broken medic Profile
broken medic

@EduMed_UK

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United Kingdom
Joined March 2020
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@EduMed_UK
broken medic
4 years
An analysis of the academic capacity of anaesthesia in the UK by publication trends and academic units
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@EduMed_UK
broken medic
8 months
@gnickodonnell Holy crap that was so eloquently put. What an amazing answer, so succinctly delivered. Wow
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@EduMed_UK
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1 year
@SaulStaniforth @patcullen9 @theRCN Shame on you @KayBurley . Where were you reporting the other 364 days a year when chemo is cancelled because there are not enough staff to provide treatment.
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@EduMed_UK
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1 year
@1LondonBreast @tb_doc @goldstone_tony @NHSBartsHealth @BMA_Consultants @TheBMA Colleague had the same problem. He resigned... within 30mins had a call from medical director saying he can reduce hours 🤣
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@EduMed_UK
broken medic
9 months
@Xeon4f145d96s1 Your account has done more to change the way juniors are treated than almost any of us old guard who just sat back and didn't even realise things had got that bad. I don't always respect your language, hostile digs at people but I very much respect the overall work you do!
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@EduMed_UK
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1 year
@drkeithsiau @NEJM You are one of my favourite twitter accounts... so lovely to learn new things in medicine! Keep up the good work!
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@EduMed_UK
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6 months
@gaslad Yet their terrible consultants allow this. I think enough focus is not put on my consultant colleagues who seem to propagate this abandonment of their trainees. Absolutely reprehensible in my view. As a consultant colleague I have started actively asking where their juniors are.
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@EduMed_UK
broken medic
9 months
@telswood @RCRadiologists @halliday_kath I feel like we have sleep walked into a hellscape. It is NOT good enough for colleges to say there are not enough doctors...that was up to them to force NHSE to make enough training posts. The solution is not to have non-doctors doing doctor roles?!?! Am I going mad?
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@EduMed_UK
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6 months
@surashsurash I'm surprised you can't see why junior doctors feel betrayed by consultants like us. I'm surprised you can't see why juniors feel hurt that people with 2 year degrees (paid for) earn more than them with >100k debt, no say where they can work and families ripped apart...
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@EduMed_UK
broken medic
2 years
@EddCarlton The GMC is not fit for purpose. I would argue it is actually a dangerous organisation with little (no) oversight, making dangerous decisions, has no compassion and does not protect patients. Bin it!
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@EduMed_UK
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1 year
@BluesnJazzxx @iceman_ex @SteveBarclay God this tweet makes me angry. This country should be ashamed about how we treat our beloved nurses!
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@EduMed_UK
broken medic
9 months
@wiggs1234 Does this mean one of you is the ITU registrar oncall too? If there is no ITU doctor on site then I am so sorry for you, you are being out in a terribly vulnerable position. Your consultants should be ashamed of putting you and your patients at risk. I am speechless!
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@EduMed_UK
broken medic
9 months
@danny_mercer It comes from decades of doctors underplaying their abilities. We allowed FY1s to referred to as 'baby docs' and like they were clueless. We let AHPs start to say the same 'oh they are just FY1s, they don't know anything' and people started to think it was easy to be an FY1
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@EduMed_UK
broken medic
11 months
@BTHFT @uhbtrust This is so sad. People will think I am being elitist or suggest that doctors are hindering development of other professionals, but the truth is - they are trying to get services on the cheap, and don't care about the patient safety repercussions
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@EduMed_UK
broken medic
10 months
@carolvorders Is it not sad that you have achieved more to remove the Tories in 1 year, than Labour have achieved in 13 years? What a pathetic opposition party we have. Well done @carolvorders
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@EduMed_UK
broken medic
8 months
@Platform_crocss @ABarotchi1 @simontutt88 @cannula_service @Dr_Sarah_Bellum This is the problem. Doctors have insight into their limitations. We tell allied professionals they are 'working to the the equivalent of xyz'. This means they don't see how dangerous that terminology is for the AHP and pt. How have we got to this state?
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@EduMed_UK
broken medic
9 months
@drheffer @steven_hassel @parthaskar In all honesty please put in a PALS complaint. If it were a registrar pretending to be the consultant I would advise the same. This is a serious probity issue that must be duly actioned.
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@EduMed_UK
broken medic
4 years
@hannahamcgarvey Haha.. our dirty little secret is that you slowly come to the realisation in ITU that all that matters is doing the basics well. Voltaire was bang on when he said: "The art of medicine consists of amusing the patient while nature cures the disease."
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@EduMed_UK
broken medic
8 months
@DrEmmaNash @DrSteveTaylor @wesstreeting I would argue it is even more reason to scrap it. GP's good will is too often taken advantage of. @DrSelvarajah et al keeps pointing... the UK gets fantastic primary care on the cheap. Next time politicians complain about GPs it is worth them realising how much it actually costs!
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@EduMed_UK
broken medic
1 year
@RCoANews I am so angry. I pay my fees so you support the next generation of consultants. You are too busy pushing AAs and COMPLETELY FAILED my juniors. Pull your finger out and pay attention to what matters!
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@EduMed_UK
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1 year
@DoingaCron @DeborahMeaden @martynware @Keir_Starmer Cron you are absolutely right. This is all smoke and mirrors. Facts don't lie: he has not openly supported workers, he is proposing policies that essentially privatise the NHS and widen inequality. This is not about racism... I am firmly out that door! Never again Labour!
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@EduMed_UK
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8 months
@Xeon4f145d96s1 Disgusting abandoning of trainees. Why not put half this effort into making training better for doctors... I give up!
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@EduMed_UK
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1 year
@Anniedroid_ @ImperialNHS Know your worth and fight your corner. No one else will... well done FY1s.
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@EduMed_UK
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7 months
@VirtueOfNothing @RCoANews @AnaesUnited I genuinely don't see the point of AAs. Why should we support this at all. I really think the question should be: 'should they exist'. My answer is NO. We have plenty of SAS and LEDs who are much better trained and versatile.
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@EduMed_UK
broken medic
6 months
@Dr_Done_ This person is not alone. As a seasoned consultant until you highlighted this issue I was woefully unaware. Your hard work will never be fully realised but many are thankful for it.
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@EduMed_UK
broken medic
1 year
@ShivaniM_KC @Doc_BeTheChange Good on him for making the time to support his best friend and be at their wedding. If the Telegraph is saying: what an amazing young man - helping to lead a grass roots movement to help JDs around the country, but still making time to support his friends... i agree 👍
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@EduMed_UK
broken medic
9 months
@craniosurgeon @jsnorthwest @veggieequallife Far easier to criticise juniors than to actually sit and listen to them. There is a reason the NHS is in the way it is... Senior doctors like us ignore people and bury their heads in the sand. It is very sad.
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@EduMed_UK
broken medic
8 months
@BBCHughPym @BBCHughPym are you seriously implying that it is anyone but the government that is stonewalling? Any objective look at the situation tells you one side wants to negotiate and the other is just saying nope not doing it. The government is acting like a child. Pls report as such.
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@EduMed_UK
broken medic
11 months
@SamGoodhand I remember when they started becoming a thing. They were very defined roles which enhanced medical care. PAs and AAs are being used by the government as cheap doctors. 2 very different things.
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@EduMed_UK
broken medic
1 year
@theveindoc @_VivekTrivedi @Dr_XYZ Funny how retired doctors are shouting loudly and undermining junior doctors. It was our generation of doctors that failed our successors. Maybe we should shut up and support them rather than snipping from the sidelines?!?
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@EduMed_UK
broken medic
7 months
@DrHuw @GSTTnhs They should remove all anaesthetic trainees from that unit. Sounds like it is 100% service provision!
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@EduMed_UK
broken medic
7 months
@DrFavell @Parody_RCGP @ShaunLintern @DHSCgovuk Never understood this? Are you saying that we were overpaid 35% 10 years ago and so a systematic pay cut every year is right? Mp pay, private sector pay has gone up more relative to inflation than healthcare professionals. I would argue if you internationally we are underpaid?
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@EduMed_UK
broken medic
1 year
@Jcalcolado @DrSteveTaylor Unfortunately many of our generation have not come to the same realisation. I could not do a junior doctors job now. They are skilled well beyond my abilities back then. Sad our generation don't give more vociferous support of them! Thank you for your important tweet.
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@EduMed_UK
broken medic
9 months
@Dr_Done_ It is less about the individual person who is clearly very sketchy, but the broader point people have made, and largely dismissed that PAs are a confusing role that teeters on doctor impersonation. Those that deny it will find excuses for this profile, but that is the truth
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@EduMed_UK
broken medic
5 months
@pulsetoday You mean just like they did with Dr Bawa Garba. Message to my medical colleagues... Don't take risks, work within competencies and say no to anything you are not comfortable with. The GMC, your trust and the government will think nothing of screwing you over. Look at the facts.
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@EduMed_UK
broken medic
9 months
@dave_maroni @rebecaulfield I don't think this is true Davide. The senior consultants were begging for external review. It was the managers and senior management team that stopped it for fear of bad PR.
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@EduMed_UK
broken medic
9 months
@DrHenryMarsh I was thinking exactly the same. I really can't recognise the organisation I joined as a houseman! Not saying everything was roses back then but if my bosses had a concern this grave, there would be no 'referring to senior management'. Absolutely insane
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@EduMed_UK
broken medic
1 year
@TrionaMcC1991 @ShaunLintern there has got to be a story in all these experiences of junior doctors right?
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@EduMed_UK
broken medic
8 months
@veggieequallife I am just desperately sorry it took so long for us to notice. I hate that AAs even became a thing and yet my amazing SHOs can't even get a job. We can't employ them locally 'because of money', but @NHSEngland can happily fund AA training and salaries! Absolutely disgraceful
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@EduMed_UK
broken medic
9 months
@ExplosiveEnema @RoshanaMN @maryam_0m4r @drcolinm If they come for @RoshanaMN , I think twitter would create such a shit storm that the GMC would pretend to just make American cars and close down their offices!
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@EduMed_UK
broken medic
7 months
@doctorhelgi @AnaesUnited Thank you for listening and taking our concerns seriously. For months people have accused many of bullying or being elitist. I hope this starts to show there is genuine concern and I am glad @RCoANews are part of the solution and not part of the problem
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@EduMed_UK
broken medic
1 year
@MAbsoud @SteveBarclay @BMA_JuniorDocs @Telegraph Actually BMA keep making offers to talk - multiple days given, willingness to compromise - the government is the one stalling and pushing them into striking. If Steve was a doctor he would be so negligent the GMC would have struck him off!
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@EduMed_UK
broken medic
8 months
@mmamas1973 My worry is 2 fold: 1) if this is what is being admitted publicly, what is happening behind closed doors 2) why are these serious concerns not being listened to? Mid Staff, Letby, Bristol Heart etc etc... we have learnt nothing
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@EduMed_UK
broken medic
6 months
@2_0Vicryl @OrthopodReg @GeeMcLachlan @RoshanaMN Yet @drcolinm says they should go via the traditional routes... No wonder @gmcuk are so ineffectual
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@EduMed_UK
broken medic
7 months
@Dr_Done_ Absolutely unacceptable. How can any resp consultant look themselves in the mirror at this trust. DISGUSTING!
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@EduMed_UK
broken medic
6 months
@rosieICM @thetimes Good on the juniors for not backing down. Time and again weak and IMHO damaging members of our profession say 'dont make a fuss', 'be reasobable' (including myself in the past). We need to realise no one else will fight for us. Our inaction has led to a generation of lost doctors
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@EduMed_UK
broken medic
8 months
@Markgreen433 @Dr_Done_ Yet to find an SHO who does not want to do an op. There are plenty who don't want to scribe for ward rounds, take bloods, chase up scans, organise discharges etc etc. These are jobs that don't need a medical degree. Don't believe I even need to say this 😵‍💫
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@EduMed_UK
broken medic
7 months
@ExplosiveEnema @RCPhysicians @Dr_Done_ @mouseter_chef @parthaskar @UKGastroDr Disgusting conflict of interest. I am still confused by @RCPhysicians are so happy to facilitate the replacement of their paying members, expose their members to greater liability, wholesale change their working patterns and remove training opportunities for future members?
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@EduMed_UK
broken medic
8 months
@mmamas1973 What I find crazy @BBCPanorama @C4Dispatches is that there has been a fundamental change in working practices, documented patient harm and a groundswell of doctors and nurses warning against PAs/AAs and yet it is relatively silent in the media? This is a major scandal
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@EduMed_UK
broken medic
1 year
@theAliceRoberts @WelshGasDoc The irony is before COVID most private hospitals would not have survived without NHS patients being treated there. Sadly now they are booming with people self paying due to waiting times. We have failed our patients for the last 13+ years (labour and Conservative govs)
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@EduMed_UK
broken medic
8 months
@DrANChekroud @Dr_Done_ It turns out being a doctor requires being a doctor!
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@EduMed_UK
broken medic
7 months
@Vapourologist More than impressive. For months they pushed the narrative that a 'vocal minority' had concerns about AAs. By that same logic... It seems those anaesthetists pushing AAs are the vocal MINORTIY who have changed national policy without giving any concern to patients of trainees...
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@EduMed_UK
broken medic
6 months
@Dr_Done_ What annoys me is that when people like @Dr_Done_ reasonably says that a doctor is in a better place to practice clinical medicine than someone who has not gone to medical school it is somehow rude/polemical/dismissing MDT members. It is pure fact.
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@EduMed_UK
broken medic
8 months
@syafiqoppa18 @LondonAnaesth @AoMRC @RCPhysicians are your gastroenterologists happy with this?
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@EduMed_UK
broken medic
1 year
@EthersonKevin @BMA_JuniorDocs I think you mean to direct this to the health secretary? If juniors don't sort this out, you will have to find more than 8 consultants to cover your service... there will be none coming through! Shame on the government letting it get this far!
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@EduMed_UK
broken medic
6 months
@Dr_Done_ This is emblematic of the continued downplaying and infantalisation of doctors in training. For years people referred to FY1s as 'baby docs' or 'house monkeys' and made it sound like they don't know anything... That is insidious and we now reap the rewards...
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@EduMed_UK
broken medic
8 months
@JanetEastham @RCoANews @AnaesUnited Thank you so much @JanetEastham for looking into this and reporting it widely. The general public deserve to know what is happening. Over decades we fought for increasing safety in anaesthesia. It really scares me how quickly we are throwing that work by the wayside.
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@EduMed_UK
broken medic
9 months
@alastairmiller3 Such a sad indictment that a person in power like you don't get it. YOU failed juniors by not pushing effectively for more training numbers. YOU remained silent during years of wage erosion. YOU were meant to represent trainees and training. No one wants to strike.. they have to.
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@EduMed_UK
broken medic
6 months
@drcolinm @davidianpyle @drdernial @wendyburn @drcolinm please please please listen to doctors before doing anything. If you believe this is a handful of internet trolls then ballot your members (the doctors paying your subscriptions). I am happy to shut up if the majority of doctors think MAPs under GMC is a good idea!
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@EduMed_UK
broken medic
8 months
@ENT_UK Gosh this is such a bad statement... I strongly suggest my ENT colleagues give up their subscription to @ENT_UK . They seem to value PAs more than you and your trainees... so sad to see
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@EduMed_UK
broken medic
7 months
@cannula_service Take note @RCoANews and @AnaesUnited ... If anything happens with AAs we are the ones thrown under the bus. I say again... Why on earth would I supervise an AA?!?!!?!!
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@EduMed_UK
broken medic
1 year
@catemimi1772 @DavisVThomas @theRCN @RishiSunak This is what is happening everywhere... nurses in the UK - you have my wholehearted support. See you on the picket lines!
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@EduMed_UK
broken medic
1 year
@ShaunLintern @RishiSunak Thanks for highlighting this. It is stealth privatisation. The public need to know, and only you seem to be shining a light on it. Keep up the good work
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@EduMed_UK
broken medic
4 years
@DrBenLovell Haha! One of the best things about teaching juniors is that I learn so much! On a geeky note... PEEP applied properly (especially in spontaneously breathing patients) can improve BP in the euvolaemic patient, by optimising transmural pressures in the Right and Left ventricle!
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@EduMed_UK
broken medic
8 months
@SandipP64097927 @Sarah_H_Y @ExplosiveEnema Surely this is a probity issue? How can PAs get away with this? If an SHO called themselves the registrar it would be grounds for disciplinary action. How can a non-doctor pose as a doctor and get away with it????
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@EduMed_UK
broken medic
8 months
@doctorhelgi @Dr_Done_ @oliverdevine @Xeon4f145d96s1 Not just that... remember @doctorhelgi is the only one in a position of power who has shown us any respect by answering questions and engaging. He genuinely seems to care and wants to address this issue. We should give him the time, space and respect he deserves
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@EduMed_UK
broken medic
9 months
@TomStocks1982 Don't worry... Patient safety is no 1. There definitely is no such thing as bullying in the NHS. Pathetic how our junior doctors are treated. Admittedly it is people like me who should feel guilty. We seniors have sleepwalked into letting our profession be treated like crap.
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@EduMed_UK
broken medic
7 months
@dr_merritt Gosh this is such a sad tweet from @dr_merritt . If he took the time to listen to the comments made by trainees and younger consultants he would realise there are legitimate concerns... As always in medicine, if people are sounding the alarm it behoves us to stop and listen
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@EduMed_UK
broken medic
8 months
@Fatima13120130 If this thread does not anger every consultant cardiologist I don't know what will. Anyone who spends even a minute with a trained knows this is not an isolated experience. Why have we abandoned our trainees like this... in favour of an untested, un-evidenced role????
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@EduMed_UK
broken medic
8 months
@mmamas1973 We do have to be mindful and sensitive to the PA. It is not their fault they were told they can do the job of a Gp after 2 yrs training. @rcgp you and @NHSEngland are the ones responsible for this poor patient's plight. Stop this madness NOW
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@EduMed_UK
broken medic
1 year
@dr_nigel_lane It is sad that as a obviously senior member your speciality you do not even understand where these trainees are coming from... take the time to listen and you will find they are not being unreasonable.
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@EduMed_UK
broken medic
8 months
@TheENTSurgeon1 The consultants enabling this are absolutely awful. Don't care about their trainees at all.
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@EduMed_UK
broken medic
9 months
@Dr_Done_ @RCoANews Well done for my colleagues. The proof that this pressure is working is @RCoAPresident 's email saying they will put out a survey 'soon' to canvass our views... Years after they had pushed for AAs. Even the email was still pushing for AAs so already significant internal bias.
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@EduMed_UK
broken medic
1 year
@RidgeOnSunday @RobLaurensonD4P Wonderful interview, tough questions answered honestly and with facts. Interesting MPs can't do the same (or even have the courage to be questioned like that at all)
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@EduMed_UK
broken medic
1 year
@Xeon4f145d96s1 @DrCharlesL @TalkTV @doctorcall What an awful person. @DrCharlesL you are a disappointment to all the NHS doctors who trained you so you can make so much money. I have nothing against private work, but don't throw your juniors under the bus when you benefited from the system your seek to destroy. Awful man.
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@EduMed_UK
broken medic
11 months
@Dr_Done_ Alas not just in Hull... Many hospitals have gone down this route. As always it is fine until it is not.
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@EduMed_UK
broken medic
8 months
@VirtueOfNothing Omg this is awful. So much worse than what AAs say is happening. This is outrageous @RCoANews and @RCoAPresident . This MUST STOP. how is this safe or fair on patients. Completely speechless
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@EduMed_UK
broken medic
1 year
@Tommymgbv8 @wesstreeting @LabourHealth Leave. All labour members who are healthcare professionals should stop immediately. They are not a party for the NHS.
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@EduMed_UK
broken medic
1 year
@em_orchardx I appreciate it may sound like a lot, but for the level of training, expertise and skill she has... She is grossly underpaid. There is a reason why places like the US, Canada and Australia are able to poach our doctors...
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@EduMed_UK
broken medic
9 months
@veggieequallife Wait there are already PAs on reg rotas?!?!? That can't be right? Is this widespread.. I really have sleepwalked into a hellscape of medicine
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@EduMed_UK
broken medic
8 months
@LondonAnaesth @Expo1222222 @AnaesUnited @AoMRC This is so insulting. How the #@£* is any of the stuff on that list 'basic'. Really really hate this portrayal of Anaesthesia. AAs should not exist.
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@EduMed_UK
broken medic
8 months
@RCoNoctors Anaesthetic team should roundly condemn this
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@EduMed_UK
broken medic
8 months
@Xeon4f145d96s1 As a matter of interest I asked how many trainees I trained in the last year went abroad. Of the 6 that replied, 5 have gone and the other is applying to Aus. Anecdotal evidence, but people saying it is not happening or 'who cares' are letting incredible trainees slip away
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@EduMed_UK
broken medic
8 months
@dannyjnwong 100% still flabbergasting that it is somehow controversial to say that anaesthesia should only be provided by doctors who have intensive training as outlined by the RCOA itself. How on earth has that standard changed without due consideration, research and debate. Insanity
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@EduMed_UK
broken medic
9 months
@Dr_Done_ @DrSelvarajah @DrHFRyan Exactly this. I agree with @DrSelvarajah on many things, but leadership of the @rcgp needs new blood and someone who CHALLENGES these damaging changes. @DrHFRyan sounds more like the innovative, new thinker we need
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@EduMed_UK
broken medic
9 months
@AnaesUnited To be honest it is not whether I want to or not. The fact is I don't think remote supervision is adequate for people providing anaesthetics of any flavour (including regional) without medical degrees. We should aspire to prevent the 1% of bad things that WILL happen.
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@EduMed_UK
broken medic
1 year
@BMA_JuniorDocs @bathdoc_chapman @SkyNews This is why all media requests MUST be channelled to the BMA. Even if you think you can do better... you can't!
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@EduMed_UK
broken medic
7 months
@VirtueOfNothing @RCoANews @AnaesUnited The people saying they can 'sit with a PT during their anaesthetic' miss the point that the reason we don't leave is that things change quickly (arrhythmias, airway loss, aspiration, delayed anaphylaxis etc etc). I don't want a non doctor looking after those situations
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@EduMed_UK
broken medic
1 year
@DoctorMayJay @dranitaraja Outstanding... this is the passion and facts we need in this debate. Show these right wing pundits what morally bankrupt people they are!
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@EduMed_UK
broken medic
9 months
@TTOTrainee @alastairmiller3 It is a terrible feat of wage theft. I think all portfolios should be free for trainees. If someone has to pay it should be NHSE since it is doing their job for them. Ridiculous
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@EduMed_UK
broken medic
9 months
@DrHuw @gmcuk please explain this? This is not acceptable - you must respond personally to @DrHuw . @DrHuw it is worth doing a FOI request because no doubt the GMC will ignore this if past form is anything to go by.
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@EduMed_UK
broken medic
2 years
@DrOKaneAgain @rclondon @DrSarahClarke I have been really disappointed by a number of Royal colleges pursuing and encouraging PA role without proper consultation with their membership. Im not saying PAs are bad, just how can they fundamentally change how we work without talking to us? Madness
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@EduMed_UK
broken medic
2 years
@ukmat82 Although this person's statement is abhorrent, disgusting and actually counterproductive - i do fear that it blinds us to the truth there is a lot of anger and feeling undervalued as juniors. We need to be mindful of where these sentiments are coming from in our juniors.
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@EduMed_UK
broken medic
1 year
@medicperspecti1 🤣 I feel for juniors... what a pointless waste of time. You deffo worked hard for that £14 (an hour of your life wasted on the phone)
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@EduMed_UK
broken medic
8 months
@DrAhwabAlam @veggieequallife Does that change the fact they should have responded truthfully? Probity and professionalism are not choices, they are a responsibility. If you can't be honest with your patient, how on earth can they trust you when they are at the most vulnerable (under any form of anaesthetic)?
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@EduMed_UK
broken medic
4 years
@mancunianmedic Not just a geriatrician but a good doctor! Well done to the doctor and the seniors/mentors that taught them those vital habits!!!
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@EduMed_UK
broken medic
4 years
@DrAdamLawton I feel sorry for new doctors coming to our profession and being expected to look after incredibly complex patients with little training! I have released all my intro lectures to ITU on YouTube to see if we can expand on that pdf a little!
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@EduMed_UK
broken medic
9 months
@mouseter_chef @Xeon4f145d96s1 I actually genuinely thought this was a joke! @rcgp what on earth do you have to say for yourselves?!?! Do you really think this is safe? From 0 above working independently of GPs???? You need to come out hard and FAST about this. Why are you sleeping at the wheel?
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@EduMed_UK
broken medic
8 months
@ukmat82 @BAOIA_News Well done. It is far harder to speak up than hide away. You have always been respectful and honest. I think most people from either side of the aisle agree you are fair, honest and open. I for one would love to see and hear your talk!
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@EduMed_UK
broken medic
1 year
@GMB @ranvir01 What an intellectually bankrupt, horrid, nasty piece of work. You gave up on the NHS 30 years ago, yet you have the temerity to lecture those who stick it out and try and improve it so others don't leave. Disgusting
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