Disillusioned doctor @Disillu89254799 Twitter profile

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Disillusioned doctor

@Disillu89254799

4 months

A "Consultant Practitioner" in EM @NHSGlos A vague, non-title which puts patient safety at risk by not making clear that they are not a doctor. Utter madness. #patientsafety #scopecreep @Dr_Done_ @Xeon4f145d96s1 @DrEilidhMaria

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Disillusioned doctor

@Disillu89254799

4 months

4/4 Yes PAs can intubate, under supervision in their role as AAs, but as a doctor I feel this post suggests that PAs can do these procedures independently and potentially at the detriment of training of doctors who ultimately will be the consultants expected to train PAs...

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Disillusioned doctor

@Disillu89254799

4 months

@Dr_Done_ Either poor phrasing or deliberately misleading with regards to requesting ionising radiation. @Dr_Done_ @drmattuk @DrEilidhMaria @Xeon4f145d96s1

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Disillusioned doctor

@Disillu89254799

10 months

@theCFOM @drcolinm @gmcuk @riaagarwal19 @drcolinm it's unfortunate that after leaving @warwickmed you have done very little to advance medical education and advocate for those you claim to represent in your GMC role.

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Disillusioned doctor

@Disillu89254799

4 months

Should be added... previously a 'Senior Advanced Clinical Practitioner'. "The most valuable of all talents is that of never using two words when one will do." - Thomas Jefferson

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Disillusioned doctor

@Disillu89254799

5 months

Thanks for the support for correct title, @FIGSscrubs ! Excellent German translation. #physicianassistant @Xeon4f145d96s1 @Dr_Done_

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Disillusioned doctor

@Disillu89254799

9 months

@Xeon4f145d96s1 Asking for a friend, but is describing yourself as a "Medical Specialist Advisor" adding further fuel to the fire and risking even more patients misunderstanding your role?

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Disillusioned doctor

@Disillu89254799

5 months

@drcolinm @RavensburgerUK Beautiful image. Reminds me of those adverts for doctors relocating to Australia. Looking forward to your replies to those seeking clarification regarding the GMC's role in setting scope of practice for MAPs and addressing safety concerns. #MelvilleOut

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Disillusioned doctor

@Disillu89254799

2 months

@drcolinm @BobKlaber @BMJLeader @SueholdenNHS @FMLM_UK That deep listening point is interesting. Looking forward to you using it with doctors concerned about your lack of engagement on issues related to training, expansion of PAs/AAs and staff morale.

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Disillusioned doctor

@Disillu89254799

5 months

@DrEilidhMaria This exactly. Saw one PA introduce themselves as a doctor to a confused and elderly patient. No reason to have done AT ALL.

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Disillusioned doctor

@Disillu89254799

10 months

@iDrSunny @Dr_Done_ @theCFOM @drcolinm @gmcuk @riaagarwal19 The lack of range in specialties of those in the team is unfortunate. No emergency medicine doctor, no surgery...why not?

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Disillusioned doctor

@Disillu89254799

5 months

@DrEilidhMaria Having worked at George Eliot, I can categorically say that many of the PAs worked out of their scope of practice.

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Disillusioned doctor

@Disillu89254799

3 months

1/n The economic implications of Anaesthesia Associates were not considered in their implementation by @RCoANews @gmcuk @NHSEngland #nhs #anaesthesiaassociate #MAPs @dannyjnwong @RobJimFleming @ShaunLintern @amapresident

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Disillusioned doctor

@Disillu89254799

1 year

@noodles_nood Perhaps don't p*ss of the people supporting juniors. @mancunianmedic has been a great advocate and we're lucky to have him in our corner.

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Disillusioned doctor

@Disillu89254799

4 months

Job advert - "Consultant Practitioner (Acute Frailty)" ?nurse ?doctor ?physio Actual job info in advert - "Consultant Nurse Practitioner". When the actual advert is confused and inaccurate, this is where issues occur. @Xeon4f145d96s1 @Dr_Done_

radical optimism

@dr_shibley

4 months

@Dr_Done_ a. She has a doctorate. b. She is a consultant practitioner c. This is the job advert. She is NOT MASQUERADING as a doctor as alleged by two of your colleagues on the GMC medical register. Try to deal in facts?

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Disillusioned doctor

@Disillu89254799

4 months

@FrancesBoott It's shocking. Hopefully not the wider feeling of PAs!

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Disillusioned doctor

@Disillu89254799

10 months

@jasaunders90 @MarkCheetham @Alexsahistul ...so every collaboration and supervision is from a higher speciality registrar or consultant. Jamie, this isn't true. There are countless stories of qualified doctors across the trained spectrum who are required to prescribe and work with PAs out of obligation, not desire.

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Disillusioned doctor

@Disillu89254799

11 months

@ukmat82 AA ≠ anaesthetist.

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Disillusioned doctor

@Disillu89254799

2 months

@medicalmodelbri @BenMearns @TheBMA @RCPhysicians Describing emergency medicine as a generalist speciality is a mad take.

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Disillusioned doctor

@Disillu89254799

2 years

@clare_eliza @moribunddr Solid work there, Clara. Glad to see a doctor is supporting another doctor in a time where we're struggling to retain the profession.

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Disillusioned doctor

@Disillu89254799

4 months

@Xeon4f145d96s1 @EmmanuelFeldano I'm a 'tor now.

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Disillusioned doctor

@Disillu89254799

4 months

@NHSE_WTE Controversial view. How about more long term thinking and provide increased training places for doctors post-graduation? More sustainable workforce with skills which actually benefit patients.

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Disillusioned doctor

@Disillu89254799

5 months

@physicianassoci Band 7 salary after 1 year of experience... seriously?

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Disillusioned doctor

@Disillu89254799

4 months

@Dr_Done_ @drcolinm @drcolinm At @warwickmed you were pretty unapproachable. Now is the time to ensure that this legacy doesn't continue. I'm sure it hasn't. Please engage with doctors regarding this. You have a moral duty in your role at the GMC.

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Disillusioned doctor

@Disillu89254799

4 months

@Expo1222222 @Dr_Done_ @drcolinm Useless at Warwick, useless at GMC. His changes to phase 2 MBChB @warwickmed continue to undermine training of current students. @drcolinm #MelvilleOut

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Disillusioned doctor

@Disillu89254799

2 months

@Dr_Done_ An "American NHS specialist".

Adopted sons of American NHS specialist granted visas after being denied UK entry

Home Office suddenly changes position on family of physician assistant Patrick Thies, whose plight was highlighted by the Guardian

www.theguardian.com

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Disillusioned doctor

@Disillu89254799

5 months

@drcolinm @johnbrucewalla1 @JonnyGucks @veggieequallife @MsBethanJ @TharushaGunawa4 I was a med student at Warwick when raising concerns was associated w/ the risk of Fitness to Practice. You were lead there at the time. When your origins are a place where you haven't supported students in raising concerns without fear of reprisal, you won't have their support.

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Disillusioned doctor

@Disillu89254799

4 months

@GMCharlatan @mouseter_chef Doctorate in clinical practice from Southampton...

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Disillusioned doctor

@Disillu89254799

4 months

@chilternrailway You appreciate that not everyone uses Twitter to follow a train company and check if everything is running?

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Disillusioned doctor

@Disillu89254799

3 months

If interested, here are some papers discussing the impact of Anaesthesia Associates in the UK. @VirtueOfNothing @gaslad @LeylsTurk @criticalgassing #anaesthesia

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Disillusioned doctor

@Disillu89254799

4 months

@cannula_service @DrEilidhMaria And this circles back to lack of opportunities for many trainees. If AA scope begins to extend beyond theatre, then could this reduce those opportunities (e.g. sedation)?

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Disillusioned doctor

@Disillu89254799

4 months

@cannula_service @DrEilidhMaria Any "out of theatre" Anaesthesia carries special risks and I don't think this has been fully thought through by many departments who utilise, or are considering utilising, AAs for this service.

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Disillusioned doctor

@Disillu89254799

4 months

@cannula_service @NHSGlos @Dr_Done_ @Xeon4f145d96s1 @DrEilidhMaria Why not lanyards with the Royal College design (as is now) PLUS sections with the wearer's designation (ACP, Speciality Doctor/Associate Specialist, Registrar, Consultant)?

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Disillusioned doctor

@Disillu89254799

4 months

@Dr__Chloe @drsamyar @_VivekTrivedi @BimAfolami Same person?

Doctor reprimanded by General Medical Council

A DOCTOR who boasted of his prowess in life support to add breadth and "grandeur" to his Curriculum Vitae has been reprimanded by the…

www.newsshopper.co.uk

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Disillusioned doctor

@Disillu89254799

4 months

3/4 The role to alleviate pressure on doctors seems at odds with the next slide...

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Disillusioned doctor

@Disillu89254799

4 months

@willmeurig @FrancesBoott That essential skill we learn in ALS...

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Disillusioned doctor

@Disillu89254799

4 months

@WorldOfBeck @Dr_Done_ @drmattuk @DrEilidhMaria @Xeon4f145d96s1 Clinician, to me, insinuates doctor...

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Disillusioned doctor

@Disillu89254799

4 months

@scuderia_panda @DrEilidhMaria @Dr_Done_ @drmattuk @Xeon4f145d96s1 @scuderia_panda 🤢 perhaps the worst part of the whole thing.

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Disillusioned doctor

@Disillu89254799

2 years

The year is 2045. Your retinal display blurs into life as you complete your 90th TTO that morning. "Complete your automatic handling & artificial intelligence training. Resistance will result in no insect-flavoured cubes being issued". #MedTwitter #NHS

All NHS staff should have basic AI training, says report | Computer...

A report by the NHS AI Lab and Health Education England calls for all health and care staff to receive training in artificial intelligence as the technology will be increasingly adopted in healthca...

www.computerweekly.com

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Disillusioned doctor

@Disillu89254799

4 months

@joanne878632 I'm not sure I'd consider them innovative!

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Disillusioned doctor

@Disillu89254799

10 months

@WhistlingDixie4 Would also have accepted "seen in DEERiford Hospital". @UHP_NHS

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Disillusioned doctor

@Disillu89254799

10 months

@iDrSunny @Dr_Done_ @theCFOM @drcolinm @gmcuk @riaagarwal19 #MedEd

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Disillusioned doctor

@Disillu89254799

4 months

@Roddy_Neilson Always the stethoscope.

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Disillusioned doctor

@Disillu89254799

5 months

@ukmat82 @gmcuk @RCoANews @FPARCP Also, let's be clear: registration ≠ regulation and this needs clarifying.

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Disillusioned doctor

@Disillu89254799

9 months

@bruceppdl @wiggs1234 I refuse to have my specialty denigrated by someone called Bruce.

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Disillusioned doctor

@Disillu89254799

4 months

@cannula_service @DrEilidhMaria One argument is whether AAs can contribute to other anaesthesia-related services e.g. sedation lists. However, this requires prescribing rights and still requires supervision (even if remotely).

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Disillusioned doctor

@Disillu89254799

1 year

I've been a doctor for 5 years and have taken time out to get some management experience in the NHS. I've been frustrated in clinical life but the level of frustration I have now is far greater. People wanting to make change being shot down because of burnout and apathy.

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Disillusioned doctor

@Disillu89254799

4 months

2/4 There's a reason a doctor holds the ward bleep - skills incl. prescribing & ordering imaging. Escalating to a consultant is inappropriate when their role is much wider reaching. Ultimately the patient doesn't receive as timely immediate care, potentially at their detriment.

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Disillusioned doctor

@Disillu89254799

4 months

1/4 Whilst I do feel that this IG account promoted the PA role in a positive way, there are posts which do it a disservice.

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Disillusioned doctor

@Disillu89254799

5 months

@ernie1483 @Dr_Done_ #MelvilleOut

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Disillusioned doctor

@Disillu89254799

10 months

@RoshanaMN London Carriage Works is incredible!

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Disillusioned doctor

@Disillu89254799

5 months

@Dr_Done_ @drcolinm #MelvilleOut

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Disillusioned doctor

@Disillu89254799

1 year

2/ Far from giving me a break and providing me with motivation to remain in healthcare, it has made me reluctant to reenter training.

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Disillusioned doctor

@Disillu89254799

4 months

@medicalmodelbri @drcolinm @OXY_Medix I wouldn't bother. @drcolinm won't reply.

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Disillusioned doctor

@Disillu89254799

5 months

@gaslad Having worked in a number of ICUs, the quality of training ACCPs receives varies massively. Some are able to contribute to the wider team in a very meaningful way whilst others do not add anything more than a new SHO to a unit.

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Disillusioned doctor

@Disillu89254799

4 months

@DrEilidhMaria @cannula_service Not necessarily. ODPs and Anaesthesia Practitioners have gained added skills that allow them to monitor intraoperatively and AAs have extended the skillset. The post, however, suggests PAs can learn to intubate; far beyond scope of practice.

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Disillusioned doctor

@Disillu89254799

1 year

@ukmat82 @MedleyMelanin @RCoANews @AoAA_uk ...massive and anaesthetics isn't isolated to an OR. Increasing AA numbers disproportionately fails to appreciate the wider role anaesthetists play in a hospital

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Disillusioned doctor

@Disillu89254799

4 months

@Dr_Done_ @Xeon4f145d96s1 @cannula_service @drmattuk @gaslad

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Disillusioned doctor

@Disillu89254799

3 months

@r1chardf1tzg3r1 @KeeleUniversity @VictoriaAtkins @uemo_europe @CPME_EUROPA @UEMSEurope @gmcuk @rcgp @NHSEmployers @COPMeDUK @UniversitiesUK @AoMRC @wesstreeting @TheBMA "... prescribes... 🤔

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Disillusioned doctor

@Disillu89254799

4 months

@RCEMLearning @RCEMpresident @RCEMPolicyVP

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Disillusioned doctor

@Disillu89254799

1 year

@_JPGSD_ @Fad1878 I guess not being able to prescribe or request x-rays is a skill. Is the absence of something a skill? #philosophy #....no

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Disillusioned doctor

@Disillu89254799

2 years

@potsy70 @thegradmedic No, Richard. It's all about you, you sassy bellend.

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Disillusioned doctor

@Disillu89254799

3 months

@RobJimFleming @dannyjnwong 6/6 The article finishes with... "A final option is...to recognise all these realities & limitations, & to conclude that the UK AA programme, as it has evolved, is in fact economically nonviable and to terminate it." Thoughts? @dannyjnwong @VirtueOfNothing @RobJimFleming

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