Reddical Medge @ReddicalMedge Twitter profile

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Reddical Medge

8 months

It's true, doctors who dare speak out against dangerous associate practitioners are TERRORISTS. We're probably the terrorist skin colour too, right? Allopurinol akbar, etc etc

Plum

@Plum47962139

8 months

@ReddicalMedge @CasualtySurgeon @ABarotchi1 @Molly2323232323 @TheEMboardround You claim that PAs are degrading your profession yet you're doing a pretty good job at it yourself. Doctors used to be models of society now we have jihadists parading as Drs. For introductions people like you should tell your patients how you promote terror

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Reddical Medge

@ReddicalMedge

4 months

If a PA took a prescription pad and hand-wrote and signed a prescription, that they know full well they cannot legally do, with a biro would it be a 'Pen and Paper blunder'? No, then this is not an 'IT blunder'... @Telegraph

platinumpizza™

@Xeon4f145d96s1

4 months

I said I would send out an FOI to find out more information and would share when I heard back. (As apparently it’s my job to chase illegal prescriptions and not the CQC’s). Thank you @JanetEastham for investing this properly and thoroughly. A short🧵.

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Reddical Medge

@ReddicalMedge

4 months

Whoever is responsible? This Wikipedia edit should count as a publication for your CV. Who could object? It's certainly no less academically rigorous and ethical than Jeannie Watkins' pseudo-research via corrupt editorial board...

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Reddical Medge

@ReddicalMedge

7 months

@julianhartley1 Wouldn't it be amazing if, one day, an NHS Chief Executive actually had the moral courage to turn around and say 'perhaps you should reverse the pay cuts you've imposed on doctors so we have enough staffing this winter' - instead of whatever this mealy-mouthed nonsense is.

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Reddical Medge

@ReddicalMedge

4 months

The most important thing about this EGM isn't really the vote outcome but what has gone on display tonight: a leadership concerned only about RCP finances, protecting Project PA, willing to ignore all inconvenient truths and questions, uninterested in concerns of doctors... #VONC

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Reddical Medge

@ReddicalMedge

8 months

This madness needs to be brought into even sharper focus than this chart does, as it skips over the vast difference between a doctor and a PA at these 'levels'. I therefore present full and direct comparison..

ExplosiveEnema

@ExplosiveEnema

8 months

Assured it's safe yet? For a Reg to be on that rota they would have completed ST4+ (intense exams & rotations across numerous departments) How do they ensure a PA whose 1st job from uni is at @BWC_NHS has the same level of rigorous training/experience/knowledge as an ST4?

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Reddical Medge

@ReddicalMedge

4 months

@docib Sure, let me just get a load of paper copies of.. BNF NICE guidelines Renal drug database/handbook MDCalc Microguide Induction/Switch eRostering app Toxbase And the... mobile version of the EPR? Given limited PCs (that work poorly) in the NHS is the norm, enjoy the inefficiency?

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Reddical Medge

@ReddicalMedge

9 months

@UKGastroDr What is starting to become apparent to me is that many consultants view the idea of PAs 'freeing up doctors from simpler work' to mean specifically 'freeing up me, the consultant, from the type of work I'd normally have to train an SHO or SpR to do every 6 months'.

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Reddical Medge

@ReddicalMedge

8 months

@rahttled_doc Cut off top end of the hollow handle with scissors. Introduce flexible suction catheter via the exposed hollow handle and use suction device to evacuate the urine into suction bag for disposal. Lift now empty bottle off the floor and mop residual.

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Reddical Medge

@ReddicalMedge

4 months

Getting sick and tired of hearing 'we don't have enough doctors'...

Secret NHS Chief Executive

@SecretNHSCEO

4 months

3/3 As a senior manager I’d make 3 points. 1st, we don’t have enough doctors in the UK, we need more. 2nd, medicine should be a well rewarded and valued career - government and management have made it less so. 3rd, well-functioning multidisciplinary teams improve patient care.

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Reddical Medge

@ReddicalMedge

7 months

What pretty much all the debate (with or without toxicity) comes down to online is this: the role of the PA, as currently deployed in the NHS, should not exist and need not exist if doctors were trained, valued, retained and supported (by assistants where needed) well enough.

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Reddical Medge

@ReddicalMedge

8 months

@InfoPars @AWJChadwick @KeeleyMP Yes because you state your mortgage number on clinical documentation or when asked to identify your profession and role... What a non-argument.

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Reddical Medge

@ReddicalMedge

4 months

It's ALMOST like @RCPhysicians are corruptly concealing data that might not suit the unelected officers' agenda to try and manipulate voting. Oh wait no. That's EXACTLY what they're doing.

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Reddical Medge

@ReddicalMedge

4 months

A reminder that - along with the foetid rot that occupies the colleges, GMC & NHS - within the BMA there still exists a core of corrupt, self-serving 🦖 who have long abused local processes to ensure their interests, and not the profession at large's, are served. NW London div:

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Reddical Medge

@ReddicalMedge

3 months

@Matt_L_Nash @cannula_service @VirtueOfNothing @DrHuw @Matt_ParaACP @Dr_Done_ @FICMNews See the problem I have entering this as a tangent is that you have regurgitated a load of NHS management sound-bites that are of little substantive value. I don't necessarily think you're dishonest, I wonder if you even have insight into how vapid what you just wrote is. 1/2

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Reddical Medge

@ReddicalMedge

9 months

@DrEilidhMaria Gosh if only there was some sort of assistant role that could mop up huge amount of these simpler tasks to free up doctors en-masse for medical assessment and decision making, surgery, and training? An assistant to the physician, if you will. A physician's... helper..? Alas.

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Reddical Medge

@ReddicalMedge

4 months

@myttacd @AauPgh @MY_LenRichards @Chrisevans29 @DrRJRobinson @DrSarahJR @LucyBeeley @jackie_thompson @adele_kitchen @tamedprince @acutemedicine Now here is an MDT member I will sign off on having essentially unlimited recruitment for. One to assist every on call med reg 1:1 please.

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Reddical Medge

@ReddicalMedge

4 months

Just a reminder of the 2023 competition ratio for a post-CT2 doctor - with 5+ years medical school, 4+ years post-graduate training and full MRCP(UK) qualification - to try and get a job as a FIRST YEAR Microbiology doctor. Utterly disgraceful.

Dr Sandeep Bansal

@iDrSunny

4 months

Sorry, how much medical microbiology do PA students do on their course? They are now essentially working as a microbiology reg

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Reddical Medge

@ReddicalMedge

11 months

@thomaswoodcock The madness of arrogantly criticising others that 'putting pay first' is unreasonable for any sane working person in this world. Doctors are not monks, besides which poor pay is only one of dozens of abysmal things driving doctors away from the NHS

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Reddical Medge

@ReddicalMedge

4 months

@mmamas1973 @RCPhysicians And not just the reputational damage they are causing, but the damage to doctors, the very institution of the medical profession, and - of course - patients as well...

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Reddical Medge

@ReddicalMedge

9 months

@UKGastroDr There is an interesting generational divide. It seems many consultants I know well and speak to don't see the current FYs and SHOs as 'real' doctors, or else feel they're 'not the same' as them. As a result don't feel responsible for or to them, compounded by rotational training.

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Reddical Medge

@ReddicalMedge

4 months

Now would be the moment for the President, Registrar, & all other complicit senior officers to resign in disgrace. And by that I don't mean lie through their teeth about standing down for planned portfolio career or claiming that their lies and corruption are 'confusion'. #RCPEGM

Michele Paduano

@MichelePaduano

4 months

Doctors vote to slow the introduction of physicians associates @RCPhysicians extraordinary general meeting - 78.7% in favour.

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Reddical Medge

@ReddicalMedge

3 months

@Matt_L_Nash @cannula_service @VirtueOfNothing @DrHuw @Matt_ParaACP @Dr_Done_ @FICMNews There is infinite appetite for 'the MDT' to be trained & empowered but doctors' careers are utterly wasted being told that they, uniquely, have to do exams or years of service provision before they are 'qualified' to do what you can apparently train a non-doctor to do whenever.

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Reddical Medge

@ReddicalMedge

9 months

@TomStocks1982 @rcgp FTFY

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Reddical Medge

@ReddicalMedge

3 months

@Matt_L_Nash @cannula_service @VirtueOfNothing @DrHuw @Matt_ParaACP @Dr_Done_ @FICMNews And at the end of it all - when you're called out on this b/c generationally we have all had enough of this nonsense - you try to smooth it over by pulling out the same #OneTeam soundbites that doctors have had to listen to for years as a way of telling them to 'shut up'. 🔚

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Reddical Medge

@ReddicalMedge

4 months

Dr Clarke is entitled to her (in my view, bad) opinion, and to share it, just as others in RCP like @parthaskar do. The difference is only one of them is due to be CHAIRING the @RCPhysicians EGM tomorrow... Impartiality doubtful?

The BMJ

@bmj_latest

4 months

On the eve of an EGM to debate the future of physician associates, @DrSarahClarke President @RCPhysicians argues that there is a role for PAs in the NHS Tomorrow's EGM is an opportunity to contribute constructively to the debate, she says:

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Reddical Medge

@ReddicalMedge

3 months

@Matt_L_Nash @cannula_service @VirtueOfNothing @DrHuw @Matt_ParaACP @Dr_Done_ @FICMNews 'This generation of consultants' have repeatedly supported the 'value of other colleagues' at the cost of systematically devaluing doctors - most particularly their trainees - in a wholesale fashion. This is what the outrage in generations coming through is about. [2/more than 2]

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Reddical Medge

@ReddicalMedge

5 months

@EmergMedDr Everybody forgets that NICE is ultimately a non-govt body akin to a quango set up by govt in 1999 whose real role is to make rationing decisions so that government doesn't have to take direct responsibility (and blame) for them. We shouldn't assume EVERYTHING it does to be good.

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Reddical Medge

@ReddicalMedge

7 months

The competition ratios for IMT would be less outrageous if it weren't for A) the fact that it is an utter shit-show and a disgrace to refer to it as a 'training programme' with a straight face and B) the continuing supposed lack of 'doctors' on SHO rotas being filled by MAPs...

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Reddical Medge

@ReddicalMedge

8 months

@BMA_James_Steen To summarise just how ludicrous them being on tier 2 rota is in one graphic adapted from the already circulating one that only focuses on paediatric ST training:

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Reddical Medge

@ReddicalMedge

5 months

If a PA can ever be 'equivalent' or even 'senior' to an FY2 or CT let's just for a second look away from the PAs and ask the consultants responsible: how have you, and the debacle of rotational training, FAILED in the training of medical graduates so *spectacularly*?

Dr Mike

@EmergMedDr

5 months

If your early warning score is high you need urgent medical care. That should mean a qualified doctor. An F1 is a qualified fully trained doctor. This hospital however, doesn't want you seen by the qualified doctor, they would rather a PA with just 2 years training, treat you.

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Reddical Medge

@ReddicalMedge

3 months

@Matt_L_Nash @cannula_service @VirtueOfNothing @DrHuw @Matt_ParaACP @Dr_Done_ @FICMNews Yet while the doctors spend years of post-graduate time doing nearly valueless crap, you at the same time somehow find the time to train your ACPs to intubate? I'm sure they CAN learn how to. The question is - why are we wasting years of doctor time instead of training them then?

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Reddical Medge

@ReddicalMedge

6 months

@Xeon4f145d96s1 Discussed with the PA! A student 'discussing' cases with an unqualified unregistered lightly trained assistant for supervision. Utterly terrifying

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Reddical Medge

@ReddicalMedge

3 months

@Matt_L_Nash @cannula_service @VirtueOfNothing @DrHuw @Matt_ParaACP @Dr_Done_ @FICMNews It's not just pay. Doctors are treated like shit while 'leaders' such as yourself insist with soundbites that everything is fine, and in many places suppress all voices of dissent at threat of discipline or GMC using the same language as you use to explain things away here.

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Reddical Medge

@ReddicalMedge

9 months

@NNUH @AnnonMedic36970 💩Minimal fibre content. Copious use of undigested nutritionless corporate waffle. Highly offensive odour. No recognition of any of the major problems raised about NNUH misuse of PAs. Floats in the bowl, won't flush. A truly worthless stool, 0/10. 💩

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Reddical Medge

@ReddicalMedge

7 months

@timricketts_ This is the problem with an NHS ecology which tells other staff groups that medicine is just a series of tasks that you can do 'competences' in & then take over part of a doctor's job. This listed example clearly reflects a 'taskified' world view, ignorant of actual medicine.

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Reddical Medge

@ReddicalMedge

3 months

@Matt_L_Nash @cannula_service @VirtueOfNothing @DrHuw @Matt_ParaACP @Dr_Done_ @FICMNews Make it make sense? I don't think you can. So instead, you continue to do what benefits you, your dept, your trust. Train the local investment staff, and take your deanery-provided, guaranteed supply of doctors for granted to do the TTOs, cannulae, and 'scribe'.

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Reddical Medge

@ReddicalMedge

4 months

@WorthWords @gmcuk 'PA-R' also isn't a qualification.

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Reddical Medge

@ReddicalMedge

7 months

In case it's not plainly obvious for all to see, the ARRS funding debacle with GPs struggling to find work is just an intentional scheme to artficially suppress GP salaries. Dry up the work until GPs have to choose between unemployment or accept lower paid work.

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Reddical Medge

@ReddicalMedge

9 months

@Hinesh_ @NNUH Every minute a PA is in theatre is a minute that a doctor is not, it's as simple as that. The PAs shouldn't be in theatre unless every single doctor is there and there is still more work to do in theatre. Until that point, they can only be possibly be taking training away.

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Reddical Medge

@ReddicalMedge

5 months

@ClareGerada @ExplosiveEnema2 @rcgp They don't have an important part to play. PAs bring nothing unique to the MDT, and are inferiorly trained in every respect to an actual doctor. The main purpose of a healthcare system - and the RCGP - ISN'T to foster comfort and avoid anxiety in professions. Forgotten this?

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Reddical Medge

@ReddicalMedge

3 months

@Matt_L_Nash @cannula_service @VirtueOfNothing @DrHuw @Matt_ParaACP @Dr_Done_ @FICMNews In order to train up local teams of favoured ACPs and others who can stably provide 'the service' for those consultants, their depts, & of course the trust. There ISN'T enough training time and work to go around - so doctors are left doing scut work for 5+ yrs out of med school.

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Reddical Medge

@ReddicalMedge

8 months

@dawnashley13 @NTeesHpoolNHSFT @MADEinHEENE *Noctor of the Week. And no matter how good Hannah is, let's never forget you've created an award to help highlight good doctors, and immediately shat upon all of them by ignoring EVERY LAST ONE OF YOUR DOCTORS to give it to a PA instead.

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Reddical Medge

@ReddicalMedge

4 months

@doctor_dru_ That's ok, you just take off the note, put it in the bin, and eat the pizza anyway. Only way of dealing with this culturally-encouraged doctor-hate in the NHS.

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Reddical Medge

@ReddicalMedge

3 months

@Matt_L_Nash @cannula_service @VirtueOfNothing @DrHuw @Matt_ParaACP @Dr_Done_ @FICMNews Training has been wholly subsumed by 'service provision' - and not the right kind whereby you learn by having to provide medical service. Doctors are absolutely livid because consultants with similar views to yours have sacrificed their training opportunities...

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Reddical Medge

@ReddicalMedge

4 months

@trishgreenhalgh There wasn't a debate. There was a self-righteous panel lecturing the rest of the profession about why we're all delusional and don't know what we're talking about, and distracting from, filibustering or outright ignoring any attempt to genuinely challenge them. #RCPEGM #VONC

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Reddical Medge

@ReddicalMedge

3 months

@Molly2323232323 @drkeithsiau There is a major problem here - doctors who speak up are labelled as 'abusive' just for confronting established figures and views and opinions about medicine in the UK that go against current NHS groupthink are labelled 'extremist'... ⏩

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Reddical Medge

@ReddicalMedge

7 months

@ClaaareKirwan NHS #BeKind & #OneTeam browbeating are a 1-way street: doctors must be kind, obsequious, never stand up for themselves, always do what they're told & humble themselves before all other team members in perverse penance for historical social hierarchy. But doesn't apply in reverse.

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Reddical Medge

@ReddicalMedge

7 months

@AliJaneMoore We need to push back against this puritanical nonsense. Across the board of topics (private messages!) the GMC has vastly overstepped what should be its boundaries and is now self-defining its own outrageous scope creep.

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Reddical Medge

@ReddicalMedge

9 months

Thought for the day: Hyper-rotational 'training' programmes do not make more well-rounded doctors, and never did. They actively impede learning, minimise the value of doctors as a training investment to trusts and consultants, and only exist to subsidise NHS staffing.

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Reddical Medge

@ReddicalMedge

7 months

@Xeon4f145d96s1 @BucksHealthcare @NMacdonaldBHT @AndrewMcLBHT And the CT/ST1-ST3 doctors who are inexplicably paid *the same* as medically unqualified 'associate' assistants despite having not just a much higher level of qualification, but vastly more training and experience (minimum 7-10 years).

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Reddical Medge

@ReddicalMedge

7 months

@EmergMedDr This isn't right. Our actual apprentices - med students - are not paid at all, in fact levied huge sums of debt. PAs aren't apprentices in this analogy, they're random handy-men having a go at the electrician's job with no qualification & minimal training. And paid more for it.

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Reddical Medge

@ReddicalMedge

8 months

@JatinderHayre_ @AstonMedicine @unibirmingham @Dr_Done_ @Xeon4f145d96s1 @r1chardf1tzg3r1 @HelenRSalisbury 'You couldn't make training worse than this' someone said, looking at the students being neglected on placements and lectured by well-meaning FY3s who aren't actually expert in the subject matter. 'Hold my beer' said @unibirmingham and @AstonMedicine .

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Reddical Medge

@ReddicalMedge

9 months

@DrEilidhMaria Interpretation summary: 'They make MY life as a consultant easier and that's the main thing, patients and doctors in training be damned, we never needed intensive, standardised, and strictly regulated standards to safely practice medicine anyway'

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Reddical Medge

@ReddicalMedge

11 months

@NHSBartsHealth Imagine you have 5+ yrs of medical school, at least 7yrs of post-grad training, a post-grad internal medicine diploma, work at senior level and train and supervise other doctors & students... and be called a 'junior doctor' on your employer's social media. Only in the NHS.

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Reddical Medge

@ReddicalMedge

9 months

@calderdalecares Strange how the video focuses on a door saying 'GP Registrar' when she's talking. When she's not a GP registrar, who is a fully qualified doctor multiple years out of medical school in specialty training. And she is an unqualified, unregulated assistant. Misleading to public.

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Reddical Medge

@ReddicalMedge

4 months

@AndrewJD Not on: lacking self-respect and respect for the profession. But then - given how we treat and use FY1s and leave them without value or training, is that really a surprise?

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Reddical Medge

@ReddicalMedge

8 months

@gmcuk So many words across so many posts for something of absolutely no value, all in an attempt to disregard what doctors are screaming at you. Add it to the piles of the other scandalous disgraces that the GMC represents, as usual it is clear that GMC is an unfit regulator.

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Reddical Medge

@ReddicalMedge

3 months

@DrNeilStone This reads as a limp protest against the fact that establishment viewpoints are being challenged - successfully - by docs that by their anonymity avoid the traditional mechanisms of coercing doctors to 'shut up'... And an attempt to smear them all as trolls as easy alternative.

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Reddical Medge

@ReddicalMedge

11 months

@EmergMedDr The hierarchy has not just been flattened (itself a misguided extremist ideal), but inverted. Not only are 7 consultants ignored, they are actively victimised to silence them. Consultants not in control of their departments any more. #NHShatesDoctors

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Reddical Medge

@ReddicalMedge

9 months

@UKGastroDr So they give the actual training to the MAP instead of their actual trainees, who are languishing doing valueless scribing and ward cover wishing there was a PA there do be doing this so they were in clinic, in theatre, or making medical decisions.

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Reddical Medge

@ReddicalMedge

3 months

@DrEilidhMaria @drkeithsiau @AmarHujan Predictable. It's the get-out-of-jail free card now on Twitter: if you can't justify your position, acknowledge or rebut valid criticisms or are caught either in poor behaviour or a lie then you change the topic to 'I'm being abused, I'm being personally attacked' to deflect.

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Reddical Medge

@ReddicalMedge

9 months

@Dr_Done_ @FPARCP @itvnews Even disregarding the flagrantly obvious use of 'Dr' (maybe even pre-doctorate here) to impersonate a medical doctor, he has clearly misidentified himself as a GP to them. Which is surely completely in contravention of the Medical Act 1983?

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Reddical Medge

@ReddicalMedge

3 months

@DrEilidhMaria My main objection is that, since PAs largely take training opportunities and are prioritised for the more desirable/medically valuable parts of the service provision between 9-5, it's dishonest to call them an assistant. Because they are not assisting at all, but hindering.

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Reddical Medge

@ReddicalMedge

7 months

@ClaaareKirwan Ibuprofen is a fantastic analgesic that for the overwhelming majority of people when used appropriately is safe and is vastly underused in an NHS pre-occupied with dogmatic ideas of great risk.

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Reddical Medge

@ReddicalMedge

4 months

@trishgreenhalgh Ah but as you can see if we look at the combined 'Against' and 'Abstain' vote it's clear that the fellowship support the college 'leadership' positi- no, wait, nevermind. Not even close.

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Reddical Medge

@ReddicalMedge

3 months

@trishgreenhalgh Ah you see - no options to vote against or abstain is the purest form of the composite 'positive and neutral responses'. Which, thanks to @RCPhysicians we know is precisely how we evaluate things.

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Reddical Medge

@ReddicalMedge

9 months

@UKGastroDr Complex (and non-uniform) underpinning reasons. Some going as far back as effects of MMC - apart from the abject failure that is rotation, the destruction of the consultant-led vertical firm has broken the sense of team and shared ancient master-apprentice relationship.

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Reddical Medge

@ReddicalMedge

7 months

@neurosurgerySpR @gem1509 100%. Consultants who intepret MAPS being to 'take the burden off of doctors' to mean specifically 'to take the burden off *me*, the consultant, so I only have to train someone once and can get on with my cosy life. The trainees can continue to cover wards, not my problem'.

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Reddical Medge

@ReddicalMedge

5 months

@DrEilidhMaria We talk about a swiss cheese with all the holes aligning so that error can pass all the way through. A PA in this situation is like having a special bypass around the entire block of cheese, so that the error no longer has to find a series of holes, just go straight around.

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Reddical Medge

@ReddicalMedge

3 months

@iDrSunny The complete lack of insight, open demonstration of amateur practice (which they clearly think is worth showing off), & likelihood that they're confidently falsely reassuring and miseducating patients is terrifying. There is something about PA courses that instils such hubris.

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Reddical Medge

@ReddicalMedge

8 months

Did anyone read the official RCS Handbook of Ladder Pulling from back in 2016? Be in no doubt how empty their statement today is - they are entirely committed to the 'EST' and blithely pretend it actually helps training. (Spoiler: it doesn't.)

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Reddical Medge

@ReddicalMedge

9 months

@jobbinggasman @RCSEd @RCSnews @AnaesUnited @ASiTofficial @mmamas1973 @VirtueOfNothing @mancunianmedic @RoshanaMN @Xeon4f145d96s1 @Dr_Done_ Why doesn't Foundation training look like this? Hell, even IMT doesn't come anywhere close and I'm sure CST has the same problem. Medical training is a damned joke in the NHS, yet we can find the time and resources to provide this for PAs? WAKE UP DOCTORS.

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Reddical Medge

@ReddicalMedge

9 months

@UKGastroDr Which wanted to break consultant power within hospitals, and permanently disrupt the vertical transmission of sense of shared medical identity and esteem from each generation of doctors to the next in order to produce a more compliant, cheaper medical profession. They succeeded.

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Reddical Medge

@ReddicalMedge

8 months

@DrEilidhMaria FY1 - a doctor who has completed their medical degree with a minimum of 5 years intensive medical educational, practice, and examinations: needs close supervision (ok). A PA with 2 years of simplified crash-course and far less practice and experience? No such comment. Ridiculous.

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Reddical Medge

@ReddicalMedge

4 months

@dr_irfan_malik So is this 'fact' something that Helen Sharp, Deputy Sister, Colchester Hospital was compelled by her line manager to spew out on camera to excuse the hospital's performance, or is it just her unevidenced and unqualified opinion?

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Reddical Medge

@ReddicalMedge

4 months

@DrNeilStone Correct. Because the *overwhelmingly* large proportion of that time is not spent actually training our doctors. They are all just human sacrifices for ward and rota cover to keep the endlessly ravening NHS running for another year.

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Reddical Medge

@ReddicalMedge

4 months

@bduric_ The fact that a 'professional' can spout naturalistic fallacy and (expect to) be taken seriously reflects something very rotten and repugnant in the NHS and its quasi-egalitarian culture... especially as it seems to disproportionately to be applied as here to women...

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Reddical Medge

@ReddicalMedge

9 months

@veggieequallife @Dr_Done_ @UHP_NHS @AnnJamesNHS And if all of these trials and years and years of commitment and on calls and learning and exams aren't necessary to practise as a surgical reg, why is the RCS still making surgeons in training do them? Either they're vital & necessary, or else doctors shouldn't need to do them.

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Reddical Medge

@ReddicalMedge

10 months

@Xeon4f145d96s1 I have to be frank: the infantilisation of doctors will continue as long as doctors accept it. I know medical school tries to systematically squash out every iota of self respect and inculcate NHS and GMC obedience, but doctors need to turn arouns, as adults, and say 'no'.

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Reddical Medge

@ReddicalMedge

9 months

@TomStocks1982 'Be kind' is the single most dangerous phrase in the NHS. It can be used to silence, victimise, and nullify anyone who speaks up because ANY criticism (and anything) can be framed as 'unkind'. It needs to be recognised as a tool of control and rejected by professionals.

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Reddical Medge

@ReddicalMedge

3 months

@TomStocks1982 At the end of the day, this is on doctors. If we don't have the spines to say 'no' & refuse to work for their worth, then we don't deserve to be treated or paid better. Stop letting such people talk to you as if you're children, or their inferior. Act like adult businesspeople.

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Reddical Medge

@ReddicalMedge

3 months

@cannula_service @Matt_L_Nash @VirtueOfNothing @DrHuw @Matt_ParaACP @Dr_Done_ @FICMNews I think sadly we do have a generation or two of consultants whose identity is part of, and sense of duty is to, NHS and their trusts - as opposed to the medical profession - and so their genuinely held beliefs and answers are the same as TV interview answers on behalf of a trust.

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Reddical Medge

@ReddicalMedge

9 months

@Xeon4f145d96s1 What a feeble attempt to paint PAs as a discriminated against minority group with equal capabilities to doctors, as opposed to mis-deployed lightly-trained assistants. 'AHA but this is just like x-ism! You bad elitist doctors! PAs are *victims*!'

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Reddical Medge

@ReddicalMedge

9 months

@UKGastroDr When I first heard this reasoning was briefly horrified, but when you listen & look back how this sentiment has come to pass you can see how we got here. Sadly I think the dis-establishment of consultant-led teams, practice and training was entirely intentional by NHS and govt...

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Reddical Medge

@ReddicalMedge

4 months

@trishgreenhalgh The whole (unelected) lot need to go. #RCPEGM #VONC

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Reddical Medge

@ReddicalMedge

3 months

@ExplosiveEnema2 @alisonleary1 Apart from the outrage I feel on behalf of nurses, how could anyone ever truly classify a PA with a 2-year, unregulated unaccredited degree, with no prior healthcare education or experience as even CLOSE to equal with a QUALIFIED NURSE, let alone 'higher'?!

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Reddical Medge

@ReddicalMedge

4 months

@Adam_Skeen @LittlePersonDoc @RCPhysicians No wonder we see the monumental levels of over-confidence (and sense of entitlement to practise all of medicine) that we do...

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Reddical Medge

@ReddicalMedge

5 months

@thomaswoodcock You can't seriously say 'noble profession' while misappropriating terms of 'oppression' like 'supremacist' in the same sentence. You're actively facilitating the denigration and destruction of what you supposedly claim was 'noble' while tarring all who oppose you as villains.

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Reddical Medge

@ReddicalMedge

10 months

@r1chardf1tzg3r1 @BSIR_News @halliday_kath @RCRadiologists @AoMRC @TraineesBSIR @BMA_JuniorDocs @BMA_Consultants @cirsesociety @BSUroRad @BSGAR_UK @BSTImaging @BSSR_Site @theBSNR @AuntMinnieEuro It's almost as if they could train any of the thousands of doctors who want to be radiologists, have good CVs, but can't get training numbers because of supposed lack of capacity to train/make more. Well looky here, apparently there is capacity after all...

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Reddical Medge

@ReddicalMedge

11 months

@GasmanMax @veggieequallife 'Be kind' has been the refrain we have permitted pay, conditions, training, and basic respect at work to be utterly destroyed to over the last two decades. Don't kick up a fuss, don't criticise those who do wrong by you or your profession, because it's not 'being kind'. Tired.

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Reddical Medge

@ReddicalMedge

8 months

@Popoporoo87 @DebateHazel @MoretteThompson @BBCPanorama @BBCOne @BBCiPlayer Same exams?

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Reddical Medge

@ReddicalMedge

9 months

@SnotSurgeon @fessdoc @ENT_UK @HelenCocks5 It exists and is called Graduate Entry Medicine. Very happy to get on board with schemes that help noticeably excellent PAs get into such courses, however.

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Reddical Medge

@ReddicalMedge

5 months

@parthaskar @RCPhysicians It's a disgrace that the RCP has indulged so deeply in the govt & NHS trough to detriment of its members. Its continued gaslighting of doctors & hosting of the FPA are kicks in the teeth for all the actual physicians who worked damned hard (and pay ++ fees) for their memberships.

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Reddical Medge

@ReddicalMedge

9 months

@mouseter_chef @SheffieldHosp @RCoANews The meme needs to come back out again

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Reddical Medge

@ReddicalMedge

9 months

@DrEilidhMaria @MsahWu 'Trust policy' is an irrelevance when it comes to employment law. In fact, 'trust policy' is an irrelevance when it comes to many things, yet frequently is quoted by NHS administrators to justify the illegal or else reprehensible as if it cuts the mustard.

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Reddical Medge

@ReddicalMedge

3 months

Sorry I'm too busy stamping my bingo card - 'We are one team', 'HEART values' and of course, disciplinary threats against every doctor in a department as if a class of school-children as opposed to whichever specific individual is supposedly at fault if proven. #BeKindisBullshit

The Med Reg

@MedRegoncall1

3 months

London ED strikes again: ⛔️ Don’t call PAs personal Assistants . ⛔️ Or do it and face disciplinary action/referral to @gmcuk #MedTwitter #MedX #reddit

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Reddical Medge

@ReddicalMedge

9 months

@TheENTSurgeon1 @cannula_service Wow, those specific procedures that CSTs who want to have even a shot in the ENT ST3 application bottleneck have to get multiple of to score points, and struggle to get the opportunity and go to theatre in their own time to get the bare minimum? What a SURPRISE. /s

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Reddical Medge

@ReddicalMedge

7 months

@theRCN This is entirely your responsibility. You pulled off half-baked strikes, recommended the shit deal you now have, and are now basically having a tantrum that it's not fair that people who went out and fought for better pay instead of immediate capitulation got a bigger offer?

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Reddical Medge

@ReddicalMedge

9 months

@mmamas1973 This is the culmination of the madness. A PA is not trained and not safe to see undifferentiated patients. That they jumped to a *diagnosis of exclusion* in a 69yo w/ severe abdo pain shows not only the lack of knowledge but also their blissful ignorance of their own limitations.

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