I’m an IMT1 working in London. If I’d applied this year, I wouldn’t even have got an interview. This broken system is not fit for purpose, and is failing excellent doctors who just want to progress in their careers. The Government can’t sit on their hands any longer.

This week, thousands of resident doctors have been turned away from NHS jobs – as we warned the Government they would be. We are calling on NHS England to urgently address this situation. The specialty recruitment process is not fit for purpose & must be fixed once and for all.

Was October 7, 2023 foretold in the Bible? This short PragerU documentary, adapted from Dinesh D’Souza’s feature-length film The Dragon’s Prophecy, reveals the stunning connections.

I would strongly recommend any A level students considering medicine as a viable career in the UK to simply not.

“It’s like having a parallel shadow industry within the NHS.” New #BMJInvestigation reveals that thousands of NHS doctors are trapped in insecure “gig economy” contracts https://t.co/k8wqs0KYl3

@DocLibertarian Even if you add the US undergrad years, the gap doesn’t close. US trainees start later, but the much higher resident pay, the absence of extra PGY purgatory, and dramatically higher post-training salaries more than offset it. The UK is still an outlier. But the bigger mistake

Lifting Americans out of the cycle of dependency and poverty is possible—through the miracle of work! Honored to join my friend, @Petersrole, on his latest podcast episode for @DonorsTrust to breakdown how welfare reform is about to change lives.

One chart that explains exactly why the UK doctor pipeline is collapsing. #medtwitter

Excellent article https://t.co/qF4E5umZ2Q

Another one for the ever-growing alphabet soup of noctors: NCS, the Nurse Consultant Surgeon. Maybe an FOI request is in order, @medicalmodelbri? 👀

Readers - is £18/hr reasonable For this ?

The change at the border between President Biden and President Trump is nothing short of staggering, and two numbers best tell that story: 189,604 and 20.

Gather round folks, I’m going to tell a very scary story. Make sure you have a torch and a blanket and someone to cuddle: I shall tell the tale of “THE WORST NIGHT SHIFT EVER”.

@wesstreeting would your child be seen by an ANP with no previous experience in paeds? Or would they be seen by a senior paediatric dr if not the consultant? This is dangerous. Children will come to harm.

The amount of disrespect laced with jealousy- coupled with misinformation-a whole lot of the system has towards Resident Doctors is quite something to behold It's even more galling when you see Senior doctors being part of the enablement brigade of that For shame on you clowns

🔟 Bottom Line The UK doesn’t underpay doctors because of universal healthcare. It underpays them because: •it funds the system below peer norms •it relies on monopsony power •it suppresses wages to maintain political optics •it diverts money into overhead instead of

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9️⃣ The UK Uses Debt and Bottlenecks as Hidden Cost Controls The combination of: •high tuition •long, low-paid training •state-controlled training slots •a single employer •minimal private options acts as a silent rationing mechanism. The system depends on doctors being

8️⃣ Other Socialized Countries Pay Competitively and Offer Mobility 🇦🇺 Australia: mixed public–private practice; physician earnings often 2–3× UK levels. 🇫🇷 France: Sector 2 allows fee flexibility. 🇩🇪 Germany: Sickness funds negotiate higher, market-aligned fees. 🇳🇱 Netherlands:

7️⃣ A Training Pathway That Functions Like Soft Indentured Servitude This is where the UK is unique. Young physicians: •take on £70k–£100k+ in medical school debt •enter a monopsony employer •spend 7–10 years in “junior doctor” limbo •earn wages far below other OECD systems

6️⃣ Administrative and System Costs Balloon While Physician Pay Flatlines Non-clinical staffing and administrative layers grew from 2010–2020. Capital investment lagged. IT systems lagged. Infrastructure lagged. Doctors didn’t benefit. Patients didn’t benefit. But overhead

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5️⃣ The UK Squeezes Doctors While Having Fewer of Them Compared with its peers, the UK has: •fewer doctors per capita •fewer hospital beds •fewer training spots •higher attrition It is one of the few systems that simultaneously undersupplies clinicians and underpays them.

4️⃣ Political Incentives Favor Cutting Pay Over Fixing the System Voters see waiting times. Voters see service cuts. But voters don’t see stagnant doctor pay. So salaries become the pressure valve politicians use to stretch budgets.

3️⃣ A True Monopsony Employer Depresses Wages The UK government is unusual among wealthy nations because it is: •the sole purchaser of physician labor •the sole controller of medical school places •the sole rate-setter •the dominant early-career employer Monopsony →