses knew what to expect

www.independent.co.uk

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ClinOncDoc

@ClinOncDoc

4 years

...because the sheer burden of workload is untenable and the relentless nature is a thankless task (they get paid no more than other doctors, and in some cases less, with no option of private practice). A&E as a specialty simple cannot recruit doctors...

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ClinOncDoc

@ClinOncDoc

2 months

We are at the most improbable point in UK medicine, where the actual @RCPhysicians , founded in 1518 to represent medically trained doctors, is advocating that one doesn’t need to be a physician to practice medicine.

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ClinOncDoc

@ClinOncDoc

3 years

@grainneisbusy When lockdown was initially announced, I counted over 3 months without ever touching another human! 3 months! That must have lasting effects on one's psyche!

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ClinOncDoc

@ClinOncDoc

5 months

You can start by paying doctors the same starting salary as physician assistant / associates. We are in a ludicrous situation where the support role is getting paid more than the actual physician.

Victoria Atkins

@VictoriaAtkins

5 months

My door remains open for the BMA Junior Doctors Committee to continue the good progress we were making in our negotiations. It’s time to end these disruptive strikes and deliver the best care for patients this winter.

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ClinOncDoc

@ClinOncDoc

3 months

Day 1 of life outside the UK/NHS The first signs are positive 👍🏽

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ClinOncDoc

@ClinOncDoc

2 months

You should require a medical degree to practice medicine. This isn’t controversial. #physicianassociates

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ClinOncDoc

@ClinOncDoc

4 months

In 2023, 6500 doctors who applied to GP training posts did not get a job. Competition ratio 3:1 Do not complain about a lack of GPs when @NHSE_WTE refuse to fund and expand training posts, but are instead replacing GPs with non-doctors.

NHS England Workforce, Training and Education

@NHSE_WTE

5 months

"If we want to tackle the crisis in GP numbers, we should establish a pathway for physician associates to go on to train as doctors and for newly qualified doctors to go straight into five years’ training as GPs."

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ClinOncDoc

@ClinOncDoc

4 months

This is the most comprehensive thread on doctor pay in the UK. The TL;DR Consultants are £39k/year down while the rest of the economy is down £1k/year compared to 2009 salaries. Consultants have taken a hit 40x more than the rest of the economy since 2009.

Dr Tony Goldstone

@goldstone_tony

4 months

1/ NEW & IMPORTANT: So we need to talk about NHS pay. NEW shocking [post DDRB] data just in 4/1/24 👇 (SPOILER: Not "fair & reasonable") We need to fix pay/retention to fix waiting lists- increasingly clear next GE will won/lost on NHS Please read whole 🧵 & share widely/RT

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ClinOncDoc

@ClinOncDoc

4 years

Fact check: Just spoke to my friend. He wasn't born here, but came when he very young. My mistake for the inaccuracy.

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ClinOncDoc

@ClinOncDoc

4 years

This is the bread aisle at my l local superstore I know it's a small thing, but I can't make myself lunch when I continue go to work to treat NHS cancer patients Let's start thinking of others a bit more, particularly those on the front line working to protect your families

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ClinOncDoc

@ClinOncDoc

4 years

Today is my last day as a registrar. My medical journey spans 17 years to become a Clinical Oncologist. FCNS (foundation year) MBBS1 MBBS2 BSc (aerospace physiology) MBBS3 MBBS4 MBBS5 FY1 FY2 CMT1 CMT2 Clinical Fellow ST3 ST4 ST5 ST6 ST7 From humble beginings. Wish me luck!

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ClinOncDoc

@ClinOncDoc

2 months

PAs earn more, better work-life balance, less training, no night shifts, no exams, no forced rotations, choose where they work, are replacing Dr jobs across the country and doing the procedure Jnr Drs have to spend 15 years training to do. But it is PAs under attack? 🤔

Physician Associate Podcast

@PApodcastUK

2 months

An open letter to all physician associates From Professor Jim Parle #physicianassociate

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ClinOncDoc

@ClinOncDoc

4 months

Since announcing my departure, friends have told me they are also leaving: - GP moving to 🇨🇳 - consultant applying to 🇭🇰 - consultant reducing NHS hrs to locum - consultant reducing NHS hrs to do private practice The NHS has a recruitment & retention problem. #braindrain

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ClinOncDoc

@ClinOncDoc

4 years

@Lucifersblues If only we hadn't just voted in the Tories who cut 20,000 police officers from the force.

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ClinOncDoc

@ClinOncDoc

4 months

A GP practice with literally with no GPs There are 6579 doctors (this year!) who were unable to become GP trainees because @NHSE_WTE refuses to fund posts. Yet @NHSE_WTE is funding PAs instead of training up doctors. This is de facto replacement of Drs by PAs @gmcuk @TheBMA

@medicalmodelwithabriochebun

@medicalmodelbri

4 months

What a sad state of affairs . 2 GPs have left , replaced with PAs fresh out of PA school . 1 GP who isn’t on site . PA doing baby and postnatal checks , referring to the Nurse practitioner ( not allowed )

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ClinOncDoc

@ClinOncDoc

11 days

All F1s at this deanery, as a collective, should boycott teaching until PAs are kicked off the F1 teaching programme Either you need a medical degree to practice medicine, or you don’t If you don’t, scrap medical schools, give students back the £100,000 in debt @RCPhysicians

ExplosiveEnema

@ExplosiveEnema2

11 days

PAs being given direct access to the Foundation Programme While Foundation Drs across the country are sat on placement lists, unsure where they are going to live @NavinaEvans , why are these posts not going to Drs? Why are Drs being replaced? Credit: @Dr_Done_ @AliJaneMoore

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ClinOncDoc

@ClinOncDoc

4 months

I specifically did not want to talk about pay in the 🧵.There were other things I wanted to say. NHS substantive pay has also played a role. It is not competitive in a global market. Rad Onc salaries (approx): 🇺🇸 £360,000 🇦🇺 £225,000 🇨🇦 £200,000 🇮🇪 £190,000 🇬🇧 £100,000 @TheBMA

ClinOncDoc

@ClinOncDoc

4 months

I’m excited to announce I will be joining the Bermuda Cancer Centre in the coming weeks. I look forward to joining the fantastic team in Bermuda and working in close collaboration with the Dana-Farber Cancer Institute in Boston. A 🧵 on how I got here.

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ClinOncDoc

@ClinOncDoc

4 months

This is astounding. Future consultant surgeons losing training opportunities to PAs, who don’t have a medical degree, don’t have PG exams, and ARE NOT SURGEONS!!! @NHSE_WTE @gmcuk @RCSnews I am so disappointed in medical leadership. They’ve sold a generation down the river.

Eilidh 🦀

@DrEilidhMaria

4 months

‘There’s no evidence that physician associates are taking training opportunities from doctors’ Well the majority of doctors in nearly every single surgical speciality disagrees.

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ClinOncDoc

@ClinOncDoc

9 days

@DrEilidhMaria @RCSnews are you supporting the fast tracking of surgical training for PAs over and above doctors? @RCSnews should explain what the point of medical school, foundation training, surgical training and MRCS is, if you don’t need any of it to wield a scalpel 🤷🏽‍♂️

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ClinOncDoc

@ClinOncDoc

4 years

@sarahw81 @cokedward @GaryLineker I'm Swedish living in the UK. In my opinion, the populace of Sweden are broadly more conscientious and health aware than the UK. They also have a stronger sense of society & social responsibility that comes with a more socialist government structure and ethos.

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ClinOncDoc

@ClinOncDoc

5 months

Hi @NMacdonaldBHT , I understand you are the CEO of @BucksHealthcare Please can you urgently explain why you are alienating your doctors in training? Why are you willing to pay PAs more than the doctors that’s supervise them?

BMA Thames Valley RJDC

@TVRJDC

5 months

How is this acceptable @BucksHealthcare ? Doctors are NOT worth half a Physician Associate. FY1s, this is how they value you. Look how they value your replacements. STRIKE.

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ClinOncDoc

@ClinOncDoc

13 days

People commending Dr Dan Poulter MP for defecting to @UKLabour ignore the fact he has been a Tory MP for 14 yrs supporting underfunding of the NHS, leading to its current state. It didn’t happen overnight. @UKLabour should not take his advice. @DrRobgalloway is a great option

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ClinOncDoc

@ClinOncDoc

4 years

For the non-medical: Spinal cord compression can leave people permanently paralyzed if not treated urgently as it damages the main nerve tract in the spine. Not one single bed was available. I kept apologising to the family. I was embarrassed and ashamed. @MattHancock

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ClinOncDoc

@ClinOncDoc

2 months

My training to be a consultant took 17 years. The fastest it can be done is 15 years. Many consultants take 20+ years as they do research and further training. If we don’t trust doctors with 10-12 years of training, how could you justify a PA with 2 years?

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ClinOncDoc

@ClinOncDoc

2 months

It feels like the UK is hurtling towards massive dilution of medical standards. @RCPhysicians , @gmcuk , @drcolinm , @AoMRC , @NHSEmployers amongst many others, have facilitated this. ‘leaders’ are so far removed they have no idea how incensed trainees & young consultants are.

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ClinOncDoc

@ClinOncDoc

2 months

This is the most damning data 55% of registrars & 77% of IMTs found their training negatively impacted by PAs @RCPhysicians has deserted a generation of future consultant physicians in favour of their darling child PAs #RCPEGM

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ClinOncDoc

@ClinOncDoc

4 years

I've finished 17 years of training to become a consultant clinical oncologist. It includes: 14 home moves At least 10 undergraduate exams 6 postgraduate exams Lots of blood, sweat and tears. But doctors don't work alone. Thank you cards for my dept for all their support.

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ClinOncDoc

@ClinOncDoc

6 years

I’m an NHS cancer specialist who knows our NHS has been crippled under @Conservatives . Patients and staff alike are paying the price of austerity. All the while the Tories are laughing to the bank. #ISupportJeremyCorbyn

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ClinOncDoc

@ClinOncDoc

2 months

@IncogAssociate You are literally trying to practice medicine without a medical degree or the years of rigorous study and exams required for doctors to be safe practitioners. Sounds unsafe to me. 🤷🏽‍♂️

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ClinOncDoc

@ClinOncDoc

4 months

Hi @ClareGerada , I’d be grateful for a comment as you have long been a GP leader. Are we seeing the systematic replacement of Drs with AHPs as they are cheaper to train & recruit? Is reducing access to actual GPs improving patient care?

Molesey and Thames Ditton GP redundancies due to 'new ways of working'

All 11 GPs at the surgery received a letter informing them of "the start of an HR process".

www.bbc.co.uk

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ClinOncDoc

@ClinOncDoc

8 days

Consultants using PAs instead of doctors and then stating ‘there is plenty of work for everyone’ need to wake up to the reality lived by our junior colleagues

🍉michaela #LiveableNHSBursary

@mjv__1

8 days

I’m an FY2 doctor who does not have a job from August. It’s May & there are very few clinical fellow jobs advertised. Locums are drying up. I applied to med school as a working class student & was the first in my family to go to university. Doctors no longer have job security.

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ClinOncDoc

@ClinOncDoc

11 days

Hi @RCPhysicians & @gmcuk Is this the future you envisioned? PAs accessing the F1 teaching programme when 100 F1s haven’t been given a placement? How exactly do PAs help Drs attend teaching if they are attend the same teaching?

ExplosiveEnema

@ExplosiveEnema2

11 days

PAs being given direct access to the Foundation Programme While Foundation Drs across the country are sat on placement lists, unsure where they are going to live @NavinaEvans , why are these posts not going to Drs? Why are Drs being replaced? Credit: @Dr_Done_ @AliJaneMoore

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ClinOncDoc

@ClinOncDoc

4 years

I've been a doctor for 11 years. I do not earn over £80k This country is so horribly misinformed, and because of that make poor choices. They continue to listen to the propaganda of the daily mail and the sun without ever questioning the truth.

Laurie Macfarlane

@L__Macfarlane

4 years

This video highlights why I think learning about the distribution of income in the country should be an essential part of the school curriculum. Absolutely bizarre.

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ClinOncDoc

@ClinOncDoc

4 years

It is worth clarifying that a bed was eventually found. Presented to a&e at 02:00 after emergency transfer. Finally had a bed at 19:00, 17 hours later. It required the urgent discharge of another cancer patient to make space.

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ClinOncDoc

@ClinOncDoc

5 months

There is something quite alarming about how an older generation of consultants is just throwing the next generation of doctors under the bus. Their love for PAs seems only to be matched by their disdain for doctors in training. @Nadeem_Moghal

Eilidh 🦀

@DrEilidhMaria

5 months

Propaganda machine goes brrrrrrr

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ClinOncDoc

@ClinOncDoc

5 months

Turns out you don’t need to go to medical school at all to practice emergency medicine, anesthesia or gen medicine as a senior decision-making doctor (ST6) No response at all from @gmcuk @drcolinm . I feel for my junior colleagues who are being badly let down by NHS leaders

Eilidh 🦀

@DrEilidhMaria

5 months

A genuine question. If the PAs can go to the ACCS training, and be taught the same skills on the ward, and do the same service provision, and they can extend their scope of training to ST6 level… What is actually the point of the training programme?

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ClinOncDoc

@ClinOncDoc

3 years

@sofaneilas We ar all absolute messes. Even those that look outwardly composed. Stay strong!

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ClinOncDoc

@ClinOncDoc

8 years

@BBCBreaking @BBCNews 1000s of Drs protest outside Downing Street. Where's the coverage. #bias #juniorcontract

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ClinOncDoc

@ClinOncDoc

5 months

“PAs are at the heart of the multidisciplinary team” How on earth was the NHS functioning without the heart of the MDT for the last 3 decades? How is a role created only a few years ago simply to fill doctor gaps become the heart of the MDT?

NHS England

@NHSEngland

5 months

Physician associates support the wider clinical team, reduce workload pressure and enhance patient experience. The NHS Long Term Workforce Plan sets out how to build the right staffing and skills mix for the future, including expanding roles like these.

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ClinOncDoc

@ClinOncDoc

2 months

Lastly, cancer patients deserve to have well trained doctors, trained to the gold-standard, looking after them. The solution is to fund training places so we can have more consultants in the future. Not replace doctors with a lesser trained alternative workforce. End 🧵

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ClinOncDoc

@ClinOncDoc

5 months

I am afraid this response doesn’t explain why an F1 is paid at half the rate of the PA despite being more qualified. Or why a PA is paid at the same rate as the medical registrar (who has far more training and responsibilities) Sadly this explanation falls short. @NMacdonaldBHT

Buckinghamshire Healthcare NHS Trust

@BucksHealthcare

5 months

Statement from the Trust ⬇️ In response to concerns and questions raised on X following the publication of a screenshot from our booking system, circulated on Wednesday, the Trust would like to make clear that the original screenshot shared was incorrect. The rate card…

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ClinOncDoc

@ClinOncDoc

4 months

Consultants using PAs to make their lives easier at the expense of training future consultants need to reflect A crucial part of our role as consultants is to train the next gen of consultants Sometimes this can be cumbersome as we are all time poor, but it is part of the deal

Lasantha Wijesinghe

@ldwijesinghe

4 months

21.4% of 5,764 UK surgical trainees responded only 143 thought PAs had +ve impact on training, especially efficiency of ward work and continuity of care 924 thought PAs had -ve impact and this was in reducing access to theatre cases and to training opportunities in theatre

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ClinOncDoc

@ClinOncDoc

5 months

It is very clear from this post, that the moment PAs get @gmcuk registration, they will be allowed to supervise doctors and nurses. Yes, that’s correct, a physician associate supervising the physicians. You couldn’t make it up.

NHS Highland

@NHSHighland

5 months

@quackophage Thanks for bringing this to our attention We are very sorry - this job description was posted in error Clinical & educational supervision are GMC recognised roles, & a non-registered member of staff including a PA cannot provide clinical supervision The advert will be updated

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ClinOncDoc

@ClinOncDoc

5 days

Hi @rcgp & @gmcuk , How have we ended up in a situation where 1000s of qualified doctors trying to get GP posts can’t get a job, while PAs, fully funded through ARRS, are walking into GP jobs and seeing undifferentiated patients?

Jamie Wallis

@jamie_wallis

5 days

@timricketts_ 4000 GP trainees coming out this summer, barely a couple of hundred jobs advertised across the UK. Yet patients complain they can’t see get to see a GP. My job interview was against 27 other GPs, colleagues have reported interviewing against 40+ other GPs.. But there are plenty…

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ClinOncDoc

@ClinOncDoc

5 months

4:1 competition ratio for IMT, you know, that medical base training needed for every hospital medical specialty. 75% of applicants unable to get a job. Don’t tell Jnr Drs there’s enough work for everyone. PAs are literally replacing them

Nigel Lane

@dr_nigel_lane

1 year

Please stop with this mis informed, short sighted, and dangerous rhetoric. There is enough work for every member of the healthcare team. All of whom are valued.

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ClinOncDoc

@ClinOncDoc

8 days

‘We are going regulate PAs & AAs despite the strong protestations of the supervision profession.’ ‘But we’ll leave the actual job of regulating PAs & AAs to local NHS trusts’ ‘So we won’t actually do anything other than have an excel spreadsheet with their names on it’

GMC

@gmcuk

8 days

4/6 Any rota or team which expects or instructs a PA or AA to replace the role of a doctor should be raised locally. Like any other member of staff in the health service, PAs and AAs can only do what they have the training, experience, and knowledge to do.

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ClinOncDoc

@ClinOncDoc

13 days

Cancer patients are among the most complicated & sickest patients in hospital. 17 years to become a consultant, and 3-4 years in, I still question myself & ask advice from colleagues. For a PA to replace Drs after 2 years of (less rigorous) training is simply dangerous

THEneurosurgerySpRoncall 🇿🇦🍉🦀

@neurosurgerySpR

13 days

Oncology too, looks like someone just copied and pasted it 🤦🏻‍♀️ @svuh @ClinoncReg

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ClinOncDoc

@ClinOncDoc

3 months

To be fair, this has absolutely no weight when up and down the UK, PAs are replacing Drs in GP surgeries, on call rotas, surgical theatres & even consultant cover @RCPhysicians should reflect how they have allowed a false equivalence between PAs and Drs to proliferate unchecked

Royal College of Physicians

@RCPhysicians

3 months

We welcome this letter from @NHSEngland , making clear its position on PAs. "PAs are not a substitute for doctors; they are trained to work collaboratively with other health professionals as supplementary members of a multidisciplinary team." 1/3

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ClinOncDoc

@ClinOncDoc

11 days

Are there any consultants working in @NHSHEE_EoE who can support our junior doctors? PAs should NOT have access to the F1 teaching programme. Especially when 99 qualified doctors, have still not been given an F1 post in your deanery.

ExplosiveEnema

@ExplosiveEnema2

11 days

PAs being given direct access to the Foundation Programme While Foundation Drs across the country are sat on placement lists, unsure where they are going to live @NavinaEvans , why are these posts not going to Drs? Why are Drs being replaced? Credit: @Dr_Done_ @AliJaneMoore

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ClinOncDoc

@ClinOncDoc

6 years

GOOD NEWS STORY: I work at @RBNHSFT . Went for lunch but had no money & cafe wasn’t accepting card. Random chap behind me in the queue insisted on paying for me (£4). Peaked at his badge, a renal consultant I’ve never met. Wonderful act of kindness. Thank you. @CEO_RoyalBerks

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ClinOncDoc

@ClinOncDoc

3 months

Is it time for Drs to create their own regulatory body as @gmcuk decide to regulate non-doctors & actively blur lines? Drs may consider their options overseas/outside medicine as push to replace Drs w/ PAs 1000s of Drs left w/o training posts while PAs walk into specialties

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ClinOncDoc

@ClinOncDoc

4 months

Hi @gmcuk @parthaskar @rcgp @RCPhysicians , Are physician associates ‘able to work as independent clinicians’? By definition they are a support role and cannot work independently. This is a catastrophic mess that has to stop.

@medicalmodelwithabriochebun

@medicalmodelbri

4 months

@GMCharlatan @iDrSunny @ExplosiveEnema They’re independent at this GP practice apparently

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ClinOncDoc

@ClinOncDoc

1 month

Very sad to see another ‘training lead’ consultant prioritise training a non-doctor in endoscopy when there are hundreds of trainees begging for more scope time It certainly feels as if some consultants have abandoned their duty of training the next gen of consultant doctors

Keith Siau

@drkeithsiau

1 month

@ExplosiveEnema2 @RCHTWeCare @FPARCP @BritSocGastro @UKGastroDr @parthaskar @DrAsifQasim @DrLKVaughan @DrSteveTaylor @AlisonGeorge10 @Dr_Done_ @Doctors_Vote As the training lead for @RCHTWeCare , and having signed off this PA, let me respond. Non medical endoscopists provide a significant and important contribution to endoscopy procedures in the UK whether we like it or not. They all have to go through a robust certification process…

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ClinOncDoc

@ClinOncDoc

5 months

Until this pervasive attitude of false equivalence between PAs and medically trained doctors stops, PAs will not be accepted by the the workforce PAs are a support role. They support doctors. There is no equivalence @TheBMA @gmcuk

T 🇵🇸 🦀

@manLikeTeaa

5 months

“We are just as qualified as doctors”

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ClinOncDoc

@ClinOncDoc

2 months

In a clinical meeting today with @BrighamRadOnc . Half way through the meeting they paused to show pictures of their new trainees (matches) & congratulate them on their success. There is a clear discrepancy in how the UK & US systems treat their trainees. (1/2)

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ClinOncDoc

@ClinOncDoc

19 days

The circus must stop. @RCPhysicians @gmcuk Patients are coming to actual harm. Overconfident, undertrained people are replacing the experience and knowledge it takes doctors decades to acquire. Consultants supporting this circus must reflect and change course

Dr Done

@Dr_Done_

19 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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ClinOncDoc

@ClinOncDoc

9 years

My dad = BOSS. letter to David Cameron #juniorcontract @IminworkJeremy @keepnhspublic @Doctors4NHS @johannmalawana

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ClinOncDoc

@ClinOncDoc

3 months

It’s not really a debate is it though? It’s a unilateral imposition by health ‘leaders’ who are preferentially pushing for a less trained, less skilled, less knowledgeable workforce to replace the universal gold-standard medical degree/training, despite patient safety concerns.

Prof Colin R Melville

@drcolinm

3 months

Interesting debate on titles- The Medical Act (1983) almost always refers to ‘medical practitioners’ not doctors (or medical professionals). #GoodMedicalPractice2024 means AAs and PAs once in UK regulation will have to follow the same high professional standards as doctors.

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ClinOncDoc

@ClinOncDoc

2 months

Oncology SHOs/registrars/SAS have immense training including MBBS, often a BSc, MRCP & likely FRCR (for clinical oncologists) Some may have further diplomas and PHDs in oncology. Even with this, they are heavily supervised by consultants. As a consultant, I question my decisions

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ClinOncDoc

@ClinOncDoc

3 months

@zackferguson Could the PA role at your workplace be done by junior clinical fellows / SHOs etc? There are 1000s of Drs without a training post currently

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ClinOncDoc

@ClinOncDoc

2 months

That’s it. A few days worth of teaching before they are let loose on vulnerable cancer patients. This is before we consider how PAs masquerading as doctors are taking away training from the future consultant oncologists.

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ClinOncDoc

@ClinOncDoc

23 days

Hi @RCRadiologists , Demanding £609 a year (10% more than last year), when Drs haven’t had an above inflation rise in 15 years is pretty scandalous. All the while promoting PAs who are reducing training & career opportunities for your members. Listen to your membership

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ClinOncDoc

@ClinOncDoc

2 months

On a daily basis & consult w/ my colleagues Why daily? Because there are rarely ‘routine’ cases in oncology. It is highly complex and each case is highly individualised. We deliver cytotoxic chemotherapy and radiation where an error can lead to hospitalisation and even death

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ClinOncDoc

@ClinOncDoc

9 years

@BBCNews 1000s of doctors protesting outside Westminster and Downing Street. Where's the coverage? #juniorcontract http://t.co/EKtjkHn9TF

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ClinOncDoc

@ClinOncDoc

2 months

Oncology is notoriously poorly covered in the MBBS curriculum. The same is true for PA studies. I know because I have taught oncology at Reading university to PAs. I had to cover most of oncology in a single lecture, and then they had another lecture in haematology.

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ClinOncDoc

@ClinOncDoc

3 years

@impossible_moss Wow, that is really something. How amazing that you get to work with her and see her blossom as a healthcare professional! You're truly lucky!

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ClinOncDoc

@ClinOncDoc

4 months

No. of Dr training applications rejected in 2023 GP 6579 ACCS 1442 Anaesthetics 2059 Radiology 2718 Psych 2086 Surgery 1930 Internal medicine 2736 ObsGyn 1035 Paediatrics 725 Drs saying there is enough work when 1000s can’t get a job need to reflect

2023 Competition ratios | Workforce, training and education | NHS England

Competition ratios for the 2023 recruitment round

medical.hee.nhs.uk

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ClinOncDoc

@ClinOncDoc

5 days

Dear @BBC @BBCNews @BBCPolitics , When your flagship political presenter @bbclaurak is getting community noted for her Tory bias, it is time to take her off air. You lose all credibility. It is widely accept she does not present impartially.

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ClinOncDoc

@ClinOncDoc

3 years

@Dublin_Suzy You're correct. It's not just about dating, though it can put a humours spin on it. Social isolation is real!

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ClinOncDoc

@ClinOncDoc

1 month

Hi @AoMRC , I am curious to know why you don’t feel a body that represents 70,000 doctors, has a place at the table to discuss MAPs actively being pushed to replace doctors and reduce their training opportunities. Have the Royal Colleges deserted resident Drs?

Junior Doctors

@BMA_JuniorDocs

1 month

We are extremely disappointed @AoMRC has excluded @TheBMA from a meeting to discuss MAPs and doctors in training despite the inclusion of other key stakeholders including @NHSEngland , @gmcuk and ATDC. [1/3]

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ClinOncDoc

@ClinOncDoc

2 months

@PPaauk The guidance is for doctors supervising MAPs. PAs are a dependent role and cannot exist without the supervision of doctors.

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ClinOncDoc

@ClinOncDoc

2 months

The question no-one can seem to answer is what unique discipline does a PA bring to the Multi-disciplinary team (MDT)? Nurses Physios SALT Dieticians Radiographers Doctors #physicianassociates @RCPhysicians @TheBMA

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ClinOncDoc

@ClinOncDoc

17 days

@gmcuk How does it affect her ability, integrity, and professionalism to care for her patients? The answer is it does not. Punitive @gmcuk once again showing they don’t have a clue

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ClinOncDoc

@ClinOncDoc

10 days

I suppose the question is why would a PA want to do a medical degree when they have been championed by @gmcuk , @RCPhysicians & @rcgp to do everything a doctor can without the rigorous long years of exams and training. And get paid £11k more than doctors for their privilege. 🤷🏽‍♂️

Prof Colin R Melville

@drcolinm

10 days

The UKMLA is the final assessment of a UK medical degree. You cannot sit it unless you’re studying a medicine at a university which is on the list of awarding bodies. If a PA wished to become a doctor they would need to complete a medical degree.

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