rodric jenkin @RodricJenkin Twitter profile

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rodric jenkin

@RodricJenkin

7 months

@drcolinm @gmc I recently underwent a 20 month GMC investigation into my practice having been referred by a family member. I had already been referred to the local SI panel, coroner and government ombudsman who closed immediately

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rodric jenkin

@RodricJenkin

7 months

I was told to not complain because the GMC was more likely to attack me vindictively than reflect. But precisely because of my background and support I feel determined to help influence change.

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rodric jenkin

@RodricJenkin

27 days

Please can medical schools not exclude fy1s from signing off basic procedures but allow nurses / Pas / other staff to who may be less experienced. It's divisive and infantilising. If you think they aren't doing it properly that's a massive probity issue. But presuming they won't?

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rodric jenkin

@RodricJenkin

7 months

Disgracefully your case examiners dismissed the case as a legitimate difference of opinion, an outrageous face-saving view rather than realise I had been put through an unnecessary but highly stressful investigation and apologised. Apologies are only for doctors, not the GMC..

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rodric jenkin

@RodricJenkin

7 months

Every email was confrontational and distressing, every deadline by the GMC was missed. The impact your appallingly organised and poor quality investigations have cannot be overstated.

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rodric jenkin

@RodricJenkin

7 months

My worry is that possibly the default quality of GMC investigations is very bad. What we hear may be the tip of the iceberg. Most who go through this make no fuss possibly because they are too exhausted or worried to. But this process takes doctors lives. We need reform.

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rodric jenkin

@RodricJenkin

7 months

As things stand given the quality I saw then if this represents the usual quality of work of our regulator then the GMC is not fit for purpose. It also has no accountability and no interest in reflecting and improving. Feel free to get in touch.

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rodric jenkin

@RodricJenkin

7 months

I have complained as the quality was astonishing. No apology, no engagement with the issues. As it stands the GMC doesn't appear to understand clinical reasoning, evidence based medicine or how to do a basic pubmed search.

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rodric jenkin

@RodricJenkin

1 year

Don't do medicine folks. It's a poor choice. Thanks for coming to my ted talk.

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rodric jenkin

@RodricJenkin

4 months

Update: Firstly noone, including @drcolinm at the GMC is interested in hearing my views. Presumably they feel they have nothing to learn about the investigation process. Secondly this whole thing has been incredibly enlightening, damning and utterly depressing.

rodric jenkin

@RodricJenkin

7 months

@drcolinm @gmc I recently underwent a 20 month GMC investigation into my practice having been referred by a family member. I had already been referred to the local SI panel, coroner and government ombudsman who closed immediately

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rodric jenkin

@RodricJenkin

7 months

I can only imagine how difficult this would have been if I wasn't a local grad who understands the system or if I had mental health issues. I also have a family of lawyers to support.

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rodric jenkin

@RodricJenkin

7 months

I have asked to chat to the medical case examiners and/or prof Melville and been refused. I have also written. I think my experience gives good insights on how I can help you improve. I'm approaching via twitter as a last resort.

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rodric jenkin

@RodricJenkin

6 months

NHS email won't let me into nhs email without using the NHS authentication app but I can't add my email to NHS authentication app without getting into my email. Its just so incredibly awesome

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rodric jenkin

@RodricJenkin

26 days

@CompareSoftware @wesstreeting @DHCCIO @digitalhealth2 He should go and you should encourage it! If you are less than 30 and dont have fixed dependents relying on you, you should emigrate without doubt.

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rodric jenkin

@RodricJenkin

7 months

This reviewer said my practice was far below expected. The review made basic errors of maths, showed a medical student level of clinical reasoning and advocated non evidence based dangerous actions at odds with the evidence and consensus

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rodric jenkin

@RodricJenkin

7 months

We (IE the MDU) got our own expert who highly criticised your opinion and said care was good. The MDU reply to you was absolutely damning.

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rodric jenkin

@RodricJenkin

7 months

The MDU (and everyone else involved in the case) realised care was good and thought this would be closed immediately

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rodric jenkin

@RodricJenkin

7 months

After our submission, your expert totally revised their view and said care was ok. However they didn't say they were wrong they said it was a difference of opinion.

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rodric jenkin

@RodricJenkin

6 months

The meded explosion and plethora of diplomas and degrees has done more harm than good for actual medical education.

Keith Siau

@drkeithsiau

6 months

Ok, what’s your unpopular opinion in medicine that will get you in this position?

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rodric jenkin

@RodricJenkin

7 months

You decided after delays at every point to get an expert review who you provided with insufficient and unclear guidance and now take no ownership or responsibility for

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rodric jenkin

@RodricJenkin

7 months

Even though there were obvious basic errors, one cursory (irrelevant) reference you translated this into a rule 7 allegation saying I should have taken actions that would have been unsafe with no clinical rationale.

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rodric jenkin

@RodricJenkin

3 months

Surely one of the biggest take from the PA scope discussions is that we need to kill rotational training dead as permanent staff will always get better training in many places.

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rodric jenkin

@RodricJenkin

1 year

@YvesBarmaz @toxvaerd1 I wonder how many years I would have to work at maths to understand this...

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rodric jenkin

@RodricJenkin

1 year

@Xeon4f145d96s1 @royalhospital When I moved to NZ for a year, me and my other half did different jobs. We met the HR lady on the first day. She offered us a toffee from a bit pot of sweets on her desk then told us that (Without asking) she had coordinated our rotas

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rodric jenkin

@RodricJenkin

7 months

I didn't expect this to get this much traction. Legitimately you can argue why make the fuss. Nothing came of it. I suffered less than 1% of the awfulness of the recent well publicised GMC cases they got wrong.

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rodric jenkin

@RodricJenkin

1 year

@DrSelvarajah @BBCNews It's 16 years since they could start work and they will have 100k debt.

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rodric jenkin

@RodricJenkin

11 days

Post fy2 unemployment a thing. This is going to worsen inequality in medicine. People from family money can tread water or even do a paid for masters to CV buff. Excellent recent fy2 asked me for reference for a dead end medical job. They would have made an excellent cons.

Ollie Burton

@ollieburtonmed

14 days

Is the onus on medical schools to stop recruiting? Trusts to stop recruiting other roles in substitute for doctors? Where do we go from here?

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rodric jenkin

@RodricJenkin

1 year

@NHS_HealthEdEng This is apparently not satire

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rodric jenkin

@RodricJenkin

1 year

@Xeon4f145d96s1 @royalhospital In different departments to have 2 weeks off together as we might like to have a nice holiday together. Without asking. I felt like I'd travelled to a different universe.

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rodric jenkin

@RodricJenkin

4 months

Please can people stop making these facile comparisons. These are the charges for a business not what the plumber / electrician/ mechanic gets paid How are people still doing this? It just makes us look ridiculous and the numbers whipps cross are paying speak for themselves

Dr Rachel Clarke

@doctor_oxford

4 months

Out of hours plumber £80-£200/hr Out of hours mechanic £80-£200/hr Out of hours electrician £80-£200/hr But Sunak thinks these junior doctors with £100k of debt deserve only £22/hr for extra locum shifts after working a 48 hour week paid at £13/hr. No wonder they're striking.

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rodric jenkin

@RodricJenkin

4 months

@zebrzyna @Xeon4f145d96s1 @Doctors_Vote @BMA_JuniorDocs It's worth pointing out, yet again, this is additional work in your holiday or days off, often at last minute having studied for 5 years with 100k debt doing a very stressful job. Because inevitably people will point out that they get paid less for their regular in hours job.

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rodric jenkin

@RodricJenkin

2 years

@bellkneesurgeon Consultant earning shedloads in private practice slags off junior doctors for wanting better t and cs which have been massively eroded since his day. Not a great look. Dont be this sort of consultant.

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rodric jenkin

@RodricJenkin

4 months

@dr_lungs One legendary northwick med reg, now resp consultant was once told doctors couldn't have tea off the trolley during med reg knights. He downed tools (and got team to down tools) until gold command was woken at 2am to approve. Tea for med regs was never limited again.

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rodric jenkin

@RodricJenkin

4 months

What next for me: I will continue until I am heard on their clinical and diagnostic reasoning issues and absence of support for experts I am now complaining via my MP I am lucky to be from a family of lawyers, privileged and unafraid of shining a light on the GMC.

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rodric jenkin

@RodricJenkin

10 days

@DrLKVaughan @DrLindaDykes I'm intrigued as to what we think we are achieving by outsourcing surgery? It's absurd. Surgery is totally over subscribed, a million doctors want to do it, consultants are limited by theatre space and don't get to do enough cases. What is this supposed to be a solution to?

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rodric jenkin

@RodricJenkin

4 months

Chatting to a colleague who's partner killed themself following a (nonsense) GMC investigation (the suicide was after the investigation so doesn't make it into the figures) one thing appears clear to me: The GMC needs external review and change imposed on it. Enough is enough.

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rodric jenkin

@RodricJenkin

27 days

To be clear this is not anti any professional group. We just need to move away from thinking F1s are kids.

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rodric jenkin

@RodricJenkin

4 months

@pulsetoday The GMC I would say has more important things to try and sort. Like being able to conduct semi competent investigations.

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rodric jenkin

@RodricJenkin

3 months

@gmcuk What a ridiculous organisation.

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rodric jenkin

@RodricJenkin

2 months

@Xeon4f145d96s1 It's so extraordinary that she thinks her future career plans are interesting to us. As if the London RCP dignitaries are so high profile that hearing about their ambitions is fascinating to us plebs in dghs. Lordy.

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rodric jenkin

@RodricJenkin

2 months

I'm just not sure twitter is the place to announce CT1 acceptances into particularly things like anaesthetics. The Msra-centric application is highly problematic and lots of f2s are in existential angst. Tell your friends of course but what purpose does this serve.

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rodric jenkin

@RodricJenkin

2 months

@gmcuk I'm just going to wildly guess that there are some bizarrely worded questions to the point of insane ambiguity and no opportunity for free text

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rodric jenkin

@RodricJenkin

7 months

@freddiesen @MerseyRJDC Doctors in training have had enough. And rightly so.

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rodric jenkin

@RodricJenkin

7 months

@CampaignNhs @drcolinm @GMC I don't want to reduce access for patients to complain. You're right the main issue here is the timeframes. The adversarial nature and quality of investigation also a big issue. Noone wants to limit patient's voices.

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rodric jenkin

@RodricJenkin

7 months

@drcolinm @GMC @gmcuk Thanks. I did try to feedback and contact a clinician but never got anywhere. I look forward to the response. It would be great if GMC getting feedback was routine for those going through this process. It could be a lot better in a lot of ways, many very simple.

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rodric jenkin

@RodricJenkin

7 months

@freddiesen @MerseyRJDC I think also there has been a culture nationally of treating rotational junior doctors badly. Calling it out like this is working. The culture needs to change. Quiet local mediation doesn't do that.

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rodric jenkin

@RodricJenkin

27 days

Attitudes to trainees needs a hard reset.

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rodric jenkin

@RodricJenkin

4 months

I have been contacted by a number of people who have been through terrible experiences with the GMC. The themes are consistent. The main issue is terrible timelines and uncertainty with months and years that your life is on hold.

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rodric jenkin

@RodricJenkin

20 days

@gmcuk Cool so Dr benn and laptop doctor are the big risks but vaccine disinformation spreading youtubers aren't. Interesting take.

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rodric jenkin

@RodricJenkin

1 year

@RhonddaBryant His wiki seems accurate

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rodric jenkin

@RodricJenkin

2 years

@Dr_BellaR It was easy to make decisions in the 1970s when the treatment for Stroke and MI was bed rest. Medicine is immeasurably more complex, being an F1 is far harder now than when I was.

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rodric jenkin

@RodricJenkin

25 days

@ben_hock This is such a ridiculous and reductive take. Noone is saying these tasks are beneath you but the ambition of medical school is insufficient and poor by international comparators. We ask for signing of urine dips and don't teach clinical reasoning properly or at all.

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rodric jenkin

@RodricJenkin

4 months

@JamesTitcombe I'm not sure reducing c section rates is a particularly helpful target at all

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rodric jenkin

@RodricJenkin

2 months

@DrAsifQasim @RCPhysicians Associate specialist takes the fall. The college are all love for SAS doctors until they need someone to publicly commit hara kiri for the cause.

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rodric jenkin

@RodricJenkin

4 months

Other themes include the GMC obsession with individual blame rather than (or infact expressly excluding) systemic factors which given current pressures is absurd. The GMCs approach to patients safety seems to be of a 1970s flavour judging my some people

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rodric jenkin

@RodricJenkin

3 months

I'm sure as per many consultants I'm trying to wrap my head around the competition ratios / msra scores / decreasing clinical fellows posts. Has anyone calculated and predicted next 5 year employment prospects. I need to understand this all better so I can discuss properly.

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rodric jenkin

@RodricJenkin

4 months

@AlisonGeorge10 @mouseter_chef @DrSteveTaylor @KamilaRCGP @rcgp @UniOfSurrey @DAUK_GP @BMA_GP @KeeleyMP Another professor of medical education helping out. Call me an old fashioned cynic but I liked the days when being a prof meant you had done some proper citable research. There are "professors" now without even a PhD. We have Americanized the term into irrelevance

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rodric jenkin

@RodricJenkin

21 days

@sheena_byrom Maybe theyve learned to read data?

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rodric jenkin

@RodricJenkin

10 months

@hayleymagill The pay of junior doctors is bad. Arguably the destruction of medical education by the portfolio education movement and obsession with signing off minutiae over promoting good teaching is as serious an issue

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rodric jenkin

@RodricJenkin

3 months

If you write "please admit only for reversible causes" you might as well write admit for everything and you can then stop pretending we have had a serious conversation about advanced care planning

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rodric jenkin

@RodricJenkin

4 months

Lots on an essential presumption of guilt with accusatory and totally unempathetic communications. Many share my anger that when a case is dismissed and there is no case to answer the GMC seems to throw in some final barbs about still thinking in what why you can improve!

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rodric jenkin

@RodricJenkin

7 months

@nicky_stapleton @drcolinm @GMC Thanks I'm absolutely fine now but it was a stress for sure

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rodric jenkin

@RodricJenkin

4 months

@parthaskar @deeleyc6 @JosephAlsousou @gmcuk @BritOrthopaedic @drcolinm @tcgannon If you are part of the GMC I would love to discuss my recent experience. Colin offered to and then hasn't. 20 month case. Thrown out because totally ridiculous but no appetite from the GMC to listen or learn at all.

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rodric jenkin

@RodricJenkin

3 months

@doctor_oxford @DrHuw The GMC is unfortunately entirely unfit for purpose. It is irredeemably poor and we need to remove it. Must be a key bma aim soon

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rodric jenkin

@RodricJenkin

4 months

As for why too few people speak up There is profound fear that the GMC is a vindictive organisation. This chimes with my MDU lawyer urging me not to complain as the GMC might make things worse for me. Also people are mentally destroyed by these processes and have nothing left.

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rodric jenkin

@RodricJenkin

12 days

One of my IMTs wants to do acute and ICU. They would be awesome. Can they do this via IMT and how does it work? I can't work this out from jrcptb

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rodric jenkin

@RodricJenkin

4 months

Unpopular opinions in general medicine: "Shifting stuff into the community and closing beds" was, is and always will be a nonsense. You find more illness and need. It makes no difference whatever crap, poorly powered, quasi scientific study someone presents at grand round

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rodric jenkin

@RodricJenkin

2 months

@csubbe @civilitysaves I can understand why we brought in PAs and there is a role for them. But the changing face of medical unemployment means I don't think there is in any way a workforce argument for massive expansion.

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rodric jenkin

@RodricJenkin

2 months

@ronansetron My recent Aston students. Would you like to go to a haem clinic or anything else you would like me to organise? Nope we have to get sc injection, ECG, multiple GMC mandated sign offs done and learning actual medicine has been relegated. (They were a great group too..)

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rodric jenkin

@RodricJenkin

3 months

@helen_barnowl Did they mention their massive pension, the next to no drugs they had, the lack of accountability, the houses they bought as an SHO. Etc etc Probably not.

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rodric jenkin

@RodricJenkin

13 days

@thomaswoodcock @ExplosiveEnema2 @AldiUK It's time to just log off from Twitter, Tom. Perhaps we all become an offended from tonbridge wells caricature when we retire. But better to do it in private.

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rodric jenkin

@RodricJenkin

1 year

@theveindoc @DrGoblin3 Interesting take. You do know how much better off your generation is than the ones coming now?

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rodric jenkin

@RodricJenkin

1 year

@KateAndrs Kate the facts are that the pay has gone down by 16% CPI when other professions haven't, debt is enormous and they could be paid better elsewhere. The antagonism towards doctors in this country is nothing like anywhere else. If I was 25 I'd leave for good immediately.

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rodric jenkin

@RodricJenkin

8 months

@veggieequallife @danny_mercer I think PAs have a role and there are some excellent ones supporting services. On the flip side this department needs to lose all its medica trainees immediately.

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rodric jenkin

@RodricJenkin

2 months

@AliJaneMoore Consultant should have worked the shift, sorry. I had to do this recently. If you can't do this you probably shouldn't be on the OOH rota. If you are a DGH consultant at some point you have to come in and do this, it is impossible to mitigate this entirely.

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rodric jenkin

@RodricJenkin

1 month

@NHSPracHealth Is this the same as PHP. If so this is a disaster. That service was a life saver to my family

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rodric jenkin

@RodricJenkin

1 year

@zackferguson So much in meded has been a disaster. The foundation portfolios and the forms with their HLOs and summary narratives are almost written as a parody of someone trying to take the piss out of themselves for being an out of touch ivory tower educationalist.

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rodric jenkin

@RodricJenkin

1 year

@Xeon4f145d96s1 Part of the problem is rotational appointments. ACPs stay longer, understand the system so it is easy (not a good thing) to see how trainees get overlooked. We need doctors staying in the same place far longer. Better for life and training.

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rodric jenkin

@RodricJenkin

1 year

@tompccs @YvesBarmaz @toxvaerd1 Or probably never.

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rodric jenkin

@RodricJenkin

9 months

@alastairmiller3 Rather than making grand statements it's worth looking at the damage done by jrcptb to training over the years and work on reversing this. Medical training has become an infantising portfolio obsessed progession of drudgery. The joys been sucked out. And jrcptb have contributed.

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rodric jenkin

@RodricJenkin

7 months

@UKGastroDr @ThePalpitations The key solution is to absolutely and utterly kill off rotational training. You can't make everyone value people they work with for 4 months. Rotational training has failed

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rodric jenkin

@RodricJenkin

11 months

@mrjamesob I don't think the school is bad but a small proportion of people sent there are always going to turn out like Boris. Off the top of my head Rory stewart, Matt pinsent, bear Grylls, Hugh Laurie also went there...

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rodric jenkin

@RodricJenkin

1 year

@DrJPGannon @timricketts_ Drgammon I'm not sure you have much idea of the current pressures. Probably consider piping down over patronising nonsense.

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rodric jenkin

@RodricJenkin

1 year

Delighted to see a lady who I diagnosed with wegeners 3 years ago with a fairly atypical presentation. She didn't remember me, she did however remember the genius rheumatologist who apparently diagnosed her. I am so vexed.

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rodric jenkin

@RodricJenkin

2 months

The PA project has been incredibly badly put together. The absence of regulatory body, absence of centrally determined scope has been a disaster. The rapid push to increase numbers without a clear definition of what they can do has been poor.

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rodric jenkin

@RodricJenkin

4 months

@davehartin If this is Dr x, consultant in frailty it's not about not valuing a PhD it's about the context of where this was displayed and ensuring transparent communication with patients.

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rodric jenkin

@RodricJenkin

1 year

@tompccs @YvesBarmaz @toxvaerd1 I'm thinking 10

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rodric jenkin

@RodricJenkin

1 year

@theveindoc @DrGoblin3 It wasn't even close to the same intensity. You prescribed bed rest for MIs and strokes, there were about 5 drugs. The near retirement doctors warped view whilst getting a massive pension in their massive house is one of the odder things...

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rodric jenkin

@RodricJenkin

2 months

PRCP needs to go

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rodric jenkin

@RodricJenkin

2 months

@EileenBurns13 And I understand why PAs were created but going forward with a massive oversupply of doctors and insane ratios for training the question is do you want to massively expand the PA role (and likely contribute to medical unemployment) or pause expansion? Pausing is best for PAs too

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rodric jenkin

@RodricJenkin

1 year

@akheriaty The grifters continue to jump on the unscientific antivax bandwagon

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rodric jenkin

@RodricJenkin

1 year

@VitallyMelanie People who think everyone should look after granny until death have never looked after people with advanced dementia and behavioural difficulties. Those that have and manage to keep family at home are heroic but usually non judgemental of those that can't

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rodric jenkin

@RodricJenkin

3 months

@xxsnzz @yeswecannula That's simply not the reality of the NHS.

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rodric jenkin

@RodricJenkin

3 months

@dr_shibley This is an incredibly poor take.

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rodric jenkin

@RodricJenkin

5 months

@HealthRegLawyer @drcolinm I still havent heard from @colinm the interactions I have had with the GMC have been patronizing, dismissive with no interest in learning and not even an understanding the issues. They are an incredibly arrogant and utterly failing organization.

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rodric jenkin

@RodricJenkin

1 year

@bbchealth A disgraceful hit piece

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rodric jenkin

@RodricJenkin

11 days

We need to increase training posts, likely reduce med school output, insist on realistic info given to all IMGs so they are not (more) exploited. But we need to be collecting data on outcomes by demographic etc. We could really alienate this generation. I thought mtas was bad!.

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rodric jenkin

@RodricJenkin

4 months

This is ridiculous. Do you not think by this point they have gone over this case to death? Do you really in your final exchange want to prioritise the miniscule chance there is something left to learn rather communicate kindly and reduce the misery and mental health impact?

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rodric jenkin

@RodricJenkin

10 months

@charliebelllive @Ramku14 @cannula_service @Xeon4f145d96s1 @oliverdevine @theCFOM Medicine is exceptionally complex and doing it badly is the easy. Clinical reasoning is hard. It can't be dumbed down. If anything as medicine becomes more complex standards need to continue to rise.

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rodric jenkin

@RodricJenkin

14 days

@Xeon4f145d96s1 These awards are awful. Apart from maybe students voting for people who do good teaching anonymously. But this ED award thing looks like a terrible popularity contest.

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