Devan Sinha
@DevanSinha
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Neuroradiologist | Molecular Medicine | into science and data | via Oxford Med | https://t.co/V1TDFk8fVq
Joined September 2013
This CT scan is definitely the most traumatic during lockdown I've been shown. Archery accident. Arrow through the heart. Miraculously and thankfully the patient survived. Let's look at all the ways they were lucky:
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It'd be quite easy for him to do politically DHSC was run by Tories and their appointees for 14 years, as was NHS England and 'Health Education England', even GMC/CMO office Instead he's asked for people who oversaw what he thinks is a disasterous plan to review their own work
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Purchasing coffee shouldn’t require filing taxes. Tell Congress it’s time for a de minimis exemption on Bitcoin. No more tracking. No more tax headaches. No more Bitcoin red tape. Contact your legislator today.
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UK govt via NHS is the monopoly employer for resident (junior) doctors; controls & funds No of medschool places, training jobs; No of foreign doc visas & via GMC their licensing. If he believes their workforce plans failed why hasn't he asked for resignations or accountability?
I’ve just been listening to @wesstreeting blaming poor workforce planning for the lack of employment opportunities for RDs - prob true. What I’d like to know is: who, of those responsible for allowing this to happen will be held accountable and what will the consequences be?
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As a consultant doctor rota'd to cover for residents should they strike next week I'm kinda embarrassed the Health Secretary thinks so little of me & my senior colleagues who have the most training & experience that we'd endager patients if we stepped in to cover the strikes.
‘There isn’t an amount of money I can throw at this to guarantee patients’ safety.’ @wesstreeting outlines the ‘terrifying position’ the NHS is in.
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The original “doctors will be replaced with machines” paper was written in … 1979 Only the machines were linear regressions. And they still outperformed clinical intuition.
Linear models FTW Paper by Dawes from 1979 argues that even *improper* linear models (ie with predictor weights that are determined by non-optimal methods—equal unit weights suffice) outperform ‘clinical’ intuition: https://t.co/XO1ZEAVeE2
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The plan was clean. The escape? Not so much. Midway City doesn’t play fair. Wishlist this 4-player coop heist FPS on Steam today.
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So @wesstreeting is using those 2 things as a bargaining chip despite saying that he wouldn’t . @BMAResidents @fletchjack @thomasdolphin
Wrong. For the last year I’ve been working to do two things: go as far as fast as we can on places and to go as fast as we can on U.K. grad prioritisation. That’s where we’ve got to. Do we go ahead while the strikes continue? Absolutely not. We need to do this together.
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Streeting: thing X is FUBAR and damaging to the country and health service long-term. BMA: we agree. It is FUBAR. You should fix it as the empowered govt minister responsible. Streeting: No... FUBAR thing X can stay FUBAR, unless you stop organising for pay restoration.
This graph shows the problem we've been working to fix. Professor Chris Whitty says the offer to resident doctors will "significantly improve training competition ratios". If resident doctors vote for the offer, there will be fewer than two applicants per post
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Just need to find one Trust where there's significant discrepant demography in sex between the two groups and it could be trouble before an employment tribunal.
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Wes Streeting's current offer and position of RCEM is that an FY2 doctor should be paid 20% less than an ACP for doing 6% more hours of work in emergency departments around the country at comparable (*according to them) levels of independent clinical practice & complexity risk.
Given F2s and non-credentialed ACPs are both tier 2, why the such wide discrepancy, and why no support for lesser paid party? @RCEMpresident
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Ep. 3 of Nationwide Amplified: Tai McNeely, co-founder of His & Her Money, shows how purpose + determination turn obstacles into opportunities—and inspire community along the way.
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Thought the PA issue was irrational and only agitated for by an unswayable passionate minority? Gosh someone clearly doesn't want to be associated with the shitshow of the DHSC/NHSE/HEE workforce plans anymore. https://t.co/fkjjLuYGqb
Prof Whitty highlights that competition between physician assistants & doctors for training opportunities must be approached as an issue in the next phase of the Training Review #DEMEC25 #meded #medtwitter
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So you're saying CMO Chris Witty's brand new comprehensive review into post graduate medical education didn't already address this?!
"We need to do something about core competition ratios... the ratios have become eye watering" Bottlenecks must be addressed urgently, highlights Prof Whitty #DEMEC25 #MedEd
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Ideally DHSC want a cheap captive workforce, but by logic & global market forces = necessarily substandard by developed world benchmarks. w/ only those unable to escape NHS-UK left or undertrained/underqualified doc substitutes & developing world docs unable to make it elsewhere.
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Indeed workforce crisis appears by design of DHSC to create oversupply/unemployment and smash ability of unions to resist govt attempt to cut doctors pay/conditions. But... So long as UK has med degrees of recognised sufficient quality by developed world standards it will fail.
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Fortune Bay Announces Closing Of C$8 Million Bought Deal Private Placement
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UK govt controls: - No of medschool places & doctors UK produces - No of compulsory NHS jobs needed to be licenced & trained as a specialist after graduating - entire funding for ⬆️ - No of visas for foreign docs & requirements Entirely UK govt manufactured workforce crisis.
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Halfway through 2026 application cycle w/ 1000s UK doctors rejected & unemployed. Can royal colleges even reallocate? Already know of bright docs sitting USMLE, applying to 🇦🇺🇳🇿, making career changing moves. No way to run a professional workforce through last min politicking.
Wes Streeting has made new offer to resident doctors in England - 4,000 more training places over 3 years and emergency legislation to prioritise UK medical graduates. BMA say it will consult members on whether to call off next weeks strike - online survey till Monday
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Her plans to: A) fix social care by funding from boomer unearnt housing asset appreciation (not paid upfront) B) scrapping triple lock C) effective free membership of EU goods SM with no Irish sea boarder Wld hv been so much better. Naturally the demos/Commons rejected her.
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The AI Shift: Why are there still so many radiologists? https://t.co/ypn5XQoCE3 via @jburnmurdoch et al @ABarotchi1
@DevanSinha @dr_datta
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By storing your little one's umbilical cord blood, you're opening doors to potentially life-saving treatments for nearly 80 conditions and the possibilities of breakthroughs in regenerative medicine.
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“Delaying the first hepatitis B vaccine dose beyond the newborn period introduces risks that have lifelong detrimental consequences and no measurable health benefit.” Important and timely piece by Mike Abers, Angela Ulrich, & Rochelle Walensky. 👏👏 https://t.co/vHG8yS36jk
jamanetwork.com
This Viewpoint from infectious disease experts cautions about the consequences of rescinding the ACIP policy to immunize all newborns against hepatitis B.
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Such dishonesty & shirking of democratic accountability. If you believe that medically assisted dying is good policy - reasonable arguments can be made for the proposition imo (see below) - then debate openly and legislate transparently. https://t.co/x9DBobkvmg
pubmed.ncbi.nlm.nih.gov
When an individual facing intractable pain is given an estimate of a few months to live, does hastening death become a viable and legitimate alternative for willing patients? Has the time come for...
EXC - I've seen a leaked policy document from Labour in opposition which sets out how to approach assisted dying. The document sets out how it could be introduced as a private member’s bill, suggesting that would still allow “heavy influence” for the government in the process
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