Flex @NotAdoctor0000 Twitter profile

Last Seen Profiles

@stw_pdg

@OlgunAysee

@AlziadiQ8

@The_Avenues

@TroyFinner

@giuliocicco1

@Drezella_966192

@sarathrebel

@joshg99

@DGAcatawei

@DirectX12

@lady_pistons

@taegisam

@neil_chilson

@YdoUH8M3

@reeltokpodcast

@stunnaadgaf

@martina_prados

@JAvizov

@rick_coli

@manifestnow1111

@thenewnine

@CadetsIDF

@ece_sig

@jureuminis

@coco_mirumiru

@fabiofaith

@natureloverjuan

@coeurmine

@SimpeleStad

@TaroTweetersGem

@Socios_Gaming

@serge_nkonde

@bigempressnergy

@saikoujime35638

@ucucbocu

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@NotAdoctor0000

7 months

Anaesthetists, missed out on a highly competitive ST4 post? Worry not because you can work as a clinical fellow where you earn less than a STUDENT anaesthesia associate

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@NotAdoctor0000

4 months

This individual introduces themselves as Dr to patients. Misleading?

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@NotAdoctor0000

4 months

@DrPJJB @DrJCraneBatman So what about the 100k worth of student debt? Why do we need to pay anything back to the public when that exists

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@NotAdoctor0000

2 years

When the entitled British public break well-meaning HCPs

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@NotAdoctor0000

6 months

Everything wrong with medicine summarised by a PA.

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@NotAdoctor0000

6 months

Absurd policy at @LeedsHospitals microbiology department. Won't speak to any doctor below ST1 but happy to speak to a PA or an ACP. Assisting with the degradation of your own profession, good job.

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@NotAdoctor0000

1 month

@gmcuk @Niamh_F_Kielb Any chance of you looking into illegal prescribing by PAs?

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@NotAdoctor0000

2 months

The Royal College of Nursing CEO is a nurse. The Royal Pharmaceutical Society CEO is a pharmacist. College of Radiographers CEO is a radiographer. Yet the RCP CEO is a nurse? Perhaps doctors should retain control of their institutions to ensure they advocate for us.

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@NotAdoctor0000

2 years

Doctors in the UK do not need to be humbled. Compare the state of your profession to traditional comparators. Would they be expected to sit on bins, fight for annual leave, pay for parking, rotate across the country, expect to work more for 30% less pay?

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@NotAdoctor0000

6 months

Read in disbelief, stolen from Medreddit.

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@NotAdoctor0000

8 months

Please can you explain the rationale behind a 20% discount for PA/ACPs on your courses? These groups earn more than many doctors in training. @acutemedicine @acutemed2

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@NotAdoctor0000

2 years

@RCollEM @EMTAcommittee @EMSAS_RCEM @RCEMACPForum @RCEMpresident @RCEMdean @RCEMPolicyVP @RCEMmembersVP @dsdarbyshire @RCEMACPChair @RCEM_VP @6bd20de2260e4ea I'd love the oppurtunity to train in one hospital and become a tier 3/4 clinician. No rotations, no exams, nice rota, no portfolio nonsense, no medical degree. EM doctors have been taken for fools.

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@NotAdoctor0000

2 months

A PA calling a qualified doctor 'our junior'. F**k that, the NHS truly is clown world.

platinumpizza™

@Xeon4f145d96s1

2 months

I saw this snippet from the caption of a PA’s post initially shared by @Cleverclog67596 which is genuine (verified). Everybody knows rotational training exacts an extremely heavy price but no one who isn’t a medical student/ doctor knows the ways in which it does.

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@NotAdoctor0000

2 years

So CST doctors in London are being threatened to carry out 90hrs of mandatory unpaid anatomy demonstration.. It's time we stand up and expose these exploitative trusts.

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@NotAdoctor0000

1 month

Oh dear @thercn

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@NotAdoctor0000

5 months

Apology not accepted, here is the complete locum rate card

Buckinghamshire Healthcare NHS Trust

@BucksHealthcare

5 months

@Xeon4f145d96s1 Apologies, the rates on the system are not correct for these shifts. The correct rates are below:

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@NotAdoctor0000

5 months

So this individual is a PA who hadn't heard of the role three years ago but is now seeing acutely unwell undifferentiated patients in resus? How on earth is this safe?

Dr Done

@Dr_Done_

5 months

🚨Stop & watch the future of the NHS‼️ My blood is boiling: ‘I’d not heard of physician associates until about 3 years ago’ (now in Resus alone) ‘We work exactly like doctors do just different training’ & ‘The medic is confident she’s addressed the most urgent of issues’ ☠️

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@NotAdoctor0000

1 year

Why does it take 5 years for a doctor to earn what a community pharmacist (£50k) does as soon as they graduate? It makes little sense to study medicine in the UK when other roles in healthcare can earn as much with less time/financial investment + lower barrier to entry.

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@NotAdoctor0000

7 months

So this PA has a registrar job plan without GIM commitments. If he studied grad med he would still be an IMT1. Paid better, nicer work, no OOH commitment, faster progression. @RCPhysicians @DrSarahClarke look at what you've done, proud?

Anonymous Anaesthetist

@gaslad

7 months

‼️ Look at this... this is the future of NHS 'expert' gastroenterology care. Seen by a non-doctor, diagnosed by a non-doctor and scoped by a non-doctor ‼️

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@NotAdoctor0000

11 months

Senior PAs and junior doctors. The nomenclature is chosen for a reason, to diminish our roles and positions whilst others get roles titled senior, advanced etc etc. Time for a reset.

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@NotAdoctor0000

25 days

ACP expansion (working at ST3+?) planned at @MTWnhs to replace JCFs/IMGs/locums. What do you want F2 doctors to do when they don't get a training post? The gall of this cons ACP R Colleges gave noctors legitimacy and now theyre taking the p**s. There is no equivalency to doctors

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@NotAdoctor0000

2 months

We absolutely reserve the right to point out that non-doctors should not be replacing doctors on rotas. If that offends you that's not our issue.

neep filament-kelp (she/her)

@Niamh_F_Kielb

2 months

It was only a matter of time before they came for us. *sigh*

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@NotAdoctor0000

6 months

Can we do an MSc as doctors and bypass our training pathway to work at reg level? Would be much more time efficient.

SImon Butler

@SImonBu14712300

8 months

@doctorsp194 @r1chardf1tzg3r1 @SteveBarclay @AACE_org @ParamedicsUK @wesstreeting @TheBMA @rcgp @TheBHF @TheStrokeAssoc @RCollEM Advanced practice training (MSc) leaves a competent paramedic or nurse working at registrar level. Arguable then, that being assessed and treated by them is better than the average FY1 doctor. Doctors should see complex cases and ACPs less so.

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@NotAdoctor0000

1 year

No thanks to the junior doctors.. Overlooked once again by the consultant body. Disgraceful.

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@NotAdoctor0000

2 years

@Xe4f145d16s2 She could donate her disposable income to charity without taking food of the plate of her colleagues.

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@NotAdoctor0000

6 months

So nurses will only assist if you're nice to them? What happened to being a professional and putting the patient first?

Catherine

@Delilah15707758

6 months

@amxxny97 @Keynotecid On the whole, if you are kind to your colleagues, they will help you. I help people all the time, but if you go around slagging off your colleagues on the internet, then I sure as hell wouldn’t be helping you out. Maybe that’s the issue. Perhaps they don’t like how you behave.

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@NotAdoctor0000

12 days

Wage compression hurts a profession. FY1 hourly pay continues to trend toward equivalency with minimum wage. @wesstreeting fix this if you wish to restore the NHS to working order.

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@NotAdoctor0000

25 days

2nd year med students in the US learn ultrasound, we ask 5th years to sign off tasks you can learn in 5 mins. Levels.

t 🇵🇸

@mlkytee

25 days

Please can medical schools also stop requiring senior medical students to get stupid things signed off such as hand washing, checking BMI, taking a swab, ECG, this is not something medical students in their final years should be spending their time on placement being observed on

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@NotAdoctor0000

1 month

Prefers PA over medicine because PAs are generalists. I must be imagining all the doctors that are generalists including foundation doctors..

Secret Physician

@SecretPhysician

1 month

Framing "work-life balance" and "being a generalist" as main reasons to choose PA over MBBS in interviews as a golds standard answer hints at deeper system issues. They also know doctors can work in any speciality and what a GP is, right?

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@NotAdoctor0000

1 year

'Junior doctors are being greedy, everyone else is worse off as well' Is that really true though?

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@NotAdoctor0000

1 year

@TheBMA @drstuartwalker how disappointing that you were trying to take advantage of juniors

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@NotAdoctor0000

5 months

The issue is these foolish consultants that teach PA courses, I can think of a few on twitter.. It's no surprise many PAs think they're basically doctors.

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@NotAdoctor0000

2 years

For the doctors that have had enough of the NHS and its nonsense, there are other employers out there in different sectors who value your knowledge and skill!

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@NotAdoctor0000

4 months

@EstherClift @IOWNHS @melisapasi Are you a medical Dr? If not, this is highly misleading. You should clarify your role.

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@NotAdoctor0000

10 months

@jessdoe2000 Doctors are the most highly skilled profession within the hospital with the highest level of debt and responsibility, starting from year 1. Our pay should reflect that. Our comparator professions (not nurses or phyios, but law and actuaries) outearn us massively

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@NotAdoctor0000

19 days

@PlaceholdTrent At the same time we have PA/ACP deployment increasing, working in pseudo-doctor roles whilst actual doctors are sidelined.

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@NotAdoctor0000

1 year

@BHNFTPharmacy @barnshospital Great, please don't ask me to do a TTO again.

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@NotAdoctor0000

1 year

@Doctors_Vote Name and shame please. Give trainees a choice on whether they want to work in such an environment.

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@NotAdoctor0000

10 months

The NHS workforce plan advocates for a disproportionate increase in MAPs, ACPs (450%) in comparison to medical consultant roles. A larger proportion of Doctors will be stuck at SHO level competing with the above, with more of us unable to realise maximum earning potential.

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@NotAdoctor0000

3 months

As competition ratios for training continue to worsen, more doctors remain at SHO level for longer sacrificing more time to improve portfolio and prepare for exams whilst earning less than PAs who can walk into a job in any department. Great work by medical leaders..Strike hard

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@NotAdoctor0000

5 months

@ClareGerada When you set a precedent that noctors can do the job of a GP what do you expect? Have some self-respect, that might help.

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@NotAdoctor0000

6 months

@LawrenceDunhill @gmcuk How about having concern for the profession that actually pay your fees

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@NotAdoctor0000

5 months

The greater question is what is the actual point of attending medical school?

Eilidh 🦀

@DrEilidhMaria

5 months

A genuine question. If the PAs can go to the ACCS training, and be taught the same skills on the ward, and do the same service provision, and they can extend their scope of training to ST6 level… What is actually the point of the training programme?

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@NotAdoctor0000

7 months

Many consultants are reluctant to teach a new set of junior doctors every 4-6 months. What did colleges decide to do to remedy that? Promote an underskilled group of HCPs who stay in one dept instead of the sensible option which is to overhaul training structure..

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@NotAdoctor0000

10 months

How can it be safe to let a professional with 2 years of training manage patients in general practice? A doctor would require at least 7 years of training before working as a GP trainee

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@NotAdoctor0000

27 days

Hi @LNWH_NHS junior doctors are reporting a bullying culture present in your acute medicine department with certain consultants perpetuating it. Perhaps it's time to investigate? Here's some reading for you

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@NotAdoctor0000

2 years

Official channels putting out the message that 'PA's will be fully interchangeable with SHOs'. This puts to rest any claims about PA being a completely 'different role' to doctor which has been parroted in the past few days.

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@NotAdoctor0000

7 months

@ESHTNHS Please do explain what a generalist specialist is? Would you ever describe an SHO Dr with those terms? I suspect you would call them "junior" doctors.

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@NotAdoctor0000

9 months

Trusts have been recruiting doctors from abroad aggressively for the past few years, along with a massive increase in medical students. The days of long-term locums are over, expect massive competition at SHO level. get into a training post as soon as possible.

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@NotAdoctor0000

1 month

@DrRaniKhatib @WYpartnership @NHS_RobW @DrJamesThomas1 It's your job to prescribe what you feel is necessary for the patient. The GP isn't your house officer.

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@NotAdoctor0000

1 year

@Xeon4f145d96s1 @BMA_JuniorDocs Disgraceful. Not only deceiving by saying they attended medical school, but also plans to work as a reg essentially after a few years and being endorsed by the @RCSnews . What is the point of a medical degree?

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@NotAdoctor0000

2 years

@NHS_HealthEdEng So if this course provides an equivalent qualification to a medical degree why go the traditional route and land yourself in 100k+ debt?

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@NotAdoctor0000

7 months

@AliJaneMoore An apprentice PA earns as much as an FY1 Dr and a fully qualified band 5 nurse!

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@NotAdoctor0000

6 months

@ExplosiveEnema An SHO that can't prescribe, great

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@NotAdoctor0000

30 days

@DrNeilStone Dear Dr Stone, You've stated the obvious when no one asked. Thanks.

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@NotAdoctor0000

2 years

Medical training currently feels like a dead end. What's the incentive for all the hoop-jumping, stress and personal sacrifice? Average pay for a professional until your mid-late 30s, a role which is constantly being eroded under an exploitative employer?

Roshana 🦴

@RoshanaMN

2 years

It often feels right and good to decry some angry anon Medic accounts But part of me feels that they’re thoughts are a symptom of a much larger problem and one we should probably have more detailed discourse about and get to the bottom of

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@NotAdoctor0000

2 months

Ah so paramedics, advanced practioners, PAs, pharmacists all can see undifferentiated patients in general practice but a doctor with a GIM background can't?

Neena Jha

@DrNeenaJha

2 months

So NHSEngland have stated: Doctors with medical degrees who are NOT GPs cannot see undifferentiated patients as they must act within their scope But PAs with a 2 year course & NO medical degree can?! Obv this makes no sense whatsoever, so what exactly is the agenda here?

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@NotAdoctor0000

2 years

@Ret_DrAliSmith So the doctor on the understaffed ward has to double their workload by prescribing and ordering imaging for PA, whilst being paid less than the PA. Make it make sense.

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@NotAdoctor0000

1 month

Or they could hire an actual doctor to be a dermatology registrar?

The Med Reg

@MedRegoncall1

1 month

📛 Norfolk Hospital has come up with new “innovative” role: ⛔️ Skin Cancer and Dermatology Registrar Nurse Specialist. ⛔️Isn’t Registrar a protected title ? ⛔️ Does she have MRCP ? ⛔️ Tell me I made it up ??

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@NotAdoctor0000

4 months

@EmergMedDr PA equivalent to a FY2 and CT in what world

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@NotAdoctor0000

5 months

Because these partners are subsidised through ARRS to employ PAs which means greater profit for GP partners. That is why the positivity exists. Don't fool yourself.

Chanceeth

@c_chief24

5 months

Some #PhysicianAssociate positivity & support this morning. What a great way to start the day. Thank you to all those involved. Some kind words from our Doctor colleagues. 👏🏽 Thank you @NCLTrainingHub @NHS_NCLICB @FPARCP @RCPhysicians @gmcuk @pulsetoday @NHSE_WTE @NHSEngland

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@NotAdoctor0000

4 months

@angelazhay @DrPJJB @DrJCraneBatman My point was it's not free for us to train and we don't owe the public anything, it's not an apprenticeship clearly

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@NotAdoctor0000

11 months

I'll tell you why Rory, it's because you aren't trying to play pretend nurse, pretend physio or pretend SLT with half the skill and qualifications. It seems like you all want to be doctors though.

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@NotAdoctor0000

7 months

@SteveBarclay Perhaps you'll understand why doctors will not fold.

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@NotAdoctor0000

7 months

How are most PAs seen as senior to foundation doctors and on par with IMTs? What is going on?

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@NotAdoctor0000

2 months

Hey medical leaders, have a look at the doctors subreddit and look at the anguish you've created with doctors unsure if they're going to have a job from August, well done @rcgp @RCPhysicians

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@NotAdoctor0000

11 months

All of the MAP/scope creep concerns could easily be solved if doctors came together and decided not to provide training. We essentially have a monopoly on certain skills and knowledge.

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@NotAdoctor0000

5 months

@NHSEngland First name only, no title. Show some respect to doctors

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@NotAdoctor0000

2 years

Should @NHSHarlow have their FY doctors removed from them? A hospital to avoid for new doctors. When will this change? @Lancemccarthy

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@NotAdoctor0000

2 years

@ivabrodine Is this how you treat your hardworking doctors who have enough on their plate already? Shameful behavior. Whoever wrote this email needs to be reprimanded. It also clearly violates employment law. @uclh @BMA_JuniorDocs @TheDA_UK

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@NotAdoctor0000

1 year

Hey juniors, you're putting patient safety at risk by striking according to a clinical lead. Great support.. These are the type of people that have led to the state of the profession today

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@NotAdoctor0000

2 years

Note the tone of the email also, naughty kids being reminded not to misbehave.

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@NotAdoctor0000

2 years

@NotoriousB_E_G Shadow a junior doctor on call should be mandatory for other HCPs.

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@NotAdoctor0000

2 months

Here's your saviour, PAs. A Conservative NHS doctor. A great addition to the list of pro-PA champions joining the likes of corrupt Lord Bethell.

Ben Mearns

@BenMearns

2 months

I am looking forward to sharing all of the amazing positive stories I have about our PAs here at @sashnhs at the @RCPhysicians EGM this week. I know many of you are feeling low, but please remember how awesome you are and such a valued part of our #oneteam . #Medicineisbrilliant

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@NotAdoctor0000

4 months

These professions are overjoyed, they can progress their career+earnings at the expense of doctors by working as pseudo-doctors. SHO unable to get a training post? How elitist of you to expect to progress in a role you're trained to do. Foolish seniors have facilitated this

platinumpizza™

@Xeon4f145d96s1

4 months

@omerdays because nobody is infringing on the non-doctor’s base profession, and the up-skill only helps further their own careers. the reason people are upset out is because everybody fancies having a go and nobody wants to go to medical school, undermining them and the process.

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@NotAdoctor0000

9 months

What are we going to do about this? It must be so demoralising for doctors to see colleges promote such roles for PA's. Countless numbers of Dr's would love to work in their ideal specialty but can't due to absurd competition ratios, hoop-jumping.

Royal College of Ophthalmologists

@RCOphth

9 months

In November, we are launching a one-year pilot of physician associates within ophthalmology, to explore expanding the healthcare workforce while increasing non-medical eyecare professionals within hospital service. Read more 🔗

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@NotAdoctor0000

5 months

@lymi66 @ExplosiveEnema Fleece the practice? That is the appropriate rate for a highly trained expert doing locum work. The fact is funding for GP hasn't kept up with costs so they have to cut corners.

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@NotAdoctor0000

2 years

@ncurzen @BMA_JuniorDocs Don't worry, studies have shown IA has no effect on mortality. We will strike as the government has left us with no option, my colleagues and I are not worth 30% less than a doctor in 2008.

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@NotAdoctor0000

5 months

@LouiseAllard18 Let hear your opinion on this graph Louise

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@NotAdoctor0000

7 months

There's no need to undermine nursing associates who are a vital member of the MDT and bring a unique perspective. Enough work to go around for everyone, the elitism amongst the nursing profession stinks #OneTeam #Skillmix

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@NotAdoctor0000

11 months

@em_j_b And their presence worsens trainee experience

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@NotAdoctor0000

1 year

Why do doctors have to wait till registrar years (5 years post grad, post exams + portfolio) for the job to improve where as our closest HCP comparison are able to choose their job role with a range of diverse opportunities?

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@NotAdoctor0000

3 months

@JimBethell @HelenRSalisbury Why have you listed government stooges that want to devalue and water down the medical profession compromising patient safety?

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@NotAdoctor0000

1 month

"Your own training system"?? As if trainees decided they have to slog it out on GIM and go through a brutal training process! Advocate for change instead of clowning trainees for inadequacies of the training programme These doctors need removing from any position of authority

Keith Siau

@drkeithsiau

1 month

@timricketts_ @ExplosiveEnema2 @RCHTWeCare @FPARCP @BritSocGastro @UKGastroDr @parthaskar @DrAsifQasim @DrLKVaughan @DrSteveTaylor @AlisonGeorge10 @Dr_Done_ @Doctors_Vote He does one list a week. And even then, he’s happy to take a trainee if they want to be involved. In this instance, this person shouldn’t be the scapegoat for the disappointments with your own training system!

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@NotAdoctor0000

5 months

Anthony from Harpenden feels he is entitled to your labour. Make him re-think his position. Strike hard. @thetimes

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@NotAdoctor0000

5 months

@ClaaareKirwan Nameless rotational doctors, good job #MedEd folk.

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@NotAdoctor0000

2 years

What's the end game here? Have thousands of doctors stuck at SHO level providing cheap labour and 100% service provision? How have we let it reach this stage. A failure of our profession.

Dominic

@D_Rodders

2 years

These competition ratios are wild. There's not a shortage of doctors, there's a shortage of training spaces.

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@NotAdoctor0000

2 years

@rosieICM What professional prestige? Doctors sitting on bins, actively being denied training on 'training programmes', used as provision fodder, pay erosion. Any prestige we had is almost gone. Medicine is a fool's profession, I actively discourage others unless they want to leave the UK.

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@NotAdoctor0000

6 months

@CasualtySurgeon Do we assess med students advising ST1 doctors?

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@NotAdoctor0000

2 years

@samjuniper @timricketts_ You need enough staff for that

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@NotAdoctor0000

7 months

Disgraceful @mterblanche2 Departments like yours are no longer going to be accepted by doctors in training. @BMA_JuniorDocs

Dr Done

@Dr_Done_

7 months

I have opened the floodgates of @GSTTnhs and it’s a disgrace - they should lose their trainees. @RCoANews @CQCProf @icabbs

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@NotAdoctor0000

2 years

@Lamboozler Martyrdom medics always compare to entry level jobs as it makes them feel better. You're in for a world of surprise when you compare to other professional jobs.

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@NotAdoctor0000

10 months

Tip for FY1 doctors - Karen on a power trip cannot stop you from using a staff room, ignore them and escalate.

G.J.J

@JodlowskiG

10 months

@veggieequallife Same in my Trust

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@NotAdoctor0000

1 year

@tomhcalver @thetimes Here's the pay of first year graduates working for top 100 employers, we need to stop comparing to the earnings of other degrees which allow people to study them with a low barrier to entry unlike medicine