Dale Kirkwood (he/him) @KirkwoodDW Twitter profile | Pikagi

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Dale Kirkwood (he/him)

@KirkwoodDW

1,153

Followers

1,192

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Emergency Medicine. Public Empowerment Lead, Secure Data Environments. @RCollEM Pre-Doctoral Fellow, Co-Chair QI. @EMTA for better training, Data Lead #LGBT +

Manchester, England

https://t.co/wRi7mvQTlw

Joined July 2011

Don't wanna be here? Send us removal request.

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@KirkwoodDW

Dale Kirkwood (he/him)

4 months

Extremely proud of our team. Together we are curating new data and infrastructure to support research. Vishnu left, generous with his time to all and invested in the development of people as much as tech and code! Quin and Tim (right), the OMOP data model conversion dream duo.

@LTHTR_DS

LTHTR Data Science

4 months

We were delighted to win the @HDR_UK Team of the Year award🏆at last week's #HDRUKConference . Really proud moment for the team @stephend123 and Jo sadly aren't in the picture📸

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@KirkwoodDW

Dale Kirkwood (he/him)

4 months

Who knew parking overnight at 10pm could be such a problem. They have a drive! Literally zero impact other than a sense of entitlement to something they don't own at all, the curb!

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Dale Kirkwood (he/him)

5 months

£20 for a newly graduated Dr is not unreasonable £35 for a Dr that is senior enough to operate independently or run the emergency department overnight is not unreasonable £50 for a Consultant with a minimum of 15 years training is not unreasonable Anyone saying otherwise is

@itvpeston

Peston

5 months

“I very much hope they’ve had time to reflect and they're able to come back with reasonable expectations” Health Sec @VictoriaAtkins says junior doctors' “unreasonable demands” are stopping a pay deal being agreed Watch tonight ⬇️ 💻 LIVE 9PM @itvpeston 📺 1045PM @ITV #Peston

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Dale Kirkwood (he/him)

1 year

Me finishing a locum shift to build my strike fund: Good bye, get well soon Pt: Off to bed are ya? Me: Soon. Pt: I bet you don't get paid as well as my Son! Me: Probably not, what's he do Pt: He's a Joiner, £26. You should be paid more. The public is with us. #strike

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@KirkwoodDW

Dale Kirkwood (he/him)

10 months

MDU Fee £188 GMC Fee £433 RCEM Fee £322 (552 if I pass an exam) BMA Fee £360 Car Parking £200 Exams/course £500 Total £1803-2033p/y A couple of family holidays.

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@KirkwoodDW

Dale Kirkwood (he/him)

1 year

@SteveBarclay @BMA_JuniorDocs @Telegraph Non-disruptive strikes and negotiations over afternoon tea improves workers pay/conditions Read no headline ever Respect the BMAs mandate, stop acting like Gov is the victim, make a serious starting offer, look credible in dealing with a workforce crisis #JuniorDoctorsStrike

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@KirkwoodDW

Dale Kirkwood (he/him)

2 years

Not sure what I am feeling following that #EDshift It wasn't like anything really went wrong, but felt like nothing was right and that's actually worse. An incidious decline of care quality establishing a new shittier normal and each time I turn up I participate in its demise.

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Dale Kirkwood (he/him)

10 months

@EmergMedDr I'm not one for a witch hunt of sorts but this is a band wagon I am fully on. If noone else goes to prison justice is incomplete and the signal to enabling toxic cultures is that they can persist with impunity.

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@KirkwoodDW

Dale Kirkwood (he/him)

9 months

A 🧵,Training competition ratios represent another deteriorating metric adding to the bin fire that is early career doctors and medical student career prospects. Competition for training numbers is increasing. At least by applicant volume, which has increased by 68% since 2014.

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@KirkwoodDW

Dale Kirkwood (he/him)

1 year

@marcio_delgado @BBCNews Sure they might say stop vandalising the planet in the name of greed or excess?

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Dale Kirkwood (he/him)

4 months

The hand writing is nice and atleast said please. Hospital parking is extortion

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@KirkwoodDW

Dale Kirkwood (he/him)

2 months

One of the most magical figures in UK economics is the cost to train a doctor The 'tax payer' pays for <£1000 study budget, some light touch supervision, and for about 20 days of study/py + a grossly inefficient postgrad education beauracy Our free overtime will cover the above

@Nigel_Farage

Nigel Farage

2 months

More than 15,000 NHS doctors left Britain last year. It can cost up to £400,000 to train them. It’s only fair on the taxpayer that new doctors and nurses should stay here for a given period of time.

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Dale Kirkwood (he/him)

2 months

This isn't a race to the bottom. We are already there. And we are angry. My echo theory was conducted at home in my own time, and when I tried to get scans. My supervisor said people were complaining I wasn't being a team player. Classic ladder pulling. #trainingcrisis

@Dr_Done_

Dr Done

2 months

A job description any cardiology trainee would die for With about £10K extra pay And about 10hrs less per week And no experience required And only open to those with no medical degree (PAs) I’m convinced we are living in some weird alternate reality. No other explanation.

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Dale Kirkwood (he/him)

1 year

@AmarHujan Actually don't think it is for most public. Hence support and as more learn what we are paid and do as 'juniors' only those who are petty, bitter or jealous are left trying to detract. It's mostly media and big money pay masters driving a narrative of greed that isn't sticking

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@KirkwoodDW

Dale Kirkwood (he/him)

3 years

Last night further affirmed my love of EM. First go at running an adult ED, a major incident declare in the first hour, the whole ED and the specialities coming together to keep things safe. Would love to see this level of team work more, without a major incident. One big team

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Dale Kirkwood (he/him)

2 years

Hey @NHS_HealthEdEng , Sick of having to pay for courses on credit cards/debt and service the interest because you won't adequately reimburse them upon payment. Many of us do not have thousands sitting in savings & investments to cover terrible study budget procedures

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Dale Kirkwood (he/him)

6 months

@VictoriaAtkins Pay us properly. Tax wealth properly. Stop lining your pockets. Your party is corrupt and lost. Finally the public will vote against the managed decline of the UK for the interests of a few wealthy donors and individuals. Bunch of extractionists. Time for change.

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@KirkwoodDW

Dale Kirkwood (he/him)

3 months

@kareem_carr I've tried those summary books for factual ones. You don't spend any time immersed in the ideas, reflectinf or applying it to your own experience. Might as well read a shopping list.

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@KirkwoodDW

Dale Kirkwood (he/him)

5 months

@Dr_BellaR It's a bit victim blaming isn't it. You did something a little risky... like walk through a park at night. So let's focus on that rather than the person who did the wrong.

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@KirkwoodDW

Dale Kirkwood (he/him)

9 months

Emergency Medicine is getting more competitive. 1340 applied in 2021, to the same number of posts. Despite the increasing tendency for LTFT, high rates of attrition and staggering ED demand, recruitment numbers are quite restricted. Rota gaps are endemic and locum spend is high.

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Dale Kirkwood (he/him)

9 months

2023 @NHSE_WTE Competition ratios are out. It is not looking good. A 20% increase in applications. Some of this will represent more people hedging their bets. Ten years ago 72-74% of people put in one application only. By 2017, this was 54%. Awaiting FOI for recent years.🧵

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Dale Kirkwood (he/him)

9 months

@JoeDearie2 @EmergencyBod If you have taken my question as condoning book burning you have the wrong end of the stick!

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Dale Kirkwood (he/him)

2 months

This is such a beautiful articulation and defense of the EM doc from a Geriatrician. The burnout data speaks for itself. Atleast on shift, no other speciality is working as hard as regularly. Be it day (except GPs) or nights. It's relentless. And often it verges on dangerous.

@KeepGoinEoin

Eoin McCarthy

2 months

I don’t use the term acopia myself and agree it doesn’t have a place in modern medicine but I saw this on DNUK (I think) a few years ago and I think it still rings true

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Dale Kirkwood (he/him)

4 months

@KJohnsonCTeach Mob rule goes both ways lol

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Dale Kirkwood (he/him)

2 years

Apparently we are adult learners, but not trusted to budget our own learning. @NHS_HealthEdEng why not accept you cannot effectively administer study budgets and cut out the middle ppl and pay us an annual amount without the need for administrators Save us time, you overheads

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@KirkwoodDW

Dale Kirkwood (he/him)

1 year

@Edwina_Currie @TheBMA If you raise the pay of an FY1 to 19 quid which they totally deserve (still a bargain). How do you justify paying a registrar with 6-15 years more experience only 6-10 extra quid? Doesn't work really. Registrars deserve high salaries. It's an absolute grind to get here.

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Dale Kirkwood (he/him)

3 years

Officially an ST4. It's easy to just think of it as just another one of those things in a professional world where expectations are constant, high and numerous. My boyfriend reminded me otherwise and we celebrated with a beautiful walk. #emergencydoctor

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@KirkwoodDW

Dale Kirkwood (he/him)

10 months

@RomyCerratti @RoshanaMN We see how this thinking has worked out so far. You are basically advocating for a change in the personal behaviour of individuals to take great personal risk, rather than a change in the culture of whistleblowing which would reduce personal risk and promote positive behaviour

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@KirkwoodDW

Dale Kirkwood (he/him)

2 years

@hassan_b_ @wainwra @GeorgeMonbiot Because it isn't his sole responsibility to get the word out, he's highlighting that those who have the power to raise the profile of important issues don't. And his commentary is on that. The argument that you didn't do it, so how can you critic someone else is very weak here.

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@KirkwoodDW

Dale Kirkwood (he/him)

4 months

@LukeAmos__ Totally legal, space for wheelchair use/pram No yellows Clear of drive by 1m I can 3 point turn on this road so I'm sure they could get out traffic wise. But maybe old and get stressed pulling out with reduce visibility. Main road

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@KirkwoodDW

Dale Kirkwood (he/him)

1 month

@IainDale Could you share a video of the speech she is being targetted for please? Would like to form my own judgement before jumping the gun. Feels more like censorship than national security at the moment

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@KirkwoodDW

Dale Kirkwood (he/him)

10 months

@EmergMedDr One bad call, the understatement of the century. This wasn't a bad night with a tragic death. Was a systemic failure to listen and dismiss people, even turning on them for raising concerns. Worse than apathy.

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@KirkwoodDW

Dale Kirkwood (he/him)

9 months

@timricketts_ Use PhD? Joe Bloggs PhD Credit where credit is due. No confusion.

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Dale Kirkwood (he/him)

9 months

@CCWearmouth Deprofessionalisation. Part of the Long Term Blobforce Plan.

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Dale Kirkwood (he/him)

4 months

@DrEilidhMaria Probably only noticed when they opened the curtains. Maybe they thought I was say parking on their curb.

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Dale Kirkwood (he/him)

6 months

Starting to wonder how people do 4 night shifts in a row age 30+ in the ED. Absolutely demoed afterwards. Even after 15 hours of variable quality sleep. Only need 1 hell shift to make the need for recovery extreme.

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Dale Kirkwood (he/him)

5 months

@ollieburtonmed @UMAPsUK Not to mentioned the missed FY3-5 + CT-ST purgatory many do additional years in.

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@KirkwoodDW

Dale Kirkwood (he/him)

6 months

@VictoriaAtkins You don't even put you are a Conservative in your Twitter bio. It's that bad. Do the right thing. Country before party. Just once.

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@KirkwoodDW

Dale Kirkwood (he/him)

2 months

@parthaskar @NHSEngland @NHSE_WTE @RCPhysicians @NHSEmployers @ShrillaB @trishgreenhalgh @iDrSunny @RobJimFleming @OrthopodReg @DrAsifQasim @UKGastroDr @DrLKVaughan @doctor_oxford @mmamas1973 Pause and review the only sensible option. Building the plane whilst it is flying is not a sensible approach in the arena of direct patient care!

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Dale Kirkwood (he/him)

10 months

@JoeDearie2 @EmergencyBod It's informative yes.

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@KirkwoodDW

Dale Kirkwood (he/him)

9 months

Incredible numbers on the impact of clinical vs. non-clinical advisors for paeds 111. Clinicians were much more likely to advise self-care If advised to self-care by a non-clinician, they were 15x more likely to end up attending the ED than clinically advised #ascAPEM

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@KirkwoodDW

Dale Kirkwood (he/him)

2 years

The @EMTAcommittee first F2F in many years @RCollEM 10 more trainee reps Zooming in. Tackling the fee hikes for those becoming FRCEM+ earlier in training career. Exciting conference ideas, great feedback and lessons learned for next year. #bettertrainingbetttercare

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@KirkwoodDW

Dale Kirkwood (he/him)

1 year

Anyone who has ever clerked a patient and then did a post take has seen stories entirely change. Recall is notoriously poor and biased.

@FawzNK

Fawz

1 year

It's happened again. Despite medical notes, GMC decided the patient was telling the truth. I have had many patients tell me mistruths. Why should we believe Patient A here? I'm a plastics reg but could still do chest/abdo/heart exam & document in 20 mins

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Dale Kirkwood (he/him)

11 months

@JuliaHB1 @JackWPolitics @GretaThunberg Yeah there is loads of evidence. Mean average global temperatures going up consistently. Sea levels up. Regular new high emp heat records. Soil quality going down. Desertification Loss of glaciers Exhausting fresh water supply. Loss of biodiversity Coral bleaching Etc

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@KirkwoodDW

Dale Kirkwood (he/him)

11 months

A fantastic @RCollEM opportunity is now Quality Improvement Fellow ➡️Up to £1,300 per month plus expenses ➡️Hybrid working and occasionally London. ➡️12 hours per week, part-time (~30%) ➡️Two-year fixed-term contract So what is it you will be doing in a nut shell?

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@KirkwoodDW

Dale Kirkwood (he/him)

2 years

@thegradmedic @feleciadsouza The bash Medicine train is always busy. Many of us still enjoy our career, but it is taking too much from many and not giving enough back. The balance is off. But the essence of what Medicine is about is still there and can be highly rewarding. A big pay rise is needed though.

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Dale Kirkwood (he/him)

9 months

@neilorpen @drmattuk @nigelpenfold @jeannie_watkins You don't need a degree, 2 years or 5 years, to know that doing things to other human beings without enough training or consent is wrong. That only requires a conscience. Not to mention eyes to see Doctors who have do 8-15 years of learning before doing X and Y.

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@KirkwoodDW

Dale Kirkwood (he/him)

9 months

80% of heart failure in Glasgow is diagnosed in the ED. Not good. #healthinequalities #northsouthdivide #RCEMasc

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@KirkwoodDW

Dale Kirkwood (he/him)

1 year

Only after 5 years of medical school with 40-100k of debt and 8-12 years of experience will a 'junior' doctor's day rate nudge above this The pension isn't enough of a benefit to make this fair. Pay proportional to training, skills, responsibility... and market forces! #strike

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@KirkwoodDW

Dale Kirkwood (he/him)

1 year

@swift_pam @lifeoftazza @DrNeenaJha This is a classic, I can't believe it. I can't accept it. It goes against my own ideas of what a doctor is paid. They must be lying or decieveing. Even when the evidence is presented. Denial.

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@KirkwoodDW

Dale Kirkwood (he/him)

9 months

The outlook for today's graduates and early career Drs is looking increasingly bleak with working conditions, pay, pensions, and training opportunities all being eroded. National recruitment certainly isn't helping morale, especially in the face of alternative workforce expansion

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@KirkwoodDW

Dale Kirkwood (he/him)

2 years

Finally met f2f the @RCollEM QI&A team and my excellent co-chair compadre @FiMcD3 . The work these folk and more are doing to bring a radical change to the national programme is inspiring. A 1000 thank yous. And a surprise visit from @RCEMpresident backing us up along the way!

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@KirkwoodDW

Dale Kirkwood (he/him)

4 months

@Dr_BellaR And remember that defective and corrupt PPE racket cost as much as giving us our 35% pay rise for a decade. Talk about value. Bits of overpriced plastic > decade of 50,000 individuals public service

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@KirkwoodDW

Dale Kirkwood (he/him)

2 years

Shocking and desperately sad for the patients and the practitioners who are blindsided by such an outcome. "24% of cancers of people in the bottom 20% (socio-economic) being diagnosed at stage 4 in A&E" We need to reach these people mich earlier. #HEEPHHI @NHS_HealthEdEng

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@KirkwoodDW

Dale Kirkwood (he/him)

10 months

@EmergencyBod What sort of books are they burning?

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@KirkwoodDW

Dale Kirkwood (he/him)

8 months

@chriscraigCCC Rent out expensive offices Gym in the basement (+/- wine cellars) Reach out to a private insurance company Massive executive and board salaries Establish dubious investment portfolio Institutional racism Crazy long investigations to milk the money cow

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@KirkwoodDW

Dale Kirkwood (he/him)

2 months

@HrprSu @DrEilidhMaria The burden off proof is on the enforcer. Not the people people told how to behaviour by others. Reducing people's choice and liberties needs to be backed by evidence of harm.

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Dale Kirkwood (he/him)

10 months

@SlugWet @EmergencyBod Why is it stupid? Are you not curious as to which literature they are condemning. I think that is a pretty relevant detail. Not that it makes it ok, but it still adds additional insight into the matter

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@KirkwoodDW

Dale Kirkwood (he/him)

4 months

@NHSEngland Can you do a version of this but with a woman? Women have worse outcomes for heart attacks / less urgent treatment and the bias that it is more of a man's disease is pervasive even within the medical community. Particularly for non-classical presentations.

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@KirkwoodDW

Dale Kirkwood (he/him)

9 months

Available posts have only increased by 14% over the same period. This represents a competition ratio increase from 2 to 3 applications per post for entry-level specialist training. It get’s even worse at registrar bottlenecks.

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@KirkwoodDW

Dale Kirkwood (he/him)

6 months

@armyemdoc @kay_kay321 You have a lot of medical professionals telling you, that is also data. Imagine saying to someone how do you know the sugar works in reversing a hypo, you haven't read the paper. Stop doubling down on cruelty and reevaluate. 4mg is excessive = acute withdrawal = harm

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@KirkwoodDW

Dale Kirkwood (he/him)

2 months

The most terrifying thing about fatigue and tiredness is that your insight and judgement of your own performance becomes impaired. You literally lose insight into your insight. Working people into a state of extremis is a SYSTEM DESIGN. Designed to get such horrid results.

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@isitsleepytime

Joe Pick

@isitsleepytime

2 months

I’m conflicted about this case, what do people think? Tired doctor falls asleep at wheel causing grievous injury. What irks me is the language used by the GMC legal representatives. Is this an understanding and empathic regulator?

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@KirkwoodDW

Dale Kirkwood (he/him)

2 months

What does the doctor pay for themselves? • £50,000 for our degree • £50-150,000 above inflation interest for the loan • £500-1000/py member fees for our regulator, national professional standard and a portfolio • £2-5000 for exams • £2-20,000 on courses to reach consultant

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@KirkwoodDW

Dale Kirkwood (he/him)

9 months

The Public must pick a side. 190 days since ministers last met Doctors... That isn't Governing. We aren't miners. Tories can't Thatcher their way out of this and let a profession die off. The end game is conciliation and a fair above inflation pay rise, or killing of the NHS.

@goldstone_tony

Dr Tony Goldstone

@goldstone_tony

9 months

NEW: @BMA_Consultants offer to suspend calling new strike dates till 3rd Nov for pay negotiations (with @acasorguk ) to get a credible offer by then, else strikes in Nov / Dec- see @ft and full letter 👇 Media release:

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@KirkwoodDW

Dale Kirkwood (he/him)

1 year

At this moment, I sit in ED with my mum, after an experience yesterday that can only be described as both disappointing and devastating. The system is already collapsed. To access health care is to navigate the debris. Staff are so burntout I can hardly be angry. Just sad.

@DrLindaDykes

Dr Linda Dykes @[email protected]

1 year

I've just checked the BBC website. This is the main UK news page, at 0015 on 31/12/23. Emergency care in the NHS is literally collapsing, dozens (if not hundreds) of people a day will die as a result of overflowing EDs & there's nothing about it in the headlines. #Gaslighting

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Dale Kirkwood (he/him)

10 months

@cati1313 I'll wake up to the smell of coffee I don't drink with the extra couple of thousand per year the BMA has already helped us secure.

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Dale Kirkwood (he/him)

11 months

@Iromg It's not unbelievable that a person living in London, with children, with interest rate rises and ebergy inflation, has seen their modest income eroded to the point they have to make choices like not buying lunch at work. Now in their overdraft.

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@KirkwoodDW

Dale Kirkwood (he/him)

9 months

Our very own @clifford0584 presenting his findings from interviews of academic clinical fellows. #RCEMasc

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@KirkwoodDW

Dale Kirkwood (he/him)

1 year

@JonathanMilnes @drphiliplee1 You seen their track record? That's actually embarrassing. Dr Lee for Met commissioner.

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Dale Kirkwood (he/him)

5 months

@ShaunLintern I wonder how it would look if the vote was split by age. 35-50 vs 50+

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@KirkwoodDW

Dale Kirkwood (he/him)

2 years

@OrthopodReg @NHSBartsHealth At my last trust, the free electric charging points were completely adjacent to the Trust headquarters and off-limits to most staff.

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Dale Kirkwood (he/him)

3 months

@ChrisHopsonNHS @NHSPracHealth @NHS Whose driving this terrible decision. Yourselves or someone else and you the fall guy?

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@KirkwoodDW

Dale Kirkwood (he/him)

2 years

My annual leave anxiety just dropped 84% The rota consultant basically reaching out to say what do you need to be happy. Happy workers are productive ones... too right :)

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@KirkwoodDW

Dale Kirkwood (he/him)

3 years

Proud to say we have our first adverts for EM Fellowship/OOP opportunities going live. London ( @_katieknight_ ) and Brighton ( @DrRobgalloway ). Access the app via your phone or desktop How to video (advertising) -

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@KirkwoodDW

Dale Kirkwood (he/him)

2 months

Plea for help :) The current EMTA survey completion is 483. It's a start but only 17.5% of the 2.6k. Like a union... strength in numbers For all the inequalities in training that exist. Completing the GMC and EMTA survey are perhaps the best return on time for impact. 12 mins

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Dale Kirkwood (he/him)

11 months

@brokenbren In a galaxy far far away...... "We see you stayed 90 minutes over, thank you, but please do try get off on time as we are keen to prevent burnout"

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@KirkwoodDW

Dale Kirkwood (he/him)

2 years

Please spread the word about this resource and site The aim is to reduce the faff and burden of finding mandatory/interesting/niche/mainstream courses to advance your career, interests and meet your training or CPD requirements. Listing is free :)

@EMTAcommittee

EMTA

2 years

Medical Education Starts Here - @FOMOHub .org Trainees and EM docs check out this new resource aggregating educational opportunities in one easy to search place. Regularly updated and growing pool of big and small providers. List for free @BASICS_HQ @ETC_Org @DFTBubbles

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@KirkwoodDW

Dale Kirkwood (he/him)

4 months

@RJKDuggan Yeah, I think permit parking on a street (this is a main road!) where everyone has a drive is just antisocial in my view. Like a entitlement to space and land that extends into public boundaries. As long as people don't block or make Emergency service vehicle access issues

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@KirkwoodDW

Dale Kirkwood (he/him)

1 month

@Aidan_Baron What is wrong with just flushing and feeling the resistance/a lump with about 2ml? No ultrasound required.

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@KirkwoodDW

Dale Kirkwood (he/him)

5 years

Dear @NHS_HealthEdEng Could you please explain why reimbursement of course expenses only come after attendance, leaving trainees thousands out of pocket for 6-12 months at a time. As far as I am aware, other industries (inc. civil service) don't operate like this Thanks

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@KirkwoodDW

Dale Kirkwood (he/him)

2 months

Why do emergency doctors apparently die young? Is it the late intense shifts... or the bad habit shift patterns and generally being tired are more likely to perpetuate? I suspect they are inextricably linked! Though wonder if being a bit more disciplined would be enough.

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@KirkwoodDW

Dale Kirkwood (he/him)

5 months

12 hour trolley waits are the canary in the mine People were talking of the NHS crisis 10 years ago. It just wasn't crisis enough for people to listen. Nothing was done and now we are all paying the consequence. Patients, our loved ones, our staff A Tory Disgrace #electionnow

@DrSteveTaylor

Steve Taylor

5 months

How has the NHS faired under the Conservative Government This is a must watch To blame NHS England leaders / Government Ministers They must be held accountable

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@KirkwoodDW

Dale Kirkwood (he/him)

10 months

@SteveBarclay You'll improve our working lives by paying for all first exam attempts, portfolio fees, GMC fees, indemnity, parking and increasing the study budget to 2k per year without a need to administrate it. Non-taxable stipend. There is no end to this that doesnt cost money.

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Dale Kirkwood (he/him)

9 months

The number of posts available in EM seems to be modelled optimistically and the lack of advocacy to address the massive elephant in the room, pay, by all Colleges, only contributes to the growing suspicion medics have with their professional representatives. #juniorDoctorStrike

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@KirkwoodDW

Dale Kirkwood (he/him)

9 months

The insufficient recognition of this reality only exacerbates the belief many hold that the system is being rigged against us and the deteriorating situation represents a decade of Governemt policy failures and questionable advocacy from Royal Colleges and the Academy

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@KirkwoodDW

Dale Kirkwood (he/him)

1 month

@IainDale You are in some ways. You broadcast. I listen. I hope you have done your research.

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@KirkwoodDW

Dale Kirkwood (he/him)

5 months

@DAParkinson1 Thanks! It's perfectly modest. It always has been Still way less than Ireland, Australia, NZ, USA or Canada pays. At least for consultants. Maybe some variance on trainees/residents The job isn't getting easier either. More skills, knowledge and complexity. Sicker Population

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@KirkwoodDW

Dale Kirkwood (he/him)

3 years

Quitting EM, lasted 6 days as a ST4, and going into filmmaking. Bye 👋

@EMTAcommittee

EMTA

3 years

The winner of the highly coveted, 'Best-in-Show' Sponsorship advert #RCEMasc @RCEMevents Find your dream EM fellowship today - as simple a Google search➡️ List your department now, for free - Disclaimer: There was no prize

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Dale Kirkwood (he/him)

6 years

@SisterScrappy representing ACPs (and Preston), raising their profile in EM and the changing face of the workforce #EMTA18 @EMTAevents @RCollEM accredited Advanced Clinical Practitioner pathway ahead of many other colleges in its endorsement of this new(ish) role.

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@KirkwoodDW

Dale Kirkwood (he/him)

1 year

@tomdpalmer @Xeon4f145d96s1 @doctor_oxford It's a trash payscale. 33k for a Doctor. Even 50k is barely acceptable at a mid-junior level. Controversial is judged by the people... and clearly putting a salary of 33k inside any conversation about a ST8/Consultant level neurosurgeon or other specialist is unacceptable.

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@KirkwoodDW

Dale Kirkwood (he/him)

11 months

@JoeTeape @decsamethasone @UHSFT This is great. Would like to see C-suite folks shadowing, 5pm-2am, oncall once a year from a different speciality to keep it real. Hopefully enjoy it and feel refreshed too. Why it all matters. Would do a lot for bridging divides. Suspect filter down to better training too

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@KirkwoodDW

Dale Kirkwood (he/him)

9 months

Appendicitis in children - Very unlikely if WCC <10 (<75% shift), CRP <7 and over 24-hours of symptoms - Use of the Shera Score, which categorise as mild, moderate and high risk. A moderate score can be followed up by Ultrasound (/MRI). #RCEMasc #ascAPEM

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@KirkwoodDW

Dale Kirkwood (he/him)

10 months

@walsh_joe They hate people who care for other people.

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Dale Kirkwood (he/him)

2 months

Dear EM community, We need your help, especially from hospitals listed... The @EMTAcommittee survey engagement is solid at over 600. Thank you so much for taking the time. In 2021 and 2022 we had over 800 each. /2 Please complete --> /2

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@KirkwoodDW

Dale Kirkwood (he/him)

11 months

@bbchealth A doctor with 13 years experience, touching the edge of consultancy doing antisocial would have been on 55-60k in 2008. 69k for a Doctor working weekends, nights, 13 years post graduate experience and now 80k+ debt is not good enough om 2023 20k pay cut is massive.

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@KirkwoodDW

Dale Kirkwood (he/him)

6 months

Had the most unsafe feeling shift I have ever had last night. Great staff were the saving grace but shouldn't be put through that.

@DrSteveTaylor

Steve Taylor

6 months

The NHS collapse - it has taken just 13 years - take a look at this from Channel 4 News

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Dale Kirkwood (he/him)

7 months

@RCollEM I find it disappointing that the entire statement doesn't even mention the word Gaza or Israel. There absence is conspicuous. It adds almost no detail which was captured so eloquently by other members of RCEM. We must do better. For civilians, humanitarians and humanity.

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@KirkwoodDW

Dale Kirkwood (he/him)

9 months

Summary 1. Clinical advisers are much less risk-adverse. 2. Patients more compliant with clinical call handlers 3. Clinical call handlers triage more accurately - Fewer patients with low-acuity subsequently admitted - Fewer patients with high acuity deemed non-urgent. #RCEMasc

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Dale Kirkwood (he/him)

10 months

@AndrewRTDavies Majorities oppose sensible things all the time, doesn't make the majority right. Adding 2 minutes onto people's journeys but reducing crashes, injuries, mortalities (child death), pollution and makung a city much nicer to walk and cycle in is clearly sensible. Go away

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@KirkwoodDW

Dale Kirkwood (he/him)

3 years

Great to see some further listings from Scotland! Find more listings here: Help your department tap into the force that is EM trainees in the UK by listing here: @EMTAcommittee @FiMcD3 @StJohns_ED @NHSLothianMedEd #TeamED

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@KirkwoodDW

Dale Kirkwood (he/him)

2 years

Stoked to be invited to speak at #EUSEM22 @EusemY @EuropSocEM The fellowship app (and map) has come a long way in the past year. Some more leaps and bounds planned before taking it to Berlin! is continuing to grow too :D

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