Dr Karolis Rozanas MBBS, BSc @Karolis_Rozanas Twitter profile

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@Original_call

Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

9 months

@ToryFibs As the wealth divide between the war torn countries and the western world grows, the economic pull for illegal migration becomes greater and greater. Want to tackle the illegal migration? Let’s start with the basics, such as international peace, trade and economic development

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

9 months

@Nedu_MD @RajAttavar As much as I’d like to never see colleagues like Dr Hilton, I appreciate it will take time for these dinosaurs to retire and for culture to change. All we can do for now is to keep challenging such views and stand up to our seniors if needed.

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@DrLindaDykes Sounds like the market is ripe for private GP practices where patients get charged to be seen?

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@Dr_Done_ @veggieequallife I have more questions about why the junior doctors comply with these requests as opposed to PAs asking. We only prescribe what we deem right. Prescribing medication on behalf of PAs is not right and we should politely decline. Am I missing something?

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@DrEilidhMaria 4. PAs are not the culprits here. Most work within their scope and those that don’t have been encouraged to do so by their managers and seniors. It is difficult to judge your own limits when your seniors suggest you’re capable much more than you actually are.

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@ChristmasRowena They are not part-time. I think we should stop all this pay per session nonsense and start paying hourly rate to salaried and locum GPs

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@veggieequallife Do you have to oblige? I’d just say “no thanks please ask the supervising consultant to do the jobs you can’t”

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@NTCouncilTeam I’d go one step further and ban vehicles on the promenade altogether

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@wdpsychiatry @ManUpTheySaid This mainly applies to mild-to-moderate depression. What about severe depression with biological features? What about bipolar?

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@parthaskar @RCPhysicians @FPARCP @UKGastroDr @AntonEmmanuel2 @mmamas1973 @OrthopodReg @RoshanaMN @doctor_oxford @trishgreenhalgh @Trisha_the_doc @Richard_GP @BMA_James_Steen The introduction is a mouthful. No one is gonna use that in real life. I know I wouldn’t. The profession title needs changing so it has no baring to doctors Clinical assistant?

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@parthaskar @DHSCgovuk @SteveBarclay @NHSEngland What a strange battle that was

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

7 months

@DLGDen What we have is a very perverse situation where sick patients are hoarded in AnE corridors whilst MFFD patients occupy acute beds on the wards because their social care needs exceed their social care support in the community. I’m not sure how best to address this, but asking…

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

9 months

@DrEilidhMaria That’s a mouthful of an introduction though. What wrong with” Hi my name is …and I’m a physician associate?”

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

7 months

@Xeon4f145d96s1 @DrEilidhMaria Crash course clinician?

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@dr_irfan_malik What about all those health anxiety/worried well patients that just keep coming back?

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@DrEilidhMaria …has anyone considered what this coordinated personal attack might do to her mental health or future career? 3. There is defo a problem of PA role abuse. Do share facts, debate and refrain from personal attacks and no one will have anything against you.

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

7 months

@Xeon4f145d96s1 @dannyjnwong @AnaesUnited @LondonAnaesth @gaslad @VirtueOfNothing The NHS as every other socialist contraption ever created suffers from the same evils: 1. Ruling and bloated bureaucracy 2. Failure to innovate 3. Cronyism, kleptocracy and mediocracy 4. Propaganda and cover up

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@DrEilidhMaria Non-anonymous accounts follow it more or less. IMO it is the anons that are the problem: 1. Bullying and shutting down anyone who disagrees with them, which prevents hearing out both sides or having a reasonable debate. 2. Trashing Emily the ENT PA by sharing hearsay…1

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

9 months

@Dr_Done_ My personal feeling is that all this PA bashing is a bit pathetic. There is plenty of work for everyone. If a PA van driver ECT to the same standard as a doctor then there is no reason they shouldn’t be delivering ECT.

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@andyrugbyref @clacon98 You’re evidently not a Brit. “A little concerned” in British English means “I am scared shitless”

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@Jo_McGinn @DrEilidhMaria That’s not OK. But that’s something for the PA, juniors and their bosses to sort out locally. Doing so on the social media results in personal attacks. Have I always been exemplary in my professional behaviour? Probably not. Would I like a group of anons to attack me on social…

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

9 months

@Xeon4f145d96s1 On what planet do PAs feel jealous of doctors? Jealous of what exactly? Working longer and unsociable hours? Baring more responsibility? Getting paid less?

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

6 months

@IhabFathiSulima Wife

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@nicalexander1 @Dr_Done_ @ImperialNHS How about we start by rolling out a large scale trial where we use SHOs as a gold standard group for comparison to PAs and ANPs? We could get consultant to observe and rate participants assessing and managing patients followed by Q&A on the basic knowledge pertinent to the case 1

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

7 months

@drcmday This was very enlightening. Converting a patient safety issue to an employment tribunal issue is of course a heinous strategy. Surely there should be an even more heinous strategy to fight it?

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

7 months

@jakepmann @clifford0584 You can become whoever you want and specialise in whatever you want - it all really depends on how much time and effort you’re prepared to put in. The tougher the competition the more commitment you have to make to remain competitive. This might not be an issue in your twenties..

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

9 months

@ToryFibs I think currently both parties - the Labour and the Tories - are in dire need of leaders that have a firm vision and a strong sense of direction they want to take. Populism is a not only feeble, but also dangerous long term.

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@iDrSunny Sounds like a big win, but will it have the teeth to actually implement the resolutions especially halting AA recruitment?

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

4 years

@mevparekh The rate is for FY1, except you don’t pocket £35 as your locum tax is ~40%. Financially, it only makes sense to locum if you don’t have a regular job.

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@HelenRSalisbury @rheumipainmask @Parody_RCGP @doctor_katie @BMA_GP @rcgp I had some interesting conversations in the last few weeks about the equivalence/comparability of PAs and SHOs. However, what is happening in GP actually goes one step further and implies that PAs (2 years non-prescriber) are more qualified than SHO (7+ years and prescriber).

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@DrNeenaJha Start subsidised childcare and then we can talk about full time working. Currently, I’d be working to only pay someone else to look after my kids - makes no sense

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@nicalexander1 @Dr_Done_ @ImperialNHS The consultants would be blinded and would have to guess whether the clinician is an SHO, PA or ANP. Based on how PAs and ANPs are used within the NHS you’d expect these roles to be interchangeable. If they are not then either a change in training or utilisation of PAs is needed2

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@RobSetters @c_chief24 @mmamas1973 I agree about the need for more data. However, in case of PAs, anecdotal evidence as well as illustrating potential safety concerns, raise another important question. Namely, how do we justify such mistakes?

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

7 months

@EmergMedDr Let me introduce to you the next Tory leader. I hope she replaces Rishi sooner rather than later so as to completely tank any chances of Tories being re-elected

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

2 years

#UkraineAid to all my healthcare friends please approach your NHS trusts for medical supplies that have expired or are about to expire. We are a group of UK based doctors who are organising the delivery of these supplies to t Ukrainian border

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

7 months

@msteggy Why not go private? I mean the market for private GPs is ripe. Those working in private sector say they have longer appointments and see fewer patients and get paid similar to GP partners. Perhaps this is the way?

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@cannula_service @DrEilidhMaria I know the PA’s name from anons posts. Has your practice always been exemplary? Would you like one of the more questionable moments of your career to be scrutinised on Twitter by an anonymous mob for everyone to see? The third point is ironing - Bullies afraid of bullying.

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

7 months

@simontutt88 Don’t pay attention to pizza et al. The more they bark the more you know they have nothing

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@Parody_RCGP @rcgp There is literally no incentive to train as a GP unless you’re planning to cct and flee

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

7 months

@JujuliaGrace Private GPs see fewer patients have longer appointments and get paid on par with GP partners. Sounds like benefits to me!

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

10 years

New Scientist News: Induced hallucination turns doctors into pizza chefs. http://t.co/9rgOtj1cZw

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@SteveBarclay @Conservatives We all know what this is - an attempt to appeal to their electorate before the next general election. When you cannot get elected on the basis of competence, you do so by exploiting divisions in society. Come on Britain you’re better than that.

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

7 months

@iDrSunny @cannula_service Once upon a time someone made a mistake, but now we are too far in to admit it or do anything about it. After all, there are no mistakes in the NHS… just like there never was any crime or alcoholism or drug use in the Soviet Union

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

7 months

@DrAnnieHickox Tough love for people with severe trauma and raging self-hate? Common sense is really not that common.

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@nandwics I have not seen an abdominal pain where examination was optional.

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@cannula_service From what I’ve learnt today that’s just an SHO

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@Xeon4f145d96s1 I suspect that’s because anti-PA medics exist in their own echo chamber on Twitter and live their own hype.

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@AlastairMcA30 How should Israel respond to the attack then?

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@Xeon4f145d96s1 I suspect that in some trusts PAs might be the equivalent of the Liverpool Care Pathway - a good idea, but badly misused

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

9 months

@danielrao007 @Dr_Done_ But they receive 2 years of clinical training. So perhaps they have some clinical utility? I’m not suggesting that putting them on SpR or Consultant rotas, but there are plenty of scope for clinics work at a lower level.

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

5 years

Choose happiness

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@Inversionism Can you name a single war that was fought in accordance with the international law? I can’t. I think we are asking the impossible. War is cruel and brutal and instead of condemning war crimes we should condemn war itself.

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@ZexuFang @stillgray Do you mean they are getting sacrificed so that the Muslim world could unite behind their massacre?

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

2 years

@Leeannlang6 @AegeriusA @nanjpowell @BrianKarem That’s exactly what disinformation shoul be countered with. Censoring free speech is not the answer as it creates thought police and we all know very well what it is capable of. Think Spanish Inquisition, Islamic state, Taliban, KGB etc

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@Gerashchenko_en

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@AlastairMcA30 How do you defeat “the evil” then?

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

9 months

@Alistai76854677 @DrEilidhMaria Physicians assistant was the original title I believe, but then it got changed. Clinical assistant sounds good as well

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@MJA9622 You absolutely hit the nail on the head here. Two things might bring a change in the government’s position: 1. Indefinite walk out 2. Change in the government

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

7 months

@SexTradeTruths @ifellonithonest Thank you for educating me on this topic. I did not realise that. Do you have a link to estimates of the proportion of sex workers that have been trafficed? The evidence is clear regarding equality model. All countries should adopt it.

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

7 months

@clifford0584 @jakepmann As a father of two I could never put this better than Bill Bur so I’ll let him make the point

Bill Burr | You're Sucked In The Bubble #shorts

Thank you for watching. Subscribe for more.

www.youtube.com

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@iDrSunny Interesting. Given how poorly the PA role has been implemented, there are good reasons why nhs bosses might fear scrutiny. That’s OK though - empty threats is a sign that they have nothing else to throw at us.

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@DrVikasShah It doesn’t yet work, but it will… eventually… I’m 100% sure. Prove me wrong though

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

5 years

Choose life

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@kateheydonorg @emelzad @dr_irfan_malik Your case would be a good example for “three strikes and in” rule as per above

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

7 months

@iDrSunny @Caran_c @BMA_JuniorDocs @Xeon4f145d96s1 @gaslad Common sense is less common than you’re lead to think

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

9 months

@CraigNikolic Without profit the leadership will always choose the path of least resistance, which in the case of the NHS or any other socialist contraption for that matter involves covering up failures and exaggerating successes.

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

7 months

@jakepmann @clifford0584 … but once you have family and kids, dedicating time to personal development and career becomes harder. Sussing out less competitive options becomes the name of the game… unless of course you’re prepared for your family to take a hit

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@LewisStanding1 @Paul_Wischmeyer I have an EM joke, but I forgot what it was… oh look caterpillar!

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@LittlePersonDoc @Xeon4f145d96s1 And then you say they are not qualified for SpR roles. It sounds like they are qualified to be consultants

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

7 months

@AlexNevard “Let me guess, you fell on it?”

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@DrHFRyan As someone who comes from a very poor background I can honestly say that while there is a minimu standard of financial security required, kids need their parents love, time and attention more. It creates an emotional baseline for the rest of their life that serves as a safety net

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

6 months

@sayedalderazi @iDrSunny I have no issues with non-doctors taking up doctors’ roles so long as it is done in a regulated and accountable manner. My main issue with PAs is not scope creep, but rather the Wild West aspect of it

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@Nell14354877 @dr_irfan_malik Easier said than done. These patients collect the three strikes very quickly and yet referring them on acts only to reinforce their worries.

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

7 months

@DoctorPonglenis … than most trainee doctors, working exclusively sociable hours, acting like the bees knees and being prioritised for difficult to come by training opportunities. It doesn’t take a genius to understand that you’re going to get trouble.

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

6 months

@EmergencyBod BP > 180/120 in ED and my local guideline tells me assess for end organ damage and if none present start amlodipine + ramipril + arrange f/u via ambulatory care. Is this wrong?

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

9 months

@Troubleinu @HenriettaMk @Dr_Done_ That’s my problem with the doctors profession - very quick to project their insecurities into others and blame anyone who threatens status quo even when status quo is undesirable.

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

7 months

@helenh49 @ShaunLintern @dannyfortson Just what I need for half term!

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@rheumipainmask @DrWillMurdoch @Parody_RCGP @HelenRSalisbury @doctor_katie @BMA_GP @rcgp You could even have shos taking up staff grade positions in GP staying there full time for a year. Tell me that full time commited SHO is worse than a PA.

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

7 months

@HelenRSalisbury @AliJaneMoore I still don’t understand why staff grades SHOs are not being recruited instead of PAs. We are definitely more qualified than PAs, more independent, can prescribe and don’t cost that much. Please make it make sense.

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@donalmurray2002 @DrEilidhMaria @SteveBarclay I wouldn’t be surprised if the Labour Health Minister saw through the legislation

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@c3convertase @dobbyjog @cannula_service Disagree. Prescribing is a privilege which we are trusted with by the patients. Non-prescriber asking a junior doctor to prescribe is neither appropriate nor safe. It is our responsibility to politely decline such requests and in fact not doing so questions our probity

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

4 years

When the world has run out of ffp3 masks there is always Norton antivirus to fall back on

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@BlackM1710 Poor choice of words on my behalf. Apologies.

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@clifford0584 @TheBMA Yeah. BMA let me down too. Hence, I’m no longer a member.

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@socalmpaul @mouseter_chef @Dr_7668407 @veggieequallife @Dr_Done_ @DocEd I’m far from a teacher. SHO here. Happy to be corrected anytime as that’s the whole point of me expressing my opinions on Twitter.

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

9 months

@skynetbuffering @Dr_Done_ Not everything we do requires our standard of training.

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@rcgp @BMA_GP Are there any plans to allow post Foundation-training SHOs to work in General Practice? 1/n

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@iDrSunny What would be the practicalities of converting a traditional GP partnership surgery into a completely private one or a mix of the two? If I was a GP I’d be looking to do that so that I could have more control over my earnings and running of the business including HR.

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@arusbridger @pritipatel @GBNEWS Sounds like Mr Trump has given a blue print to the right wing politicians worldwide

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@Jo_McGinn @DrEilidhMaria CEO’s job is to withstand criticism and scrutiny. I wouldn’t worry about that. The other case is a fair example of job well done. The ENT PA on the other hand is being personally targeted by transcribing her interview and sharing hearsay. Is that acceptable?

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@simontutt88 @Platform_crocss @WoundedMedic @Dr_Sarah_Bellum @cannula_service If we struggle to differentiate between different titles and levels of expertise imagine how difficult it is to make sense of all this to patients

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@Platform_crocss @simontutt88 @cannula_service @Dr_Sarah_Bellum This has to be settled in an objective way because otherwise we will create a very toxic environment between the roles that are meant to have symbiosis 2/n

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

7 months

@adamgordon1978 @pully8 @Helen_Whately I’ll watch the space

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@DrVikasShah Who’s done this?

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@cannula_service @Platform_crocss @simontutt88 @Dr_Sarah_Bellum Hm. I don’t like this argument because it essentially suggests that we should place a lid on the progression of HCPs thus trapping them in the shortage positions. Not too dissimilar an argument to the governments proposal to create an apprentice medical model ending brain drain

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

7 months

@jim_crawfurd @msteggy It might be a very long fight and the chances of a favourable outcome are quite low. So you might bare all the costs and never see any of the benefits. When was the last time the NHS was well funded?

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@mouseter_chef @socalmpaul @Dr_7668407 @veggieequallife @Dr_Done_ @DocEd If PAs turn out to be cock up or conspiracy we should then challenge it, but do so in a constructive manner. First, understand why these roles are being introduced. Second, assess if they are fit for purpose. Third, push for a clearly outlined policy change if they are not.

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

7 months

@iDrSunny Hm. I think there is a potential for AI-human collaboration to improve current triage of patients at the first point of contact be it AnE 111 999 or GP reception. The human counterparts here would be receptionists, nurses etc.

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

8 months

@Platform_crocss @Dr_Sarah_Bellum @Xeon4f145d96s1 @WoundedMedic @simontutt88 @cannula_service OK, I didn’t know that.

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Dr Karolis Rozanas MBBS, BSc

@Karolis_Rozanas

6 months

@Xeon4f145d96s1 Doesn’t make it any more reasonable, but they spend 80h ie 2/52 in every specialty mentioned

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