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IV Facts

@IVfacts

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Helping you unlock the NHS matrix with each tweet. Your STAT dose of facts 💉

Joined January 2024
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@IVfacts
IV Facts
13 hours
The choice is yours 💊
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@IVfacts
IV Facts
1 month
The art of completing a jobs list when you can’t do any of the jobs on it needs to be studied.
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@IVfacts
IV Facts
27 days
So the solution must be to pick people off the street with no medical degree and train them?
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@IVfacts
IV Facts
15 days
PAs will look you dead in the eye and say they never wanted to be doctors.
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@IVfacts
IV Facts
3 months
I’ve never seen a better image to summarise the #PAProject . Truly encapsulates the full course in one picture.
@Dr_Done_
Dr Done
3 months
Lol
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@IVfacts
IV Facts
1 month
Of course we couldn’t get into medical school
@medicalmodelbri
@medicalmodelwithabriochebun
1 month
Of course we get called nurses *rolls eyes *
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@IVfacts
IV Facts
13 days
Only thing worse than being paid £16/h is having to chase up that £16.
@NHSEngland
NHS England
14 days
The NHS is setting out measures to improve the working lives of postgraduate doctors. These include improving payroll accuracy, reducing admin burden and enhancing choice and flexibility with rotas.
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@IVfacts
IV Facts
21 days
You might as well start cleaning the toilets and serving lunch in the canteen too in your search for the moral high ground.
@ben_hock
Dr Ben🏳️‍🌈🇪🇺
22 days
@mlkytee I’m sorry but there are no skills/tasks that are beneath you I’m a consultant, I do ECGs, I take swabs to ensure the sample is taken from exactly what I want, I dipped urine, I weighed patients Do the basics well before you do the complex poorly
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@IVfacts
IV Facts
1 month
The PA dichotomy: generalist yet specialist, integral yet supplementary, autonomous yet supervised.
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@IVfacts
IV Facts
2 months
@AndrewJD Maybe we should start judging people on their competence and qualification instead of what they wear and this system wouldn’t be in the mess it’s in?
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@IVfacts
IV Facts
10 days
Not only does this practice employ 9 unregulated PAs to see vulnerable patients. They also accuse the public of having “too high expectations from the NHS” for asking to see a doctor. This has gone too far. Leave a review and let them know.
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@IVfacts
IV Facts
3 months
No one is failing exams. A training bottleneck has been created by increasing pseudo SHO level workforce through PAs, increasing training applications without an increase in spots means more doctors will be rejected from training.
@dr_shibley
radical optimism
3 months
It's not the PAs' fault some Drs are failing their higher specialist exams.
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@IVfacts
IV Facts
2 months
Politely disagree. PAs have knowingly taken on a role far beyond their safe scope in exchange for the opportunity to role play their unfulfilled childhood aspirations at the expense of patients and legitimately qualified doctors.
@GMCharlatan
Assistant to the Physician Assistant’s Assistant🦀
2 months
There are 2 sets of victims here. Patients and PAs. Patients for obvious reasons. PAs who have been lied to by the government and their “leaders” and encouraged to incorporate these lies into their identities. It is not for patients to facilitate the dreams PAs were sold. 1/3
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@IVfacts
IV Facts
1 month
The PA project in the UK is nothing like the US. Patient safety is being compromised to fuel government agendas and embezzle public funds to create a two tier healthcare system. Doctors are being replaced and made redundant.
@MBrigmon
Matthew Brigmon
1 month
Man the UK peeps are being downright mean about PAs. Do some of them realize how unbecoming it is to see the volatile comments from providers? Fill me in @DrNeilStone
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@IVfacts
IV Facts
3 months
Yes because an anecdotal story with a sample size of 1 can be accurately extrapolated to judge what’s clearly a nationwide issue that’s impacting your colleagues and patients.
@zackferguson
Zack Ferguson
3 months
Once again, I really enjoy working with our PAs in Acute Medicine. I see no evidence that they’re replacing doctors at our trust or detrimentally impacting our training. Deeply unimpressed by the GMC, who seem incapable of getting involved without setting everything on fire.
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@IVfacts
IV Facts
27 days
Still not enough to supervise you.
@IncogAssociate
IncogPA
27 days
@IVfacts You've got way too much free time.
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@IVfacts
IV Facts
27 days
At least your logo is ready.
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@IncogAssociate
IncogPA
27 days
The Royal College of Physician Associates 👌🏻
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@IVfacts
IV Facts
2 months
When you can’t decide between social media attention and patient safety.
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@IVfacts
IV Facts
20 days
@DrNeenaJha Everything seems simple when you don’t know what you don’t know.
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@IVfacts
IV Facts
3 months
I can but it will never be as hard as the day you got rejected from medschool.
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@IVfacts
IV Facts
1 month
@SecretPhysician @manLikeTeaa 40K a year to make a list of jobs you can’t even do. May the NHS rest in peace.
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@IVfacts
IV Facts
2 months
@IncogAssociate @TheBMA @RCPhysicians @rcgp @FPARCP Yes your *lack of training is exactly what they would’ve considered before setting your scope.
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@IVfacts
IV Facts
2 months
When you’ve got lunch with Kamila but dinner with Partha.
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@IVfacts
IV Facts
29 days
Why you don’t want to meet your hero’s.
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@IVfacts
IV Facts
1 month
@thatsnotmine125 It’s from a PA account. Don’t get me started on the lanyard.
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@IVfacts
IV Facts
1 month
@medicalmodelbri Telling yourselves that you’re valuable members unfortunately does not make you any less useless.
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@IVfacts
IV Facts
1 month
@tartanmarvel89 Nothing other than putting patients at risk.
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@IVfacts
IV Facts
1 month
@JordanA8156 40K a year for an on call phlebotomist, great.
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@IVfacts
IV Facts
3 months
@uwa_ie Either allow ARRS funding to include GPs or stop the pointless threads. PAs with no scope are replacing experienced GPs. Safety is being compromised whilst doctors are becoming unemployed. We won’t forget those who created this calamity.
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@IVfacts
IV Facts
3 months
@Lola1982827 @ExplosiveEnema2 @KhyjaMccalla Correct! They shouldn’t exist period. The fact you can say they’ve operated for this long without scope but do not see a safety concern in that is what’s most worrying. This circus has been exposed now and people are seeing the mess it is. We aren’t going anywhere.
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@IVfacts
IV Facts
3 months
@DrEilidhMaria The harsh truth is medschool entry requirements are not for everyone. Apparently it’s elitist to point out the obvious.
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@IVfacts
IV Facts
3 months
@JoOgidi How about you show some respect for patient safety instead of exemplifying the lack of insight your profession is being scrutinised for.
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@IVfacts
IV Facts
1 month
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@IVfacts
IV Facts
30 days
@drkeithsiau @ExplosiveEnema2 @RCHTWeCare @FPARCP @BritSocGastro @UKGastroDr @parthaskar @DrAsifQasim @DrLKVaughan @DrSteveTaylor @AlisonGeorge10 @Dr_Done_ @Doctors_Vote Genuinely expected better from you. He individually may be deemed competent in your eyes but the role itself without scope is a danger to patient safety. Enabling this scope creep is a disservice to your juniors and patients no matter how you justify it .
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@IVfacts
IV Facts
3 months
@Lola1982827 @ExplosiveEnema2 @KhyjaMccalla Anyone knowingly working beyond their scope and compromising patient safety is to blame themselves. No one is holding them at gun point to work these roles. Stop the PA sympathy stories.
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@IVfacts
IV Facts
28 days
@InvCoriolis Not sure of the trust. The same PA @medicalmodelbri exposed a few weeks back. Absolute mess.
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@IVfacts
IV Facts
3 months
@JoOgidi @parthaskar @DrEilidhMaria @NHSEngland A consultant can step down because he’s qualified to replace the Reg - they’ve both completed full medical training. You have no right to be on the rota to cover anyone with your 2 year pancake diploma, regardless of how desperate the trust is.
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@IVfacts
IV Facts
2 months
The problem is precisely PAs seeing undifferentiated patients in GP. Secondly the government actively paying practices to employ PAs instead of GPs. Thirdly it’s people like you who lack the IQ to comprehend the above.
@DanBealeCocks
Dan Beale Cocks
2 months
About PAs: this is vey basic beginner-lever divide and rule stuff & it's disappointing to see some drs fall for it so hard & so quickly. The problem isn't PAs seeing undifferentiated pts in GP, the problem is the defunding of primary care, making supervision of PAs harder.
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@IVfacts
IV Facts
1 month
@svha_abdl @MFTnhs @MFTnhs absolutely disgraceful gaslighting of your staff who have raised genuine patient safety concerns. You have no right to tell doctors to ignore @TheBMA guidance. Textbook NHS manipulation.
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@IVfacts
IV Facts
2 months
@aashfaque14 @Mary_Tom11 @ExplosiveEnema2 @IncogAssociate Prescribing illegally, not correcting patients when they mistake you for a doctor, missing life threatening conditions seems to be their speciality at present
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@IVfacts
IV Facts
1 month
PA prescribing - coming to a coroners near you
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@IVfacts
IV Facts
28 days
Everyone in the MDT is equal, until something goes wrong and then suddenly doctors are more responsible.
@c3convertase
Tam.
2 months
Being a doctor is weird as you are held to infinitely high standards by everyone but also expected to play down that your job is high responsibility & intellectually tiring at times & have to act like any old rando could do your easy job so people don't think you're "superior"
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@IVfacts
IV Facts
3 months
@KeeleUniversity Higher chance of getting into medschool than feeling that pulse
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@IVfacts
IV Facts
3 months
@Welshvalleysub @ItsnotrightUK @RCPhysicians @NHSEngland Please save the PAs are being exploited sympathy story. They know fully well they are working beyond their scope and are more than happy to role play doctor without any of the work. No one is holding them at gun point to do these roles.
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@IVfacts
IV Facts
29 days
@drkeithsiau It’s nothing personal, just more disappointing when it’s from those you least expect. I hope you can reflect on this and make systemic changes going forward to benefit your trainees who have sacrificed most of their life to get there.
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@IVfacts
IV Facts
2 months
@medicalmodelbri @rcgp @NHSEngland @TheBMA @RobLaurensonD4P I look at these people and think surely this is all a joke?
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@IVfacts
IV Facts
2 months
This is the - you do not have the valid training/qualification to care for sick patients and so you will not be putting our patients at risk for your fragile egos. It’s not a club, it’s medical school but yes you still seem unable to join it.
@IncogAssociate
IncogPA
2 months
This is: Scapegoating Elitism Protectionism This has NOTHING to do with patient safety. This is: You do not have 'Dr' in front of your name so you can not care for patients. You can not join our club. You can't sit with us. Punching down. Nothing to be proud of. #RCPEGM
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@IVfacts
IV Facts
1 month
We don’t because patients know exactly what we are. Your whole profession is based on facade and obscuration of titles to confuse patients so yes you do have to say what you’re not.
@IncogAssociate
IncogPA
1 month
@makepumps666 @TheSooperCynic Do you introduce yourself by stating what you are not?
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@IVfacts
IV Facts
1 month
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@IVfacts
IV Facts
1 month
Turns out destroying the NHS is not the worst crime this man has committed.
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@IVfacts
IV Facts
1 month
@thatsnotmine125 This is all in the public domain, facts are not for everyone.
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@IVfacts
IV Facts
2 months
@IncogAssociate Begging the public for support? You guys really are panicking now that the veil has been pulled on your circus.
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@IVfacts
IV Facts
3 months
@JoOgidi 0 condemning of the massive breaches of patient safety that have been documented but trying to defend your sinking ship. Then you wonder why the MDT laughs at you
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@IVfacts
IV Facts
27 days
Someone is dying in resus and instead of showing compassion you use it as an opportunity to gain more attention from your followers. The worst of humanity.
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@IVfacts
IV Facts
1 month
@thatsnotmine125 It’s public.
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@IVfacts
IV Facts
3 months
@Dr_Rajiology Literally the first rule of medical ethics - do no harm. The way this circus is being pushed despite safety concerns shows the underlying motives surpass any ethical considerations.
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@IVfacts
IV Facts
1 month
@ExplosiveEnema2 @MFTnhs @svha_abdl @DrEilidhMaria FTSUGuardian @mft .nhs.uk Escalate to their freedom to speak up guardian so they know they can’t get away with this one.
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@IVfacts
IV Facts
1 month
@chriscraigCCC It’s what happens when you’re trained on the medical waffle.
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@IVfacts
IV Facts
2 months
Let me get this straight - no one other than GPs should be seeing undifferentiated patients in general practice but certainly not someone who has done a Bsc in sunflower studies followed by a 2 year pancake diploma.
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@IVfacts
IV Facts
3 months
@Bonivorlewis It’s not a personal insult or a pile on to point out you offer nothing unique to the MDT and currently pose a massive risk to patient safety whilst impeding training of more qualified members of the team. It’s the harsh reality of your job.
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@IVfacts
IV Facts
3 months
@manLikeTeaa Imagine living in the shadow of something you could never be.
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@IVfacts
IV Facts
3 months
@UMAPsUK @parthaskar @rcgp @KeeleUniversity @doctor_katie @KamilaRCGP @ChrisAskewCE @drgandalf52 @Richard_GP @DrSelvarajah @BenAllenGP @MFAminGP @AbbieSBrooks @CliffJonesGP Any legal threat is rich coming from an unregulated organisation of frauds compromising patient safety and facing negligence/manslaughter allegations on the daily. Every time you open your mouth medschool entry requirements make more sense.
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@IVfacts
IV Facts
2 months
How can you try and play this as doctors being insecure? If you with your 2 year clearance course feel this confident in your clinical abilities, imagine what someone who is actually competent feels?
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@IVfacts
IV Facts
27 days
@MutteringWildly @whossaniaanyway @jkcyriac23 @EmergMedDr @gmcuk @GMC You should’ve learnt from your colleagues that threatening juniors on social media over raising valid concerns never ends well, as I’m sure you will find out. @TheBMA
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@IVfacts
IV Facts
2 months
The recycle bin doctors sit on during board round offers more to the MDT than a PA.
@trishacurran23
Trisha
2 months
@medicalmodelbri @parthaskar Maybe not. But you cannot deny their value to multidisciplinary practice. The PAs are educated. Have a first degree in a science plus a two year intensive course in medicine. Show some respect!
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@IVfacts
IV Facts
3 months
So because compromise of safety, negligence and manslaughter has been ongoing for 21 years we shouldn’t be stopping it now. #PALogic
@Lola1982827
Lola
3 months
@IVfacts @ExplosiveEnema2 @KhyjaMccalla Well I hate to tell you this for the last 21 years they never had a scope so according to you they shouldn't exist period. Stop. the nonsense. You guys care about #1 and that your own arses and saying its about patient safety when they have existed for how long? Get real.
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@IVfacts
IV Facts
1 month
@SophieAnnBurges @indigosphinx @medicalmodelbri @DrNeenaJha @BBCPanorama Then surely you’re just doubling up the work for the GP? What purpose do you serve?
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@IVfacts
IV Facts
2 months
@Dr_Done_ Please stop accusing us of negligence and manslaughter because it’s hurting our feelings. GTFO.
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@IVfacts
IV Facts
2 months
@DoctorDemetris @Dr_DeanS Stop justifying this mess. They have no role carrying anything on behalf of a doctor. This is exactly how scope creep operates and it’s people like you who have been complicit in patient safety being compromised.
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@IVfacts
IV Facts
4 months
@physicianassoci @DocAnonX How about you try to actually become a real doctor as an extra challenge? Or is that beyond your undefined scope?
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@IVfacts
IV Facts
3 months
@KhyjaMccalla Who would’ve thought impeding the training of those more qualified and compromising patient safety would make you unpopular in the medical profession?
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@IVfacts
IV Facts
29 days
@drkeithsiau @ExplosiveEnema2 @RCHTWeCare @FPARCP @BritSocGastro @UKGastroDr @parthaskar @DrAsifQasim @DrLKVaughan @DrSteveTaylor @AlisonGeorge10 @Dr_Done_ @Doctors_Vote In this particular case maybe but not nationally across all departments with a rigid framework to standardised accreditations. We can’t justify enabling something on an individual basis which is a flawed concept on a macro perspective.
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@IVfacts
IV Facts
3 months
@NHSHandSan @parthaskar What else can we expect from a profession built from fraudulence and dishonesty at every level.
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@IVfacts
IV Facts
1 month
If you need to be constantly supervised that’s probably a sign you’re not fit for the job.
@medicalmodelbri
@medicalmodelwithabriochebun
1 month
‘If you don’t want to see me as a clinician then go wait to see a GP’ No humility No insight into your limitations Dangerous
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@IVfacts
IV Facts
23 days
@OMStoOBGYN So kids with doctors as parents gain an even further selective advantage? Experience is gained through uni and from work after graduation.
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@IVfacts
IV Facts
2 months
@bbc_ability @OReillyGem An embarrassing excuse for a journalist. No credible research or evidence. Ignoring patient safety concerns raised by 1000s of doctors. Tory puppet - you’re everything that’s wrong with the current culture towards the NHS.
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@IVfacts
IV Facts
27 days
You either die a hero, or live long enough to see yourself become the villain.
Well as @drkeithsiau says: "Doctors in general should remain professional on social media as the content we post stays on record and could have consequences." But why then has @drkeithsiau deleted his own content?
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@IVfacts
IV Facts
3 months
Sorry were they expecting a gold medal for compromising safety and working beyond scope? It’s the poor patients receiving substandard healthcare who have been failed by the system.
@FrankCoffey26
Frank Coffey
3 months
@medicalmodelbri @Dr_Done_ @queenofswords6 @KhyjaMccalla Reading the room & from conversations I’ve had with PAs, as a body of clinicians, they would welcome more scrutiny, standards & oversight. As a profession, they have been failed badly by the system & also been the targets & victims of relentless, inexcusable abuse on X.
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@IVfacts
IV Facts
1 month
When they ask if vitamin K is the same as potassium
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@IVfacts
IV Facts
27 days
@Jonathansegal85 @UKGastroDr Maybe if he spent less time gaslighting and doubling down on his questionable practice in a position of leadership instead of threatening juniors who raise valid concerns then he wouldn’t find himself in this position.
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@IVfacts
IV Facts
28 days
“We need to do better, but let’s make things worse first”
@iDrSunny
Dr Sandeep Bansal
28 days
An email from the president of the RCP saying we need to do better but then not giving her resignation….
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@IVfacts
IV Facts
1 month
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@IVfacts
IV Facts
3 months
@TheSalariedPA If you think more doctors are happy with PAs than not then I’m genuinely concerned for your lack of insight. I’ve never seen a more useless and hated profession, almost as bad as the politicians who created you.
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@IVfacts
IV Facts
2 months
Diagnostic bingo being played in PA group chats - welcome to the medical model.
@SecretPhysician
Secret Physician
2 months
Attempted to hide identities as much as pos. Sent this and found it too damning not to share. PT presents around 3pm. A doctor doesn’t appear to be contacted for support or help, and instead a Facebook group of PAs (PAAUK) consulted instead. PT in HB sent to a&e not until 6pm.
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@IVfacts
IV Facts
3 months
@nhsbourbon Never events. Government funding. Lack of future competition for private work.
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@IVfacts
IV Facts
3 months
@hayleymagill There is no “making it work” when patient safety is the price is pay. We are not prepared to simply accept something that goes against medical ethics and “move on”
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@IVfacts
IV Facts
3 months
@ParisSorrell @DrEilidhMaria Maybe it’s the realisation that they’re working beyond their scope, harming patients that trust them and people can finally see them for the BS they are that’s harming their MH.
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@IVfacts
IV Facts
3 months
The system is designed that way to keep medics de skilled and completely dependent on a toxic corporate structure who knows you have no other option but to be exploited.
@ronansetron
Ronan
3 months
the saddest realisation, when sitting down to figure out a non-medical side-hustle +/- exit strategy, is that I’ve put 10 years of my life into this, and all my other skills & passions have fallen by the wayside and atrophied beyond recognition.
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@IVfacts
IV Facts
3 months
@TheSalariedPA @Dr_Done_ @toast36742904 @EDPractitioner The fact that you can make a statement this ridiculous and genuinely have no insight shows the danger your patients face due to your false confidence. Entry requirement for medschool makes complete sense when you guys open your mouth.
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@IVfacts
IV Facts
21 days
@DonnchadhaD The trial itself is an expansion of scope? Opening doors to a slippery slope of dilution in workforce quality. We can appreciate one’s experience without feeling the need to endlessly increase scope.
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IV Facts
2 months
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IV Facts
3 months
@profjimspeaks You’ve done nothing more than compromise patient safety and destroy the integrity of the NHS by integrating unregulated individuals with no scope. An absolute disgrace to the medical profession with blood on your hands.
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@IVfacts
IV Facts
12 days
Do the exact opposite of the NHS. Don’t compromise patient safety. Don’t replace doctors with those who couldn’t be one.
@RACGPPresident
Royal Australian College of GPs (RACGP) President
13 days
The NHS is run down, its doctors have been run down. The UK faces a GP exodus. Low pay, conditions, role substitution. We must make sure Australia doesn't take the wrong lessons from their mistakes. Great to speak to Lexi Hamilton-Smith for an upcoming ABC story with @kamingock .
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@IVfacts
IV Facts
24 days
@LittlePersonDoc @GMCharlatan Completely racist and needs to be called out. @parthaskar
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@IVfacts
IV Facts
2 months
@medicalmodelbri @rcgp Knowing a little bit of everything does not make you a generalist. It makes you an incompetent dangerous clown with no insight .
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@IVfacts
IV Facts
2 months
@trishacurran23 @medicalmodelbri @parthaskar They bring absolutely nothing to the MDT. Bunch of medschool rejects stealing a living impersonating doctors and endangering patients. They exemplify everything wrong with the NHS. Cheap unwanted fix.
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@IVfacts
IV Facts
1 month
No one. Yet you operate in a system that thrives off the infantilisation of grown adults in order to perpetuate a culture of micromanagement and toxicity designed to condition you to not question authority or expect any respect for your accolades.
@guidelinexpert
National Health Serf
1 month
Can we please get rid of this 😂 which Dr actually cares or reads the reflections 😭 Why do I have homework as an adult 🤣
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@IVfacts
IV Facts
4 months
@ElshadKarbasi The most toxic circus going. The fact a group of “educated” individuals cannot see they’re getting exploited beyond belief shows a shocking lack of insight. The reason we are in the mess we in.
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