David Rouse @DrDavidRouse Twitter profile

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David Rouse

1 year

@ImperialPeople a great cross speciality training day. Joint ED/ITU procedural training day at Charing Cross. Improving training for doctors thereby improving patient safety! #patientsafety #Doctor #NHS #FOAMed @ImperialCharity #medicaleducation @Imperial_EM @imperialcollege

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David Rouse

@DrDavidRouse

9 months

Newly qualified doctor salary = £32,398 for 40 hours a week. Divide by 52 weeks. Then by 40 hours is £15.57 an hour. So £4.13 above the new minimum wage. Despite 6 years of medical school and circa £75,000 of debt. 🤔 @TheBMA

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David Rouse

@DrDavidRouse

9 months

@AFCRhys @TheBMA I think it highlights and issue with undervaluing and underpaying lots of people. One such group are doctors

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David Rouse

@DrDavidRouse

3 years

Really happy to say I got the job! I’ll be joining the Imperial team as a Consultant from Feb 2022! Splitting my time between the ED and ICU 😁 all the hard work has been worth it! #nhs #Doctor #thursdayvibes #London

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David Rouse

@DrDavidRouse

3 years

Just finished my last ever shift as a registrar… 6 years med school 2 years of foundation 9 years of specialist training DONE! It feels really weird… No longer a #JuniorDoctor … but still the original #mo ëtmedic #NHS #Doctor

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David Rouse

@DrDavidRouse

3 years

FRCEM achieved!!!!!! No more exams… FFICM & FRCEM all done!! Whooooop! FFICM, FRCEM, MB, ChB, PGCERT, FHEA 🎊🎉🎊🎉🎊🎉🎊🎉🎊🎉🎊🎉 #NHS #Doctor #Medical And did them whilst working during #COVID

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David Rouse

@DrDavidRouse

2 years

Medical degree = Level7 qualification Masters level or professional doctorate MD in USA the MBBS nomenclature is just historical. As per OFQUAL. Most doctors also have a BSc from intercalating. They have 5 years minimum of clinical related knowledge prior f1. Pay them!

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David Rouse

@DrDavidRouse

11 months

I am more and more concerned for the medical students and doctors at the starting their careers. There is a clear difference between doctors and PAs. We need to stop trying to convert PAs into Doctors. Want more GP’s & Consultants? Train more doctors.

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David Rouse

@DrDavidRouse

9 months

@gazzy_uk @TheBMA £17.93 for a more qualified doctor taking on much more responsibility. Still not wonderful

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David Rouse

@DrDavidRouse

8 months

With the issues around Doctor, surgeon, anaesthetist etc not being protected but associate titles being considered for protection, we need to change our degrees to MD. Align with rest of world. Keep professional identity. Medical Doctor being in your degree. @TheBMA

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David Rouse

@DrDavidRouse

1 year

At a time when our professional identity is eroded a change from MBBS to MD would help secure our professional title & identity. UK MBBS is a level 7 qualification as is USA MD. We use nomenclature for historical reasons only. UK research MD could become DMedSci 🧵 #NHS

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David Rouse

@DrDavidRouse

1 year

I find it odd, that at a time where complexity in healthcare is increasing and people are sicker. The government chose to create less trained healthcare workers, dumb down medical degrees, & fight with doctors whilst the organisations who should pushback just wave it through.

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David Rouse

@DrDavidRouse

9 months

@Mackenz46950920 @TheBMA Course it is. And we should be grateful people still choose to go into the profession. But it doesn’t make it right

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David Rouse

@DrDavidRouse

3 years

Last two night shifts as a Registrar. -6 years of medical school - 2 year Foundation programme - 9.5 years of specialist training So please #London , make them good ones! #COVID19 #MedTwitter #WednesdayMotivation #wednesdaythought #Doctor #intensivecare #emergencymedicine

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David Rouse

@DrDavidRouse

3 years

It must be a Paeds ED Shift! @DGlaucomflecken would approve I am sure! #Rudolph #NHS #Doctor #Christmas #COVID19 #WearAMask #GetVaccinatedNow #BoosterJab #London #WednesdayMotivation #wednesdaythought #MerryChristmas #happyxmas #xmas #WinterSolstice #WinterSolstice2021

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David Rouse

@DrDavidRouse

9 months

@Shep73David @TheBMA The pension is much worse than it was. Many people get bonuses. Many don’t work lots hours for free. Many don’t have such high responsibility levels. Many get other perks alongside pensions. So yes. There’s a pension. There’s also many perks not given to doctors.

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David Rouse

@DrDavidRouse

1 year

@DacreJane @DHSCgovuk I remember you coming to @TheBMA house in 2016 & informing JDC that your tanks were no longer on our lawn during the contract dispute. Sad day. Again, I am not sure this is the @BMA_JuniorDocs fault. they’re very open to talks. Any harm lays at the feet of the government

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David Rouse

@DrDavidRouse

9 months

@gazzy_uk @TheBMA Not all doctors work weekends or nights. Some work 40 hours a week in hours which do not generate extra remuneration. Those who do work those antisocial hours should get more… just like electricians. The salaries are lower than many western countries at all levels.

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David Rouse

@DrDavidRouse

3 years

Just enjoying some Caribbean sun to celebrate not being a trainee anymore!! Finally signed off… so where do I get my consultant eportfolio log in?! #holidays #sunshine #london #nhs #doctor #theORIGINALMo ëtMedic

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David Rouse

@DrDavidRouse

10 months

Again We should convert MBBS and MBCHB etc to MD putting medical doctor into our degrees

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David Rouse

@DrDavidRouse

6 years

@siano2020 Yes - under strict criteria where the patient has capacity and has undergone extensive counselling and psychological assessment

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David Rouse

@DrDavidRouse

2 years

Inhaled some breakfast and now can’t stop coughing but scared everyone will think I’m Omicron’d but instead I’m actually croissant’d 🥐 #dangerousBreakfast

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David Rouse

@DrDavidRouse

3 years

That’s it.! No more Intensive Care Medicine training, done it, finished…. 5 months of EM left and…. Arrrggh I need to find a job! @nhs #nhs #doctor #TipsForNewDocs #healthcare #health #COVID

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David Rouse

@DrDavidRouse

4 years

1) lock down 2) Open mass vaccination centres operating 24 hours a day in central well connected areas e.g use closed clubs/stadiums & employ from hospitality sector to staff it 3) Train dentists/dental nurses/vets/vet nurses/aestheticians 4) vaccinate! #nationallockdown #vaccine

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David Rouse

@DrDavidRouse

7 months

Procedures day is go! Consultant led for Doctors of all grades in EM & ICM. Pericardial drain Ascitic tap LP cardiovert/pace Chest drain POCUS FIB FONA Bronch POP Traches RSI CVC & more @Imperial_EM @ImperialPeople @NHSImprovement @ICS_updates @RCEMLearning @imperialcollege

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David Rouse

@DrDavidRouse

9 months

@winojuan77 @TheBMA Which in comparison to Aus NZ Ireland USA. Canada etc is not competitive

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David Rouse

@DrDavidRouse

9 months

@georgie777 @AFCRhys @TheBMA I was working in the icu looking after people who were incredibly sick. Working on Covid IcU was a privilege but incredibly difficult work. Both physically and emotionally

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David Rouse

@DrDavidRouse

4 years

#London what is going off? It’s a lock down right... SO WHY ARE SO MANY PEOPLE GOING TO WORK IN PERSON!? The traffic is crazy & trains are rammed! #Lockdown2 #MondayMorning #LondonLockdown #mondaythoughts #NHS #Isitreallyalockdown #isthisworkinganymore

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David Rouse

@DrDavidRouse

4 years

On way to work a night shift, so maybe missed it, but has lock down ended? So many people out, some with tennis racquets!? THE ANSWERS NO! Go home! You may be young & have some protection but your 50 year old Dad does not! Stay @ Home too many have died! #Covid_19 #NHS #london

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David Rouse

@DrDavidRouse

11 months

Again. If doctorate of clincial sciences programmes for PA’s are to be opened up in Europe. It is vital for protection of our professional identity to change MBBS to the US MD (which are both level 7 qualifications) nomenclature. @TheBMA @Doctors_Vote @TheDA_UK

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David Rouse

@DrDavidRouse

9 years

You hear that Westminster? In 10 minutes 54000 #juniordoctors will stand up and say STOP! #juniorcontract @TheBMA

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David Rouse

@DrDavidRouse

1 year

What have I learned. Don’t ask questions on Twitter. It isn’t worth the headache. HCP have genuinely lost any ability to debate anything. I swear this is partly what is wrong with all professions at the moment, we can’t just talk to one another.

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David Rouse

@DrDavidRouse

3 years

Our spiky neighbours need your help. Drill holes in your fence to let them roam free and find food! Dry cat food is a good shout if you want to help fatten them up and a source of fresh water. Carful when moving leafs and bushes at this time of year! @HedgehogCabin #hedgehog

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David Rouse

@DrDavidRouse

9 months

@iDrSunny @TheBMA It’s not based on 48 hours. Doctors get remunerated separately for the hours between 40-48.

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David Rouse

@DrDavidRouse

5 years

@FUSEDFORCE @KTHopkins N=1

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David Rouse

@DrDavidRouse

4 years

Back in theatres for the first time in what feels like an age! Forgot how hot 🥵 it is in here! Looking forward to learning some new skills & revising others! Scary anaesthetic vents! #nhs #justvisiting #doctor #ThursdayMotivation #thursdaymorning #NotanAnaesthetist #ICU

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David Rouse

@DrDavidRouse

2 years

Just to provide some reference that I am not making this up.

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David Rouse

@DrDavidRouse

2 years

Time for bed zebadee! 💤 😴 🥱 #london #sleeping #Tuesday

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David Rouse

@DrDavidRouse

1 year

It’s very clear that this cannot continue if we wish to have a medical profession going forwards. Other countries are out performing us on pay and working conditions. We want our doctors to stay? Pay them.

Mike Henley 🤨

@trentconsultant

1 year

Now with less fuzzy graph courtesy of @goldstone_tony

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David Rouse

@DrDavidRouse

4 years

Catching some sun on a break with a coffee. Might be a little bit burnt 🥵 ☀️ ☕️ 🔥🏥 #heatwaveuk #Haircut #NHS #ThursdayMotivation #ThursdayThoughts #thursdayvibes #London #stayhydrated #spf

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David Rouse

@DrDavidRouse

9 months

@Gibson_XL @TheBMA Know lots of people Who work in private sector who get pension options. They also get bonuses and better working conditions

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David Rouse

@DrDavidRouse

1 year

@doctor_oxford It is a risk. How can they be allowing this. To be on the specialist register is a lot of training and exams. The Nurse or physio will in no way have achieved the same level of competence. I wouldn’t want my parents to be looked after by a consultant who wasn’t a doctor.

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David Rouse

@DrDavidRouse

6 years

@saralivadeas @sandycann2 @EUrologyReg Saying the gentleman in b1 in a clinical context where others may hear could have been for confidentiality. Also they may have just met 12 new patients and remembering new names is difficult. In what context were they saying this

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David Rouse

@DrDavidRouse

3 years

Truer words never been said! #theresalwaysmeropenem #addsomeColistin @Microbedoc2 @drphiliplee1 #nhs #doctor

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David Rouse

@DrDavidRouse

3 years

Just challenged someone giving out leaflets demanding we stop all testing. I was told A&e was closed over COVID #wherehaveibeenworking ? Also I should be ashamed for killing people in ICU. #NHS #COVID19 #COVID22 #Doctor Also said I was a student Dr - obv looking young!👍

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David Rouse

@DrDavidRouse

3 years

@AnimalSlang @tariqjenner Yes

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David Rouse

@DrDavidRouse

1 year

@LouiseWhittake7 @trentconsultant It’s being on the medical rota at consutlant level. Without being on the specialist register. This is really shocking

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David Rouse

@DrDavidRouse

2 years

Birthday work out done… time for some birthday drinks for this 36 years old! Has someone seen my zimmer-frame? #OAP #birthday #Pride2022 #PrideMonth #Pride #Gemini #yearofthetiger #gay #London

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David Rouse

@DrDavidRouse

2 years

The #NHS in crisis isn’t new! Unable to recruit/retain staff yet only 4.5% rise given. A&Es treating patients in corridors, but bed numbers fell. More Drs & Nurses needed but bursaries cut. What else can we say!? @SteveBarclay time increase pay, staff & funding @TheBMA

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David Rouse

@DrDavidRouse

2 years

It’s time to change MBBS & MBCHB etc to MD… And current UK MD to DMedSci. We need to make degrees an nomenclature clear to patients with all the new roles. Time to lobby parliament? @TheBMA #nhs @NHSEngland @NHSImprovement @gmcuk

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David Rouse

@DrDavidRouse

9 months

@pmwallace @TheBMA Why should anyone do that. Why don’t they just increase the salary

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David Rouse

@DrDavidRouse

1 year

@RCEMpresident Acp can now get MRCEM by election with use of post nominals… does this water down the achievement of those doing it by exam?

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David Rouse

@DrDavidRouse

9 months

@Shep73David @TheBMA You pay an annual Subscription to get a blue light card. They are not a perk it’s a private company.

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David Rouse

@DrDavidRouse

7 months

@EmergMedDr also medical degrees are level 7 Ie masters level. Bachelor is a misnomer due to historical reasons

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David Rouse

@DrDavidRouse

4 years

Just seen the most frantic Fy1 (proudly wearing ID) on the train trying to get to same hospital dancing between trains. Tried to tell him the other train would be slower but looked at me as scary Londoner talking to him on the train.

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David Rouse

@DrDavidRouse

1 year

@SwanCArt It is slightly concerning re med students. They should be getting GP lead teaching

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David Rouse

@DrDavidRouse

3 years

@DoctorAkashD But… what did you…. Think they do?

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David Rouse

@DrDavidRouse

1 year

MD ie medical doctor ensures that medical practitioners of all genders are less likely to be constantly Misidentified by ensuring their title is part of their degree. It highlights our profession clearly at a time when there are increasing numbers of new practitioners & titles

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David Rouse

@DrDavidRouse

10 months

@bfams63 @AlisonGeorge10 @PApodcastUK @DocEd @Molly2323232323 @r1chardf1tzg3r1 @SteveBarclay @DrSarahClarke @RCPhysicians @RCollEM @BritishCardioSo @NHSEmployers @NHSConfed @wesstreeting @TheBHF @PatientsAssoc @WhichUK @Dr_Done_ @FPARCP It is much harder to be a generalist and do it well. Than a practitioner in one disease or system. The generalist must be able to find the zebras. The specialist treats referred zebras. Practicing as a generalist is much more difficult requiring huge knowledge bredth+depth

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David Rouse

@DrDavidRouse

3 years

As the original Moët medic. I finally feel M&S understand me. @TheBMA

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David Rouse

@DrDavidRouse

8 months

Change current UK MD to DMEDSCI or other level 8 equivalent. We need to take the professions identity seriously. It is what helps give the patient confidence in who is treating them. @TheBMA @DHSCgovuk

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David Rouse

@DrDavidRouse

2 years

I will be surprised if todays pay recommendation does not lead the medical profession into industrial action! @TheBMA are right be outraged after all Drs are doing for the #NHS esp given #COVID19 @NHSEngland @NHSImprovement @SteveBarclay @nadhimzahawi should reconsider ASAP!

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David Rouse

@DrDavidRouse

4 years

The number of Key Workers going to the office has suddenly exploded!? GO HOME! 😷 There hasn’t been this many people on public transport for weeks & there shouldn’t be this many now! #London #coronavirusuk #coronavirus #NHS #Doctor #fridaymorning #StayHomeSaveLives #StayAtHome

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David Rouse

@DrDavidRouse

3 years

Last night duty before Xmas …Let’s see what you have to throw at me tonight #London ! Ps. What does @SadiqKhan declaring a major incident actually give me as a Doctor? Is there a secret stash of staff about to be made available?! #NHS #Doctor #COVID19 #GetBoostedNow #Nurses

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David Rouse

@DrDavidRouse

10 months

@ShaunLintern @DHSCgovuk @TheBMA So a discussion about…? Hospital estates - nope Stopping MAP/ACP scope creep - nope Non rotational training - nope Improved CEA - nope College & GMC fees paid - nope Indemnity paid - nope More study budget - nope More training places - nope So if not pay or above then what?

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David Rouse

@DrDavidRouse

4 years

Noooo!!!! Forgot to pick up any product for my hair this morning 🥺 Fluffy mess 😭😢 #gaytwitter #MondayMorning #MondayMotivaton #London #Haircut #NHS #Gay #PRIDE2020

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David Rouse

@DrDavidRouse

5 years

@EarlGirls @DCHomos Or just pay people in the service industry a living wage rather than having them desperate for a hidden charge on the customers bill

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David Rouse

@DrDavidRouse

3 years

@ClareGerada Also one more thing a number of your tweets often sound derogatory to ED Juniors. Just to remind you, many ED reg’s have more medical experience than GPs in their first few years after cct… not every ‘junior’ is junior in experience; please try to be a bit more respectful.

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David Rouse

@DrDavidRouse

2 years

So it’s okay for the private sector to fuel inflation giving >6.5% pay rises and bonuses. But, not okay in the public sector!? A healthy work force powers the economy. The #NHS ensures we have people fit for work. @RishiSunak double standards I think! @TheBMA @theRCN

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David Rouse

@DrDavidRouse

5 years

1:5 deaths are due to sepsis. I am not sure if this stat is totally helpful. In the UK most elderly people die of sepsis - The old mans friend was pneumonia. Not every Infection is sepsis but at the moment it seems we MUST treat every infection as if it is. #bacterialresistance

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David Rouse

@DrDavidRouse

5 years

@JodieEmery @dansax @NoahStrainprint @mverbora @DhallaRahim I just don’t know where and when to begin with this. There is so much physiological nonsense being spouted here i just don’t know where to begin.

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David Rouse

@DrDavidRouse

4 years

@elonmusk @Robotbeat @ghotiing @CruizVinicius @josh119872 @SweetINXS @voteLabonte @Erdayastronaut @Tesla I am so glad we have you to point these things out to us with no medical qualification

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David Rouse

@DrDavidRouse

3 years

Controversially I like my stickers to be both ways around. Surely this ends the debate!? 😛 why have one sticker when you can have two!! Everyone surely agrees more is... more!!! @SamuelBS85 #NHS #Stickers #twoisbetter #intensivecare #FOAMed

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David Rouse

@DrDavidRouse

3 years

@ClareGerada Clare, I really feel you should take up the offer @DrOKaneAgain made to attend LRC. I wonder, if perhaps some shadowing in ED at 3am or acute medical take on Saturday would perhaps bring some light to the current hospital issues & help you formulate solutions with us?

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David Rouse

@DrDavidRouse

6 months

@gaslad @dr_shai I do wonder what the anaesthetic trained doc needs to teach the EM Doctors about Resus ?

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David Rouse

@DrDavidRouse

3 years

All Christmasy at work #NHS

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David Rouse

@DrDavidRouse

8 months

It makes it clear who and what your profession is. Medical practitioners would be protected and Medical doctor would be your degree. MBBS is level 7 therefore this is an easy swap to US etc nomenclature. Australia have done it. @TheBMA

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David Rouse

@DrDavidRouse

2 years

@dr_shibley Neither is an American MD that’s level 7 or masters. The doctor title is honorary. A British MD is equivalent to PhD level 8.

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David Rouse

@DrDavidRouse

3 years

David’s on nights = ☀️🥵😎🌆 sweaty can’t sleep in the day David’s off work = ⛈☔️🌪🥶 STORM!! 😭 Bloody U.K. weather! Bring the heatwave back! Least he’s happy; a cooler cat! #SaturdayMorning #nhs #doctor #SaturdayThoughts #SaturdayVibes #London #CatsOfTwitter #Caturday

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David Rouse

@DrDavidRouse

11 months

We need to define roles. Scope of practice. Finally we need to accept the only way to access GP & medical/surgical etc Consultant positions is after completion of a primary medical degree followed by foundation then CESR/CCT training alongside the relevant post grad exams.

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David Rouse

@DrDavidRouse

5 months

Always makes me sigh to hear that the ED just admit everyone… the data from our ED is last week we only admitted 18% of all attendances… 82% of people being sent home or using ambulatory pathways…

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David Rouse

@DrDavidRouse

1 year

It would be an easy change to make. It could be applied retrospectively and it would bring some professional assurance to a profession who currently feels attacked and belittled #doctor @TheBMA @TheDA_UK @wesstreeting @NHSE_WTE @SteveBarclay #NHS @RoshanaMN @BMA_JuniorDocs

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David Rouse

@DrDavidRouse

9 months

Offer needs improving. @TheBMA What would get it over the line? 1) SPA status quo. 2) Shorter pay scale further with more front loading. 10 years to max point. 3) If further money cannot be given direct to remuneration the pay GMC, College Fees, increase study budget Thoughts?

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David Rouse

@DrDavidRouse

1 year

It brings us into parity with the rest of the world. Australia having recently made the change. It makes it clear to patients who is treating them with clear understandable nomenclature. It highlights a standard has been achieved by the practitioner.

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David Rouse

@DrDavidRouse

1 year

@ronhekier ATLS in general is quite out of date re trauma care. Very slow to adopt new and more physiologically based Resus. In 2012 they were still advocating cold wet salty water 🙁 which continued until very recently

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David Rouse

@DrDavidRouse

6 years

@D1975P @DrLindaDykes @ICS_updates @FICMNews @RCoANews @RCollEM I see it from both sides of the fence. We just need to be kinder to each other. EM don’t knee jerk refer resuscitate your patient first. ICM don’t patronise or make referrals difficult. Just work together!

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David Rouse

@DrDavidRouse

9 months

@QueenRoleo @TheBMA The best the to do would be to just up lift everyone. Consultant starting pay is €230,000 in Ireland. It’s £93,000 in England. And this is why people are leaving at senior and junior levels

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David Rouse

@DrDavidRouse

11 months

As we stand there are barely enough educational opportunities to train our doctors to be consultants and GP’s, without trying to train PA’s to be a similar level. This is even more so when you take into account that our PA colleagues do not have the same training at University

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David Rouse

@DrDavidRouse

8 years

@TheBMA JDC Representatives @johannmalawana @AskJeevesWij @DrDavidRouse standing up for #juniordoctors

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David Rouse

@DrDavidRouse

3 years

I love London, coffee for your commute? The woman next to me just poured her flask into a china cup! #highteaonthetube #SaturdayMotivation #SaturdayMorning #SaturdayVibes #london

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David Rouse

@DrDavidRouse

3 years

Amazing day ⛷... Despite SpF 50 🧴all day I still got a little bit red! The snow is amazing! @courchevel @Courchevel1550 #skincare #ski #WinterOlympics #WinterOlympics2022

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David Rouse

@DrDavidRouse

2 years

New hair cut and good work out. Time to wreck all that hard work by hitting the bar! 🍾🥂🍸🍹🍻🍺🍷 Trying to get summer ready but think it will be more like summer2024 #FridayFeeling #London #weekendvibes #gaytwitter #gay #Pride2022 #summerholiday

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David Rouse

@DrDavidRouse

5 years

Now an ALS Medical Director. 😃

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David Rouse

@DrDavidRouse

9 months

@RevBaines @TheBMA It’s simply a fact

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David Rouse

@DrDavidRouse

9 months

@KevOnCrypto1 @TheBMA Been a doctor a very long time. No drug company has ever given me any reward or incentive to prescribe

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David Rouse

@DrDavidRouse

1 year

@wiggs1234 I think ACCPs have a role in the icu. I do not think ACCPs should be flying solo on the IcU without direct medical supervision of a senior registrar on site and a consultant on site or at home

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David Rouse

@DrDavidRouse

3 years

MY LAST RESIDENT NIGHT SHIFT!! 😍😝😋🤪😜🙃🙂😝🥳 All the emotions! Be good to me #London #healthcareworkers #Doctor #NHS #EmergencyDepartment #AandE #COVID19 #IntensiveCare #ThursdayThoughts #ThursdayMotivation #health #StaySafe #WearAMask #vaccine #getavaccine

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David Rouse

@DrDavidRouse

3 years

As new variants emerge please… 1) Wear a mask in enclosed environments eg. The bus. 2) Get vaccinated. This will help us avoid bigger restrictions on our liberty. #Unvaccinated #NewVariant #CovidVaccine #GetVaccinated #WearAMask #GetVaccinatedNow

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David Rouse

@DrDavidRouse

3 years

I’m now Triple Jabbed! #Booster #Vaxxed #BioNTech #Pfizer #covidvariant #vaccination #Doctor #WearAMask

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David Rouse

@DrDavidRouse

9 months