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Felicity de Vere Profile
Felicity de Vere

@felicitydevere

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Cardiologist, ukuleleist and amateur beatboxer. Clinical Research Fellow #womenincardiology #WIC She/her 🏳‍🌈🏳‍⚧

Joined April 2009
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@felicitydevere
Felicity de Vere
1 year
Today 350 anaesthetists, trained purely in anaesthesia for the last 3 years, were turned down for the next stage of anaesthetics training in the UK. This is despite @RCoANews stating there is a "current shortage of 1400 anaesthetists in the UK"...🧵
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@felicitydevere
Felicity de Vere
1 year
If I hear ONE MORE politician promise "more medschool places" without FIXING these bottlenecks I am going to scream. I have already written a letter to @wesstreeting with very little in return. @SteveBarclay clearly holds docs in contempt. Aus/NZ are doing very well out of this!
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@felicitydevere
Felicity de Vere
1 year
@RCoAPresident , can you explain why anaesthetics training in this country isn't run through? Why are we asking highly qualified adults in their 30s to live in limbo or move halfway across the country? The work still needs doing - we hire staff grades to fill in the gaps.
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@felicitydevere
Felicity de Vere
3 years
This cardiologist made some doughnuts
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@felicitydevere
Felicity de Vere
1 year
RCOA also predict a "shortfall of 11,000 anaesthetic staff by 2040 to meet additional demand". These applicants have already been through 5-6yrs med school, 2yrs foundation training and 3yrs anaesthetic training = approx 12 years. They are early 30s, trying to settle down...
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@felicitydevere
Felicity de Vere
1 year
@RCoANews @TheNewsAgents @TheTrawlPodcast @RestIsPolitics @BBCHughPym someone please - call out @NHSEngland on the farce that is major bottlenecks at every stage of a doctor's career before consultancy. We are haemorrhaging UK-trained talent in DROVES because of it.
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@felicitydevere
Felicity de Vere
1 year
@DrANChekroud @RCoANews As I replied elsewhere, if the @RCoANews uncoupled anaesthetics training because the exam was too hard to pass, it clearly values extremely difficult exams as part of becoming an anaesthetist. So why allow AAs to perform the same procedure without the same qualifications..?
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@felicitydevere
Felicity de Vere
1 year
Hi @Keir_Starmer & @wesstreeting , In 2022, 4412 docs were turned down for GP training in the UK. After 8yrs of medical training already. Yes some simultaneously apply elsewhere, but this doesn't count those who have already decided to leave the NHS. Retain👏before👏recruiting
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@Keir_Starmer
Keir Starmer
1 year
Labour will cut NHS waiting lists and protect patients. We’ll double the number of doctors trained, to cut waiting times and ensure patients can get in-person GP appointments with their preferred doctor.
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@felicitydevere
Felicity de Vere
1 year
Guess what @Keir_Starmer & @wesstreeting ? Last year 126 applicants were TURNED DOWN from becoming medical oncologists after 5-6yrs medschool, 2 yrs foundation training and 2 yrs core med training (= 10yrs training already!). FIX 👏RETENTION👏BY👏REMOVING👏THE👏BOTTLENECKS 👏
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@Keir_Starmer
Keir Starmer
1 year
Patients need life-saving cancer treatment more than the wealthiest need tax breaks. That’s why Labour would abolish the non-dom loophole and use the money to train thousands more doctors and nurses.
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@felicitydevere
Felicity de Vere
1 year
@RCoANews @TheNewsAgents @TheTrawlPodcast @RestIsPolitics @BBCHughPym @NHSEngland @ShaunLintern - have been asked to tag you too in case you find it worth reporting (it is 🙃)
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@felicitydevere
Felicity de Vere
1 year
Well that blew up! Funny what happens when 18yos are sold medicine on the promise of "lifelong fulfillment and job security" but the reality is 20+ yrs of uncertainty, upheaval and infantilisation. Shame no one knows who's actually in charge of this mess, aka "workforce planning"
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@felicitydevere
Felicity de Vere
2 years
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@felicitydevere
Felicity de Vere
3 years
Yesterday on the Cardio team we had 1 female consultant and 2 female regs, and it felt great! Times are changing #womenincardiology #WIC
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@felicitydevere
Felicity de Vere
1 year
@richormonde @DrANChekroud @RCoANews Not AA bashing - just pointing out an irony regarding a discrepancy between qualifications with the same end result (i.e. anaesthetics SHO). It is entirely possible the FRCA is harder than it actually needs to be. That or it's necessary, in which case why not needed for AAs?
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@felicitydevere
Felicity de Vere
1 year
@HeldinEU @FionaPaterson6 @RCoANews 300 numbers for 650 applicants, all of which have completed core anaesthetics training (either 3 years core or 4 years ACCS-Anaes)
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@felicitydevere
Felicity de Vere
4 years
I know a lot of people have been let down by ST3 applications this year, so it's a weird mix of emotions, but #cardiotwitter and #womenincardiology - im gonna be joining you as a North East/Central London Cardio reg from October! Can't really believe it!
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@felicitydevere
Felicity de Vere
1 year
@EH172 @RCoANews There were only 300 jobs available for 650 applicants. Who gets the jobs is based on a points-based system (which has a TON of its own flaws) and an interview (done online). The reality is most of the applicants would likely be more than capable anaesthetic registrars.
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@felicitydevere
Felicity de Vere
1 year
@DrRobPM @RCoANews If there is that fear they should be upfront about that with people applying for medical school and core training, which they arent. Otherwise it's immoral
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@felicitydevere
Felicity de Vere
4 years
@DGlaucomflecken FYI from 2 days ago....
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@felicitydevere
Felicity de Vere
3 years
Passed my @BSEcho written exam! Now the real clock starts 😬
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@felicitydevere
Felicity de Vere
3 years
The Mustard/Senning procedure for Transposition of the Great Arteries really baffles me
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@felicitydevere
Felicity de Vere
1 year
@wesstreeting thanks for answering my question on LBC today. Always happy to help inform govt about the reality of working in the NHS. Listen to those in the job. Feel free to DM if you want to learn more cost neutral NHS solutions. (And perhaps don't wage a war on the BMA..?)
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@felicitydevere
Felicity de Vere
5 years
The importance of female role models in traditionally male careers cannot be emphasised enough. It's been really fantastic to hear from #womenincardiology over the last few weeks, advocating cardiology as a career for women. Thank you @rallamee @ShrillaB @ShaziaTHussain1
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@felicitydevere
Felicity de Vere
11 months
Have always thought we should massively increase number of grad entry medschool places in UK. Plenty of 21+ yrs olds that decide to do medicine after 1st degree, more mature, can complete in 4yrs. Is crazy how hard we make it for grads to do medicine atm.
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@felicitydevere
Felicity de Vere
1 year
@NewnhamTony @RCoANews Only 300 jobs made available for 650 applicants. The majority of the 650 were "deemed appointable" by the Royal college of anaesthetics, but there simply weren't enough posts available to offer them. The number of training posts made available is mainly dictated by Govt
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@felicitydevere
Felicity de Vere
3 years
@DrBenLovell Same for "ceiling of treatment" rather than "ceiling of care" - as soon as someone pointed that out to me I've stuck with it. There is no ceiling to care.
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@felicitydevere
Felicity de Vere
1 year
Not helped by a very visual investment in PAs/AAs in comparison to med students and jr docs. Student debt, self funded exams, GMC costs etc, not enough time for proper mentorship/training, reapplication every 2 yrs, majority of F1-CT2 work is administrative, the list goes on...
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@felicitydevere
Felicity de Vere
1 year
What a depressing state current NHS training has left us in. @RoshanaMN only recently made this point in the world of surgery and orthopaedics. How can becoming a Dr mean you're not allowed to have kids before the age of 37?! (= avg age of CCT in UK). What a dire compromise.
@felicitydevere No one should be allowed to believe its possible for someone with family commitments etc to become a NHS consultants as the training system have always required total flexibility on where a person is willing to work. Medical schools should not be misselling!
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@felicitydevere
Felicity de Vere
1 year
@NewnhamTony @RCoANews YUP NHS covers these self-inflicted gaps with locums, which ironically costs the NHS more £++ than training posts. You couldn't make it up. Docs have been screaming at govt about this for years. It falls on deaf ears. For more see here:
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@felicitydevere
Felicity de Vere
2 years
Boris won the 2019 election because it was a "get brexit done" + anti-corbyn vote. He won't win another one. Oh, and he's a bloody disgrace.
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@felicitydevere
Felicity de Vere
4 years
@DGlaucomflecken Omg can I just say I am 100% team donut/doughnut and do not feel the same way as Aseem Malhotra! Morale is the best!
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@felicitydevere
Felicity de Vere
1 year
@JohnPCruise @HeldinEU @FionaPaterson6 @RCoANews Was released in a zoom call to ST4 applicants, but not written down anywhere 🤪
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@felicitydevere
Felicity de Vere
11 months
@BCSWIC @DrEllenJaneFli1 ....would be better for 2 women to have this debate....??
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@felicitydevere
Felicity de Vere
10 months
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@felicitydevere
Felicity de Vere
2 years
Loving how shocked the public are at doctor's pay. To the point they don't actually believe it and think we're lying 😂
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@felicitydevere
Felicity de Vere
10 months
What "different" training and "skills mix" do PAs offer that doctors don't? Surely doctors learn what PAs do in their 2 years of training, and then some....? It's impossible to learn more medicine in 2 years vs 5 years that's how time works...
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@felicitydevere
Felicity de Vere
1 year
@GarethDavies007 @RCoANews No - the majority of the 650 were "deemed appointable" by the RCOA, there just weren't enough jobs to offer them. Also, for the few deemed "not appointable", this is often due to not enough CV points for audit/teaching/research etc, NOT actual anaesthetic competency
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@felicitydevere
Felicity de Vere
1 year
@RCoANews erm slightly poor timing no...?
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@felicitydevere
Felicity de Vere
1 year
@Abi_Rimmer @RCoANews Happy to be involved if about bottlenecks in general. If specific to anaesthesia might be better coming from an anaesthetist. I'll drop you an email
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@felicitydevere
Felicity de Vere
1 year
@HelenStokesLam @AoMRC @BMA_JuniorDocs @BBCr4today @DHSCgovuk @NHSEngland @NHSProviders We are urging b̵o̵t̵h̵ ̵s̵i̵d̵e̵s̵ 𝘁𝗵𝗲 𝗴𝗼𝘃𝗲𝗿𝗻𝗺𝗲𝗻𝘁 𝘁𝗼 𝗮𝗴𝗿𝗲𝗲 𝘄𝗶𝘁𝗵 𝘁𝗵𝗲 𝗕𝗠𝗔'𝘀 𝘀𝘂𝗴𝗴𝗲𝘀𝘁𝗶𝗼𝗻 to use an independent body to start preliminary talks <-- fixed it for you
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@felicitydevere
Felicity de Vere
3 years
The inaugural Cardio journal club for juniors at @WhippsCrossHosp got off to a flying start with @raeesap15 presenting the use of NOACs for LV thrombus post-MI #cardiotwitter #WIC #BJCA
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@felicitydevere
Felicity de Vere
3 years
@TharushaGunawa4 Erm it's actually salted dulche de leche
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@felicitydevere
Felicity de Vere
1 year
@ShaunLintern there's a bigger story here. Not just anaesthetists. Happy to discuss but all the info you really need is right here: If the public really knew why they have to wait so long to see a GP or specialist....
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@felicitydevere
Felicity de Vere
1 year
@cannula_service @RCoAPresident Agree morally indefensible. Applicants are in their 30s, and yet remain infantilised by the system
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@felicitydevere
Felicity de Vere
1 year
Fab day organised by @BCSWIC in Manchester! I feel incredibly refreshed and inspired! Thank you @theharveys @ShrillaB @ShaziaTHussain1
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@felicitydevere
Felicity de Vere
1 year
@zackferguson It's not calling out anyone, it's contextualising our pay for the wider public to understand. It's actually the graphic that has struck a chord with non-medics in my family the most.
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@felicitydevere
Felicity de Vere
1 year
@IanStockport I really don't think we should be allowed to run a medical training system that means anyone below consultant should be putting off starting a family. It's 2023.
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@felicitydevere
Felicity de Vere
1 year
@UKLabour I once again IMPLORE you to stop talking about training more doctors without mentioning retention. Last year we could have had 126 more medical oncologists OVERNIGHT if the training bottlenecks had been opened
@felicitydevere
Felicity de Vere
1 year
Guess what @Keir_Starmer & @wesstreeting ? Last year 126 applicants were TURNED DOWN from becoming medical oncologists after 5-6yrs medschool, 2 yrs foundation training and 2 yrs core med training (= 10yrs training already!). FIX 👏RETENTION👏BY👏REMOVING👏THE👏BOTTLENECKS 👏
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@felicitydevere
Felicity de Vere
1 year
@zackferguson Conferences and training courses you have to do to maintain a competitive portfolio. Exam prep courses and revision tools like pastest
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@felicitydevere
Felicity de Vere
4 years
Really enjoyed watching #headstart2020 in my pjs this weekend thanks to @TheBJCA . Feel very lucky to have a society that advocates #womenincardiology , is anti-bullying, and does great online learning. Cheers guys!
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@felicitydevere
Felicity de Vere
3 years
@CharlesHallMD I know exactly who this is haha
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@felicitydevere
Felicity de Vere
1 year
@IanStockport The problem is the landscape is continually changing. The NHS is not the same as when I started medschool, and won't be the same in 10 more years. To say an 18yo can have any real concept of their life beyond 30yo is slightly farcical, esp amongst such fast-paced change
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@felicitydevere
Felicity de Vere
5 months
"Why won't you just call it quits to save the NHS?" The real terms massive paycut has led to UK trained doctors leaving the country + profession in their droves. It's the lack of retention failing our NHS, not these strikes. Retaining skilled workers simply requires decent pay
@SaulStaniforth
Saul Staniforth
5 months
Junior doctors @_VivekTrivedi explaining why junior doctors are on strike today. Solidarity #JuniorDoctorsStrike
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@felicitydevere
Felicity de Vere
4 years
My question is: what happens to current CT2s on the old curriculum who don't secure an ST3 job in 2020? Will we be made to do IMT3 the following year (2020-2021), or the year after (2021-2022)? We've been left in the dark and it's hard to plan our lives with such uncertainty.
@JRCPTB
JRCPTB
4 years
Have you got a question about Internal Medicine training and the new Internal Medicine curriculum? Join us for our next live Q&A on Tuesday 10 December from 4pm >
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@felicitydevere
Felicity de Vere
10 months
@Dr_Done_ Can someone explain what exactly AAs offer that anaesthetic trainees don't? If the answer is continuity, then the answer is to end rotational training, no?
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@felicitydevere
Felicity de Vere
1 year
@mo_a_awad @EH172 @RCoANews Yes! You get more points for MRCP than FRCA, and more points for "6 months outside anaesthetics" than more time doing anaesthetics. The system is wack
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@felicitydevere
Felicity de Vere
3 years
@mevparekh At our hospital cholecystitis is still under medics...
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@felicitydevere
Felicity de Vere
1 year
@dochawking @RCoAPresident @NHSEngland @SteveBarclay The issue is either (1) simply not enough HEE/NHS England funding for training numbers (across most specialities, even GP!) or (2) there is a conscious drive to reduce the numbers completing training due to a shortage of middle grades. Option (2) is likely given rise of PAs/AAs
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@felicitydevere
Felicity de Vere
10 months
@ISM_JD Was going to tweet something similar myself but it's a lion's den on twitter these days....The only answer I can think of is continuity/lack of rotation, the answer to which is to end the farce that is current rotational training for docs.
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@felicitydevere
Felicity de Vere
1 year
@richormonde @DrANChekroud @RCoANews Or perhaps it is needed. If so then understand your annoyance at my comment.
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@felicitydevere
Felicity de Vere
1 year
@TahirNasser @richormonde @DrANChekroud @RCoANews My point only stood up if AAs aren't made to sit the same exams so wanted to clarify that. Turns out they don't so the point stands.
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@felicitydevere
Felicity de Vere
1 year
Getting bored of saying it but RETAINMENT before RECRUITMENT
@MrTimLane
Tim Lane 💙
1 year
Retention. Retention. Retention
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@felicitydevere
Felicity de Vere
1 year
@LMagee3 @RCoANews Sounds...normal?
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@felicitydevere
Felicity de Vere
1 year
My Dad had a cardiac arrest as he arrived to A&E in Nov 2020 due to a heart attack. He had zero risk factors. Because of prompt care, he is now ok. To know that if this had happened now, he'd probably have died waiting for the ambulance is...beyond awful
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@felicitydevere
Felicity de Vere
1 year
@drp297 @RobJimFleming @criticalgassing @RCoANews Which begs the question, why are the exams so hard to pass? If it's because the @RCoANews believes in high standards for those delivering an anaesthetic (fair), why allow AAs to perform the same procedure without the final...?
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@felicitydevere
Felicity de Vere
10 months
@MedCrisis Everyone interacts with healthcare at some point, from trips to the GP to self googling when unwell. A little knowledge is a dangerous thing and it means everyone thinks they're a bit of an expert. Makes medicine more vulnerable to this sort of thinking than other professions
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@felicitydevere
Felicity de Vere
10 months
This is important. PAs + AAs do not have unique training that doctors don't also have. AHPs such as physios/OTs/paramedics/CNSs/pharmacists have unique training and skills that make them incredibly valuable members of the MDT. Stop conflating them.
@Ste_Story
Ste
10 months
Paramedics ≠ PAs. I have specific training, experience & skillsets that I would be expected to perform and know better than GPs and many medics, within my field. I am independently qualified and regulated to practice. Why do we keep getting mentioned in these PA discussions?
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@felicitydevere
Felicity de Vere
4 years
Well 𝘵𝘩𝘪𝘴 is embarrassing.... 16yo me - can't draw an ECG trace 29yo me - "hello this is the Cardio reg how can I help?"
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@felicitydevere
Felicity de Vere
3 years
@mevparekh Anaesthetics leadership: rather than being honest and telling the junior you've run out of conversation, ask them strongly "would you like to go and get a coffee?? Yeh??"
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@felicitydevere
Felicity de Vere
1 year
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@felicitydevere
Felicity de Vere
1 year
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@felicitydevere
Felicity de Vere
1 year
@sh_abbers Jesus 🤦‍♀️ I remember someone on my A&E rota asking for compassionate leave for a funeral. The consultant said "yes of course! But what time will you be back? If you get back by 6pm you could do a 6pm-4am shift?" The absolute gall.
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@felicitydevere
Felicity de Vere
3 years
@DrBenLovell Someone taking an actual interest in your development
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@felicitydevere
Felicity de Vere
4 years
@mevparekh Always write useless filler in discharge summaries such as "many thanks for your continued care for this patient" so the GP gets more to read cos they love reading.
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@felicitydevere
Felicity de Vere
3 years
After a busy ST3 year, I've ST elevated my way into Barts Heart Centre! Got a gooood feeling about this one #WIC @ Barts Heart Centre
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@felicitydevere
Felicity de Vere
1 year
@zackferguson Exam retakes. Portfolio fees. Commute because they get moved all the time. Moving costs as we have to often move flat every year or 2
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@felicitydevere
Felicity de Vere
3 years
@aidenera Hey chiara - i enjoyed our brief time in choir together. You were a bundle of energy and fun. Stay strong and get better - you deserve to feel happy ❤️
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@felicitydevere
Felicity de Vere
1 year
@RoshanaMN Was thinking when I heard you on @TheNewsAgents about the more sinister, internal consequences of failed staff retention. The lack of slack in staffing levels allows for bullying + sexist behaviour to continue without consequence as the NHS is simply too desperate to lose anyone
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@felicitydevere
Felicity de Vere
3 years
@DrA_EP_Doc I am the Cardiologist (!)
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@felicitydevere
Felicity de Vere
1 year
@SteveBarclay @DHSCgovuk Do you really think posting pics of you sitting at a table and grinning is helping doctors understand why you continue to refuse to sit at the table with them?
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@felicitydevere
Felicity de Vere
1 year
My actual view btw
@felicitydevere
Felicity de Vere
1 year
@IanStockport I really don't think we should be allowed to run a medical training system that means anyone below consultant should be putting off starting a family. It's 2023.
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@felicitydevere
Felicity de Vere
1 year
@Chrisking01 but was deemed appointable innit bruv
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@felicitydevere
Felicity de Vere
8 years
Having fun recording the NHS single with my SHO #SundaySelfie #NHSYours @NHSsing2survive
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@felicitydevere
Felicity de Vere
4 years
Gonna celebrate with a lovely greasy doughnut later
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@felicitydevere
Felicity de Vere
2 years
@RoshanaMN A Barts computer being propped up by scissors.....
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@felicitydevere
Felicity de Vere
1 year
Erm @wesstreeting when I gave you constructive, real options in our LBC exchange, you said "a govt in waiting can't make sweeping promises".......🤔🤔🤔
@DrRosena
Dr Rosena Allin-Khan
1 year
The next Labour Government will guarantee mental health treatment within a month for all who need it. Prevention as our watchword. Better mental health for all.
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@felicitydevere
Felicity de Vere
4 years
For all ST3 applicants successful or not, Cardiology or not - useful to collect some data on the situation.
@BJCAstarter
BJCAstarter
4 years
🚨 ST3 Application Survey🚨 We would like to hear your views and experiences so far
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@felicitydevere
Felicity de Vere
1 year
@ShelaghFogarty Please bring this up with Wes at 2pm today. I can't call in as I have clinic. I spoke to him about it on your show on 13th December 2022 and he STILL hasn't specifically told us what he's planning to do about BOTTLENECKS and doctor RETENTION. He's known about this for months
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@felicitydevere
Felicity de Vere
4 years
HE'S OUT 😁😁😁
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@felicitydevere
Felicity de Vere
1 year
@GarethDavies007 @RCoANews 350 did NOT "fail to meet standards". Otherwise yet, I would have agreed with you.
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@felicitydevere
Felicity de Vere
3 years
@arcl The classic "did you even go to medical school?!" shouted down the phone at me after I didn't know the exact half-life of Vitamin K....told my supervisor I felt I had been bullied and got told "oh that's just what that consultant is like". Er, unacceptable?!
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@felicitydevere
Felicity de Vere
1 year
@ZS_Chaudhry Not to mention moving costs, often long commutes, constant sense of uncertainty about rotas/next rotation/next hospital. Hate to think how much money I've lost over the years because of rotational training. It's not particularly eco friendly nor viable to those without enough ££
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@felicitydevere
Felicity de Vere
1 year
@SteveBarclay @wesstreeting LISTEN to the NHS staff for solutions; the paramedics, doctors, nurses. We need more staff NOW - not medical students. RETAIN the staff you have. And STOP asking them to "increase efficiency". Imagine the MORAL INJURY they are facing on a daily basis.
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@felicitydevere
Felicity de Vere
3 years
@UKGastroDr @solange_serna Fondant fancies, obvs!
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@felicitydevere
Felicity de Vere
4 years
@JRCPTB With specific reference to Cardiology ST3 recruitment, isn't it now time to make it a national recruitment system rather than regional? Regional recruitment is based on an antiquated system of "hiring your own" and only benefits the interviewers. 1/2
2
1
8