@DrEilidhMaria
@Parody_RCGP
I think if I were a newly qualified FY I might think about suing for discrimination !! And asking for my huge training debt to be paid. This is completely outrageous
@NicolaSturgeon
In my experience when the papers are full of Royal stories (and in this case non- story) it is usually to distract from something UK gvt trying to slip under the radar- what could that be?
@JeaneF1MSP
@DrGregorSmith
You will note springing up of staff welfare areas in midst of this crisis. Can we ensure,going forward, that these are embedded in NHS and social care and emergency services as essential.
@CismAlliance
Itโs funny that all these โequivalentsโ compare themselves to doctors. Are there any Dr jobs advertised as equivalent to PA/SCP/ANP?? Does equivalence only work one way. Of course I have no acceptable training for those- but I am a doctor
Well with clocks forward, kids on hols and gardeners out in force, it is now "fellaffa" season for ED. Walls, trampolines, roofs, trees- take your pick๐
Started my career in Ayr County,did casualty as JHO. Today I leave Crosshouse ED and start a new chapter of career at Ayr ED. Some weel kent faces, many new. Will miss the cameraderie at XH, new friends and challenges ahead๐.Looking forward to it.
@VP_Scot_RCEM
@gmcuk
@jim_crawfurd
@DrAndrewGreen
Who regulates managers/chief execs who are not doctors? GMC has no regulatory power over them. To whom are they accountable? Itโs all very well escalating, but still patients who suffer and front line staff.
@medicalmodelbri
Oh! And look- they rotate- so that puts paid to yet another argument for their existence.( no rotation, continuity of care monopoly ) .As a GP I referred for specialist Px cos my patients needed a specialist- not someone with a masters who can critique a paper
@Ask_foradoctor
@InvCoriolis
So how relevant/legal are GMC sanctions on drs over the past 20 years while they have allowed practice by non-doctors - the very reason for their existence was to prevent such risk to patients
@cruncherwax
Dave I do hope somebody supported you and continues to do so. When we are beaten with a stick about โresilienceโ there is little if any understanding that first and foremost the organisation and systems need to be resilient - but right now they are all broken and breaking staff
#DearMedicalStudent
Everyone you meet throughout your career will teach you something. It may be about a disease/condition or perhaps humanity/ poverty/bigotry/culture/respect. Whatever it is- take a moment to reflect and absorb the learning from it.
Privileged today to share in a personal,fitting tribute to Dr JPMcClure MBE. Tears and laughter intermingled. As ever, his family did him proud, as did his colleagues and friends. Thank you.๐
@BMA_James_Steen
I fear RCS may face questions too as their curriculum outcome for SCP is โequivalent to โ a doctor completing core surgical training. It is all very messy
@medicalmodelbri
So who is training them? Random local consultants? With the support of Royal Colleges?? I predict crumbling of these โvenerableโ institutions in the not too distant future. And I think we should move to RCVS as they seem to care more about their patients
@mouseter_chef
If more time was spent ensuring pts were able to eat(food out of reach/canโt see without specs etc) or even assisting them, perhaps such tick boxes would be less necessary.
@EmergMedDr
Intercollegiate guidelines anyone?? Seems to be paediatricians are the group with necessary knowledge and skills to undertake examination at level 3
@medicalmodelbri
Working on the SHO rota. So when either PA or SHO might be involved in FTP assessment, who is their peer? Sorry but โGMC registration with a prefixโ does not magically turn you into a doctor
@PAG1962
@NHSaaa
I for one am certainly not as flexible as I was in my youth! Our resilience has been taking a bit of a battering this winter but the teams here are pulling together as well as " hingin' thegither" Thanks to all my colleagues
@EmergMedDr
In their minds the pandemic is over and we have herd immunity- neither is true. When you see the % positive that landed in Italy it is truly scary
Festive fondness to NHS colleagues esp in ED. Also to all emergency services workers and including all those in voluntary sector who give their time to aid those in need.
#MerryXmasNHS
@EmergMedDr
I remember my shock the first time I saw the โsandwich trolleyโ in the ED to feed patients- not a thing we had ever needed as they were not with us long enough. Sadly along with corridor waits it has been normalised
I would also add " have you been so busy holding your iPad up to take photos that you have not listened to anything- your question was addressed 10 minutes ago"
@medicalmodelbri
Who exactly propagates this โgeneralist in medicineโ tripe. Not medical, and certainly not a generalist just because you have toe dipped into a variety of specialist areas.
@EM_HealthPsych
@CHHoulbrook
Yes Mackie Academy Stonehaven in the 70s. They just changed from the old classic curriculum to the new. So it was โEcce Romaniโ for me๐คฃ
@cruncherwax
Itโs brutal Dave and toxic positivity is so demoralising and a leadership failure. We know that it is not our staff who need to be more resilient- they need a safer environment- systemic changes required
@rosieICM
Still missing the point. We already have good data on ED attendances. The problem is flow OUT of ED and out of hospital to social care. So if you have no space to see anyone due to >12 hour bed waits, even low number attendances critical- and staff are looking after them too
This week witnessed health and social care at its best. SAS,GP,D/N,social care, Marie Curie Nurse. Realistic care compassionately delivered. Sad, but proud of colleagues
@NHSGrampian
@cruncherwax
More nhs staff need to be better with boundaries - and say โnoโ more often. While we are passionate about patient care- the cost of that cannot be staff wellbeing. Too many have paid too high a price for โmoral obligationโ which seems to be absent in those who tell us do do it
@Cieran999
@juliemac28
When do you think the realisation will dawn that reducing health and social care for a period of 4 days at a time is not a good thing? I'd rather just have the time incorporated into A/L and maintain the services
@DanielSokol9
I suspect if the appropriate regulatory /educational/college bodies had seriously listened to concerns then we would not have reached this stage. Maybe the more pertinent question is how ethical has their behaviour been?
@CJblue72_
@DrLindaDykes
@KitzingerCelia
@dan26wales
My 90 yr old motherโs thoughtsโI donโt want anybody jumping on my chest- my ribs would crumble - and for what?โ Asked for a DNACPR and was met with disbelief. She still lives independently- but would rather die peacefully when her time comes
@LinzCampbel1
@NHSaaa
@CrosshouseED
@Gemmtayl
@judithahpmsk
@CowieIain
Absolutely vital to provide the best service for our patients. I may be an experienced ED doctor, but compared to these guys my knowledge of physio could fit on a postage stamp! We make a great team along with nurses/ANPs /ENPs/radiographers /cardiac physiology ๐
@ahm_sg
@EISUnion
Imagine expecting an unvaccinated person to be in a poorly ventilated room with 30 potential vectors of disease. Disgusting. (I am not a teacher, nor a member of the EIS- just someone who has seen some very ill people with covid)
I am on A/L but I think my feelings are known. Keep the staff hubs/wellbeing. Get out of the silo working. Hunt the good stuff that has come out of the pandemic response
@LizPeecock
@Megsenmumdr
None of them have a medical degree. A PA dip/cert whatever , even Masters does not equate to 5 years MBChB or MBBS.
They are not medical practitioners
@VP_Scot_RCEM
Have seen many traumatic/ unpleasant things in ED but this is the one that nearly every day gives me heartache -preventable, unnecessary and cruel to drag people from their deathbed to a resus trolley
@Ask_foradoctor
@medicalmodelbri
@gmcuk
I am pretty sure no medical indemnity will cover those that doctors employ who have not passed the exam at least. But it will be the doc that takes the rap for inappropriate delegation
This is very important. Encourage LGBTQ patients/friends to have plan in place while still have capacity. Many have been estranged from family-but without advance planning it may be family who make the decisions and exclude their significant other
"Brian had been Timโs primary carer since a diagnosis of dementia ten years earlier.
Despite this, Brian was shut out of conversations about Timโs end-of-life care and decisions were left up to his estranged family."
@charlie_psych
Organisational values plastered in large letters everywhere, but not demonstrated by those leading the organisation.
Lack of understanding of โwork as doneโ rather than โwork as imaginedโ
Post-trauma support in the workplace: the current status and practice of critical incident stress management (CISM) and psychological debriefing (PD) within organizations in the UK | Occupational Medicine | Oxford Academic โฆ
@Trisha_the_doc
โฉ
@RosPenny
@DrLindaDykes
@DrMikeFarquhar
Letโs face it we have been working in a slow- burn major incident for 10 years. Austerity/cuts/policy changes - mostly for political sound bites. This is the culmination
Spent 2 days with amazing group from
@NHSGrampian
sharing learning of peer support with
@psa_ltd
. Looking forward to revisiting my old stomping ground when we return to face to face training.
@DrLindaDykes
This is where we find great benefit from physio AP in dept. They see/scan appropriately and pt isn't waiting to see docs who are dealing with time critical sepsis/mi/stroke
@Gemmtayl
@LinzCampbel1
@AJohnso10
@Neonsmaw76
When u slope around in PJs you're like sleepy Joe. In your PJs you have no get up and go. So get your kit back on, and reignite your mojo๐
'There is an urgent need to prioritise compassionate support for those on the front line before we can hope to address the huge backlog of non-Covid work'
@UKGastroDr
If it has to be under GMC then should be separate branch/website/ register stating very clearly NOT DOCTORS. Eg GMCMAD โassociate divisionโ
@ClinOncDoc
@gmcuk
@RCPhysicians
@TheBMA
So concerned that as of mid-December you can work as PA without registration for 2 years if I read it right- existing PA have 2 years to join the register ! What could possibly go wrong?
Well fellow EM staff it seems like fellaffa season is well underway. This yr tho our demographics seem a bit different. Usually young fellaffa bike/trampoline .This time more older choosing ladders. Do we need a poster to highlight?๐คโบ๏ธ
@sue_strachan
@doctor_oxford
Mid staffs moment?? Absolutely no insight that whole NHS is teetering on brink due to lack of investment and ignorance of politicians as to how much unpaid effort put in by staff- not sustainable
@Parody_RCGP
If I was still practising I would, as a potentially supervising doctor , be guided by the BMA. I think they forget that the guidance is for doctors
@juliemac28
@CotDeathTrust
@CSMEN1
@drlauramcgregor
@kerry_lang
Never ceases to amaze me the desire to learn more from each other and improve our practice by understanding more of the work colleagues from other agencies need to do. Great sharing among hospital/paramedics and police and educators. Thank you all
@Burnt2020
@FrankCoffey26
@davehartin
I do think a lot of this nonsense comes from workforce planning etc. The training for EM ACP(and their supervisors) is robust.I worked with 2 trainee ACP- very experienced EM nurses and neither had any desire to โbe a Drโ,nor be in charge of ED. Of course others may differ