If you asked a member of the public or most NHS staff what a Cancer Specialist was, most of them would think it referred to an Oncology Doctor. Maybe in certain circumstances a CNS or surgeon. This is lies to patients. Where is
@gmcuk
? They should be all over this!
@dr_woodall
It's interesting, isn't it, that the GMC ruling about supervision seems to have shot themselves in the foot about this whole project? In one FTP hearing, by saying a doctor HAS to reassess each patient and can't go on PA word, they have removed any use for PAs beyond assistant
@medicalmodelbri
@geriatricsdoc
I hate the line about workshy and learning. Of course they are soaking up all the learning which is being handed to them while they are consistently there and not on stupid rotas. And it implies that the doctors who are made to work more hours are workshy. Not on. Not. On.
@KatyMontgomerie
According to her, there are no "female" Olympic athletes, ever! I wonder what she thinks women look like if it is none of these people. Does she go out of her house at all?
@Xeon4f145d96s1
@gmcuk
@MedReddit
I can only come at this from haematology, but our ST3s cannot do this, because we decided it was too soon, we want them to have had a year of proper haem training first and then they are still supervised. PAs, WTAF?????
@thesalariedGP
This is utterly heartbreaking and the BBC should be ashamed of themselves for that headline. The poor GP should not be further villified and blamed having tried so hard in a desperate situation
@jkcyriac23
@gmcuk
Once PAs come under regulation by GMC, maybe you will understand just how serious it is to threaten a colleague with investigation by them. Doctors have lost careers and lives due to this and it is not something to be done on a whim due to a disagreement. Please reconsider
@drokane
Ooh,that gives me an idea about teenage kids of haematologists managing reversal of anticoagulation, they already shout "vitamin K" the minute my phone goes, they are most of the way there, right?
@DrEmmaNash
I recently facilitated an ECG for one of my patients on antipsychotics as he happened to be coming to our day unit. Apparently psych "couldn't" do it and had done "GP to kindly". We don't give drugs which prolong QT without doing own ECGs, why can't psych do their own??
@IncogAssociate
A GP practice manager is a management position. A TPD has to understand every detail and nuance of the specialty and of the training programme, know the needs of their trainees and have a lived experience which allows them to provide pastoral guidance as well as organisational
There are some really alarming bits in here for me:
"Filing blood results"- not acting on them?
"Cancer care"- seriously? With what qualifications?
"Learning disability reviews"- these are a super specialist area which have no place being undertaken by somebody dabbling
📢 Hola
@OfficialUoM
Your physician associate is bragging about the ability to prescribe anticipatory medications for patients approaching their end of life???
I thought it’s illegal to do so???
We are not happy that they teach medical students.
Thank you.
@doctor_oxford
@NHSEngland
I am a haematology consultant who treats blood cancers but would not introduce myself as a Cancer Specialist as patients would assume that means Oncology doctor, as would other members of staff
@Ask_foradoctor
@gmcuk
Surely when Botox is being used for migraines it is no longer aesthetics and therefore CQC should actually be interested in this one?
@iDrSunny
I saw contrasting ends of the ACP spectrum this weekend, one hugely experienced with the insight to know to come to me with weirdness and several who had no grasp of the basics but were being used in senior positions and quite happy to be there, so utterly dangerous
@ClinOncDoc
@NHSEngland
@wesstreeting
@TheBMA
I would also ask what arrangements there are for rest should doctors be too tired to drive home at the end of a shift. Lost too many colleagues to this and I seem to remember all trusts were given ring-fenced funds, but nothing appeared in many places
@Ask_foradoctor
As a Haematologist I am more concerned that he has the hubris to be advising on bloods on the alive patients, with doctors thinking they are getting specialist advice
@TheBMA
Thank you for careful consideration. I am sorry staff are being abused. Some of these replies are unnecessary and further adding to the bigoted responses
@annasiancole
We were discussing this today. Given how utterly disabled my daughter is with migraines and then diarrhoea, vomiting and intractable back, abdo and leg pain there is the very real possibility she just wouldn't make it into her A-level exam if it hits wrong.
@Ask_foradoctor
What the actual?? I cannot believe that someone posting this on social media remains employed? I was threatened with disciplinary action for asking a question on our trust SoMe as a patient and not declaring I was also staff once!
@Medic_Russell
I made the mistake of showing this to daughter, who is now having a horrified meltdown screaming "Why? Why would anyone do this to Colin????" I hope you are proud of yourself, Russell! Physics GCSE revision totally trashed now as she struggles with her world shifting on its axis
@Annareporting
@NorthMidNHS
Anyone is entitled to emergency care with or without an NHS number and you shouldn't be being asked these questions. I am sorry and I hope he gets seen soon
@broadwaybabyto
Please know that there are many doctors just as horrified as you at the politicisation of disabled people and that we are fighting in many corners against government policy becoming medical policy. Many of us are also disabled but that is not the only reason why we fight
@Fcuk_my_life
@Noah_Halpin
I have been practicing medicine for over 2 decades, if I have someone with an asthma attack in front of me, I treat with same meds regardless of sex. Detailed resp physiology needs height, weight, Hb etc, but still does not require misgendering.
@Gastrografin1
@SuperSouthmead
If I, as a consultant in one specialty, phoned for specialist advice from a registrar in another specialty and got a PA what the heck am I meant to do with that advice? There is no way they will have the expertise to help. So I will bother the consultant. Every time.
@ExplosiveEnema2
My child has been on the receiving end of a PA doing a subspecialty clinic with no doctor present. Needless to say it was useless and resulted in some utterly pointless tests and no coherent plan. This attitude of letting them have a go is so dangerous
@DrEilidhMaria
Eilidh, I am now a consultant in the hospital I did my SHO rotations in. I think my good working relationships with many different specialties come from just such teaching moments decades ago, that they remember me being "their" SHO, that a relationship was formed and has evolved
@Dr__Sarmy
I remember having to wheel my flatmate from his inpatient bed to see the Dean to explain why he couldn't sit one of his exams in 3rd year. Despite the wristband and the fact he was on IV antibiotics they still tried to argue. They seem to have no humanity
@SophieMattholie
It is 2024. Disabled people have been graduating for a decent portion of the last century. Why does it come as a surprise to universities every year that one of these people may want to access their graduation ceremony?
@doctor_dru_
@wesstreeting
I once turned up on day one, having previously driven over with all my paperwork etc, to find someone else already doing "my" job and the dept saying they had no idea I was coming....I must have hallucinated the meeting with HR and clinical lead 2 months earlier!
@medicalmodelbri
On our ward, the non-haem doctors (SHOs) who are usually doing their MRCP and more up to date than us on medical management are invaluable at helping us dinosaur haem docs with the diabetes, heart failure, asthma etc, it's a fab two way learning experience. No way could PA do it
@Ask_foradoctor
@gmcuk
Even the STs don't do A&G for GPs as it is a consultant to consultant service (or it's meant to be, increasingly we are getting requests from PAs, it would be awful if it was a PA advising a PA)
@zackferguson
In my old-fashioned head, that initial X-ray looks like it has signs of overload other than effusions. Admittedly don't look at as many CXRs as I used to. In ancient times we would have had a lateral view to show the more fluid!
Has anyone else done the GMC PA consultation, gone to put their name in and then chickened out because they genuinely can't 100% guarantee that the GMC won't come after them for their responses even though they are considered and polite?
@Wordslinger__
We are quite a small, evenly split team. If anyone goes to make tea, male or female, they will ask if anyone else would like a cup. This includes men who one would assume from their ethnic background would "expect" otherwise.
@NicolaSillyBum
@LuLoopie
I informed airline prior once, only to find out (on a transatlantic flight) that there wasn't a single meal available which was nut free. I had bread rolls and a flight attendant's pot noodle because she was horrified that they had put me at risk
@Bubblejet
I had to write a RESPECT form for one of my long term patients to emphasise that they SHOULD be for escalation and resuscitation because the minute anyone saw the wheelchair and communication difficulties all sorts of prejudices came into play. Horrific
You don't have to be a GP to be a director of a GP training programme.
Effective leadership, organisational skills, and a commitment to education are what matter most.
To put it like you're 5... a shocking reveal: A GP surgery practice manager does not have to be a GP. 😱
@AnnMemmott
I was assaulted at work last year and one of the responses from the line manager of the assaulter was that they thought he may be ND and that was why it had happened. That made me almost as angry as the assault itself. I had seen no signs of this in my interaction with him
@danfurmedge
I see a lot of women in my haem-obs clinic who think they have had a PE before due to a couple of days of blood thinners while waiting for a CTPA in the past. The fact that there is no PE on the scan never seems to be explained, they think they've been treated and got better
@mmamas1973
I write national/international guidelines but still wouldn't put out a post like this claiming I am an expert and implying that I shouldn't be questioned
@DrJCraneBatman
@ActAsOneBDC
Absolutely. Duty of candour must be done in this situation and patients must be apologised to individually. Records should be examined and everyone should be given the opportunity to see a doctor
@mathepi
@LakotaMan1
I can't actually work out what's going on either but also can't work out what could possibly excuse a whole crowd yelling at one woman and several cops defending the crowd from her (that's what their body language is doing)?
@Burnt2020
@mstotty88
Or the haematologist supporting blood bank to provide appropriate components when the person "in charge" has no idea about anything other than the scoping bit, not the holistic management of the patient, so you are then somehow responsible
@BMA_James_Steen
I thought, until recently, that I was lucky enough to work in a department (NOT a trust) that was like family, we really look after each other, lots of compromise, give and take. Then I was threatened with GMC by one of that family and I will never trust that again. 20 yrs gone
@DrJSherrington
FAST is a tool to get the public to phone an ambulance which has become corrupted into a "diagnostic test" by people who should know better
@IncogAssociate
I feel very sorry for PAs who were expecting different but as a consultant who spends significantly more of her time on "paperwork" than anything else, it is difficult to feel that doctors should be doing this while PAs get more patient contact
@missy_molly_mol
A cupboard full of Tupperware and old ice cream and takeaway cartons, many of which no longer have matching lids, and which you could not possibly fill all of in a million packed lunches, but don't dare chuck out "just in case"
@notwaving
That hospitals/NHS services are not accessible- to wheelchair users (steps, heavy doors etc), Deaf people (no 'terps), visually impaired (often no option to make font bigger in letters, no braille etc), many more
@anarchomed
Be humble?? This from the "I studied all of medicine in 2 years and am qualified to work in any specialty straight after graduation and will post promotion videos on insta and tiktok" bunch?
@Dr_Done_
What is the point of having an AA anaesthetising if the consultant is sitting beside them the whole time? Is that not just making everything much more expensive?
@robpain635
@profjimspeaks
@iDrSunny
This is exactly why their "matrix" makes no sense. You cannot learn medicine like that!! And particularly cannot see undifferentiated patients at any point without having covered ALL of the basics of medicine to be safe
@isitsleepytime
Was there a room the doctor could sleep in at the hospital? I bet they had no choice but to drive home. Absolutely no empathy, no
#bekind
here at all!
@tess1728
@DrEilidhMaria
So they think not rotating means that their training will be "to a higher standard"? Why has this not rotating been conflated with being the be all and end all of continuity of care, expertise and now training??
@alisonleary1
This is looking horribly familiar to those of us doctors watching the GMC now talking about "medical professionals" and including PAs with a 2 year course in that. I sincerely hope nursing does not go in the same direction Alison. The leadership must fight to protect it!
@adamfare1996
My daughter (autistic) was just bemoaning that she has been told she isn't allowed to tell off one of the beavers in the pack she is a young leader for because they are autistic. She knows fine well he just needs an explanation (not an excuse!) but is a "child" so not listened to
@Roddy_Neilson
Why can they not use apostrophes properly??? I know this is the most minor of issues but just adds to my irritation at the whole debacle