Marion McNaught Profile
Marion McNaught

@marion_mcnaught

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Followers
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Following
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Retired Doc. ICISF CISM instructor Member @CismAlliance . Work with @psa_ltd . Occasional poet and musician. She/her ๐Ÿณ๏ธโ€๐ŸŒˆ

Joined June 2015
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@marion_mcnaught
Marion McNaught
2 months
@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
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@marion_mcnaught
Marion McNaught
6 years
@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?
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@marion_mcnaught
Marion McNaught
4 years
@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
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@marion_mcnaught
Marion McNaught
1 month
Itโ€™s funny that all these โ€œequivalentsโ€ 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
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@marion_mcnaught
Marion McNaught
5 years
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 pick๐Ÿš‘
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@marion_mcnaught
Marion McNaught
6 years
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 ahead๐Ÿ˜„.Looking forward to it.
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@marion_mcnaught
Marion McNaught
4 years
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@marion_mcnaught
Marion McNaught
4 years
It would seem a generous elf passed this way today. Thankyou๐Ÿ˜ƒ
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@marion_mcnaught
Marion McNaught
4 years
@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? Itโ€™s all very well escalating, but still patients who suffer and front line staff.
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@marion_mcnaught
Marion McNaught
4 months
@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
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@marion_mcnaught
Marion McNaught
15 days
@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
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@marion_mcnaught
Marion McNaught
3 months
@cruncherwax Dave I do hope somebody supported you and continues to do so. When we are beaten with a stick about โ€œresilienceโ€ 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
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@marion_mcnaught
Marion McNaught
6 years
#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.
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@marion_mcnaught
Marion McNaught
1 month
@TomStocks1982 Who would believe that qualified doctors hold the monopoly of being qualified doctors . You just canโ€™t make it up can you
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@marion_mcnaught
Marion McNaught
10 days
@Xeon4f145d96s1 @FPARCP Maybe they all got GEM offersโ€ฆ
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@marion_mcnaught
Marion McNaught
10 days
@VishwajeetP4t3l Yes it remains very clear that responsibility sits with supervising named doctor . Glad we have BMA guidance
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@marion_mcnaught
Marion McNaught
6 years
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.๐ŸŽ€
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@marion_mcnaught
Marion McNaught
1 month
@BMA_James_Steen I fear RCS may face questions too as their curriculum outcome for SCP is โ€œequivalent to โ€œ a doctor completing core surgical training. It is all very messy
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@marion_mcnaught
Marion McNaught
1 month
@medicalmodelbri So who is training them? Random local consultants? With the support of Royal Colleges?? I predict crumbling of these โ€œvenerableโ€ institutions in the not too distant future. And I think we should move to RCVS as they seem to care more about their patients
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@marion_mcnaught
Marion McNaught
14 days
@mouseter_chef If more time was spent ensuring pts were able to eat(food out of reach/canโ€™t see without specs etc) or even assisting them, perhaps such tick boxes would be less necessary.
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@marion_mcnaught
Marion McNaught
2 months
@EmergMedDr Intercollegiate guidelines anyone?? Seems to be paediatricians are the group with necessary knowledge and skills to undertake examination at level 3
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@marion_mcnaught
Marion McNaught
10 days
@medicalmodelbri Working on the SHO rota. So when either PA or SHO might be involved in FTP assessment, who is their peer? Sorry but โ€œGMC registration with a prefixโ€ does not magically turn you into a doctor
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@marion_mcnaught
Marion McNaught
1 month
@parthaskar @RCPhysicians @mmamas1973 @DrAsifQasim @ShivaniM_KC @DrLKVaughan @UKGastroDr @trishgreenhalgh @doctor_oxford @ShrillaB @OrthopodReg @RoshanaMN And of course the complainants have absolutely no conflict of interestโ€ฆ.. Safety and scope is of paramount importance
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@marion_mcnaught
Marion McNaught
6 years
@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
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@marion_mcnaught
Marion McNaught
1 year
@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
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@marion_mcnaught
Marion McNaught
6 years
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
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@marion_mcnaught
Marion McNaught
19 days
@EmergMedDr I remember my shock the first time I saw the โ€œsandwich 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
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@marion_mcnaught
Marion McNaught
5 years
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"
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@marion_mcnaught
Marion McNaught
28 days
@medicalmodelbri Who exactly propagates this โ€œgeneralist in medicineโ€ tripe. Not medical, and certainly not a generalist just because you have toe dipped into a variety of specialist areas.
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@marion_mcnaught
Marion McNaught
3 years
@EM_HealthPsych @CHHoulbrook Yes Mackie Academy Stonehaven in the 70s. They just changed from the old classic curriculum to the new. So it was โ€œEcce Romaniโ€ for me๐Ÿคฃ
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@marion_mcnaught
Marion McNaught
7 years
#ED3030 If you go down to ED today you're in for a big surprise , if you go down to ED today the Care Bears won first prize๐ŸŽง๐Ÿ†
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@marion_mcnaught
Marion McNaught
1 month
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@marion_mcnaught
Marion McNaught
2 years
@cruncherwax Itโ€™s 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
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@marion_mcnaught
Marion McNaught
2 years
@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
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@marion_mcnaught
Marion McNaught
3 years
How cattle are helping rare butterflies to thrive at Mabie Forest. Got to love a Beltie โฆ @herdyshepherd1 โฉ
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@marion_mcnaught
Marion McNaught
3 months
@PhilSmithIsBack @UKGastroDr @BritSocGastro @andymveitch I hope they wish to hear from SAS doctors too
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@marion_mcnaught
Marion McNaught
2 years
Another great 2 days of training with Lothian colleagues-this time meeting up in person- how wonderful๐Ÿ™ƒ @amanda_langsley @PMacdonaldSkye @Carlybarly76 @carlyndavie @psa_ltd
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@marion_mcnaught
Marion McNaught
5 years
Ayr team highlighting World Blood Donor day๐Ÿ˜
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@marion_mcnaught
Marion McNaught
6 years
Starting at Ayr today felt a bit like this
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@marion_mcnaught
Marion McNaught
2 years
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
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@marion_mcnaught
Marion McNaught
2 months
@cruncherwax More nhs staff need to be better with boundaries - and say โ€œnoโ€ 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 โ€œmoral obligationโ€ which seems to be absent in those who tell us do do it
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@marion_mcnaught
Marion McNaught
5 years
@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
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@marion_mcnaught
Marion McNaught
6 years
@realDonaldTrump Better turn your attention to gun laws then- not a good record on gun deaths
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@marion_mcnaught
Marion McNaught
2 months
@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?
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@marion_mcnaught
Marion McNaught
4 years
@CJblue72_ @DrLindaDykes @KitzingerCelia @dan26wales My 90 yr old motherโ€™s thoughtsโ€I donโ€™t 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
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@marion_mcnaught
Marion McNaught
5 years
@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 ๐Ÿ˜€
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@marion_mcnaught
Marion McNaught
2 months
@DrLindaDykes Weekend on call rota?? Opportunity for neurosurgery? Is this a parallel universe?
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@marion_mcnaught
Marion McNaught
5 years
Lots of serious work but also much laughter while we learn
@CSMEN1
Clinical Skills Managed Educational Network-CSMEN
5 years
Brilliant first day of #MobileSkillsUnit Faculty Development Course. Lots of learning taking place and enjoying writing up scenarios in the sunshine! @NHS_Education @BASICSScotland @NMAHP_Highland
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@marion_mcnaught
Marion McNaught
2 months
@ExplosiveEnema2 @RCHTWeCare @FPARCP @BritSocGastro @UKGastroDr @parthaskar @DrAsifQasim @DrLKVaughan @DrSteveTaylor @AlisonGeorge10 @Dr_Done_ @Doctors_Vote So is med ed funding being diverted to non-medics or are unis paying for this training? Trainees and SAS doctors are being disadvantaged .
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@marion_mcnaught
Marion McNaught
7 years
@Act4Health @WASPI_Campaign Even if you are not affected- think of your friends/ aunties/ grannies/ mothers who are and sign it
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@marion_mcnaught
Marion McNaught
20 days
@chriscraigCCC I guess as long as you didnโ€™t think you had been promised a laptop it is fine. Utterly disgraceful
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@marion_mcnaught
Marion McNaught
7 years
#2D3030 Delighted to pass on winning trophy to #TeamZen today from LJS #ED3030
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@marion_mcnaught
Marion McNaught
5 years
Man told he's going to die by doctor on video-link robot. Absolutely shocking and inhumane. Keep your apps and robots โฆ @MattHancock โฉ
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@marion_mcnaught
Marion McNaught
3 years
@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)
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@marion_mcnaught
Marion McNaught
4 years
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
@ang_rowe
Angela Rowe
4 years
Tomorrow at University Hospital Ayr weโ€™re looking for your views and suggestions. What matters to you going forward? @jacquikellie @NHSaaa @CRLAN63 @shazbag1 @connieahpmurray @LauraKelso79 @cookielasher @DrKennyEwingDay @HazelNMAHPDir @marion_mcnaught @EmmastirlingAHP
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@marion_mcnaught
Marion McNaught
19 days
@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
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@marion_mcnaught
Marion McNaught
6 years
Lovely sunset in Ayr this evening
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@marion_mcnaught
Marion McNaught
6 years
@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
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@marion_mcnaught
Marion McNaught
14 days
@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
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@marion_mcnaught
Marion McNaught
6 years
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
@AGoodDeath
Compassion in Dying
6 years
"Brian had been Timโ€™s primary carer since a diagnosis of dementia ten years earlier. Despite this, Brian was shut out of conversations about Timโ€™s end-of-life care and decisions were left up to his estranged family."
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@marion_mcnaught
Marion McNaught
3 years
@charlie_psych Organisational values plastered in large letters everywhere, but not demonstrated by those leading the organisation. Lack of understanding of โ€œwork as doneโ€ rather than โ€œwork as imaginedโ€
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@marion_mcnaught
Marion McNaught
3 years
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 โฆ @Trisha_the_doc โฉ
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@marion_mcnaught
Marion McNaught
3 years
@RosPenny @DrLindaDykes @DrMikeFarquhar Letโ€™s 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
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@marion_mcnaught
Marion McNaught
6 years
@ArthurFitzsimm9 @doctor_oxford Frankly it has a problem with staff welfare generally
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@marion_mcnaught
Marion McNaught
7 years
This looks like an excellent resource.
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@marion_mcnaught
Marion McNaught
2 years
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.
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@marion_mcnaught
Marion McNaught
7 years
If with QI you are not au fait, Watch and we'll show you a way, Down& dirty with #ED3030 ,making a little progress each day in May
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@marion_mcnaught
Marion McNaught
5 years
@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
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@marion_mcnaught
Marion McNaught
7 years
I work in a 24 hour convenience store and sometimes become a superhero #badlyexplainyourjob
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@marion_mcnaught
Marion McNaught
7 years
#ED3030 great team- well deserved for all the hard work me hearties. Ahoy! @AJohnso10 @Gemmtayl @CarolPhilp1 @ClaireGilroy6
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@marion_mcnaught
Marion McNaught
7 years
@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 mojo๐Ÿ˜†
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@marion_mcnaught
Marion McNaught
7 years
Bye Smudge, thanks for 10.5 great years๐Ÿพ
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@marion_mcnaught
Marion McNaught
7 years
@GrierAILIP @CathCalderwood1 @AilipScot @LinzCampbel1 @janAHPO @FionaCMcQueen @billyahpd @lynn_morrison66 We have had advanced physio in ED for past year great benefit for patients and much education for us๐Ÿ˜„
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@marion_mcnaught
Marion McNaught
7 years
#AAawards17 Great to see ED represented ๐Ÿ‘๐Ÿ‘ good luck all
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@marion_mcnaught
Marion McNaught
6 years
@GrierAHP @clairerae8 @NHSLanarkshire @peeblesstephen @MetsAlanK @LauraWedlock @wishydocs @McCrossanPeter @IBarkby @Gemmtayl @LinzCampbel1 Whether sprain of back,ankle or knee, Tis the expert physio u need to see. They are far better at it than ED docs- who as it transpires, often talk b******ks.
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@marion_mcnaught
Marion McNaught
3 years
Very important content. Obvious that we cannot go back to where we were prepandemic- need to do better
@TheKingsFund
The King's Fund
3 years
'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'
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@marion_mcnaught
Marion McNaught
2 months
@UKGastroDr If it has to be under GMC then should be separate branch/website/ register stating very clearly NOT DOCTORS. Eg GMCMAD โ€œassociate divisionโ€
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@marion_mcnaught
Marion McNaught
24 days
@ExplosiveEnema2 @UMAPsUK Is it not a members only survey sent directly/given link?? Not sure how that could be โ€œdoctored โ€œ
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@marion_mcnaught
Marion McNaught
2 months
@DrNeenaJha @Parody_RCGP Agree. That is completely unacceptable
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@marion_mcnaught
Marion McNaught
2 years
Great 2 days of peer support training with NHS Fife @elspeth_pitt @psa_ltd
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@marion_mcnaught
Marion McNaught
11 days
@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?
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@marion_mcnaught
Marion McNaught
6 years
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?๐Ÿค•โ˜บ๏ธ
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@marion_mcnaught
Marion McNaught
7 years
@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
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@marion_mcnaught
Marion McNaught
3 months
@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
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@marion_mcnaught
Marion McNaught
3 years
Finally we as an island are going to close our borders . Too little, too late I fear
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@marion_mcnaught
Marion McNaught
7 years
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@marion_mcnaught
Marion McNaught
25 days
@AdvocateNhs @mlchealth @BBCevex @bbcnewsline Nope - you are not trained in medicine - only MBChB or MBBS satisfy that criteria
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@marion_mcnaught
Marion McNaught
5 years
@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
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@marion_mcnaught
Marion McNaught
7 years
#AAawards17 How Morten puts up with us all nippin' his heid I don't know! But he does and maintains a sense of humour๐Ÿ˜ and keeps us on track
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@marion_mcnaught
Marion McNaught
5 years
@doctor_oxford I thought you were going to say it was for hanging bags of dog poo. Maybe that will be an unintended consequence!
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@marion_mcnaught
Marion McNaught
3 months
@hatetorycuts @DoctorMayJay I think sometimes we are still in the 80s๐Ÿ™„
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@marion_mcnaught
Marion McNaught
7 years
To #2D3030 Hope you get as much benefit and fun as we did #ED3030
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@marion_mcnaught
Marion McNaught
22 days
@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 โ€œbe a Drโ€,nor be in charge of ED. Of course others may differ
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@marion_mcnaught
Marion McNaught
5 years
Wishing all my friends in life,work,play and Twitter a Happy and Prosperous 2019. Looking forward to a new dawn in Scotland๐ŸŽ‰๐Ÿ’ƒ๐Ÿป
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