𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮 @UKGastroDr Twitter profile

Pinned Tweet

𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

3 years

I ❤️ being a Gastroenterologist. I tweet #GastroTwearls - short tweeted pearls or tweetorials on Gastroenterology topics for GPs and non-Gastroenterology colleagues. I hope you like them 😊

#GastroTwearls

Gastroenterology pearls of wisdom tweeted by for the benefit of colleagues, trainees, and patients.

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

2 years

On Friday 15th May 2020 at 1 pm we held a minute’s silence on our ward (and throughout our hospital) in memory of those who died from Covid - little did we know that the PM & friends were enjoying a garden party that same afternoon.

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

4 years

My son Luca and my daughter Bella have received this letter from our CEO @simonweldonkgh . This is a real class act. I am proud to work for @KettGeneral . Thank you Simon! #Heroes #COVID19

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

3 years

Another @DGlaucomflecken video 😂 #MedTwitter

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

2 years

I’m just a Gastroenterologist Stood before my colleagues… Asking them to co-prescribe laxatives when prescibing codeine / co-codamol

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

3 years

Three patients during their phone consultations asked how I was and thanked all NHS for their work during the pandemic 🥰

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

2 months

Throwback to March & April 2020 in the first lockdown due to Covid-19 surges. A really challenging & frightening time. My wife & I completed our wills in April 2020. My #Breathtaking moments

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

3 years

He finally did it - and it is brilliant! @DGlaucomflecken #Gastroenterology #GI #MedTwitter

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

2 years

If your colleague is great with patients - tell them If your trainee is organised & diligent - tell them If your Consultant is calming & kind - tell them If your nurse in charge is bright & hard working - tell them Normalise giving compliments when deserved - it means a lot

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

4 months

I was complaining on the ward today about how tough the last few days have been. The sister handed me this….

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

2 years

As a young child growing up in Middlesbrough, I was bullied by racists. Venomously calling me “Paki”, Sometimes this led to physical assault. I remember a particular hurtful song “Let’s all spit on Verma, it might just change his colour”. Racist terms are 𝘯𝘦𝘷𝘦𝘳 “banter”.

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

9 months

If Lucy Letsby was non-white & Dr Jayaram was white… I wonder if more babies would be alive today. It may feel crass to highlight race in this case. However there is data that shows the discrepancies between race & process of complaints

Paul Brand

@PaulBrandITV

9 months

EXCLUSIVE: The doctor who helped catch Britain’s worst baby killer. Dr Ravi Jayaram spent two years pleading with hospital managers to investigate Lucy Letby. Instead, they made him apologise and attend mediation with her.

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

3 years

Just found out Sarah Everard was abducted on the same route my sister goes for her regular run. She feels scared; “too close to home”. We must accept that: • It’s not all men but it is always men. • Men also get killed - by other men. #SheWasJustWalkingHome #ZeroTolerance

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

4 months

@LouiseAllard18 Hi Louise. We should make life better for future generations. However the boomer generation reversed this. Our junior Doctors are the future of our health service, they will look after you & I as we got old & inevitably unwell. They are treated appallingly. I as a consultant (as

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

3 years

Maybe a way to explain this is COVID is like kids with glitter. Doesn’t always bother kids too much but as soon as they go home, it ends up on the hands & face of every family member.

Kirstie Allsopp

@KirstieMAllsopp

3 years

Covid is a horrible disease but it is very, very, very rare for it to impact children. They are still at far more danger from journeys in cars, or swimming, or trampolining than Covid. Please do not let anyone persuade you otherwise.

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

1 year

Very grateful to my secretary Sharon. She has been calling my patients to give them scan results today with the aim of giving peace of mind before Christmas instead of waiting for a letter into the New Year. @KettGeneral

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

5 months

It has become clear that employing PAs is fraught with challenge to define scope, prevent scope creep, and protect trainees. I and colleagues locally, as well as other colleagues elsewhere in the country have decided not to recruit PAs to our teams for the foreseeable future.

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

1 month

Step 1 - PA expansion, with salaries at SHO level Step 2 - A single body regulating Drs & PAs in parallel Step 3 - GMC lowering standards - fewer exams, less knowledge It is all to blur the lines between Drs & PAs to make it acceptable for patients. It was always the plan 😱

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

2 months

My personal view? I don’t like the term Physician Associate. “Physician” could confuse patients & does not make sense if working in a surgical or primary care setting. I suggest Physician is replaced with clinical. I have made this point at many meetings incl. one with NHSE.

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

4 years

A beautiful story in 4 parts...😂

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

3 years

Clinical condition - 𝘀𝘁𝗮𝗯𝗹𝗲

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

3 years

A plea to hospital colleagues - if you make a patient NBM, please have a plan to review this. Leaving a patient NBM over a weekend is cruel and should only be done if absolutely necessary. Imagine not having a drop to drink for 60-70 hours in hospital 😥

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

8 months

Wow @RoshanaMN !!

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

4 months

I used to do 100 hours when on for a week of night shifts on call as a house officer - it was awful. Detrimental for my mental & physical health, and unsafe. I am glad rotas like that are no longer. Also pleased to get rid of faxes, paper requests for CT scans, and having to

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

3 months

To be a medical Doctor - you need to do a medical degree at medical school. Here ends my TEDx Talk…

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

2 months

We were told to discharge patients back to care homes… we were told care homes had sufficient resource to manage…. #Breathtaking

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

2 months

A slap in the face Ignoring the struggle to get into medical school, A-levels, med school exams, finals, huge debt. And now we are grouped together. No consideration for the on-calls, nights, post grad exams? “Medical Professional” like PAs & AAs. An insult to Doctors

GMC

@gmcuk

2 months

🧵The updated #GoodMedicalPractice2024 uses the term ‘medical professionals’ as a collective term for doctors, physician associates (PAs) and anaesthesia associates (AAs), rather than listing out each individual role for every reference. We haven't removed doctors from the

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

2 years

The BNF still states the dose of iron incorrectly despite the evidence. The correct dose: NO MORE THAN ONE TABLET DAILY. Higher doses aren’t absorbed. This is negligent from @NICEComms . Patients prescribed higher doses get GI side effects causing significant morbidity.

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

3 years

I found this sign on a door in my house. How’s your day going?

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

23 days

I always suspected this was the case somewhere in the UK… A Physician Associate doing GI bleed endoscopy‼️ As a Consultant, GI bleed endoscopy can be the most challenging work we do I can categorically say this is unsafe & unacceptable from a patient safety PoV. #Frightening

ExplosiveEnema

@ExplosiveEnema2

23 days

FOI from @RCHTWeCare States that all 9 of their PAs are prescribers. Seems very unlikely, and would be against @FPARCP guidance 🤔 One of their PAs in Gastro is even endoscopy trained, doing a GI bleed list every week... Is this safe? @BritSocGastro

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

3 months

I’m really proud of being a Doctor & all I have achieved. I started medical school in 1997. I have worked hard for >25 years & made lots of sacrifices. I have no regrets. Being proud of being a Doctor & being protective of the Doctor role should not be controversial to anyone.

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

9 months

We as Consultants have commitments to our families too… Why should I potentially lose my career - with detriment to me & my family by whistle blowing? Doctors are constantly dehumanised by the public & the media - the vast majority of us want to do the best for our patients.

Romy Cerratti ✝️🇬🇧🇩🇪

@RomyCerratti

9 months

I’m very queasy about the number of doctors going on social and news media who are almost trying to make doctors into the victims of the Lucy Letby case. Whatever the specifics of this case, the NHS coverup culture definitely involves frontline clinicians as well as management. I

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

1 month

My opinion: The title Physician Associate is there to confuse patients & lead to an acceptance of care from a non-Doctor. That is why PAs & their advocates insist & defend the use of this title. Change the title to clinical assistant & this problem goes away.

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

5 months

I as a reg and now as a Consultant always made a point of seeing any member of staff myself. There aren’t many perks for NHS workers so thought this was the least I could do

Dr Bella

@Dr_BellaR

5 months

If you are a doctor presenting to hospital, is it reasonable to ask to be assessed than someone more senior than you? Because I am all for teaching but I’m not in the best frame of mind to be doing a CBD after a 17 hour wait.

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

1 month

Physician Associates doing Gastroenterology clinics - this is very concerning for patient safety. This is from a Gastroenterology SpR close to CCT.

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

3 years

I have prescribed the best COVID PPE possible. FFP10 mask

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

1 month

The messages keep coming. A Gastro trainee from the East Midlands messaged me about their endoscopy training.

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

2 years

A 4️⃣ tweet guide on investigating and managing: 🩸𝗜𝗿𝗼𝗻 𝗱𝗲𝗳𝗶𝗰𝗶𝗲𝗻𝗰𝘆 𝗮𝗻𝗮𝗲𝗺𝗶𝗮 (IDA) for GPs & non-Gastroenterology colleagues. Defined as: ⬇️🩸Haemoglobin levels (based on your local laboratory reference range) c̅ ⬇️ MCV / MCH #GastroTwearls 1/

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

7 months

I have been clear that I have concerns about PAs becoming independent endoscopists: As they are currently: • Unregulated • Non-prescribers • Need to be under supervision However when GMC regulation is implemented I suspect this will gather speed. I am not sure if we have

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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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

2 years

This was the original tweet.

𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

4 years

A minute’s silence - to honour the thousands who have died from #COVID19 @KettGeneral #EveryFriday1pm

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

4 years

Innovative teaching on cardiac rhythms - using guns for a positive reason!

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

1 year

I ask senior Consultants - those who have been Consultants for 15 years or more: Hand on heart - how much have you done to advocate for trainees as their T & Cs have been eroded over 15 years? For the majority - it is little or nothing. Now is your chance to be supportive.

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

3 years

The number of people (myself included) who are finding it more difficult on days off versus days at work, for a multitude of reasons. The impact of Covid & lockdown on mental wellbeing is profound, and I suspect will be long lasting.

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

3 years

No one is saying HGV drivers: Need to work harder Not work part-time Only drive & not have other roles Earn too much money Everyone including the press are saying “we need more HGV drivers” This applies to GPs too.

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

3 years

I have vetted ~3️⃣0️⃣0️⃣ referrals from primary care to Gastroenterology in last 2/52. Pathways vary around the country - nevertheless I have observations / advice about managing common GI problems in primary care & when to refer in 7️⃣ tweets #GastroTwearls 1/7

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

9 months

I stand by my assertion. You are conflating issues. For most GPs 3 days is the same hours as full time for many other workers (37.5-40 hrs). People will get the NHS they deserve. Keep attacking us - we will walk & you will be left with a service similar to NHS dentistry.

Bea Johanssen

@bea_johanssen

9 months

@UKGastroDr "The vast majority of us want to do the best for our patients". In a year where lives have been sacrificed to the laziness and greed of NHS medics, that's quite an assertion.

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

11 months

We have an amazing hepatology specialist nurse who does ascitic drains - a straightforward procedure. Training her to do drains has freed our trainees to concentrate on their endoscopy training (all our trainees are all competent in doing drains). This is how you utilise ANPs.

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

7 months

Seeing a bullying surgeon from a dysfunctional department deal with complaints from trainees like a bullying surgeon from a dysfunctional department is almost laughable if it wasn’t so awful Outstanding example of cognitive dissonance & why the profession is broken for trainees.

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

2 months

For full transparency I co-authored the RCP pre-EGM survey & promoted it I (nor council) was not privy to the raw data pre-EGM. I was not privy to the EGM presentation of survey findings (I absolutely do not approve of what was presented) I saw the raw data for the first time

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

4 months

The contempt for Doctors in the UK, is palpable.

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

2 years

FAO Consultant colleagues who are startled by the disdain shown by junior colleagues at their T&Cs Remember at university: They didn’t get a maintenance grant They paid >£40k tuition fees They left with £75-100k+ debt Also: No free accommodation in 1st yr Inferior pension terms

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

4 months

When you qualified in the last century, you didn’t pay tuition fees & may have received a maintenance grant. You will have had free accommodation as a PRHO. Also there were no smartphones or internet. As you happy to use both to tweet, perhaps you can also modernise your empathy

Patrick Branchfield

@DrPJJB

4 months

When I was a junior doctor I wasn’t paid well, but I accepted I was an ‘apprentice’ and thus couldn’t expect a massive salary. Our junior colleagues need to realise that they are simply doctors in training whose priority should be their patients not income. #JuniorDoctorsStrike

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

11 months

As a Consultant, I say the issue isn’t the ANP, it’s the Consultants who sold their trainees down the river. I can imagine how sick a Cardiology trainee in that unit must have felt hearing / seeing the story / tweet. There are too many Consultants who don’t care about training.

Medlife Crisis (Rohin)

@MedCrisis

11 months

I'm a consultant interventionalist, but was a trainee just 18mo ago. I am an educational supervisor (to doctors) and have mentored ANPs & pharmacists to expand their skills. I am clinical lead for my department, so all too aware of the pressures on trusts. Here are my thoughts.

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

2 months

I have heard of a NW Gastro dept that has a PA who is: JAG certified in OGD, providing independent lists incl. 2WW Does 2 clinics/wk On the in-reach rota Answers GP A & G requests Works autonomously under “indirect supervision” of a Consultant Gastroenterologist 1/4

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

7 months

We have to be brutally honest… there are too many Consultants who don’t give a 💩 about trainees.

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

5 months

Based on this alone…. I will be rejecting the Government’s offer. This is basically limiting SPA further - I suspect some trusts will make it zero.

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

2 months

My Mum just said to me “what an insult the clap for carers was - when you were all left to deal with the horrible situation of Covid without adequate PPE” #Breathtaking

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

7 months

One of the toughest times of my career was managing a patient with abdominal pain & sepsis. Despite multiple scans & other investigations, the cause wasn’t found & the patient died. Even as a Consultant Gastroenterologist - abdominal pain can humble you.

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

3 years

To all my GP colleagues out there. We know you under pressure, you’re tired, you’re hurting, and you’re fed up. Remember that the majority of hospital colleagues understand, appreciate and support you. Need all HCPs to stick together - we’re stronger that way.

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

2 years

An ongoing pandemic message. Please get vaccinated / boosted. Do it to protect yourselves, protect your community, and to give you freedoms that being vaccinated enables @projecthalo #TeamHalo

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

5 years

@AaronBastani @AyoCaesar Poll of favourite day of the week: Saturday = 35% Any other answer = 65% Looks like people hate Saturday 🤷🏻‍♂️

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

2 years

The sport I play (not as much as I should / would like) is badminton. Not high profile but no other racquet sport involves hitting an object as hard & fast as badminton. Watch this backhand smash from Lee Zii Jia - at a speed of 372 km/h (231 mph) 🤯🇲🇾🏸

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

5 months

I have no doubt that a senior clinician “signed off” these rates. This shows huge disrespect for our foundation Doctor colleagues. I never understand why our junior colleagues, especially early in their careers - are treated so badly is so many UK hospitals.

BMA Thames Valley RJDC

@TVRJDC

5 months

@BucksHealthcare @Xeon4f145d96s1 @NMacdonaldBHT @AndrewMcLBHT Here is the unredacted version:

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

5 years

When prescribing iron tablets to correct deficiency, please do not exceed a dose of one tablet daily. There isn’t much more iron that can be absorbed at higher doses, all that happens is an increase in GI side effects. #TipsForNewDocs #TipsForOldDocs

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

1 year

Happy to make my PoV clear: I will support junior colleagues & nursing colleagues in their likely industrial action in 2023 I will vote for IA as a Consultant when we are balloted The issue - fundamentally - is pay. Pay erosion = 20-40% from 2008. We need NHS #PayRestoration

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

3 years

When the Consultant get the post WR coffees in. Please remember.... coffee means coffee!!

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

3 years

So no one posts this but on the tube, everyone in masks, 9/10 covering nose and mouth - good to see!

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

10 months

I respect your right to work on July 20-21. Please respect my right to strike.

Rita Arya

@myobstetrician

10 months

The world’s gone mad. I’ll be working don’t worry.

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

2 years

Delighted to have been elected to @RCPhysicians ’ council - to start in August 2022 for 3 years. Thank you all who voted in the recent elections. I am grateful for those who cast their vote for me.

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

3 years

I really want England to win today. I really really do. But I hate the England fans and the culture of hooliganism that goes around with them everywhere England play - even at home in London. These dickheads ruin everything. #ENGITA #Euro2020Final #EURO2020

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

2 months

Being kind as a health care practitioner is an important trait, understanding your working day coincides with the worst day of your patient (and their loved ones) month / year / life. However the GMC deciding to regulate kindness is a mistake. The NHS is such a toxic workplace,

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

18 days

Prof Melville - do you think patients understand what a PA is or what they are supposed to do? All this chicanery with GMC regulation & the choice of title is to mislead patients into accepting a lower standard of care. I suspect you will insist on Consultant delivered care

Prof Colin R Melville

@drcolinm

19 days

“Our professional standards directly tackle issues around working within competence and being honest about experience, qualifications, and current role.” BMJ 2024;385:q790

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

2 months

I wanted to make 2 points at the #RCPEGM (sadly ran out of time) to consider for those voting. My declarations: I work at a DGH that does not employ PAs, I am a @RCPhysicians elected councillor, chair of the colorectal section @BritSocGastro & a member of @TheBMA 🧵 1/

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

3 years

A 3% pay rise for NHS workers is a derisory pay cut given inflation is projected 3.7%. Our trainee Doctor colleagues have been at the sharp end during the pandemic. Keeping the service going, making personal & training sacrifices. For them to get nothing is a fucking outrage.

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

2 months

@doctor_oxford @RCPhysicians As an author of the survey, I wasn't privy to the data prior to presentation. I wasn't happy with how it was presented - including using neutral answers in the analysis. I will push for a full release so it can be analysed, published & discussed.

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

4 months

This Government hates Doctors

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

2 months

So there it is. PAs are doing upper & lower GI endoscopy & receiving dedicated, funded & protected training to achieve "competency". Something our own @BSGTrainees struggle with. This is a major problem for Gastroenterology & one I urge colleagues to debate on ASAP. end 🧵/

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

1 month

All 5 motions have passed after the #RCPEGM - time for a major rethink of @NHSEngland workforce plan

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

2 years

2️⃣ tweets on heartburn / reflux Refer 2WW if 🚩 age ≥ 55 & wt loss or 🚩 dysphagia H. pylori testing 🦠 Limit NSAIDs Constipation worsens symptoms, even on PPI ⚠️ Omeprazole 40 mg daily (20 mg often not enough) 30-60 mins before 🥪 PRN Gaviscon advance #GastroTwearls 1/2

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

7 months

PA title & introduction guidance issued from @FPARCP On introduction to patients /colleagues: PAs MUST make it clear INITIALLY they are a “Physician’s Associate” & THEN explain recognised abbreviation is PA If enquiry RE role PAs SHOULD explain qualification & training 1/5

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

20 days

More often that not... When individuals in positions on power use #bekind to shutdown debate... It's because you are asking the right questions!

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

4 months

I like many others Doctors have been threatened by DATIXing, especially as a trainee. I remember the feelings of upset & intimidation. It is still sadly used as an instrument to bully / control. However - it is important to remember that a DATIX report is a reporting tool, not

Raja Adnan Ahmed

@drraja_

4 months

How do you deal with this situation as a junior doctor? This is about prioritizing jobs. If you are on call & dealing with other emergencies. You can not be in two places at the same time. Discharge summaries need to be completed with good standards & can not be rushed. They

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

4 months

The backlash against individuals impersonating a Doctor is not a new social media phenomenon. It is illegal according to the 1983 medical act. As for our patients - we have a statutory requirement for candour. Another compelling reason for clarity of the role of the HCP

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

2 months

Coasted? Every Doctor who has gone through medical school, post-graduate training including exams have worked their socks off with many sacrifices along the way.

Nathan Trout

@NathanTrout

2 months

Call me a radical, but I think that the medical profession might actually improve if it wasn’t so dominated by people who think they’re God’s gift to humanity because they did well in their A-levels and have coasted on that ever since.

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

2 months

Just because we don't have a minimum standard to be a politician, it does not mean we should compromise patient care. If we want more GPs, we need more Doctors.

Neena Jha

@DrNeenaJha

2 months

Shaking right now! The PA debate in the House of Lords- @JimBethell said: “We have to find people from somewhere (to do GP appointments) & they’re going to be some people (Physician Associates) that don’t necessarily go through the 10 years of qualification TO BECOME A GP” 🚨

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

6 months

Whether it is nursing colleagues, or PAs. I feel strongly we should all be on separate registers. There is no discernible benefit of a merged register for any HCP discipline. Merger of the medical register will likely result in confusion & potentially patient harm. @gmcuk

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

23 days

@drkeithsiau @ExplosiveEnema2 @RCHTWeCare @FPARCP @BritSocGastro @parthaskar @DrAsifQasim @DrLKVaughan @DrSteveTaylor @AlisonGeorge10 @Dr_Done_ @Doctors_Vote Why didn’t you use the PA to work in the GIM service to release specialist trainees to do GI bleed endoscopy?

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

2 months

Recently @thebma published their guidance of MAPs One aspect which I whole heartedly agree with is around invasive procedures. Especially around endoscopy.... 1/ 🧵

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

3 years

Amazing that: Prompt CPR Prompt defibrillation Has hopefully saved #Eriksen I feel physically sick seeing it on TV despite having led many arrest calls. Life is too short x

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

4 months

I have no doubt a Consultant medic in power signed this off. Perhaps to cover services and free up their own time 🙄 🪜🆙

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

2 years

Primary care is made up of many hard working incredible GPs & their teams and is the lifeblood of the NHS that provides healthcare to all of us from cradle to grave. It is crystal clear, without a resourced primary care the NHS will fail. I stand with primary care colleagues.

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

22 days

I have no words 😳

Secret Physician

@SecretPhysician

22 days

Oh wow, @RCHTWeCare . Not only do you have a PA doing endoscopy, you have them doing independent unsupervised endoscopy in the community … and you printed them all over a van! At least you’re not shy about it, so I see no issues in posting it here.

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

4 months

The senior clinicians who promote / sign off inappropriate roles for Physician Associates (eg using a PA in a Doctor’s role). Would they be happy for their families / themselves to be managed by a PA when they’re unwell? 🤔

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

2 months

To be 💯 clear. In healthcare we must only deliver services we are trained AND qualified to do (with appropriate supervision whilst training). Experience does NOT circumvent the need to be qualified. We love to use the airline industry as a benchmark… here goes, even the most

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

2 months

This is utterly inappropriate! Managing 2WW (urgent suspected cancer) cases, A&G requests & in reach referrals, is Registrar / Consultant work. Performing independent endoscopy without prescribing anaesthetic throat spray, conscious sedation or oxygen is unfathomable. 2/4

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

6 months

Trainees always prop up the inpatient service - doing the bulk of the OOH work on the lowest wage. The deal is once you chose a discipline & then got a number - you got trained by attending the endoscopy / theatre lists, clinics etc. Eventually becoming a Consultant & being paid

𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

6 months

The phrase “sell your granny” needs to be replaced by “sell your trainee” in our profession. Shocking reports of ladder pulling to make life “easier” by some Consultants 😔

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

4 months

Interesting day today Very busy working with a Consultant colleague & a non-striking reg to cover IP ward of 26. Then answering referrals, cancer MDT, urgent 2WW admin, A&G queries. Back to the ward for any final queries. Pretty knackering. Yet not a single grumble from

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

4 months

This is a situation where a Consultant can make a difference. If a junior colleague informed me they had this dilemma, I would tell them to let the trust rota coordinator know that I was “informed” & “agreeable”. Consultants need to be more supportive of our colleagues, to make

Charlotte Smith

@cml_smith

4 months

Booked a family holiday for Mar 24 in Jul 23. Spent months trying to contact the rota coord at the Trust I start at in Feb to organise leave. Told I needed to find swaps but not given contact details of other drs. It’s all become so stressful that we’ve cancelled the holiday.

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

2 months

Happy to announce that @RCPhysicians will publish data from the pre-EGM members’ survey across platforms before 9 am TOMORROW 18/3/24. It should have been out earlier. I am pleased data can be reviewed by fellows before voting for the #RCPEGM motions closes. 1/2

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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

2 years

For most things in life - the darker your skin colour… the worse the outcome is for you.

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