James Tomlinson @jamestoml1 Twitter profile

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James Tomlinson

@jamestoml1

5 years

It's hard being an orthopod!

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James Tomlinson

@jamestoml1

3 years

Phone GP '23rd in queue to speak to reception' Phone 111 'please hang up and use our website or call 999' Use website 'do not use for children under 5' It's becoming clearer why EDs are busy....

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James Tomlinson

@jamestoml1

4 years

Home after six night admission @SheffieldHosp with #COVID19 Thanks to Paramedics, ED, E2 and H2 ward staff and the ID team for the amazing care you all showed me. All a pretty scary experience but on the mend now. You are all superstars.

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James Tomlinson

@jamestoml1

2 years

'We have patients who've been in ED for two days or more awaiting a bed' Why isn't this front page news? Surely it should be...

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James Tomlinson

@jamestoml1

4 years

Our house got 4lb 10 heavier this week. Thanks to all the @SheffieldHosp Jessop Wing staff who looked after us so well. Lovely to have everyone back home after a few days in hospital for Mum @Telle_101 and little one.

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James Tomlinson

@jamestoml1

3 years

Dear world. It is 2021 and women can also become surgeons. Unsurprisingly lots of them are great surgeons. Can we please stop telling female students/trainees it's not for them based on assumptions. (Accept may not be for them based on aptitude/career aims)

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James Tomlinson

@jamestoml1

5 years

Whoever left this on my desk, thank you!

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James Tomlinson

@jamestoml1

5 years

Seeing people in clinic who have had a 200 mile round trip for a 15 minute appointment does make you wonder if there is a role for technology some of the time...

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James Tomlinson

@jamestoml1

3 years

Delighted to have been appointed clinical lead for Human Factors @SheffieldHosp Looking forward to working with teams across the trust to improve patient care and patient safety.

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James Tomlinson

@jamestoml1

2 years

'we need to stop trainees publishing poor quality research as it's harming the evidence base' Thanks @kashakhtar @petebates @MrDanPerry and Matt Costa for this. Pointless research in the name of publication needs stopping so we use resources for effective output

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James Tomlinson

@jamestoml1

4 years

Easy to say this as I am not a trainee.. You will be a consultant for a very, very long time. A delay of a few months to rotations/interviews/CCTs will be frustrating and disappointing, but one day will be a minor delay in a long and enjoyable career. We will support you.

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James Tomlinson

@jamestoml1

4 years

Genuine question - are we expecting too much from trainees now? I applied for core training equivalent with no teaching experience, one audit, no publications, no presentations, no higher degrees. Just worked hard. Easy to see why people now struggling.

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James Tomlinson

@jamestoml1

3 years

Three female colleagues doing a complex spine trauma case. If you're a female trainee and get told you can't be an orthopod then tell them it's total nonsense

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James Tomlinson

@jamestoml1

5 months

Delighted that I will be taking up a new role as Associate Medical Director for Education. Thoroughly looking forward to working with everyone involved to help drive improvements in training and patient care.

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James Tomlinson

@jamestoml1

3 years

'Just because you can ride a bicycle well it doesn't mean you can teach others to ride one' A key issue of surgical training in a nutshell...

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James Tomlinson

@jamestoml1

1 year

Thrilled to have been offered a post as an Associate Dean for @NHSHEE_NEY to support trainees across Yorkshire. Looking forward to a new challenge and the opportunity to help support trainees across the region

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James Tomlinson

@jamestoml1

2 years

'we were critisicised for reporting too many serious incidents' If they happened they need reporting. Trying to improve the numbers by underreporting is never OK.

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James Tomlinson

@jamestoml1

2 years

'staff should have the courage to speak up' Can we change this to.. 'staff should be able to work in a system where speaking up is routine and learning cultures are the norm'

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James Tomlinson

@jamestoml1

3 years

'Yes we can treat you' 'No I don't know when your surgery will be, it won't be this year, it may or may not be next year' Current situation miserable for everyone but saying this week after week is pretty grim.

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James Tomlinson

@jamestoml1

2 years

A pretty damning letter in @RCSnews bulletin. This can't happen and reflects on all of us as a profession. I hope the author finds their peace one day. No one should ever have to go through this.

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James Tomlinson

@jamestoml1

5 years

Thoughts on resilience.. 'No matter how hard the frog meditates it will still cook when the water boils' Is the system you work and train in harming learners and thus harming patients? #ICRE2019

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James Tomlinson

@jamestoml1

2 years

The new registrar is not only very small but has also put some pretty weird cases on the trauma list ...

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James Tomlinson

@jamestoml1

4 years

Heard yet another story today about a trainee being threatened with consequences if they spoke up. If speaking up is perceived as a threat it would imply there is a problem to speak up about.... Culture needs to change?

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James Tomlinson

@jamestoml1

4 years

Day 8 of bedrest and feeling awful. But Stone Roses 'I am the resurrection' just started playing. Maybe there is some hope....

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James Tomlinson

@jamestoml1

4 years

Being a parent rapidly bringing home difficulties of being a trainee and a parent. Moving hospitals, shift work, often get rotas at six weeks notice or less. Compare with consultant life - stable commute, rota months ahead, less shift work, greater control over own destiny.

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James Tomlinson

@jamestoml1

2 years

'We're just humans looking after other humans' Fabulous to see @Telle_101 talking about the work of the amazing neonatal team @nottmhospitals So proud to be married to this amazing human on #IWD2022

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James Tomlinson

@jamestoml1

7 months

Education leadership....a thread After six fantastic years as Education TPD for @NHSHEE_NEY T&O trainees I have stepped down this week. Thanks to the amazing trainees in our region, it has been an absolute privilege to work alongside you and help you develop.

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James Tomlinson

@jamestoml1

5 years

Trauma conference. 6 female SpRs. 1 male SpR. Who says women can't be orthopods?

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James Tomlinson

@jamestoml1

2 years

Full day of operating, made it to nursery to pick up little man, home for pre bedtime cuddles on the sofa. Today was a good day....

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James Tomlinson

@jamestoml1

5 years

Asking for a friend... Is a consultant getting their F1 to phone another consultant's secretary to say they disagree with a management decision really the best way to do things?

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James Tomlinson

@jamestoml1

8 months

Female trainee or medical student and want to do orthopaedics? Here's some very firm proof you can do it. A whole room full of female orthopods who are brilliant colleagues. Don't believe the nonsense....

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James Tomlinson

@jamestoml1

2 months

@ShaunLintern Paying a consultant to do secretarial work is a bonkers waste of money and denies patients care from a consultant

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James Tomlinson

@jamestoml1

2 months

@gmcuk @AskJeevesWij Could we please consider changing things for trainees ENTERING training programmes only. Changing requirements midway through a training programme helps no one and leads to large amounts of unnecessary anxiety amongst trainees and trainers alike.

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James Tomlinson

@jamestoml1

4 years

Now official. Delighted to have been selected for the 2020 ABC Fellowship. Look forward to representing @BritOrthopaedic @SheffieldHosp and @NHSHEE_NEY overseas along with brilliant colleagues @MrDanPerry @TJQPNI @SujithKonan

Tom Lewis

@thomasllewis

4 years

Congrats to @MrDanPerry @TJQPNI @jamestoml1 @sujithkonan on getting highly prestigious @BritOrthopaedic ABC fellowships. Can’t wait to hear how you all get on

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James Tomlinson

@jamestoml1

1 year

Hello old friend. First night shift since 2014 to help provide strike cover. Fully support trainees striking. Any tips for an old duffer doing a night shift?!

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James Tomlinson

@jamestoml1

5 years

The student may be the one who spots the safety issue. Come and join our team any time.

TraumaDude Esq

@OrthoBanter

5 years

@Orthofacts Dear Med students, being in theatre is a privilege not a right. Any student who has the audacity to complain can piss off. The team & I work in a high demand environment without your bullshit. Quite frankly your feelings are way down the list after patient safety/team harmony.

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James Tomlinson

@jamestoml1

3 years

Not seen this formalised before. Interesting...

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James Tomlinson

@jamestoml1

3 months

You know you've worked with a pretty special group of trainees when you get some custom trainers as a leaving gift. Coming to an orthopedic conference near you soon!

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James Tomlinson

@jamestoml1

2 years

Great article @jtberwin

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James Tomlinson

@jamestoml1

3 years

Baby Tomo is crawling. My heart just melted. Who needs rufty tufty orthopods anyway.

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James Tomlinson

@jamestoml1

1 year

I fully support #JuniorDoctorsStrike Many years of sub inflation pay rises need addressing if we are to address retention and recruitment.

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James Tomlinson

@jamestoml1

4 years

Surgeons of Twitter.... Amy useful tips for bouncing back from complications? Personal anecdotes/techniques or literature based theories both welcome!

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James Tomlinson

@jamestoml1

3 years

There are multiple discussions around making surgery a more attractive and diverse specialty at all levels. I don't quite see how a letter suggesting there are too many surgeons, that trainees aren't tough enough and don't work hard enough helps this...

Stress and the surgeon

publishing.rcseng.ac.uk

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James Tomlinson

@jamestoml1

2 years

Interesting view on commonly seen behaviours in surgeons....

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James Tomlinson

@jamestoml1

2 months

@orthofacts @drericksonspine Just leaving this here...

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James Tomlinson

@jamestoml1

4 years

Note to self: Masters thesis submission deadline and a newborn baby do not make for a quiet life. Please send sleep.

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James Tomlinson

@jamestoml1

4 years

Officially joined the T&O Selection Design Group. Looking forward to developing ST3 recruitment and helping secure the future of the orthopaedic profession.

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James Tomlinson

@jamestoml1

5 years

8+ people in an operating theatre doubles the risk of adverse events Does everyone have a role and need to be there? @mitchgoldenberg talking about the OR Black Box work with @TGrantcharovMD Data capture allowing big data analysis of operative adverse events. #ICOSET19

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James Tomlinson

@jamestoml1

2 years

A talk on Yorkshire dialect at @Harvard faculty club. Definitely one to file in the surreal life experiences box...

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James Tomlinson

@jamestoml1

2 years

Good luck or as the French would say 'bone chance' to all those interviewing for T&O ST3 this week We look forward to meeting you all.

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James Tomlinson

@jamestoml1

2 years

New article out in Dec @BritOrthopaedic JTO with @cmb_lewis and @HiroBonefix Thanks both for the opportunity to write this together. Important that we focus more on Non Technical Skills and other HF training.

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James Tomlinson

@jamestoml1

1 year

Given how much we obsess about trainees interpretation of research...maybe we should listen to our own wisdom a little more...

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James Tomlinson

@jamestoml1

3 years

Borrowed from elsewhere (thanks Debbie) Somewhat topical

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James Tomlinson

@jamestoml1

5 months

Not important enough to raise pay. Too important to strike as hospitals can't run without them. Not sure these positions align!

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James Tomlinson

@jamestoml1

4 years

Remote clinics clearly the way forward where possible. Saved one patient a two hour round trip for a ten minute appointment yesterday. Be interested to see some numbers on the potential reduction in time and travel if NHS wide...

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James Tomlinson

@jamestoml1

2 years

Choose Yorkshire orthopaedics. This is what it's like in the grim North.... @KevinWembridge @SYorksOrthoRegs @YorkshireOrtho

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James Tomlinson

@jamestoml1

2 years

'...a number of staff withdrew their cooperation...the main reason for withdrawing....was fear of being identified' Fear of speaking up remains a clear problem #ockendenreport

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James Tomlinson

@jamestoml1

9 months

@alastairmiller3 Genuine question..does this mean you consider Christmas day staffing to be unacceptable every year?

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James Tomlinson

@jamestoml1

3 years

Don't fall off cycling to work!

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James Tomlinson

@jamestoml1

10 months

Ward doctor tomorrow covering the strike.... Does anyone know where I can get a bag of rose petals to scatter in front of the consultant as they embark on their ward round?

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James Tomlinson

@jamestoml1

3 years

Thanks to all the staff @SheffChildrens in ED and AAU for looking after #BabyTomo today. All is well in the world again :)

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James Tomlinson

@jamestoml1

2 years

New edition of this brilliant book out with new images. Anyone who has trained in East Mids or South Yorkshire will be very aware just how brilliant Fazal Ali's clinical examination teaching is.

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James Tomlinson

@jamestoml1

3 years

'Surgical trainees only have a certain bandwidth' Important to think about trainee cognitive load in theatre - trainer and trainer may be on totally different pages with perceptions of ability to take teaching on board. #ICRE2020 final session talking about surgery

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James Tomlinson

@jamestoml1

3 years

Interesting read. Does this favour those able to fund courses/conferences/additional qualifications?

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James Tomlinson

@jamestoml1

2 years

Great day for Sheffield spine. Best paper and second prize poster. Well done @AnnaWatts_ @Rav_Ortho and everyone else involved @SheffieldHosp

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James Tomlinson

@jamestoml1

1 year

Clearly how to park a car in the staff car park needs to be added to mandatory training...

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James Tomlinson

@jamestoml1

3 years

Good points well made. Bottom line - training is tough and we need to support trainees. Comparisons to whether it was or wasn't harder in year X, Y or Z are irrelevant. They are doing it now and need our support.

Dr. Glaucomflecken

@DGlaucomflecken

3 years

Change the culture

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James Tomlinson

@jamestoml1

4 years

I just spent 40 minutes with @OrthopodReg I spoke more than he did. Is this a world first?

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James Tomlinson

@jamestoml1

4 years

Anyone CT2+ trainees interested in T&O? We have an empty registrar post available for a LAS from October for six monthly, possibly 12. Weekly protected teaching, MTC, great training and all subspecialties on one site. Please RT and share.

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James Tomlinson

@jamestoml1

1 year

50 000 training cases lost in T&O in the last 2 years... Pretty sobering data from @deboraheastwood in her @BritOrthopaedic Presidential address at #BOTAAC22

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James Tomlinson

@jamestoml1

3 years

#grimupnorth

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James Tomlinson

@jamestoml1

5 years

@beckybeckyfish This type of work is critical to highlight how much time trained staff spend on pointless/avoidable task

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James Tomlinson

@jamestoml1

1 year

Stolen from a colleague. Don't think I could find a better way of putting this if I spent years trying....

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James Tomlinson

@jamestoml1

2 years

'the culture has to change....it's not banter...it's misogyny, homophobia and other inappropriate behaviour' Strong words from @BritOrthopaedic president John Skinner at the @CdnOrthoAssoc presidential session

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James Tomlinson

@jamestoml1

1 year

@NHS_HealthEdEng Sadly rarely seen but there an army of support staff who care very deeply about trainees. This is often not seen or witnessed at times which is a tragedy. So thanks to the staff who work hard in the background supporting all of us who are trying to improve training.

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James Tomlinson

@jamestoml1

4 years

Stay at home. Protect the NHS. Save lives. A simple and powerful message. Everyone can save a life. Probably more than one.

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James Tomlinson

@jamestoml1

3 years

One for the upper limb surgeons. Was only a matter of time....

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James Tomlinson

@jamestoml1

1 year

#TeamNightShift tonight in support of #JuniorDoctorsStrike First night shift in ten years. Fingers crossed!

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James Tomlinson

@jamestoml1

1 year

Timely.... Although once again...it doesn't matter how many you train if you don't retain them...

NHS staff shortages in England could exceed 570,000 by 2036, leaked document warns

Exclusive: workplace plan sent to ministers says deficit will rise rapidly from current 154,000 if current trends continue

www.theguardian.com

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James Tomlinson

@jamestoml1

5 years

@kunjp_ It is an odd culture in medicine that we remember lists of random things as a badge of honour when we could just look them up!

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James Tomlinson

@jamestoml1

5 years

In Cornwall? Visit this guy at Bear Cornwall coffee. Ex air ambulance pilot who now runs a coffee van in St Mawes. Does an amazing flat white...

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James Tomlinson

@jamestoml1

4 years

Frustrating that @NHS_HealthEdEng have now made face to face ARCP only for adverse outcomes. Suspect trainees on ARCP outcome 1 still want to see their programme team and have discussions around progress/career plans/feedback/etc etc? Trainees/Trainers any thoughts?

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James Tomlinson

@jamestoml1

3 years

Think Baby Tomo and I have our socks sorted for #ICRE2021

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James Tomlinson

@jamestoml1

2 years

There's hope for surgeons yet.....

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James Tomlinson

@jamestoml1

2 years

Becoming clear that the logistics of MCR and AES meetings are creating chaos for trainees and ARCP panels. Concept brilliant but logistics seem to ruin the risk of unfair criticism

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James Tomlinson

@jamestoml1

2 years

Arthroscopy of the green pepper. A lot more interesting than knee surgery @kashakhtar ;)

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James Tomlinson

@jamestoml1

3 years

Very best of luck to all those interviewing for T&O ST3 national selection this week. Look forward to welcoming lots of new colleagues later in the year. #teamortho

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James Tomlinson

@jamestoml1

4 years

Next Thursday at 8pm can all the NHS staff clap to thank the public for staying at home? Everyone can make a difference....

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James Tomlinson

@jamestoml1

4 years

Read the graph. Then stop and ask yourself if this is OK in any workplace. We have to get our house in order.

Simon Fleming 🛠

@OrthopodReg

4 years

For those who suggest that #HammerItOut and/or #OperateWithRespect are all much ado about nothing...sure, you can try & argue that bullying and harassment/discrimination is “how it is” We will disagree and keep striving for change. Because... #medtwitter #orthotwitter #HeForShe

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James Tomlinson

@jamestoml1

2 years

Applied for ST3 #ortho ? Choose #Yorkshire it's grim up north...

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James Tomlinson

@jamestoml1

4 years

'i feel like I'm deskilling since starting core surgical training' Is the system broken?

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James Tomlinson

@jamestoml1

3 years

First ever walk with Baby T when the snow was actually falling. Someone just turned the Dadometer up to 11. Giddy as a kipper.

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James Tomlinson

@jamestoml1

2 years

Daddy ST2 ARCP outcome 1. Chair of the panel was pretty tough again. Ultimately he decided I'd done enough to carry on in Dad training. Thanks #BabyTomo

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James Tomlinson

@jamestoml1

2 months

Another brilliant article by the most thoughtful and curious orthopaedic surgeon I've met. Not sure he can write a bad one. Some very touching personal narratives from Hiro Tanaka

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James Tomlinson

@jamestoml1

3 years

Is anyone else feeling disappointed with the internet? I keep clicking accept cookies. The cookies never seem to get delivered. I like cookies.

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James Tomlinson

@jamestoml1

4 years

Outdoor pedaling and social distancing. It's grim up north....

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James Tomlinson

@jamestoml1

3 months

Thanks to @SYorksOrthoRegs and @YorkshireOrtho for an amazing leaving get together today. Extra special thanks to Bonita for organising and @KevinWembridge for some brilliant times. Six very happy years that will never be forgotten. Best of luck to the new team!

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James Tomlinson

@jamestoml1

4 years

Amazing effort by Theatre 1 team @SheffieldHosp to get final urgent case done today. Thanks to all for their hard work.

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