DrInsurgent @DrInsurgent Twitter profile

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DrInsurgent

5 days

The year is 2040. You are admitted to ED and clerked by a Physician Associate. Sent to theatre, anaesthetised by an AA, and operated on by a SCP. You then wake up to the noise of an SHO mopping the floors and giving out teas.

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DrInsurgent

@DrInsurgent

2 months

Have just come across a very damning erratum for Jeannie Watkins! In the RCP Journal FHJ:

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DrInsurgent

@DrInsurgent

2 months

@trishacurran23 @medicalmodelbri @parthaskar It is not an ‘intensive course in medicine’. That is the 4 year GEM. Their 2 year PgDip is a 3.0x speed skim read of common presentations. It in no way prepares them for patient facing roles, and I do struggle to see the value of a PA to the MDT. What do they bring?

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DrInsurgent

@DrInsurgent

7 months

@nigelpenfold @jeannie_watkins This is a very large conflict of interest. Everything in the literature that is positive about PAs has stemmed from undeclared or declared COIs. This is a massive probity issue.

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DrInsurgent

@DrInsurgent

27 days

Additional achievements at medical school (ranking/essay prizes etc) being removed from IMT. How long until we’ve demeritised the profession enough that NTN allocation becomes random like the PIA for foundation programme? Utter shambles.

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DrInsurgent

@DrInsurgent

6 months

@gmcuk Lots of words to say nothing. Consultation was not extensive, the doctors you are forcing to supervise these individuals were not adequately represented in the consultation. Consultation should be reopened, you will find significantly different results.

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DrInsurgent

@DrInsurgent

20 days

@UKGastroDr @FionaMiall @LeMedSchool It is almost as if UK grads should be entirely and indisputably prioritised… when will the penny drop.

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DrInsurgent

@DrInsurgent

2 months

Nothing to do with the EGM, of course not! Nothing to see here. A pure coincidence. RCP Registrar resigns to pursue portfolio career.

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DrInsurgent

@DrInsurgent

3 months

@manLikeTeaa This is terrible. The artificial bottlenecking by @NHSEngland worsens. Competition ratios are out of control.

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DrInsurgent

@DrInsurgent

2 months

@trishacurran23 @medicalmodelbri @parthaskar Care to answer wrt what it is they bring to the MDT that isn’t already there?

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DrInsurgent

@DrInsurgent

2 months

@trishacurran23 @medicalmodelbri @parthaskar Yes I have. Several of them in fact.

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DrInsurgent

@DrInsurgent

3 months

@gmcuk Incredibly dangerous. Listen to the tens of thousands of doctors imploring you to put an end to this farce. Look at the data. Listen to the stories. This is dangerous. This profession is dangerous.

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DrInsurgent

@DrInsurgent

2 months

@IncogAssociate It really is about patient safety. If you yourself say a doctor with 15 years of training can very rarely make a mistake, what chance does a random person with months of a run through ‘here’s the basics’ course have? Just look at the Scotland NEs…

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DrInsurgent

@DrInsurgent

4 months

@doctorgrieco @mb999111 @Dr_Done_ @Xeon4f145d96s1 @iradsurgeon For those struggling to access:

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DrInsurgent

@DrInsurgent

3 months

@BMAstudents Beyond disappointing and damaging. Student A with 0 publications, bottom decile, 0 posters or presentations has the same chance of securing an AFP as Student B with ++ publications, top decline, +++ posters/presentations ? Ridiculous

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DrInsurgent

@DrInsurgent

2 months

@hkg294 Heather, I understand it must be frustrating but this is doctors’ view on what a PA can safely do. I completely agree with it. And I struggle to see how it should be within PA’s decision-making to decide what they can and can’t do?

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DrInsurgent

@DrInsurgent

2 months

Yet another reminder to all doctors. This government only cares about themselves. Never be gaslit until thinking the ‘taxpayer’ cannot afford to value you more highly.

LBC

@LBC

2 months

MPs pay to go up 5.5% to more than £90k from April

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DrInsurgent

@DrInsurgent

2 months

@IncogAssociate It isn’t a profession. It’s a group of people sharing an ill-fitting, self-bestowed title who each do whatever the fuck they want, with varying levels of success.

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DrInsurgent

@DrInsurgent

3 months

@TomStocks1982 Pretty damning stuff. Stop the experiment. Make them redundant, fund GPS and training posts instead.

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DrInsurgent

@DrInsurgent

9 months

@RCOphth Another. You should be ashamed. We must put a stop to this. PAs are not and will never be the solution.

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DrInsurgent

@DrInsurgent

2 months

@VishwajeetP4t3l What exactly is the PAs contribution to the MDT? Please do let me know, have asked you for weeks and let you think for enough time. Surely you know?

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DrInsurgent

@DrInsurgent

2 months

@physicianassoci @TheBMA How isn’t it? Experience ≠ Medical School Medicine isn’t a protocol. You can’t just play doctor because you’ve done it for a while. It’s never been like that and never will. Lives are at stake.

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DrInsurgent

@DrInsurgent

12 days

@DrHuw @StGeorgesUni @UoLondon @ProfJennyHigham This is ludicrous. Are they all completely without insight??

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DrInsurgent

@DrInsurgent

2 months

@IncogAssociate It really is about patient safety. If you yourself say a doctor with 15 years of training can very rarely make a mistake, what chance does a random person with months of a run through ‘here’s the basics’ course have? Just look at the Scotland NEs…

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DrInsurgent

@DrInsurgent

9 months

@TomStocks1982 Anti-doctor culture will be the death of the NHS.

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DrInsurgent

@DrInsurgent

2 months

@Xeon4f145d96s1 This can’t be ignored. Alarm bells are ringing everywhere. End the PA project. @ShaunLintern @JanetEastham @GMB

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DrInsurgent

@DrInsurgent

6 months

@pulsetoday Any conflicts of interest Shaun? Pathetic.

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DrInsurgent

@DrInsurgent

3 months

@ClareGerada @aashfaque14 @Cleverclog67596 @ExplosiveEnema2 @rcgp Yes Claire. And several times they were dismissed after several patient complaints. Of course, they just walked right into another job! So do not dismiss legitimate concerns. Please declare your COIs.

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DrInsurgent

@DrInsurgent

2 months

@iDrSunny Goodness. This is extremely insulting to medical students and doctors. I am appalled.

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DrInsurgent

@DrInsurgent

26 days

@medicalmodelbri @JanetEastham @carolvorders @parthaskar @Dr_Done_ @NHSEngland @ExplosiveEnema2 NICU!???? You’re letting people with 0 training beyond a PGDip with 8 contact weeks (and 100% pass rate) around neonates in need of serious medical help? @NorthBristolNHS what is this? @Pman1365 @DXE1 @ccroehr @drkatiefarmer Why not get a doctor in? This is really worrying.

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DrInsurgent

@DrInsurgent

2 months

@IncogAssociate You have been told where you fit in the MDT. If you’d like extra scope, attend medical school. Should you get in, that is.

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DrInsurgent

@DrInsurgent

2 months

@WorthWords Her title may be that of one, but none of us would ever regard her as such. It is an insult to all professors out there!

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DrInsurgent

@DrInsurgent

2 months

@DrAsifQasim @gmcuk @drcolinm If they’re not consulting about their existence, their regulation by GMC, their names, or their scope… what exactly are they consulting on?

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DrInsurgent

@DrInsurgent

2 months

@parthaskar @RCPhysicians VONC please! Thanks Partha for everything 🐐🙏

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DrInsurgent

@DrInsurgent

2 months

@ExplosiveEnema2 @UMAPsUK What is this one going on about? Practising medicine? Lots of incriminating evidence on here. Positive to see so many looking to retrain elsewhere.

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DrInsurgent

@DrInsurgent

2 months

@ExplosiveEnema2 I’m glad you did. We have indeed come a long way. Keep up the good work 🫡 Too little too late @FutureHealthJ , articles should be removed. This is a severe academic misconduct issue.

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DrInsurgent

@DrInsurgent

4 months

@Doc_IonaCollins ‘Physician’ also an issue in my opinion Dr Collins. It leave too much room for doubt. ‘Clinical assistant’ would be a perfectly reasonable and apt title?

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DrInsurgent

@DrInsurgent

2 months

@iDrSunny The little ‘evidence’ underpinning the rollout of the PA in the UK is built on lies

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DrInsurgent

@DrInsurgent

7 months

@EileenBurns13 No. This ‘ #oneteam ’ narrative has been used long enough to silence doctors and prevent us from speaking out against this farce. The role of the PA needs to be critically examined, and we may find that there is no place in the MDT for them.

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DrInsurgent

@DrInsurgent

5 months

@RedMendipBoy @DocAnonX @TheBMA - Lower (almost none) entry standards. - utterly irrelevant backgrounds - zoology will get you in. - 1,600 clinical hours before unleashed on patients. - 0 anatomy - negligible biochemistry, physiology, and pharmacology. - 1 exam away from patient contact (100% pass rate)

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DrInsurgent

@DrInsurgent

2 months

@IncogAssociate What? People who just simply didn’t congratulate her on her article got blocked. How do you rationalise that?

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DrInsurgent

@DrInsurgent

4 months

@InfoPars Utterly immoral and ignorant.

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DrInsurgent

@DrInsurgent

19 days

@RobJimFleming Data is quite outdated here Rob, big changes post-2021!

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DrInsurgent

@DrInsurgent

3 months

@DrHuw @BWC_NHS This is outrageous @BWC_NHS . No PA is remotely comparable to a doctor. Amend and reflect, immediately.

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DrInsurgent

@DrInsurgent

3 months

@DrChandraK9 @VictoriaAtkins @TheBMA Immeasurably tone deaf. Stop selling out your profession.

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DrInsurgent

@DrInsurgent

3 months

@hkg294 It should not be the GMC Heather and you know it. HCPC was the correct call. This is pure cowboyism by the establishment

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DrInsurgent

@DrInsurgent

2 months

Well well well.. No admission of wrongdoing nor reballoting given the gerrymandering that ensued. Are we surprised?

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DrInsurgent

@DrInsurgent

7 months

Oh dear, Nigel. You really have been trying your best to further the PAs haven’t you! Nothing to do with your daughter does it? Not a COI at all?

Nigel Penfold

@nigelpenfold

6 years

@DrSarahHal @Pabwork03Paul @drcolinm @COPMeDUK @BMA_JuniorDocs @AskJeevesWij @DrPeteCampbell @HannahPopsy @gmcuk @TheBMA @guardian Suggest supporting MAP regulation. We know that PA(A)s enhance learning opportunities for anaesthetists in training

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DrInsurgent

@DrInsurgent

2 months

@trishgreenhalgh I suspect Dr Clarke may also have some undeclared conflicts to be unearthed!

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DrInsurgent

@DrInsurgent

2 months

@VishwajeetP4t3l @RobLaurensonD4P @TheBMA The BMA represents doctors, who are your supervisors. You are doctors’ assistants. What is the issue?

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DrInsurgent

@DrInsurgent

3 months

@dr_shibley What?

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DrInsurgent

@DrInsurgent

8 months

@csubbe This is quite literally their purpose. To unburden doctors from mere service provision so they may train. The issue is that we seem to have forgotten that. Physician Assistants are quite literally that, assistants to the physician. They assist so doctors may do the doctoring.

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DrInsurgent

@DrInsurgent

1 month

@CheekyClackers Even then - why train at the cost of dedicated training time for medical students and resident doctors? I for one will never train one.

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DrInsurgent

@DrInsurgent

2 months

@UKGastroDr @RCPhysicians @FPARCP The RCP has seemingly done nothing to avoid this and has continued to put patients in danger. This is a very welcome change and one the consultants are quite happy about in my department!

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DrInsurgent

@DrInsurgent

2 months

@mouseter_chef @RCPEdin VONC is the only way

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DrInsurgent

@DrInsurgent

1 month

@VirtueOfNothing From @MedReddit . This propaganda piece gets put to bed by a medical student and co

From the doctorsUK community on Reddit: PA propaganda paper in BMJ Open slammed by rapid reviews

Explore this post and more from the doctorsUK community

www.reddit.com

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DrInsurgent

@DrInsurgent

7 months

@dr_merritt “You raise a valid point to which I have no answer therefore I will simply dismiss it as I must be able to know who you are so I may report you for being unkind or ad hominem.” Please use some critical thinking and ponder as to why so many doctors have taken to anonymity.

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DrInsurgent

@DrInsurgent

2 months

@GinnyAB @BBCNews @OReillyGem @RCSnews She also blocked me and many others for simply engaging in discussion regarding her article! @BBCNews My crime? Telling her I found the article disappointing!

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DrInsurgent

@DrInsurgent

9 months

@RCOphth Prior to even a pilot being conceived, your membership deserves to be consulted. Not only are they the ones who fund you, they are also the ones you intend to burden with supervision of these individuals. Please reflect on whether the rationale for this pilot.

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DrInsurgent

@DrInsurgent

2 months

@thatsnotmine125 BREAKING NEWS: Work additional hours, get more pay!

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DrInsurgent

@DrInsurgent

11 months

@sisaacturner @veggieequallife Reflect and repent. The assistant cannot be senior to the physician supervising them.

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DrInsurgent

@DrInsurgent

7 months

@Bonivorlewis @Molly2323232323 @JoOgidi Please do share with us this evidence. All of the PA-positive literature is riddled with COIs. Everything has been written by either PAs, PA course lecturers, or those with private practices exploiting the PA model.

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DrInsurgent

@DrInsurgent

20 days

@Xeon4f145d96s1 UK grads should have priority over those with non-UK PMQ for F1 and specialty training jobs. It is not controversial. Every other country in the world does this. Who disagrees?

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DrInsurgent

@DrInsurgent

2 months

@IncogAssociate @makepumps666 Buddy, have you heard of proportions? If there are more doctors, then even a 0.01% error rate = more errors observed. Reality is there are much less of you quacks with much higher error rates which is just insanity to keep you going.

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DrInsurgent

@DrInsurgent

7 months

@NNUH @AnnonMedic36970 This is shameful. Bunch of buzz words and zero content. A senior consultant at your hospital has admitted to a major COI influencing his incessant advocacy for these PA roles. This against a backdrop of irresponsible PA use in your hospital! Unbelievable. @NNUH

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DrInsurgent

@DrInsurgent

2 months

@drokane Resign and follow your portfolio coaching career? Did I pass?

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DrInsurgent

@DrInsurgent

1 month

@Parody_RCGP @BoneJoint360 @benollivere @benollivere care to comment on this?

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DrInsurgent

@DrInsurgent

2 months

@thatsnotmine125 Your hatred of doctors is palpable. An F1 is a highly skilled individual being asked to fill a last minute shift. Why should that not incur considerable inflation to their hourly rate? It’s seen across every profession.

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DrInsurgent

@DrInsurgent

2 months

@EileenBurns13 Eileen, this is awful. There are thousands of doctors being BARRED from training, from providing ‘capacity’. Because this funding is instead funding these ‘roles’.

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DrInsurgent

@DrInsurgent

9 months

@TomStocks1982 PAs, in their current capacity, are unsafe. We need assistants to free doctors, not unqualified cheap labour to replace us at the cost of patient safety and quality of care. Senior management and policymakers are throwing patients and doctors under the bus for their knighthood.

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DrInsurgent

@DrInsurgent

3 months

@ClareGerada @Cleverclog67596 @ExplosiveEnema2 @rcgp Your legacy in medicine is revolting. At every opportunity you have sold your profession down the river. And for what? You will be remembered in very poor taste.

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DrInsurgent

@DrInsurgent

1 month

@IncogAssociate @DrNeenaJha @TheBMA It’s a perfectly accurate reflection of what your training should warrant. It is to protect patients, and the doctors who chance their GMC number with supervising your lot.

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DrInsurgent

@DrInsurgent

2 months

@drmattuk @UMAPsUK We’re with you Matt!

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DrInsurgent

@DrInsurgent

2 months

@drmattuk @UMAPsUK This is the cringiest thing I’ve ever heard. The second hand embarrassment I am feeling rn. Keep up the good work @drmattuk . Don’t even blink at nonsense like this. How embarrassing for them.

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DrInsurgent

@DrInsurgent

2 months

@drokane @ElshadKarbasi This is how the PA problem came about anyway. There is GEM.

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DrInsurgent

@DrInsurgent

6 months

@Lawrenc28443726 @KeeleyMP What are you waffling about? Physician Assistants need to be regulated, held to account, and used in proportion to their minimal training. Not however they please. Patient safety is a priority, not your boredom. If PAs want progression, med school is the way forward. HCPC for you

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DrInsurgent

@DrInsurgent

2 months

@DrAsifQasim @TheBMA @TomStocks1982 @RobLaurensonD4P @ERunswickBMA @drmattuk @djnicholl @mmamas1973 @Doc_IonaCollins Excellent work. I, however, think the “physician” portion of their title should also be removed as it causes the greatest confusion to patients. Clinical Assistant for example seems adequate.

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DrInsurgent

@DrInsurgent

9 months

@neurosurgerySpR @trentconsultant @DrHenryMarsh @heyneurosurgeon @gmcuk Why did this ever become a controversial take? Hierarchies are needed, and work. Just as the armed forces rely on clear structures for efficiency and order, the NHS, now more than ever, needs strict hierarchies - just with systems in place to enable safe highlighting of issues.

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DrInsurgent

@DrInsurgent

8 months

@Xeon4f145d96s1 Progression is not guaranteed, nor a right. They are more than welcome to progress via GEM if they can get in. Pay should be proportionate to qualification, responsibility and skill. Not future earnings nor progression linked…

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DrInsurgent

@DrInsurgent

3 months

@TheSalariedPA @drmattuk I simply refuse to believe that this is what your brain concocts after reading the article. Jesus.

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DrInsurgent

@DrInsurgent

2 months

@ShaunLintern @DrSarahClarke do the right thing.

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DrInsurgent

@DrInsurgent

7 months

@Dr_Done_ @FrimleyHealth Sickening. Name and shame

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DrInsurgent

@DrInsurgent

2 months

@avonroon @UKGastroDr Genuine question - why are these patients not being seen and scoped by doctors? Struggling to find doctors who would like these opportunities? I doubt it.

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DrInsurgent

@DrInsurgent

2 months

@ldndoc @DrGoblin3 I read this one earlier and discussed it with colleagues. What a mockery. I cannot believe BMJ Open allowed this past peer review. Who is reviewing this?? Terrible design and outcomes chosen. I’m not entirely sure what the premise of this study even is!

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DrInsurgent

@DrInsurgent

3 months

@caroll_ste87889 @gmcuk @RCPhysicians This reeks of desperation. You know what’s coming. Patient safety will reign supreme, not your ego. PAs are not safe.

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DrInsurgent

@DrInsurgent

2 months

@caroll_ste87889 You are just so embarrassing aren’t you. My god.

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DrInsurgent

@DrInsurgent

2 months

@VishwajeetP4t3l What role is there for PAs in an MDT? What do they bring to the team that is not already there? You’ve made a claim, back it!

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DrInsurgent

@DrInsurgent

1 month

@PApodcastUK @FPARCP @RCPhysicians @PA_PER_magazine Close the door on the way out 👋

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DrInsurgent

@DrInsurgent

2 months

@BMA_JuniorDocs Yet again, we are here. We will be heard.

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DrInsurgent

@DrInsurgent

3 months

@DrAsifQasim @UKHouseofLords @JimBethell @JimBethell care to comment?

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DrInsurgent

@DrInsurgent

6 months

@UKGastroDr So this is how they’ll force us all to supervise the noctors? The NHS is finished. Well and truly a two tier system. Good luck to the public!

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DrInsurgent

@DrInsurgent

7 months

@ColinaCoco Utterly tone deaf. Please reflect. Change is coming.

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DrInsurgent

@DrInsurgent

7 months

89% of those in attendance at RCoA’s EGM voting against the expansion of AAs. Doctors will not sit idle as the government destroys the profession.

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DrInsurgent

@DrInsurgent

5 months

@RedMendipBoy @DocAnonX @TheBMA Is this your attempt at drawing some sort of equivalency? What about a porter with 20 years of experience? Should they be evacuating subdurals? Should they be inducing patients? Should they be performing TAVIs?

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DrInsurgent

@DrInsurgent

2 months

@Dr_Done_ @NHSGrampian This cannot continue. The husband needs to take a long hard look at himself.

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DrInsurgent

@DrInsurgent

2 months

@BAOMSOfficial 🐐ed council members.

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DrInsurgent

@DrInsurgent

2 months

@BMA_Consultants Progress, but not there yet. Hope SPAs and LTWP forced implementation and MAP supervision dealt with… Recommend NO and strike personally.

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DrInsurgent

@DrInsurgent

2 months

@jamespyke Because otherwise what’s the point of this role draining funding from the NHS? Why not just fill gaps with doctors, nurses, physios etc? PAs are not needed. They were a bad solution to a problem that didn’t exist.

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DrInsurgent

@DrInsurgent

3 months

@DrAliJSmith @Xeon4f145d96s1 @UKGastroDr @parthaskar @DrLKVaughan @drkeithsiau @DrAsifQasim @Roddy_Neilson @mmamas1973 @Doc_IonaCollins @TomStocks1982 This is an insult to 4th year medical students. My 4th years yesterday were incredibly knowledgeable

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DrInsurgent

@DrInsurgent

2 months

@TomStocks1982 Stephen Nash really is the gift that keeps on giving. He is utterly clueless!

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DrInsurgent

@DrInsurgent

5 months

@RedMendipBoy @DocAnonX @TheBMA Also, very curious you decided to ignore everything else in the tweet. Very curious indeed! Please stop. You are so far down the pecking order that the knighthood isn’t even possible right now. Please educate yourself and reflect.

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