Very pleased to see our paper on CT heads for first seizures in ED published in the
@EmergencyMedBMJ
Is a CT head required for patients with a first seizure in ED? Read our paper at:
We shouldn’t have programmes like 24 hours in A&E or ambulance.
They use people’s suffering for entertainment and I suspect any consent is at least in part coerced due to the power dynamics.
So despite almost 1000 final year med students being given placeholder jobs, PAs are being given a foundation programme with a £500 study budget not to mention 43k+ starting salary. How is this defensible?
@WhitHealth
This is a bad take - if you are ill enough to require ICU admission you should be able to focus on recovering without worrying about exams. Regardless of the circumstances, tweeting it isn’t a good look, it implies though who can’t sit exams due to illness aren’t good enough.
I don’t think it’s appropriate for me to comment on the BMA RDC offer.
However, the average grad salary is £38.5k, this offer would make a medical graduate start on £36.6k.
#Medicineisbrilliant
unless you are a new doctor who has 100k of debt, have been sent to a random part of the country, won't get a training number and have to supervise less qualified individuals who get paid 10k more
I am looking forward to sharing all of the amazing positive stories I have about our PAs here at
@sashnhs
at the
@RCPhysicians
EGM this week. I know many of you are feeling low, but please remember how awesome you are and such a valued part of our
#oneteam
.
#Medicineisbrilliant
It costs £50 for medical students and (+£10 membership fee) to go to an online
@RCoANews
information day about a career in anaesthetics - in what other profession other the. Medicine would you have to pay to go to a career info event?
Apparently, my med sch will take 400 in for Y1 in 2022 (it was 340 for my year starting in 2020), in Y3 around 60 ppl join ours from partner med sch.
Yet we will have no increase in FY, CT or ST positions, how is this sustainable.
Every-time you see the government talk about A&E waiting times, waiting lists of staff shortages - just remember (at least in the case of doctors) - it’s a government manufactured shortage
This is incredibly misleading - everyone thinks medical school means training to be a doctor i.e. MBChB - you are deliberately obfuscating non-doctor roles and trying to create equivalence between PAs and doctors.
@MedRegoncall1
@uochester
Chester Medical School is the name of the department which houses a range of medical and health science courses including our 4 undergraduate courses, 10 MSc/MRes courses, Physicians Associate MSc and the new MBChB programme.
🚨Breaking - The British Medical Association (
@TheBMA
) has passed a motion to disavow the Cass Review on medically transitioning children.
The body responsible for upholding the Hippocratic Oath is now responsible for harming vulnerable children.
This means war.
Comparing our (🇬🇧) response compared to the 🇺🇸 match is interesting.
In 🇺🇸, they have big events/parties celebrating matching and getting into training. In the 🇬🇧, its a (late email) and wondering whether it's appropriate to celebrate because of a terrible recruitment system.
@Xeon4f145d96s1
The only person who should be introducing themselves as doctors in clinical settings should be those with medical degrees who are GMC registered - I don’t get how this is even remotely controversial
@EricPoortinga
@XavierHelgesen
But the point is this will not increase your chances of living longer. If anything, it will cause you harm. Plus it will cost you a lot of money.
@Nigel_Farage
For the people commenting distasteful messages on this thread, just stop. Grief is an emotion we will all experience at some point in our lives, despite our differences, we are all humans with feelings. At least try and be empathetic, my condolences to the PM.
We did 2 years of physiology (and other basic sciences e.g. anatomy, biochemistry, micro, pharmacology etc) - the PA course cannot possibly cover the same content
@Statsjamiefact
@nick_grundy
@pa_StephenNash
@Adam_Skeen
@NCL_medscience
According to the lecturer who taught physiology on my particular PA course, physiology comprised about 25% of the academic studies and we were tested in it. He also teaches medics and says we covered almost the same, enough for clinical decision making.
The job situation for post F2 doctors now is bad, and the government nor labour (who will be the government) don’t seem to care and have no plan to improve it.
It does concern me how bad it will be in a few years when I’m at that point.
My heart breaks for these competent, clever & motivated Drs. Their opportunity to progress is being robbed by Senior Drs, policy makers & MAPs.
Trust grade/fellow jobs are now 10:1 ratio.
Locums are dead.
We've done everything asked of us... for what?
The current UKFPO system needs urgent reform. In no other profession, would this be remotely acceptable. This is emblematic of how the NHS views doctors, just a number on a spreadsheet to fill a rota.
@PaulMainwood
I was originally a bit uneasy about taking a booster because I thought it was wrong given how many people don't have access.
However with the data now I'm pretty convinced it worth it, so am getting my booster (and flu obviously) on Saturday!
@Contrainer
Because it stops MPs using their office for political purposes. And unlike the US we don’t have ridiculously long election period - 6 weeks done and dusted - not the multi year spectacle you guys have
Apparently, you are only meant to examine a patient from their right side?
Do people really do this? and if so why?
(and as someone who is left-handed this is bloody annoying)
@LeanneHPatrick
It’s disappointing to see a senior nurse attack the BMA. “Hard left” or “militant” are ridiculous term - the BMA represents it members (I’m a member and rep).
The BMA is organised and fighting the challenges facing the medical profession, far more than can be said for RCN.
@ItsMatt_Again
I don’t even think he believes it, I don’t think he is transphobic he is saying/lying to appease a certain group of voters which is arguably worse and makes him unfit to be PM.
@MStott88
The key difference is that medical grads can only work in F1 posts by law. They can’t go into private practice, they can’t go abroad until they have full registration which they require FY1 for.
Out of interest when you applied for FY how long was the reserve list?
@DavidHerdson
@BMA_JuniorDocs
@jon_trickett
That’s for someone who has a medical degree (5+ years), 10 years of experience + multiple postgraduate exams and qualifications, maybe a higher degree e.g. PhD - £28/hr is not much for that level of experience of skill
There is no point in increasing med school places whilst not increasing FY, CT1 and ST3 posts - it just leads to more bottlenecks, more unemployed doctors and does nothing to improve ED waits, GP appointments or waiting lists.
It's not a hard concept
@DHSCgovuk
!
We're funding 350 additional medical school places in England for 2025/26.
This is part of our NHS Long Term Workforce Plan commitment to double medical school places by 2031.
See how places have been allocated to medical schools 🔻
@IncogAssociate
@dr_shibley
Two questions
1. What unique skills does a PA bring to the MDT?
2. If PAs are proud to be PAs, why not try and forge your own professional identity, when is the obsession with phrase like the medical model, medical profession, medical team etc
@EmergMedDr
I don't think the fact the country has spent money on our training obligates us to stay in a system which doesn't respect junior doctors.
The taxpayer subsidises most uni courses (in Scotland, all of them) yet we don't expect anyone else to remain here as an obligation.
@Dr_Done_
@SheffieldHosp
@MajorKirsten1
Does that mean they have been leaving first year trainees (I.e first year of the AA course with no medical training or even potentially any healthcare experience) with anaesthetised patients - that is crazy
@doctorrah
I thought the whole point of FtP wasn't to punish but protect the public.
Reading this judgement, it seems like the panel thought he was safe to practice, I can't possibly understand the rationale behind suspending him.
A consultant subtweeting a junior doctor after posting a gif of a violin in response to a very valid point about working conditions is peak medicine toxicity.
What is this obsession with wanting to work huge hours, 48 hrs is not normal in most jobs.
Apparently controversial opinion: we should NOT encourage med students to think that 0800-1730 is an overly long normal working day. It isn’t.
Many jobs work those hrs. Suggesting these hrs are exploitative/excessive reeks of privilege & undermines efforts for
#payrestoration
@DavidPNoble63
At the start of the pandemic, his videos were informative, just giving facts. However, with ivermectin, vitamin D, mRNA vaccines cardiac side effects, he fails to critically appraise the literature. With millions of subscribers, his misinformation is dangerous
@LeanneHPatrick
But yet you are criticising the BMA for reforming itself, growing some teeth and fighting the government - fighting for fair pay and agaisnt the ridiculous policies of the HEE/gov about medical training
@zizjag2
@Carnage4Life
It’s fine to talk about your emotions after seeing someone die. But this isn’t healthy, it is for the likes, it isn’t reflective, it’s entertainment.
A more appropriate response would be to talk to colleagues/friends/family, not create an overproduced TikTok
@khalnero
Step 1: Become mates with a government minister and set up a PPE/testing business.
Step 2: Use your friendship (via WhatsApp) to get a lucrative government procurement contact
Step 3: Watch the money roll in £10k 100s of times over) at tax payers expense.
@ClinOncDoc
@RCEMpresident
@KatherineRCEM
Yet any actual doctor wanting to do ED needs to do 6-8 years (4-6 med sch + 2 FY) then face 5:1 competition ratios to become an ST1. (whilst said PA will be being paid more the whole time)
@Xeon4f145d96s1
It’s like me saying I’ve trained in plastics*
*I spent a week in plastics and cut all the sutures either too short or too long - basically a plastic surgeon trained in the medical model
@NHSMillion
That would be £56 a week which is more than half of SSP.
The fundamental point of the NHS it that it is free at the point of service, this can’t be allowed to happen.
A phrase that really annoys me is 'in you & me' when talking about the disease.
You don't know whether someone in your audience has certain conditions, it may seem like a small thing, but it reinforces the idea that doctors should be 'healthy' and can't have health conditions.
@drkeithsiau
Hello Dr Siau, from what I saw there was lots of legitimate criticism about your department's use of PAs from both a regulatory and training standpoint, some of which you haven't addressed. There is a difference between a pile-on and accountability.
@MedRegoncall1
@gmcuk
@RCPhysicians
Surely this comes under “any name, title, or description implying that they are registered with us.” That the GMC says is illegal.
@IncogAssociate
@LittlePersonDoc
Physician is a protected title in law under the medical act.
RCP - royal college of physicians
MRCP/FRCP - see above
EPIC - emergency PHYSICIAN in charge
It’s not only misleading, it’s illegal.
@IncogAssociate
@mouseter_chef
It’s not about the title - it’s the qualification which is a minimum standard of competence required to practice medicine.
It is about standards after all these are peoples lives.
@DrNeenaJha
This is another thing - PAs are filling a non-existent gap. The money would be better invested in more doctors/nurses not to mention non-clinical staff - porters, domestics etc as for example delays with porters leads to investigations/treatment being delay
Would you want a pilot flying your plane who worked 18 hour days getting less then 6 hours sleep?
Would you want a surgeon operating on you with less then 6 hours sleep?
I certainly wouldn’t.
First day of Neurosurgery residency:
- in at 0545
- out at 2300
I honestly love the grind, no sarcasm. But note to self: work on getting your notes in earlier 🫠
@DrNeilStone
It’s both extremely mild but not mild enough to resolve w/o medication.
He won’t take a vaccine because they is no evidence it safe but will take ivermectin w/ weak evidence.
🤔🤔 not sure how that works
@IncogAssociate
@EduMed_UK
There are now 36 PA courses in the UK (46 MBChB courses), the PA expansion is catching up, so don’t gaslight us by saying PAs are no threat to doctors job as we already seeing doctors struggling to get FY, CF posts and NTNs.
@SwearySister
Most messes are paid for by doctors or via BMA.
Doctors are the only staff group that are rotational every 3, 4 or 6 months and often cover multiple wards/areas.
@IncogAssociate
This is a nonsensical comparison
An iBSc does not entitle you to practice medicine (or anything) - it is about getting experience is something else
CMT again doesn’t make you a consultant and it’s after 6+ years of medical training
@RStewart127
@TomChadwick13
But it’s different training do ACPs sit royal college exams or get moved around the country every 4/6 months etc. if that stuff isn’t required to be a consultant why do we make doctors do it.
(not to mention whilst nursing/paramedic experience is valuable, it’s different!)
@nicalexander1
@Dr_Done_
@ImperialNHS
Now you tell me - I wouldn’t have bothered with the intercal if there is no competition - I could have just got a ST1 post easily
@DrSophieBracke
@carolchancarol
Seems very expensive - likely subsidised by everyone who pay their memberships outside of London and don’t get the benefits.
Writing my SSC report is making me depressed at how inaccessible science is. The amount of times I have encountered paywalls to read articles is crazy, I'm lucky with institutional access but it show shows how messed up the profit-driven scientific publishing industry is.
@LeanneHPatrick
The vibes comment is inappropriate - but it's a legitimate point - ACPs/ANPs shouldn't be on reg rotas being used instead of a medically qualified registrar w/ MRCP.
@IncogAssociate
That study did not prove safety -> a retrospective n=1 by definition cannot prove safety.
Regardless in society, we have minimum standards of competency by qualification to ensure public safety in aviation, nursing etc - the only people who should perform surgery are doctors.
@XavierHelgesen
@StaerkChristian
I doubt that, because no one can do a good job of determining what findings are significant. There are very few diseases where interventions in asymptomatic people Improve outcomes. There is no evidence to support MRI screening, the only benefit is for these companies profit.
I think some people in England have to get a bit of a grip. This is not lockdown again, all you have to do is wear a mask in a shop or a train, it’s really not that hard.
@Dr_Done_
I don’t know about cardiology but have met many ICU and ED doctors who come in on their own time to get sign offs for echo/ultrasound. Yet a PA after two years training can get this - and people wonder why so many doctors are leaving
@DanBealeCocks
@DottyDuff
@ShaunLintern
@chrischirp
I think the problem is most of the NHS is already at unsafe staffing levels (seen both working in the NHS and as a patient recently). The levels we are at now are barely sustainable let alone if we dilute it further.
@BrooksWalsh
Except it wasn't respectful, it was inappropriate and unethical.
It's not appropriate for children to be in a cadaver lab, even less appropriate to post imaging of cadavers on social media. If that happened in the UK, the regulator would be knocking on your door.
@Xeon4f145d96s1
I don’t think a lot of people (including HCPs) quite realise how insecure a doctor job is. Very hard to get a permanent post until consultancy (or some SAS role) unlike most HCP which graduate into permanent jobs.
I have so many chats w/ ppl who are shocked by medical training
@PerinatalBirder
@ZainKhanMed
PA: 2 year degree, can’t prescribe
F1: 5/6 year degree can prescribe
Why should PAs own more then F1s?
PAs deserve their pay but doctors deserve more. I don’t mind if an experienced PA owns more then an F1 but a 1st year PA earning more then an F1 seems unfair.
@SaraTon08500527
Who do you think the BMA is. They represent doctors and GPs and are advising them on the appropriate scope to set for the PAs they supervise.
@SaraTon08500527
The GEM a course is equivalent to the 5 year undergrad, it covers the same content. It is accelerated by having longer terms and being more intense.
The PA course is no where near as in depth as the medical course - either GEM or UG Med
Very pleased that I have been elected as the deputy rep for UofG
@TheBMA
Medical Students Committee.
Congrats to everyone else elected, I'm looking forward to working with all the new reps!
@BMAstudents
@Doctors_Vote