Nasser Khan @dilettantedoc Twitter profile

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Nasser Khan

@dilettantedoc

3 months

To those consultant colleagues who vocally opposed the industrial action: please let your trust know to which charity you would like your pay uplift sent via salary deduction. I salute your principled stance.

BMA Consultants

@BMA_Consultants

3 months

After months of unprecedented industrial action and campaigning, months of negotiations, and weeks of voting by BMA members, today we can announce that the latest Government offer on pay and DDRB reform for consultants in England has been accepted.

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Nasser Khan

@dilettantedoc

3 months

@ExplosiveEnema2 @RCHTWeCare @FPARCP @BritSocGastro @UKGastroDr @parthaskar @DrAsifQasim @DrLKVaughan @DrSteveTaylor @AlisonGeorge10 @Dr_Done_ @Doctors_Vote Extremely concerning they are doing a bleed list. These are some of our sickest and most complex patient. Many management decisions need to be made beyond just doing the scope

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Nasser Khan

@dilettantedoc

20 days

@mmamas1973 As doctors we are supposed to exemplify logic, reason and use of evidence in making decisions. Our supposed leaders have seemingly abandoned these principles in advocating and defending this madness. None will answer the most basic of questions because they know it's illogical.

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Nasser Khan

@dilettantedoc

2 months

@NHSPracHealth @gold103x Good news but why does it take uproar within the medical community to achieve a U Turn? Why wasn't it blindingly obvious that consultation was required before shutting down the service unilaterally?

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Nasser Khan

@dilettantedoc

10 days

@dgraemestewart Usually the ones that are all smiles and bonhomie until the proverbial hits the fan and you're in a coroner's court alone...

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Nasser Khan

@dilettantedoc

13 days

@doctor_oxford @mouseter_chef Yes and he was also the chief source of filibustering at EGM. I feel he must also step down

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Nasser Khan

@dilettantedoc

4 days

@RCPhysicians It's the right decision and, as a Fellow, I thank her for it. We now need rapid reform of the College so it better represents the views of both Members and Fellows as well as being more transparent

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Nasser Khan

@dilettantedoc

2 months

@Xeon4f145d96s1 I find these silly baubles and trinkets quite patronising. Don't give me an award. Pay me well and respect my role. If other professions like this sort of thing then they can fill their boots

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Nasser Khan

@dilettantedoc

30 days

@DrJCraneBatman I think you can reasonably raise the points pertaining to correct processes such as the practice not misrepresenting the PA role and not confusing it with the GP role at all points in the patient journey. Also offer the choice of PA or nothing

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Nasser Khan

@dilettantedoc

3 months

@UKGastroDr For me it's about everything around the scope. Optimising the variceal bleeder. Timing of scope. Decisions about ITU, terlipressin Vs norad, ceiling of care etc. Is this PA doing that? If not, is the trust paying two salaries? I'm sure PA is otherwise excellent but wrong role

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Nasser Khan

@dilettantedoc

10 days

@DrDLittle @drmattuk @UKLabour We have enough scanners and radiologists. What we need is fewer and more sensible requests. This is an artefact of Defensive Medicine and it's a big part of what's destroying healthcare. Will get worse with less qualified requesters too.

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Nasser Khan

@dilettantedoc

2 months

@UKGastroDr Secondary care is woefully underfunded. Primary Care is critically underfunded. None are well funded or even adequately funded. The underfunding of one affects the other

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Nasser Khan

@dilettantedoc

2 months

@UKGastroDr @BritSocGastro @BSGTrainees @nijbhala @DisneyBen @ibdseb @anjan_dhar6 I think there must be wide involvement of trainees in any scope of practice document and my preference is that it largely sticks to the BMA traffic lights. This is for extant PAs. I think we probably do need a consultation for whether or not we need PAs in gastro at all in future

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Nasser Khan

@dilettantedoc

1 month

@BuddGeorgie @CareQualityComm @DrPhilBanfield You're absolutely right. 10 years ago I'd be comfortable with the NHS caring for a relative. 5 years ago I'd be a bit concerned. Now? I'd be watching everyone like a hawk. Standards have indeed plummeted for even basic care. The public have every reason to worry

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Nasser Khan

@dilettantedoc

3 months

@ajpigott_anna @DrNeenaJha I agree with other commentators Anna. This is a CQC matter if the practice cannot run safely. Any GP would instinctively know whether or not an asthmatic child needed admission. Basic stuff

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Nasser Khan

@dilettantedoc

7 days

@penninegpa @CHFTNHS @calderdalecares @VSIAlliance @hwcalderdale @AgeUKCK @CalderPCNsCare @WYHpartnership Only doctors can be physicians. It's a protected title under law. You are describing physician associates. They can't call themselves physicians. Please correct this urgently as you are breaking the law

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Nasser Khan

@dilettantedoc

3 months

@UKGastroDr @BSGTrainees @nijbhala @DisneyBen @ibdseb @BritSocGastro Gastro SpRs everywhere, please lobby your regional reps. I'm told BSG is in listening mode so make yourself heard. Quiz your reps & Quiz the leadership. The time is NOW! Protect your already truncated training

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Nasser Khan

@dilettantedoc

13 days

@Xeon4f145d96s1 It's akin to a Cabinet revolt I guess. I can't see how she stays on in the face of this. The Clinical VP John Dean's name isn't here. He filibustered significantly at the EGM

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Nasser Khan

@dilettantedoc

1 month

@dr_woodall @BMA_James_Steen Thank you. A reasoned and balanced view from someone with direct experience.

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Nasser Khan

@dilettantedoc

4 days

@enderbymavis @globalhlthtwit Always ask what a medical provider's qualifications and job are if you are the slightest bit unsure. I would never take offence and would be pleased to tell you if I was providing your care. "I'm one of the medical team" isn't good enough and should raise suspicion

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Nasser Khan

@dilettantedoc

2 months

@Parody_RCGP @clare_bwell @parthaskar Same. My dad came to the UK as an IMG in 1976. We had to move house 7 times between when I was 5 and 13. Hospital accommodation for first 4 moves. I hated it and never settled anywhere. Never put down roots. Dad had no choice. So many hand written c.v. s never replied to

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Nasser Khan

@dilettantedoc

16 days

@drokane Or, better still, a Doctor's Assistant as is in use in some hospitals. Band 4, genuinely helpful and much valued by doctors who work with them. And actually complement the MDT..

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Nasser Khan

@dilettantedoc

1 month

@UKGastroDr Without clearly defined standards and scope of practice a voluntary register is pretty worthless. May as well close it. Hardly a widely accepted mark of quality is it?

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Nasser Khan

@dilettantedoc

1 month

@ExplosiveEnema2 @NHSEngland @AlisonGeorge10 @UKGastroDr @parthaskar @DrAsifQasim @DrLKVaughan @iDrSunny @mmamas1973 @RoshanaMN It may also be that the ambassador role is untenable. Too many difficult questions. I met with an ambassador who was an excellent PA with many years experience and knew her scope of practice. She couldn't account for, or agree with, what is happening elsewhere at the moment

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Nasser Khan

@dilettantedoc

3 months

@ExplosiveEnema2 Venomous animals or venomous professional organisations. Such choices.....

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Nasser Khan

@dilettantedoc

13 days

@mmamas1973 @DrSarahClarke Agree completely Mamas. It's an institutional failure involving many leaders. That failure was appearing to listen more to the government than members and fellows. Thinking it would all blow over. It hasn't and won't. It's bigger than one person

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Nasser Khan

@dilettantedoc

1 month

@tirn198936 @AngliaRuskin C,D,D at A level, sports science BSc at UEL ranked 125/130 in UK and yet... "Basically a surgeon". I had to work SO much harder and longer to get to be a Consultant (18 years) but if I object to this nonsense then I'm apparently an unkind elitist.

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Nasser Khan

@dilettantedoc

14 days

@Xeon4f145d96s1 Not a minority. MOST of the consultant colleagues I know and EVERY SINGLE resident I know is against this. I only wish I was aware sooner.

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Nasser Khan

@dilettantedoc

10 days

@mouseter_chef Agree completely. Tufton Street/IEA ideology has permeated govt for the las 5 years and so this was inevitable. But they knew the public and the profession would fight back so they did it by stealth. Will Wes continue their work is my question ⁉️

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Nasser Khan

@dilettantedoc

2 months

@LittlePersonDoc @DrNeenaJha Exactly. Clinical reasoning is the submerged bit of the iceberg. People only see the decisions and think it's easy. It really isn't.

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Nasser Khan

@dilettantedoc

2 months

@DrEilidhMaria It's about the depth of knowledge with consultant teaching. The ability to take a case back to first principles of physiology, pharmacology etc. That shared recall of all we have learned now underpinning clinical decisions. Nothing like it ☺️

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Nasser Khan

@dilettantedoc

2 months

@kiityc @clare_bwell That's pretty much what I'm paid for as a doctor. Deviation from guidelines in the best interests of the patient

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Nasser Khan

@dilettantedoc

2 months

@HSJEditor @theRCN I don't think this is fair. BMA doesn't represent nurses so why would they comment? As doctors we are fully behind our nursing colleagues in their pursuit of pay restoration and many of us lament their lack of effective union representation. They deserve better.

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Nasser Khan

@dilettantedoc

1 month

@drphilhammond PAs are not doctors. We DO have enough doctors but can't retain them so training more is just turning tap on without putting plug in bath. Retention is about the three Cs. Compensation, Culture and Conditions. All within remit of Whitehall. Ask them.

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Nasser Khan

@dilettantedoc

9 days

@mancunianmedic @ErinGourley1 @gmcuk @drcolinm Why does @gmcuk not appear to be in any way accountable to anyone? We pay for registration but seem not to have a place at the table. Time to start asking questions of council and trustees if the monolith won't answer

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Nasser Khan

@dilettantedoc

6 days

@JimBethell @Doctors_Vote 5th Baron Bethell. Hereditary Peer. Failed to be elected an MP on two occasions. These resident doctors enjoy a mandate you could only have dreamt of. You are unfortunately not qualified to comment. So please don't. Your party has embarrassed itself enough.

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Nasser Khan

@dilettantedoc

2 months

@WorthWords @gold103x @Dr__Sarmy @NHSEngland @gmcuk @rcgp @RCPhysicians Yes, I'm very aware (and sorry) that in returning these referrals it's definitely adding to the headache of my GP colleagues but it's just too risky. A routine new appointment can take a year. If based on a misdiagnosis then many bad things can happen in that time.

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Nasser Khan

@dilettantedoc

3 months

@UKGastroDr TPDs should be threatening such departments with losing their SpR. I was initially skeptical of immersive training but it is a good way of getting protected intensive training time. Gets the SpR signed off quicker too and they can then contribute to service lists. Win win

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Nasser Khan

@dilettantedoc

30 days

@DrJCraneBatman Perhaps a word with the practice manager that their staff are misrepresenting what GMC and royal colleges are at least paying lip service to

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Nasser Khan

@dilettantedoc

2 months

@SebPillon None of this is acceptable and should prompt a sharp letter to GP liaison at the hospital. The most I ask GP colleagues to do is continue a prescription I've started or maybe check a blood count in a few months of a treated and investigated anaemic patient.

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Nasser Khan

@dilettantedoc

13 days

@drgandalf52 @ErinGourley1 Yes but speaking as someone who was a 1st generation immigrant in the seventies (and had plenty said to me!), I'd say the comparison drawn by the highlighted text is inappropriate. I disagree with the comparison, not the concept of civility or decency.

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Nasser Khan

@dilettantedoc

1 month

@Xeon4f145d96s1 @iDrSunny @DrEilidhMaria @ExplosiveEnema2 @Dr_Done_ Concerns from residents and students that coalesced into an excellent survey which proved most compelling. BMA resident reps did all the heavy lifting and then BMA JLNC disseminated to relevant parties. Sensible local leadership very important as well

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Nasser Khan

@dilettantedoc

1 month

@drokane I remember it well DO'K. Some trusts just don't do service development and when the service goes under or fatally malfunctions they say "well, no point in criticising - we are where we are"

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Nasser Khan

@dilettantedoc

7 days

@KamilaRCGP @drsarahtennant What is required is a root cause analysis of how this ever made it into the public domain and the COI of contributors. Followed by review of similar initiatives in all other regions to see if this is a one off. I suspect it's not.

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Nasser Khan

@dilettantedoc

4 days

@ItsnotrightUK @ankitkant Madness. Should be by a closing date not number of applications received. Must be breaking employment law somewhere

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Nasser Khan

@dilettantedoc

8 days

@medicalmodelbri @RCoANews @AmandaPritchard @JimBethell @DrSarahClarke Also does IV vitamins and platelet rich plasma. I thought they were trained to the medical model. Who was this person's supervisor in hospital? What must they think about this? How does this "benefit the NHS?"

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Nasser Khan

@dilettantedoc

14 days

@MichaelC7389 @LittlePersonDoc @Ask_foradoctor @DavidUrwin94 @gmcuk The most upsetting thing for me is that it just doesn't make sense at any level. Hell truly is the absence of reason

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Nasser Khan

@dilettantedoc

2 months

@ankitkant @Caesarnots96696 Usually ERS logs my name but I put it down anyway. Not having a name on a clinical decision that affects a patient sounds wrong. Hospital GP liaison people should look into that for sure

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Nasser Khan

@dilettantedoc

2 months

@parthaskar @iDrSunny @NHSE_WTE @mmamas1973 @trishgreenhalgh @DrLKVaughan @UKGastroDr @doctor_oxford @RobJimFleming @OrthopodReg @RoshanaMN @DrAsifQasim @ShivaniM_KC Absolutely. NHSE spends so much time micromanaging trainees and shortening training to the point they're not "cooked" and yet absolutely allows (encourages?) a Wild West scenario to evolve in other arenas. Nationwide scope of practice needed urgently

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Nasser Khan

@dilettantedoc

30 days

@DrJCraneBatman Glad all is well but very worried by "the PA is a GP" . If reception staff convinced by this then patients have no hope.

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Nasser Khan

@dilettantedoc

2 months

@mrnigeldsouza @iDrSunny @timricketts_ @_BH_6582 @drkeithsiau @parthaskar @mmamas1973 @Xeon4f145d96s1 @ExplosiveEnema2 @Dr_Done_ I think anon accounts are not a homogeneous group. Some are just trolling but many raise important concerns and expose dangerous/illegal practices in NHS institutions. This information is vital when representing my colleagues and patients locally.

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Nasser Khan

@dilettantedoc

28 days

@drmattuk Donated. Keep going

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Nasser Khan

@dilettantedoc

2 months

@ShaunLintern @djnicholl Why's it always Friday afternoon? Don't they know people have more time to organise on social media at the weekend? Another own goal for @NHSEngland

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Nasser Khan

@dilettantedoc

2 months

@chriscraigCCC @iDrSunny @Robbi_K_ I return them unless there's evidence it's been discussed with a GP. This is supposed to be a supervised role.

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Nasser Khan

@dilettantedoc

3 months

@DrSteveTaylor @Caesarnots96696 At least they now say all work done MUST be discussed with a GP. This will be quite the challenge in some practices that have lots of PAs and few doctors.

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Nasser Khan

@dilettantedoc

2 months

@ASiTofficial @Doctors_Vote @RCSnews @RCSEd @rcpsglasgow @RCSI_Irl @gmcuk @JCST_Surgery @CoPSSuk @NHSE_WTE An excellent statement. I only hope @RCSnews and co. are listening. This paper should not have been published in an academic journal. The occurrences it describes should never have been allowed. Trainees should have been prioritised.

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Nasser Khan

@dilettantedoc

3 months

@ExplosiveEnema2 @FutureHealthJ @parthaskar @AlisonGeorge10 @DrLKVaughan @doctor_katie @DrSteveTaylor @iDrSunny @UKGastroDr @mmamas1973 @DrAsifQasim @RoshanaMN Care to comment? @drkevin_fox

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Nasser Khan

@dilettantedoc

1 month

@LittlePersonDoc @iDrSunny We're absolutely clear that existing tPA students must suffer no detriment or hostility. Absolutely not their fault. Just needs to be balanced with autonomy and fairness for residents

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Nasser Khan

@dilettantedoc

2 months

@Cleverclog67596 @gold103x @Ask_foradoctor @gmcuk The problem here is also about PAs sitting outside the accepted "chain of command". I'm not into the hierarchy thing but an "authority gradient" helps a team run and everyone knows what they are doing. Nobody knows where a PA fits in, because they often don't fit into this schema

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Nasser Khan

@dilettantedoc

1 month

@iDrSunny @DrEilidhMaria @ExplosiveEnema2 @Xeon4f145d96s1 @Dr_Done_ This is our Trust

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Nasser Khan

@dilettantedoc

5 days

@DrSteveTaylor With every question the patient answers we subconsciously process and discard a huge number of possibilities that suddenly become possibilities again with a later question. It's a rich diagnostic tapestry that can only be woven with study and experience.

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Nasser Khan

@dilettantedoc

2 months

@UKGastroDr @gold103x There is now a clear divide between our professional organisations and their subscribing trainee members. This is a dangerous and unsustainable tension that can only be resolved one way. The "top brass" must listen and change course. Quickly.

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Nasser Khan

@dilettantedoc

28 days

@Parody_RCGP @ABarotchi1 Almost 300 donors and 8.5k already. Hope we can get to 10k before sundown.

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Nasser Khan

@dilettantedoc

2 months

@Xeon4f145d96s1 @gold103x @DrNeenaJha I was a post MRCP registrar before I could manage an unselected medical take. That was 11 years after starting at medical school. Even then the post take round had to be done by the consultant. I wasn't completely unsupervised until consultant 17 years after starting med school

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Nasser Khan

@dilettantedoc

2 months

@clare_bwell @Parody_RCGP @parthaskar He had me in tow as well as my baby brother and my mum who took a long time to get over the trauma of leaving her affluent extended family in India to live in doctors accommodation in the chilly north of England. Affects the whole family. Sad it still goes on decades later

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Nasser Khan

@dilettantedoc

11 days

@DrNeenaJha Can they not see that the dumpster fire currently raging at RCP can easily be visited upon them with a few signatures?

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Nasser Khan

@dilettantedoc

1 month

@parthaskar @Megsenmumdr @RCPhysicians @trishgreenhalgh @iDrSunny @ShrillaB @DrLKVaughan @UKGastroDr @mmamas1973 @doctor_oxford @OrthopodReg @RoshanaMN @DrAsifQasim They'll be exiting the RCP in a year anyway won't they?

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Nasser Khan

@dilettantedoc

2 months

@ankitkant @Caesarnots96696 Rejections should really be an invitation to discuss or use advice and guidance if you have it. All my returned referrals come with a reason and practical alternatives available in primary care. Shouldn't just be a NO

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Nasser Khan

@dilettantedoc

1 month

@LittlePersonDoc @iDrSunny Slightly odd term for varicose eczema I expect. Why do they post this stuff on Instagram? Do regular medical students do this sort of thing?

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Nasser Khan

@dilettantedoc

3 months

@David196809 Absolutely understand your views and respect them

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Nasser Khan

@dilettantedoc

2 months

@srturaga @Xeon4f145d96s1 @Dr_Done_ @ExplosiveEnema2 If medicine worked like it should then we wouldn't need anon accounts. But it doesn't. It's broken. These are busy people with lots going on. They care enough to investigate/raise concerns and we should thank them

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Nasser Khan

@dilettantedoc

1 month

@AlfonsoMang0 Our residents are the tops. We probably don't tell them often enough.

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Nasser Khan

@dilettantedoc

3 months

@Mark_Ungrin @trishgreenhalgh @GeorgeMonbiot @DrNick4126 As a consultant I had direct confrontation with infection control about my ward staff being "allowed" to use correct PPE on the ward as everyone was dropping like flies. Thousands of examples like mine.

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Nasser Khan

@dilettantedoc

4 days

@enderbymavis @globalhlthtwit And that is undoubtedly because some of us could do better at putting our patients at their ease! I completely get that the power dynamics are all wrong in an acute healthcare setting. Rebalancing that is a great medical skill to have

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Nasser Khan

@dilettantedoc

8 days

We always suspected more deprived areas would have fewer GPs and more PAs. Here is the evidence that ARRS is doing exactly what Whitehall wants it to do

Jaimie Kaffash

@jkaffash

10 days

Me and @maddysherratt have spent weeks on this, so please read it! Our data analysis of what GP practices are most likely to rely on physician associates

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Nasser Khan

@dilettantedoc

28 days

@dobbyjog I also remember it as tantric urination

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Nasser Khan

@dilettantedoc

2 months

@UKGastroDr @BSGTrainees So very pleased to hear this and proud of my trainee colleagues for their clarity. The bit about them having to continue what is agreed now is hugely important.

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Nasser Khan

@dilettantedoc

3 months

@DrEilidhMaria After many years I've found that most of the extraneous stuff I learned eventually has a use. Also, sadly, the GMC is using the same argument to dumb down medical education and justify MAP expansion.

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Nasser Khan

@dilettantedoc

3 months

@DrAsifQasim @RCPhysicians Just give them that look!

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Nasser Khan

@dilettantedoc

10 days

@mark_toshner @mouseter_chef MTAS scandal and everything since

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Nasser Khan

@dilettantedoc

7 days

@LittlePersonDoc @medicalmodelbri @NHSE_WTE @gmcuk @rcgp @NavinaEvans @FPARCP @VictoriaAtkins Yes, it's the situations they're not showing us that concerns me. I'd have no difficulty with the situations described

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Nasser Khan

@dilettantedoc

10 days

@mark_toshner Sadly Mark, we know that certain med ed types will jump all over this in exchange for a sinecure lectureship or Chair. The UK medical degree is highly regarded internationally but perhaps not for much longer

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Nasser Khan

@dilettantedoc

2 months

@ukneurosurgeon @gold103x Medicine at its essence is only about two things. Standards and imparting those standards to your successors. We've abdicated responsibility for the latter and it's now affecting the former

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Nasser Khan

@dilettantedoc

3 months

@UKGastroDr @BSGTrainees @Dukes_Club Yes, colorectal colleagues are at the back of the queue for endoscopy training at the best of times. This will get worse unless we change tack.

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Nasser Khan

@dilettantedoc

7 days

@medicalmodelbri @NHSE_WTE @gmcuk @rcgp @NavinaEvans @FPARCP @VictoriaAtkins And which of these scenarios is suitable for a PA?

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Nasser Khan

@dilettantedoc

9 days

@mark_toshner @GabriDiscenza Grad med is a very different kettle of fish, I agree. More akin to the US model. Graduates are super focused and have that learning discipline absolutely nailed down. Added to their first degree,it makes 4 years absolutely do able. Different to this proposal entirely

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Nasser Khan

@dilettantedoc

7 days

@dobbyjog The endless irony of lions being from Africa. Perhaps they should use angry badgers

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Nasser Khan

@dilettantedoc

3 months

@BMA_Consultants To those consultant colleagues who vocally opposed the industrial action: please let your trust know to which charity you would like your pay uplift sent via salary deduction. I salute your principled stance.

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Nasser Khan

@dilettantedoc

3 months

Not massive fan of the Torygraph but this is compelling. Homoeopathic degree then 2 years PA training then see undifferentiated patients. Presumably the more dilute the clinical exposure the more efficacious the PA

The Telegraph

@Telegraph

3 months

🔴 Degrees in homoeopathy, computer science, English literature and human resources are being accepted as entry qualifications to train to become a physician associate, the Daily Telegraph can reveal

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Nasser Khan

@dilettantedoc

1 month

@BuddGeorgie @CareQualityComm @DrPhilBanfield It's just awful, not least because doctors are still of a high standard but everything is just too busy and disorganised. Continuity of care is destroyed and nobody feels empowered to change things. Continual firefighting and moral injury

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Nasser Khan

@dilettantedoc

2 months

@Xeon4f145d96s1 This should be stamped out via LNC and JDF bodies in each trust. Each department has someone paid to do this. Residents are helpful for this process but it shouldn't be their sole responsibility

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Nasser Khan

@dilettantedoc

5 days

@Roddy_Neilson It's one of the most stupid and disingenuous things I've seen in print. Daily Mail infographic stuff would be better than this. How on earth did it get past peer review?

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Nasser Khan

@dilettantedoc

2 months

@gmcuk @theSAScollect @drcolinm Whilst simultaneously lowering training standards and undermining SAS colleagues with the rushed and hazardous introduction of MAPs.

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Nasser Khan

@dilettantedoc

3 months

@RobJimFleming @UKGastroDr @ExplosiveEnema2 @RCHTWeCare @FPARCP @BritSocGastro @parthaskar @DrAsifQasim @DrLKVaughan @DrSteveTaylor @AlisonGeorge10 @Dr_Done_ @Doctors_Vote I'd love to have an SAS colleague in gastro and if I did, they'd definitely be scoping

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6

Nasser Khan

@dilettantedoc

14 days

@Alison6123 @Ask_foradoctor @GreatOrmondSt The more "prestigious" an organisation the more it will consider doctors to be privileged to work there and the more it will disrespect them. We create the prestige and management bask...

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1

5

Nasser Khan

@dilettantedoc

2 months

@dobbyjog I take it to mean even you and the patient don't get to see the consent form. It's that confidential. Standard practice for non doctor lap chole dontcha' know?

2

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5

Nasser Khan

@dilettantedoc

11 days

@dobbyjog GMC survey. You can trust the other ones

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5

Nasser Khan

@dilettantedoc

2 months

@MFT_CSSAHPs Virtual and telephone consultations for a new patient are dangerous and poor medical practice. So much nuance is lost not to mention the ability to observe the patient walking into the room and the inability to examine the patient. I refuse to see any new patients virtually

1

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5

Nasser Khan

@dilettantedoc

16 days

@Burnt2020 @parthaskar @mmamas1973 @Megsenmumdr @Jcalcolado @RCPhysicians @trishgreenhalgh @DrLKVaughan @doctor_oxford @OrthopodReg @RoshanaMN @kidneydoc101 @ShrillaB @RowanHarwood @DrAsifQasim I think it depends on if RCPL can actually be reformed to reflect the needs of members. If not then de funding to force change might be the only way.

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1

Nasser Khan

@dilettantedoc

13 days

@_pinkerton__ @iDrSunny @mmamas1973 @DrSarahClarke @DacreJane Yes, it's institutional failure and failure of leadership across time. This didn't happen overnight. We were all caught napping but some in power saw it and embraced it as an opportunity for self elevation. Even now they're doubling down

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5