Dr Jackie Sham @JackieSham Twitter profile

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Dr Jackie Sham

29 days

I realise my lived experience and comments regarding “Physician Associates” would generate some interest (kind, probing, or otherwise). I am but a cancer patient on treatment, so tread lightly. And apologise to no media chats please, I simply do not have enough energy. 💙

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Dr Jackie Sham

@JackieSham

2 months

I have the misfortune to see a PA today for my hospital appointment. The clinic nurse introduced them as a doctor, he never said he is not a doctor. I am naturally unimpressed, but feel trapped in the situation. I will be writing to PALS and the consultant team.

Partha S Kar 🇮🇳🇬🇧🏏🎥

@parthaskar

2 months

How easy is it to change organisations or battle against group think from within? Feel free to read the below from @TheKingsFund on @RCPhysicians Also? It’s possible to turn a behemoth around If I put my mind to it? It. Will. Turn. To - hopefully- new beginnings 😎

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Dr Jackie Sham

@JackieSham

2 months

So after a night of almost no sleep, I have given this some reflections. I have thought many times that I should have just walked out and regretted that I did not. I was too shocked by the audacity. 1/

Dr Jackie Sham

@JackieSham

2 months

I have the misfortune to see a PA today for my hospital appointment. The clinic nurse introduced them as a doctor, he never said he is not a doctor. I am naturally unimpressed, but feel trapped in the situation. I will be writing to PALS and the consultant team.

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Dr Jackie Sham

@JackieSham

1 month

So I have received a reply from the clinical director of the specialty service - and I am afraid it is a pile patronising boo-boo. 1/

Dr Jackie Sham

@JackieSham

2 months

I have the misfortune to see a PA today for my hospital appointment. The clinic nurse introduced them as a doctor, he never said he is not a doctor. I am naturally unimpressed, but feel trapped in the situation. I will be writing to PALS and the consultant team.

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Dr Jackie Sham

@JackieSham

7 months

Me in Year 4 Medical School, sitting in with GP, having already had an intercalated degree watching first year PA student with an English Literature degree doing GP clinic in their first week of their PA course…

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Dr Jackie Sham

@JackieSham

2 months

Oh, I also do not feel like doing an education session to tell them what type of tests I need going forward. Or reiterate everything as it’s on the last damn letter from my oncologist. 🤬🤯🤯🤯🤯

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Dr Jackie Sham

@JackieSham

1 month

To me, it was a letter from a white person, protecting a white person, against a non-white woman with a life-shortening illness. 7/ FINAL

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Dr Jackie Sham

@JackieSham

1 month

The consultant, whom I had never met, has said the PA did introduce themself as a PA. This is in direct contrast to my lived experience and as such, they are accusing me of lying. They are taking the word of the PA against me the patient. 2/

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Dr Jackie Sham

@JackieSham

2 months

So yes, just really sad and unable to sleep. When I don’t sleep, my pain is worse. So all in all, just traumatic. I will now try to start my day. Thank you for listening. 9/ final

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Dr Jackie Sham

@JackieSham

2 months

Thank you for your support. Thank you also to those who share their experiences. PALS had emailed me back to say their would “need to seek advice on this”, so let’s see. 1/

Dr Jackie Sham

@JackieSham

2 months

So after a night of almost no sleep, I have given this some reflections. I have thought many times that I should have just walked out and regretted that I did not. I was too shocked by the audacity. 1/

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Dr Jackie Sham

@JackieSham

2 months

I just feel really sad. The feeling of being violated. Sure, they did not touch me, but they have read my notes and I do not feel they have a right to. It made me feel raw and sad and ashamed somehow. 5/

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Dr Jackie Sham

@JackieSham

2 months

@InvCoriolis I think this perhaps distresses me most.

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Dr Jackie Sham

@JackieSham

1 month

P.S husband is also not impressed. I shall be writing back to team, and trust. But today is treatment day🙈, pre-med in and 🤞🏻.

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Dr Jackie Sham

@JackieSham

1 month

I would have you know that being someone who is BAME and had trained and worked with CNS/ANP/Adv Rad, I am anything but. I am utterly disappointed to how the reply letter is worded and the accusatory tone used. 6/

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Dr Jackie Sham

@JackieSham

1 month

Finally, they said they are proud to have a diverse workforce. Passive aggressively suggesting that I am a biget. 5/

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Dr Jackie Sham

@JackieSham

1 month

The consultant being the “supervisor” of this PA was NOT in clinic, but claimed the PA had worked within their scope. Yet, I do not see any attached document to state what their scope was. 4/

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Dr Jackie Sham

@JackieSham

2 months

I didn’t want to make a scene, a natural cultural tendency perhaps. Also that I was not feeling my best, I am after all someone with advanced incurable cancer. I have symptoms burden - which is why I am in this clinic to “follow-up”. 3/

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Dr Jackie Sham

@JackieSham

2 months

I had written to PALS and the consultant team. I will write again if I don’t get a response. I don’t even know what response I am hoping to get. Perhaps just for them to acknowledge how distressing it has been? I doubt they would learn to reflect how wrong it all is. 7/

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Dr Jackie Sham

@JackieSham

2 months

Letter sent to PALS and will be in post.

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Dr Jackie Sham

@JackieSham

10 days

. @wesstreeting PAs are not qualified to give nutrition advice. I am touchy about this. With my cancer diagnosis last year, in just under 3 months, I have gone from a bubbly 50kg to 38kg. My (slightly scary) dieticians managed to avoid NG feed me. This ain’t for PA to advise

Carla Walsh

@CarlaLouWalsh

11 days

@LBC @wesstreeting @ShelaghFogarty @GlobalPlayer I have spent 4 years training to be a Dietitian - an AHP specialising in diagnosing nutrition related conditions & giving advice to support these. Is a physician associate now taking over my job too if the only example of the niche they fill is to talk to patients about nutrition

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Dr Jackie Sham

@JackieSham

2 months

In my letter, I have declared my interest about my advocacy against the PA project. And my wish that I should never be attended by them in this trust. 8/

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Dr Jackie Sham

@JackieSham

1 month

The consultant further stated that the x-Ray was not ordered by the PA, yet showed no evidence so. There were no other team members in clinic at the time, so 🤷🏻‍♀️ 3/

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Dr Jackie Sham

@JackieSham

2 months

I have to stress that this is NOT an oncology clinic.

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Dr Jackie Sham

@JackieSham

2 months

After the introduction of “hi, I am x, I looked after the y service”. I looked up and realised what this person is. What should I have done at this point? I should have just said no. I regret deeply that I did not. 2/

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Dr Jackie Sham

@JackieSham

2 months

I simply do not need this. I wish I had the bravery to run away. 6/

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Dr Jackie Sham

@JackieSham

2 months

I had a good relationship with this clinic and had great care experience throughout previously. I did not want to break this relationship, as it is likely that I would need ongoing input due to the nature of my illness. 4/

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Dr Jackie Sham

@JackieSham

2 months

Some of my ex-colleagues follow me and a few of my ex-patients too. I certainly would not make up the fact that I am an advance cancer patient. My experience of PA through my diagnosis and this encounter are mine. The former reported to the PCN and this to the Trust. 1/

Joanne McGinn

@Jo_McGinn

2 months

@parthaskar @lizzieden @pa_StephenNash @LittlePersonDoc @parthaskar here is @lizzieden accusing oncologist @JackieSham who has terminal cancer, of making shit up about PAs. This is the kind of calibre members of UMAPs & how they speak directly about patients? Wow.

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Dr Jackie Sham

@JackieSham

7 days

I apologise for not speaking out more about the flawed PA project when I was a working Oncologist. COI as my department uses them. I remain limited becos of my healthcare needs. The Oncology Hospital that I receive care from has them, so does the local hospital Trust. 1/

GMCharlatan (formerly A³)🦀

@GMCharlatan

8 days

There is nothing more distasteful than white senior doctors invoking racism to shut down discussion of PAs Dr Gray didn’t once fear for his life during the August riots, and now he weaponises that vile racism for his own purposes And provided no citations, but mostly the racism

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Dr Jackie Sham

@JackieSham

1 month

No @JeanetteRCR , it is not as you claimed “devoid of factual info”. As a cancer patient and once briefly colleague at Mount Vernon, I am pleading with you that from personal experience that the whole PA project is flawed and must not continue to run even more wild. Please.

Dr Rachel Clarke

@doctor_oxford

1 month

Well. In a surprising turn of events, the UK’s Academy of Medical Royal Colleges ( @AoMRC ) today responded to mounting concerns about the substitution of doctors with PAs by ‘spontaneously’ urging @wesstreeting & @NHSEngland to commission a 'rapid review' of their safety. 1/n

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Dr Jackie Sham

@JackieSham

23 days

I have done my letter. Might have accidentally gone a bit more passionate and honest. 🫤🫤

Dr Jackie Sham

@JackieSham

1 month

So I have received a reply from the clinical director of the specialty service - and I am afraid it is a pile patronising boo-boo. 1/

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Dr Jackie Sham

@JackieSham

21 days

There needs to be a conversation, with all “stakeholders” about whether or not we need Oncologists to look after patients with cancer. @ThanksCancer @macmillancancer Cos it seems some people think NOT in this G7 country… 🤔

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Dr Jackie Sham

@JackieSham

9 months

I am not eloquent with my words, and I don’t have a platform, so to speak. Yet, I will continue to speak up about the flawed PA projects and the continued persecution of the Govt against medical qualified doctors. I have nothing to lose, as someone with advanced malignancy.

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Dr Jackie Sham

@JackieSham

2 months

GP colleagues- please look after yourselves! You have been instructed now - eat your lunch, have your break, do NOT overwork. You MUST avoid getting yourselves admitted to hospital. Take care of each other, have protein bars and wear your cardigans. 💙💙

PulseToday

@pulsetoday

2 months

NHSE instructs GPs to avoid hospital admissions this winter #winterpressures #hospitaladmissions #NHSpressures

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Dr Jackie Sham

@JackieSham

2 months

@DoctorAngry It is courtesy to see consultant colleagues - but I am not against seeing others, and had done so throughout with locally employed doctors and resident doctors in their specialty training, or chemo ANP.

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Dr Jackie Sham

@JackieSham

30 days

As an ex-breast Oncologist, I do not believe it is acceptable for my patients. Why should patients with breast cancer not be operated on by trained qualified breast surgeons? It is particularly insulting on #BreastCancerAwarenessMonth @BreastCancerNow - please advocate

@medicalmodelwithabriochebun

@medicalmodelbri

1 month

Must’ve missed this …. Statement on the role of Pas within Breast teams @iDrSunny @parthaskar @iDrSunny @ClinOncDoc

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Dr Jackie Sham

@JackieSham

8 days

@GMCharlatan There is an unnatural obsession to portray themselves as if they have a protected characteristic for just being PA. I don’t quite understand it. Last time, it was someone using the argument of women not allowing to study medicine. Now it’s comparing with the Racist riots. Why❓

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Dr Jackie Sham

@JackieSham

3 months

I hate this false equivalence so much. Because Resident Doctors do not start in PGY3 if they have had a previous degree. It just makes absolutely no sense. Also the first 2 years of med school is not basic sciences, I vividly remember dissection which wasn’t anything “basic”.

Dr Sandeep Bansal

@iDrSunny

3 months

This from our Reddit friend a slide pack from @profjimspeaks 'PAs practice medicine': Therefore PAs must be educated, like doctors, to practice medicine The false equivalence with undergrad medicine and PA course is absolutely wild - I can see how it got into @NHSE_WTE

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Dr Jackie Sham

@JackieSham

2 months

Having an incurable diagnosis is hard. Knowing that you would miss many of your child’s future milestones is very hard. So, I would urge you to support the many good research institutions in the UK, as well as the hospices and cancer charities. Please. 4/FINAL

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Dr Jackie Sham

@JackieSham

6 months

Where all the nice neat clinical fellow jobs had turned into PA posts… It’s so sad

Tim Ricketts

@timricketts_

6 months

Post F2 unemployment is becoming an increasing problem, whilst primary care is on it’s knees. It’s time we let locally employed resident doctors into primary care. No one can complain about the supervision requirements when MAPs with <1/3 the training are running loose

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Dr Jackie Sham

@JackieSham

3 months

This maddens me so much - I am a clinical oncologist. My child, whom had at least done a heart dissection in Year 6, would not have claimed that they are comfortable in offering thoracic radiotherapy just because they are my child and had watched me doing some RT planning. 1/

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Dr Jackie Sham

@JackieSham

1 month

Does this come with an immediate cessation of job ads and “locum” for PAs in GP surgeries nationwide? And would that encourage other Colleges to admit their flaws in allowing the demedicalisation of their Specialty?

Royal College of General Practitioners

@rcgp

1 month

RCGP governing UK Council has today voted to oppose a role for Physician Associates working in general practice. You can read more here.

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Dr Jackie Sham

@JackieSham

2 months

Some of my ex-colleagues might not entirely agree with my stance on supporting our resident doctors and my advocacy against the PA project. Nonetheless, when you are walking my journey, you would appreciate how crucial it is for me and many like me. 3/

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Dr Jackie Sham

@JackieSham

24 days

@ExplosiveEnema2 It seems to be that at some point, some doctors have unilaterally decided that medical degrees are no longer needed to manage cancer patients. Cos we are not important, it’s just cancer.

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Dr Jackie Sham

@JackieSham

2 months

@LittlePersonDoc I hadn’t seen my usual consultant walking in… this is one of my “complaints” that this individual should have been supervised as they are not autonomous.

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Dr Jackie Sham

@JackieSham

7 days

So people using protected characteristics as any parallel to the discussion on the PA project failure is extremely OFFENSIVE. Those whom have experience bullying and/or conscious/unconscious bias and/or discrimination SHOULD know better. 5/

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Dr Jackie Sham

@JackieSham

2 months

@LittlePersonDoc Thank you.

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Dr Jackie Sham

@JackieSham

9 days

I am not a lawyer. I am a retired dr. I am now a cancer patient. Have been asking questions about indemnity and who takes responsibility for a while in relations to PAs. Esp the criminal responsibilities for radiation exposure/IRMER. This feels like an inevitability. 🐓🏡🐔

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Dr Jackie Sham

@JackieSham

2 months

When one had not actually worked frontline, one does not get to comment on what they had only imagined and not lived experience. When said that they don’t want to do anything differently, because doctors work within strict scope and hence do not overreach for the safety…

BBC Radio 4 Today

@BBCr4today

2 months

"The medical profession is locked into a way of life... they are deeply conservative." Leading clinician Prof Sir John Bell tells @amolrajan and @bbcnickrobinson that Wes Streeting will have to face down the British Medical Association to reform the NHS. 🎙️ The Today Podcast ⬇️

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Dr Jackie Sham

@JackieSham

2 months

If you have a genuine concern with a patient wanting to see a doctor about a medical issue, then respectfully I cannot agree. Is that “elitism”? I do not think so. I would like to believe that this is basic right in this country. 3/ FINAL

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Dr Jackie Sham

@JackieSham

2 months

This has happened in more than one place. Why? They say it’s because “no staff” or “juniors don’t want to do Oncology”. It’s not entirely true but this is the lie some senior oncologists and management/cancer alliance bots propaganda machine spread.

@medicalmodelwithabriochebun

@medicalmodelbri

2 months

@geshNHS remove this job advert immediately! THIS IS NOT SAFE FOR CANCER PATIENTS! No experience necessary in oncology ? What local medical training and exams would a PA have to undergo to allow them to do this work ? Where is the local training plan? @ClinOncDoc @parthaskar

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Dr Jackie Sham

@JackieSham

2 months

I understand that people can feel differently about issues, but please do not assume that you have any rights to belittle my personal experience. That is just mean and overall disappointing. And you are exactly what you call “bullies”. 2/

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Dr Jackie Sham

@JackieSham

7 days

There are a few whom by virtue of birth had never experienced these, and their use of this type of parallel is just simply disgusting. You do not know, you cannot know and please just stop. Ask ChatGPT (or others AI app) to find another example. Thank you. 6/ END

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Dr Jackie Sham

@JackieSham

7 days

Nonetheless, after my lived experience as a patient with PA in primary care and subsequently with PA in specialist clinic (not onc). I feel that I must speak out a little, despite having no platform. I am not part of the BMA, DoctorsVote or any other group. I am a patient. 2/

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Dr Jackie Sham

@JackieSham

2 months

I have looked after a few patients “my age-ish”. Despite my expertise, walking through it myself is no less painful, challenging and chaotic at times. Hence, there is no reason why we should settle for less. 2/

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Dr Jackie Sham

@JackieSham

2 months

P.S I have had a reasonably good day, hence late to this drama. It’s a pleasure to be able to share food and drink tea with friends.

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Dr Jackie Sham

@JackieSham

29 days

@UKGastroDr I think the premise is wrong. There is not a need for physician associate but there is every need to increase workforce, primarily resident doctors. For existing ones, there needs to be a solution such as voluntary redundancy or offer to assist in re-train applications…

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Dr Jackie Sham

@JackieSham

2 months

@MG09123 I gave them the benefit of the doubt - I was frosty and polite, I didn’t got full feral and shout.

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Dr Jackie Sham

@JackieSham

4 months

This is notable and significant for those who keep saying earning potential blah blah… Because yours truly had been forced to retire at year 20. Which means had it been me, I would be still at a loss to a PA, despite med school, MRCP, MSc, FRCR and literally dying as a result

ClinOncDoc

@ClinOncDoc

4 months

Any question of Drs’ greater earning potential than PAs needs to be put to bed. If a doctors jumps through every hoop as quickly as possible they STILL won’t out earn PAs after 20 years! Doctors should be earning much more than PAs. I think few would disagree. @wesstreeting

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Dr Jackie Sham

@JackieSham

1 year

As a patient, I carry an A4 sheet of paper with me that tells people about me, with my treatment details. I am increasingly thinking that I should add that I don’t want to be scoped and anaesthetised by a non-doctor. 🤔

Dr Done

@Dr_Done_

1 year

Now, I get lots of DMs But this has to be in the TOP 5 WORST❗️ ‘Unhappy vocal minority’ - how dare you raise concerns? ‘We need to be careful, but only while we’re under the microscope’ Storm analogy again when in fact a tsunami is coming 🫠 @SheffieldHosp @MajorKirsten1 ?

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Dr Jackie Sham

@JackieSham

12 days

Genuine questions 🙋🏻‍♀️ Do all the PA defending doctors have private medical insurance? Or do they assume they won’t get sick and needing NHS care? Or do they assume just because they are doctors, they will get preferential care?

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Dr Jackie Sham

@JackieSham

7 days

It should be obvious that I have various protected characteristics - I am not ethnically white British, I am not a man, I am not fully able bodied with my advanced cancer. I am also now retired and hence economically inactive. 4/

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Dr Jackie Sham

@JackieSham

7 days

After my angry phrase, I have been trying to express calmly. Asking intentional questions. I do not lump other advanced practice individuals with PA, this is a separate discussion. Yet, when people start using conspiratorial languages, I am very concerned. 3/

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Dr Jackie Sham

@JackieSham

12 days

@parthaskar Not sure I entirely agree. Clinical tasks could be blood taking or a lap chole, which means the scope could be as wide as someone writes it. Yet as they are not trained to take risk, that means responsibility fall on the doctor supervising them. Isn’t this exactly where we are? 1

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Dr Jackie Sham

@JackieSham

4 days

@ItsnotrightUK Your assumption is that PAs are above nurses - I do not agree. From the role’s original intention, as doctor’s assistants, band 4. I note that for AfC, that’s not what an MSc would fall. But a nurse with a previous MSc would not automatically be elevated to band 7.

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Dr Jackie Sham

@JackieSham

11 days

@parthaskar @doctor_oxford @trishgreenhalgh @mmamas1973 @DrAsifQasim @ShivaniM_KC @COPDdoc @kidneydoc101 @DrLKVaughan @UKGastroDr @DrNeilStone Sorry, me again. This time about the assess bit. This statement would allow for PA-led ward rounds (is that wanted?) on wards and short stay units (in any names) in A&E. As well as doing PA-led clinics cos patients would have had a diagnosis already. (again is that wanted?) 1/2

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Dr Jackie Sham

@JackieSham

1 year

@kaydaustin We learn, to live day by day. Not booking holiday 6 months in advance. Adding “if” to any future plan. Invitations for gathering are planned cycle by cycle. And we hope.

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Dr Jackie Sham

@JackieSham

7 months

At work, I respond to all A&G request from GP colleagues. This is just simple respect. An unpopular opinion, but PAs are not equivalent to ACP/ANP. Taking advice from PAs means taking on all responsibilities and risks.

Resident Consultant Associate 🤡 CMAP AMA UMAP

@DrTweXet

7 months

Heaven forbid we only allow Consultants to respond to A&G request…

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Dr Jackie Sham

@JackieSham

11 days

@DrEilidhMaria @wesstreeting @LBC Thank you. I think it shows clearly that Wes does not fully understand the PA issue. My concern is someone (maybe more than one person) must be feeding him these snippets of info (some clearly not fully correct).

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@JackieSham

3 days

@cannula_service I am really struggling with the GMC’s response. Feeling really sad and could not really detect any genuine remorse of how their push of PAs has directly contributed to the patient’s death. Just want to once again say how sorry we are of the patient’s passing.

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Dr Jackie Sham

@JackieSham

5 days

@gmcuk This is not regulation, just registration. Taking money and then what?

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Dr Jackie Sham

@JackieSham

1 month

I am still chasing PALS. They said they have passed on to “senior level”.

Dr Jackie Sham

@JackieSham

2 months

Thank you for your support. Thank you also to those who share their experiences. PALS had emailed me back to say their would “need to seek advice on this”, so let’s see. 1/

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Dr Jackie Sham

@JackieSham

8 days

@mancunianmedic @bmj_latest I am sorry, are you saying that comparing the SoMe discussion on the lack of safety and national scope of PAs with the Racist Riot in August “interesting”? Or the example of the witch hunt play? Or A-level US politics? I am not quite sure which is relevant in any sense. 🤔🤔

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Dr Jackie Sham

@JackieSham

16 days

I do, I really do appreciate people doing #WearItPink day to increase awareness. But please also discuss: -Breasts Surgeons not others assessing patients -Reduce wait for surgery/recon/risk-reduction -Reduce wait for systemic treatment/and esp Radiotherapy -Care post-treatment

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Dr Jackie Sham

@JackieSham

12 days

@parthaskar Yet, if scope is carefully defined, it’s no different to a senior HCA, a band 4 job. I would perhaps add their scope must be rigorously defined and they must be supervised in their tasks. This adds protection to both them and the doctors supervising them. 2/

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Dr Jackie Sham

@JackieSham

1 year

@DrEilidhMaria Is it “I don’t want to be a doctor but do everything they do without having the full knowledge, qualifications and most importantly the responsibilities”? There should be a pause, a review of limiting scope, and most crucially re-scaling their pay to AFC band 5 at best.

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Dr Jackie Sham

@JackieSham

1 year

@parthaskar @RCPhysicians @FPARCP @UKGastroDr @AntonEmmanuel2 @mmamas1973 @OrthopodReg @RoshanaMN @doctor_oxford @trishgreenhalgh @Trisha_the_doc @Richard_GP @BMA_James_Steen This is fabulous first step and very clear. Though I am personally not sure if PA should be GMC regulated or have a separate affiliated body. Thank you.

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Dr Jackie Sham

@JackieSham

11 days

@CarlaLouWalsh @LBC @wesstreeting @ShelaghFogarty @GlobalPlayer That is precisely the problem. They do not have the knowledge or skill but keep taking other people’s job. And the main issue is, how do we safeguard patients in the process? Diet and nutrition is complicated!

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Dr Jackie Sham

@JackieSham

15 days

I am declaring COI… things I have personal stakes in - private school and VAT - private health insurance - covid enquiry and how the Trust had treated me - inheritance tax - terminal illness / palliative care / assisted dying - healthcare and PA disaster - cancer care 1/2

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Dr Jackie Sham

@JackieSham

1 month

When I was a surgical PRHO (yes, you know, me old), there was no PA or SCP. My SHO would grace the ward her presence at 8am (with army reg) and then go off to theatre. If I were to finish ward jobs early, I could also swing by theatre/clinic. Those were the days. 🥹🥹🥹

Stagey Doctor

@agemjourney

1 month

Surgical nights have been by far my fave shifts so far 😂 unsure if that’s controversial but it’s nice to get the chance to actually do stuff and assist in theatre (PAs assist in the day)

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Dr Jackie Sham

@JackieSham

19 days

Why these 6? What’s wrong with them? What are you expecting to achieve by the overhaul? Or just same thing different style fonts? What is more important than recruitment and retention of qualified staff in the right service? What would more pencil pushing achieve? 💙

BBC Health News

@bbchealth

20 days

NHS patient-safety system to be overhauled

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Dr Jackie Sham

@JackieSham

2 months

Whilst I am glad that someone’s cancer “journey” has gone well, please also spare thoughts for all those who are struggling and suffering without the same support system and resources. Love, Cancer patient + ex-cancer doc

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Dr Jackie Sham

@JackieSham

15 days

I admire people with terminal cancer and remains economically active functional being in the society. Some days, I am not even functional being in my own body. You see my profile pic, that’s not what I look like now. That’s a work pic. #Cancerdiary

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Dr Jackie Sham

@JackieSham

4 months

@Ask_foradoctor It is also how the course is “sold” by the university. PA is one of the “graduate career” as stated on their website. It is a sad state of affairs.

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Dr Jackie Sham

@JackieSham

3 months

The statement should be… PAs are not qualified, they are not doctors. PAs completed PA study, but some might not have passed their national exams. They are also not nurses, nurses are qualified in their roles as nurses.

ExplosiveEnema

@ExplosiveEnema2

3 months

Right from the start of the #PAproject , they have been keen to present PAs as better than nurses Here's how one GP practice explained to their patients why they were hiring PAs to replace GPs

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Dr Jackie Sham

@JackieSham

18 days

@Not_A_FT Could it be that the psych consultant doesn’t actually care about the mental health and physical health of their patients? 😱 I can’t explain it otherwise.

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Dr Jackie Sham

@JackieSham

13 days

I have so much issues particularly the analogue to digital. Yes, NHS IT is crap, so are phones, bleeps, WiFi. COWs are deadly or dead, no hot desks for e-prescribe or e-order anything. But just investing in IT, AI, smart tech is CHEAP talk. Invest in PEOPLE + INFRASTRUCTURE

David Oliver

@mancunianmedic

14 days

I am a Labour supporter and glad they won And i realise the need in political comms to repeat messages ad nauseam But if i see one more Labour spokesperson say "3 big shifts. Hospital to Community. Analogue to Digital. Sickness to Prevention" I will smash the TV/Radio

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Dr Jackie Sham

@JackieSham

10 days

I should add that they were slightly scary but very encouraging. I am now back to my normal weight and am no longer troubled by pressure sores. Thank you!

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Dr Jackie Sham

@JackieSham

14 days

@parthaskar Not entirely scope, but no misrepresentation in clinical attires. Such as no scrubs + steth + RCP lanyard. Or scrubs + RCS lanyard. Similarly no unclear work title on badge/letter/clinic list/ door. Thanks.

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Dr Jackie Sham

@JackieSham

20 days

Got sent a letter today to say my appointment had been “brought forward”. From 10:45 slot to 11:00 slot on the same day. How is it brought forward? Is it a back to the future scenario?

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Dr Jackie Sham

@JackieSham

13 days

I respect that you *MUST* understand IRMER, but Training Indemnity And most crucially who takes responsibility - who goes to jail if something goes wrong? (Yes, Sub-tweet as usual) Spending time on Twitter as waiting for the bathroom to be free.

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Dr Jackie Sham

@JackieSham

23 days

@drmattuk @ExplosiveEnema2 Some consultants are just lazy. I am sorry but it is true. They like delegation and be a CEO of their service, they do not actually like their patients. They pursue their portfolio career or other interests, why see “simple” patients? I do not agree, every patient has a story.

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Dr Jackie Sham

@JackieSham

22 days

@r1chardf1tzg3r1 @deeleyc6 @RCRadiologists @halliday_kath @tomroques @JeanetteRCR @wesstreeting @KeeleyMP @HilaryWMedic @RCPhysicians @SCoRMembers @ipemnews @CQCProf @gmcuk @TheBMA @DrStephenHarden @Dr_PriyaSuresh @IRguru @OliverReichardt @drqaisermalik @_the_SRT @TraineesBSIR @KatrinaHarborne @JadeScottB @NKHardy @ClaireLArthur @TheChristieNHS @alrightPET @prof_price @RhidianB @ChristieImaging @TheChristieSoO @myESMO @JCO_ASCO @ACPUK 1) trained by whom? Thyroid oncologist or Nuclear Medicine or Medical physicist? If any of those, does it mean that leading the radio-iodine work does not need any of these qualifications? If so, whom sign off on it?

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Dr Jackie Sham

@JackieSham

3 days

Congratulations Dr Godley. Sending love and light.

Janey Godley

@JaneyGodley

3 days

Thank you @UofGlasgow for bestowing upon my mum the honorary degree of doctor of the University of Glasgow. This has brought her so much joy in the final beats of her life. Janey is so honoured, and I am so immensely proud of her. Congratulations Doctor Godley. Ashley Storrie

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Dr Jackie Sham

@JackieSham

4 days

#Cancerdiary I can’t say the current round of treatment is going brilliantly. Physically, I am much worse than before I started. Mentally, I am just feeling so sad for myself having to go through it all. It is remarkably tiring. Twitter is providing a lot of relief though.

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Dr Jackie Sham

@JackieSham

15 days

Because I am a trouble-maker, clearly just attract troubles by existing Some of these topics I talk more, some much less I do however have a lot of issues of people talking about things when they have no stakes, they just brag without any knowledge or reason. So tired 2/2

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Dr Jackie Sham

@JackieSham

2 months

1st day of secondary school - wasn’t sure I would still be alive for it when I was diagnosed last April. I am very pleased to have made it. It meant so much to me to be taking my child to school just like every other year prior on the 1st day. #CancerDiary

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Dr Jackie Sham

@JackieSham

6 months

@doctor_oxford These individuals do not know the stress their words add to patients whom wrestle with anxiety or depression everyday.

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Dr Jackie Sham

@JackieSham

2 months

And what for? Beyond some agenda of promoting and positioning PAs to replace others? I doubt the princess would accept this during her journey, so why should any other patients?

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Dr Jackie Sham

@JackieSham

1 month

@medicalmodelbri Sick and vulnerable children should not be coerced into thinking that it is ok to see an unqualified staff when they are needing medical help. This is wilful neglect and abuse in my book.

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Dr Jackie Sham

@JackieSham

9 days

@ExplosiveEnema2 Notice that she did not say “No, they haven’t gone to medical school.” She proclaimed that they have been “trained” in the areas they are working in. Define “trained”? I have done about 16months FTE of uro-oncology in my training. I would NOT say I am an uro-oncologist. 🤷🏻‍♀️🤷🏻‍♀️

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