Dr Asif Qasim 💙
@DrAsifQasim
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Founder MedShr - network for doctors to share knowledge & save lives! Join over 2,500,000 members globally ! Interventional Cardiologist
London
Joined June 2014
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Pinned Tweet
My two brilliant sisters Faieza and Shabnam inspired me to write Next of Kin: Cardiology, Loss and Learning
#Amazon
now available on
@amazon
#InternationalWomensDay
@carolvorders
@Nigella_Lawson
@SangitaMyska
@MeeraSyal
@ShrillaB
@trishgreenhalgh
…
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@mercer_felicity
@carolvorders
Well, you live and learn - at least
@carolvorders
has seen what’s happening and is now calling it out
BTW is your Twitter trolling part of your tax payer funded secretarial job or just for fun?
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@implausibleblog
How about the powers to inspect the bank account of anyone with a government contract or grant - that's where the big cash sums are really going
@MarinaPurkiss
@carolvorders
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I cannot imagine any exam at medical school - let alone finals having questions at this level from PA finals. I would expect most lay people to get these right.
The
@DHSCgovuk
manoeuvre to roll out 10,000 PAs with poor regulation by
@gmcuk
and indifference from the Royal…
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Royal Colleges and the NHS have concerns about a workforce crisis in the medical profession
2 years training and flooding medicine with PAs to replace doctors is not the answer: it’s not safe for patients and will irreversibly destroy clinical care and medicine as a standards…
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I'm off to the library - anyone coming? Bring some chapatis and the mango chutney...
@ShrillaB
@parthaskar
@mmamas1973
@TomStocks1982
@Xeon4f145d96s1
@Parody_RCGP
@EmergMedDr
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Unacceptable for
@BBCNews
to give platform to anti-vax anti-science rubbish like this
@Ofcom
@dr_benoy_n_shah
@djnicholl
@TheDA_UK
@dr_barrett
@DrJennyVaughan
@mmamas1973
@NickCurzen
@ShrillaB
@ShafiAhmed5
@Parody_RCGP
@jtweeterson
@doctor_oxford
@mancunianmedic
@2MAgonyAunts
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We should all really worry if junior doctors go quiet - right now they’re fighting for what they and the NHS deserve
You might think you’ve won if there’s no
#PayRestoration
@SteveBarclay
@RishiSunak
@DHSCgovuk
…all that will mean is they’ll quietly leave the NHS and quit…
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@carolvorders
@bbclaurak
Aren’t stunts like this geared to prejudice the investigation?
Contempt of court?
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@Robyn_Medhurst
@medicalmodelbri
I'm so sorry for your loss, Robyn.
This absolutely should not happen. There are no excuses.
I hope that you are recovering and that family and friends are there for you.
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Not good enough
@SteveBarclay
- investigate the CEO and Medical Director
- mandate Trusts to investigate safety complaints without forcing doctors or HCPs to lodge grievances about each other to get investigations
Mid Staffs and now this show patient safety should be in the…
I would like to send my deepest sympathy to all the parents and families affected by the horrendous case of Lucy Letby.
I have ordered an independent inquiry, which will seek to ensure the parents and families impacted get the answers they need.
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Scotland doctors offered 12.4%
England doctors offered 6%
Do some maths
@RishiSunak
@Conservatives
3️⃣ Today’s offer is final.
There will be no more talks on pay.
This country will not be bullied into higher taxes or higher borrowing to fund unrealistic pay demands, risking higher inflation.
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'Brilliant' QE doctor killed himself after mental health problems 'caused by work'
Devastating
Please be kind yourselves and look out for those around you
@TheDA_UK
@HCSANews
@BMA_JuniorDocs
@TheBMA
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@JakeWSimons
Not much point in saving one life at a time in the NHS when we stand by and watch genocide
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When duty cardiologist for the week the number of Advice and Guidance requests we receive has more than doubled - >50 every day due entirely to non-doctor requests - PAs, nurses, pharmacists with no discussion with the GP. Frequently incomplete and often unnecessary.
Expensive…
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Open consultation to people in the U.K.
When you book to see your GP who would you prefer to see?
Registered GP - doctor trained in medical school then 5 years in practice training to become a GP
Physician Associate: someone with a science degree and 2 year PA course…
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@Smyth_Chris
The money that should have supported startups and early stage tech companies in the pandemic went to Tory party family and friends…
…wholesale fraud and corruption
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@Libbyextra
@RevRichardColes
…or for contemporary accuracy Oil of Ulay before we harmonised with Europe!
…a bit like Jif becoming Cif
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@DoctorMayJay
…especially in primary care and pharmacies where everyone is local and people often recognise one another - you should be able to protect your identity and decide for yourself who gets to know
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I watched the debate on the PA /AA SI in the
@UKHouseofLords
last night
@JimBethell
misleading the House - failing to correct the assertions that:
- this legislation deals with PA scope (it doesn't)
- Physician Associates have been in the UK for 20 years (they haven't.…
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The expansion of PAs in the UK is a huge, risky experiment with no ethics approval and no informed consent for patients
Can you imagine any ethics committee or
@HRA_Latest
approving a change in practice where the clinical care is shifted from a GP to someone with a 2 years…
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White privilege and dishonesty in British medicine
No resignations
No suspensions pending investigation
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Nurse - profession
Physiotherapist - profession
OT - profession
Radiographer - profession
SALT - profession
Cardiac Physiologist - profession
Doctor - profession
….all members of the MDT or MPT - multi-professional team
PA - not a profession. An occupation or job. Studying a…
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Today we as Fellows sent a further Statement of Concern to
@RCPhysicians
in relation to patient safety and other serious concerns about conduct, governance and performance.
There is an urgent need for an Independent Review of the Senior Officers following
#RCPEGM
@drmattuk
…
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Extraordinary to listen to Jenny Harries on
@BBCr4today
- factually her statements are correct but with a few omissions and the condescending tone and delivery she fails to address the appalling public health risks that government created and perhaps willingly exposed refugees…
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@DrPJJB
But you had...
- no debt - with inflation linked interest ballooning this
- supranumery as a military doctor
- no real terms pay cut during training
- able to afford to buy a house
- not working terrible shift patterns with fixed leave
- no training bottleneck to get on the GP…
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The zen like calm and patience of one of our registrars talking to a PA from a referring hospital who was clearly out of their depth
Few weeks post valve intervention patient with reg trying to elicit a history and make a plan in the face of a PA shouting down the phone…
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In which situations does a PA provide better care to a patient with abdominal pain than a GP?
@nandwics
Absolutely none
Your statement is misleading and should read:
To save money we are using PAs in place of GPs. We hope this is safe and patients come to no harm but we're…
Please see our statement in relation to our recent Physician Associate post on social media in the images below. (1/2)
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So many issues with PAs following F1/F2 and on to GP / specialist training
If their training is the same they should to take MB BS to prove that
F1/F2 shouldn’t be used as a test of capability - it’s training
Medical schools and Royal Colleges are very particular about…
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@Peston
Nasty racist when he was in Labour and a Conservative. Sunak knew this and promoted him to deputy chair of the party. They’re all swimming in the same filth
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Today UK hospitals with >70 patients in ED - DTA and no beds
3 cardiac arrest and deaths of chest pain patients not seen sitting in ED waiting
It’s Worse than N Staffs
@NHSEngland
@NHSuk
Coroners courts 6-12 month backlog
Where is duty of candour
@CMO_England
?
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@RishiSunak
: NHS staff must be fast-tracked out of the classroom
Such an obtuse response to low morale and poor retention - you’ll just fast track them out of the NHS
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This is what the GMC and Royal Colleges need to answer if PAs are going to progress to reg and consultant grade
What’s your purpose then Royal Colleges? Why have you been making doctors spend a fortune, travel on terrible rotations and taking exams - all costing them dearly…
If we accept that PAs should be able to become senior decision makers, I want answers to these
1. Do we need 5/6 years of medical school?
2. Is rotational training neccessary?
3. Do we need postgraduate exams MRCS/MRCP, FRCS etc.?
We shouldn't have parallel unequal systems.
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@SangitaMyska
It's rubbish from Malhotra
He was my trainee. He has never held a substantive NHS consultant post as far as I know
His claims are false
I know that despite now many referrals to the
@gmcuk
about his misconduct they have failed to act
@JosPearce
@dr_barrett
@ShrillaB
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The political drive to push through PAs is very clear - 10,000 PAs and strong messages that PAs replace doctors and there will be a route them to practice doctors.
The destruction of safe General Practice is already in progress
Whether complicit or well-intentioned and naive,…
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@dawnashley13
@NTeesHpoolNHSFT
@MADEinHEENE
It sounds like Hannah is very competent
However, she is not a doctor and it’s worrying that
@dawnashley13
is commending her work as a doctor - when she is an officer of
@RCPEdin
Misleading patients as to your status as a medical doctor is a criminal offence under the 1983…
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University of Glasgow - University news - Over 300,000 ‘excess’ deaths in Great Britain attributed to UK Government austerity 2010 - 2019
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The destruction of general practice led by RCGP?
This is appalling: pay PAs with 2 years training and no debt more than a doctor who had higher competition to enter medical school, 5-6 years training, £100k debt?
That’s beyond the approach of communist era Russia
Your pay is…
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#RCPEGM
survey data is out
Specialty Doctors:
55% said PAs limit their training opportunities
71% said PAs limit their team's training opportunities
@trishgreenhalgh
@djnicholl
@TYoungstein
@Xeon4f145d96s1
@ExplosiveEnema2
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We do not consent to the processing, storage, sale or analysis of our personal, professional, or patient NHS data by any third party outside the NHS including but not limited to Palantir
@TheBMA
@theDA_UK
@drmattuk
@EmergMedDr
@TomStocks1982
@RobLaurensonD4P
@ERunswickBMA
…
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The deputy registrar of
@RCPhysicians
has resigned and seems to have been the fall guy for the officers of the college
And the college has doubled down on not providing the PA survey data - only sharing the biased insights that they made the deputy registrar present.
#RCPEGM
…
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The same hereditary peer who is so accountable for his professionalism that he lost his WhatsApp messages and in the PA debate in
@UKHouseofLords
allowed his fellow peers to believe that the legislation he was proposing dealt with PA scope, supervision and regulation
Toxic…
"It is time the doctors faced into the problem of this toxic workplace culture and started holding colleagues accountable for their professionalism."
My comments in
@pulsetoday
on workplace bullying by doctors in the NHS.
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@krishgm
It’s essential - it’s brutal to watch
Let’s not forget that whilst NHS staff put their lives on the line, Johnson partied and the Tories handed corrupt contracts for £billions to their mates
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Good to see this - patient safety was at the heart of our call for
#RCPEGM
- many people campaigning for action on this
It’s worrying that
@gmcuk
@RCPhysicians
@NHSEngland
failed to act until we and others pressed them
🔴NEW: NHS England orders hospitals to stop using physician associates to cover doctors’ shifts after
@Telegraph
investigation reveals that the practice is widespread.
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@MarinaPurkiss
…the consultation on this showed 99% of the public preferred metric measures for wine and had no desire for ping measures
This real is the peak of fake Brexit nostalgia
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Hey
@JimBethell
How on earth can you suggest pilots and astronauts face the same change as doctors being replaced by PAs
PAs in General Practice - a long term disaster strategy for primary and secondary care
No scope regulation
No proper supervision
Patients at risk…
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Instead of negotiations we have
@DHSCgovuk
propaganda - designed to mislead
As an NHS consultant I’m witnessing the civil service support a Tory government destroy the NHS and send a generation of junior doctors out of the NHS
#PayRestorationNow
#juniordoctorstrikes
@TheBMA
…
The BMA has demanded a 35% pay rise for junior doctors.
Here's their current average pay rates at different levels.
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It seems obvious but it has taken sustained pressure from many people and organisations to get agreement that:
>>> PAs are not doctors
>>> PAs must not replace doctors
Those PAs who have been left exposed in place of GPs and on hospital rotas need to be supported into…
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@SangitaMyska
@bykatewomersley
@BBCWorld
So condescending - especially with our shameful recent record of PMs
@jacindaardern
far more capable than any of our recent front bench politicians
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@implausibleblog
I preferred the thing she was in where she dressed as cabin crew and carried a sword in front of the king
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@toadmeister
Are you being paid by Russia or unidentified organisations?
Can you tell us where your money is from and why it is being paid to you?
Sounds like Farage can’t
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This is Kafkaesque from
@gmcuk
- they’re going to register PAs and AAs but not regulate as they don’t have the resources to do so
They control and sign off curricula for medical schools, doctor registration and GP / specialist registration - and are very particular and…
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I am appalled
We need to know who created the slides for the
#RCPEGM
from these survey data
Were they approved by the senior officers and PRCP
I am concerned that there seems to be serious issues of conduct and probity that should be urgently addressedd
@djnicholl
…
#RCPEGM
survey data is out
Specialty Doctors:
55% said PAs limit their training opportunities
71% said PAs limit their team's training opportunities
@trishgreenhalgh
@djnicholl
@TYoungstein
@Xeon4f145d96s1
@ExplosiveEnema2
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#JuniorDoctorsStrike
is for
#PayRestoration
My registrar earns £10k less I did 20 years ago at the same grade - that's not counting inflation
@SteveBarclay
needs to negotiate a deal to retain doctors
@TheDA_UK
@TomStocks1982
@Doctors_Vote
@TheBMA
@dr_barrett
@doctor_oxford
…
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Connect to today to help improve healthcare and save lives
#MedShr
@crfheart
@TCTMD
@TheABFM
@escardio
@ACCinTouch
@KnowYourPulse
@CMichaelGibson
@DrPascalMeier
@mmamas1973
@ShrillaB
@ShariqShamimMD
@DrShamimRahman
@nishat76
Please invite your colleagues to join the discussion
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Looks like
@SteveBarclay
wants the junior doctor strike - he’ll blame them for his party’s failures in the NHS
#payrestoration
is one step to saving the NHS and retaining doctors
@TomStocks1982
@ERunswickBMA
@dr_barrett
@TheBMA
@DAUK_GP
@BMA_JuniorDocs
@Doctors_Vote
…
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Cardiologists actually seeing patients saw the terrible effects of COVID infection in 2020 - heavy thrombus MIs, thrombotic strokes and peripheral arterial occlusion, and a lot of myocarditis and pericarditis - sometimes presenting like an MI, others needing pericardiocentesis…
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Bear in mind only FRCPs - Fellows of
@RCPhysicians
could vote at
#RCPEGM
- imagine how crushing this would have been if MRCPs could vote?!
The Senior Officers are completely out of touch with Members and Fellows. They failed to respond to patient safety warnings and gave no…
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@MarinaPurkiss
No need for satire when Braverman is so comically, pathetically, tragically lacking in self awareness: cartoonists are not laughing with you, they are disgusted by you
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We called the
#RCPEGM
to protect patients and support doctors in training. Pleased to see all 5 motions passed - allows us to support PAs to define scope and supervision and help them work safely
The failures of
@RCPhysicians
senior officers at the EGM, since and in the years…
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The GMC say PA are medical professionals but not medical practitioners - blatantly, likely deliberately, ambiguous and a failure of a basic tenet of Good Medical Practice in terms of candour and clarity of communication
Meanwhile by any normal definition PA is not a profession…
“Our professional standards directly tackle issues around working within competence and being honest about experience, qualifications, and current role.”
BMJ 2024;385:q790
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No reflection
No admission of wrongdoing
@RCPhysicians
Code of Conduct and
@gmcuk
GMP still apply
This looks like gaslighting to me
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500 years of academic history and leading physicians - and the senior officers of
@RCPhysicians
get X community noted for fake news…
@drmattuk
@Dr_Done_
@Xeon4f145d96s1
@ExplosiveEnema2
@mmamas1973
@MedCrisis
@DrPascalMeier
@ShrillaB
@trishgreenhalgh
@TYoungstein
@jhfrudd
…
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Do you think
@petercrouch
and
@KensingtonRoyal
realise that this is basic, route one racism?
Why bother with the PR on mental health and
#blacklivesmatter
when this reflects who you are?
"There's an Uber driver out there... being frisked"
Prince William organised a special delivery for
@petercrouch
on
#ThatPeterCrouchPodcast
🍛
More on his guest appearance here:
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@implausibleblog
Simon Case - so many mentions of his terrible conduct but no repercussions
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Hey
@elonmusk
- how do we report outright lies masquerading as science - harmful to the population
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@SteveBarclay
@RishiSunak
This is utterly negligent
@SteveBarclay
@RishiSunak
You have not made saving lives or reducing excess deaths a priority in spite of the catastrophe in health and social care
For normal people this would be corporate manslaughter
Doctors would be struck off and imprisoned
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This is very poor
@RCPhysicians
and in itself is approaching a resignation matter: misleading and badly presented
The FRCPs at EGM have thousands of original research papers between them and I can be sure none of them would have presented this quite so appallingly…
Well this is indeed breathtaking.
@RCPhysicians
just released this summary of last night's
#RCPEGM
.
They've doubled down on their spectacularly biased representation of the results of their members' survey on PAs.
And then encouraged Fellows to vote.
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All the Cardiologists in the U.K. whom I know are getting vaccinated
Not so sure about the charlatans who’ve never had an NHS consultant post
This is a bold claim from Kirsch's interview with Aseem Malhotra - that "none of the UK cardiologists are getting any more jabs".
Are there any UK cardiologists willing and able to comment, please?
#MedTwitter
Sounds like more
#woo
from Malhotra.
#HARTleaks
#WrongAgainPANDA
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Excel academically, 6 years medical school, F1 doctor salary £28k - pay for GMC, MDU and professional exams
Leave school straight to lowest paid role in a new hotel: £28k+benefits
Come on
@RishiSunak
@SteveBarclay
- you’re so embarrassing- get a grip
@TheBMA
@TheDA_UK
…
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@GordonDougan1
@pash22
Agree with you. I went to a private school and
@Cambridge_Uni
- then interviewing for med students
@TrinCollCam
fascinating - so many applicants groomed and drilled for interview. Real challenge is to encourage applicants from wide range of backgrounds and support talent
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Terribly sad news Prof Tony Gershlick has died from
#COVID19
- sincere condolences to his family. May he rest in peace
@BcsPresident
@BCIS_uk
@BritishCardioSo
@medshronline
@mmamas1973
@drandrewsharp
@DrSarahClarke
@ESCardioNews
@agershlick
@nolanjimradial
@ShrillaB
@Siggers1000
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@RishiSunak
No focus on stopping thousands of excess deaths from overwhelmed NHS Urgent and Emergency Care?
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This statement from the
@schools_pa
shows that the PA experiment is out of control from top to bottom.
Doctors are responsible and accountable for the actions of PAs who are dependent upon them
It is absolutely in the remit of doctors and the doctors trade union to state the…
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@MsJuneDiane
@ClinicalPearl
The public are very detached from what’s happening in hospitals when there’s a COVID surge - we’ve seen this repeatedly from Asia then Italy and France in March then UK and US...
We need to be explicit and show people how bad it is
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‘Only those with plastic visors were infected’: Swiss government warns against face shields - staff with face masks not infected
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@NHSEngland
You could…
…work really hard, go to med school, get a load of debt and earn £28k
Or be a dedicated specialist nurse and work hard to get to AFC Band 7 after a decade of experience
Or fail to get into medical school and take a 2 year PA course to start on AFC Band 8 - with…
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Right now private GPs can’t refer for NHS tests or specialist/hospital care
You can be sure that is next on the cards for the destruction of NHS General Practice
Then you’ll have those who can pay or are insured seeing a GP doctor and for everyone else a PA
A disaster for…
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Love this unstable plaque explanation - why this man should take a statin post MI
@Channel4
#GPsBehindClosedDoors
- please namecheck this nurse if you know her
@theRCN
@RCNconnects
@NursingTimes
@TheBHF
@BritishCardioSo
@DrPascalMeier
@Heart_BMJ
@JACCJournals
#medshr
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Extraordinary comments and insights into utterly flawed decision making from the
@gmcuk
Failure to protect the public
Failure to maintain professional standards
It has to be reformed or replaced
@djnicholl
@dr_barrett
@doctor_oxford
@cardiacpolymath
@drmattuk
@drphiliplee1
…
So.... I went through the process of making a formal complaint to
@gmcuk
about Dr Aseem Malhotra. And the response to the complaint is here:
The GMC actively support antivaxxers if they have medical degrees. Wakefield was not an outlier.
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@TrinCollCam
Medics Dinner last night - good fun but real concerns from medical students:
- GP attachment supervised by PA not GP
- Reporting to PA not doctors for hospital attachments
- Impact of PAs reducing training opportunities for doctors
- 6 years med school yet PAs do…
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These US PA salaries are all higher than U.K. consultant salaries
@TheDA_UK
@mmamas1973
@ShrillaB
@nolanjimradial
@nishat76
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I think we can all see why most of the medical profession, i.e. doctors - medical professionals - don't trust the
@gmcuk
They are deliberately conflating PAs and AAs with doctors. Ironically such a misleading approach goes against the principles of Good Medical Practice in…
Interesting debate on titles-
The Medical Act (1983) almost always refers to ‘medical practitioners’ not doctors (or medical professionals).
#GoodMedicalPractice2024
means AAs and PAs once in UK regulation will have to follow the same high professional standards as doctors.
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Simply not true
Two leading cardiologists have concluded that the death of legendary Australian cricketer Shane Warne was likely precipitated by the Covid mRNA vaccine that he took nine months before his sudden cardiac death.
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@lucyfrazermp
@DCMS
I know - we need to get the former Tory cronies off the BBC board so it isn’t so biased
Look forward to seeing the removal of all the political appointments to the board
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PA Schools
@schools_pa
have a lot to answer for - the way they position their courses is pure fiction
PA masters courses are not an intense compressed medical school clinical course, they are narrow and shallow clinical courses sufficient for an assistant to a doctor working…
We’re taught a bit of everything therefore we are generalists which makes us perfect for seeing undifferentiated patients in GP ‘
@rcgp
is this safe ?
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…and whilst Tory MPs and peers were enriching themselves and their cronies with corrupt PPE contracts - thousands of people were raising money and providing free PPE to health and care staff
#BREATHTAKING
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Why has
@gmcuk
not stated that PAs are not doctors, and PAs must not replace doctors?
@RCPhysicians
@RCPEdin
@NHSEngland
@rcgp
and other colleges have all stated this
@gmcuk
behaving like a political tool not an independent regulator
@drcolinm
@drmattuk
@DrEilidhMaria
…
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Please take a look at - if you use PubMed this is a gamechanger!
@medshronline
@mmamas1973
@ShafiAhmed5
@ShrillaB
@CMichaelGibson
@DocSavageTJU
@DrMTempest
@djc795
@SVRaoMD
@venkmurthy
@DrSarahClarke
@DrSaritaRao2
@sarahhudsonuk
@DrJennyVaughan
@rwyeh
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Systematically devalue and underpay doctors, protracted pay dispute and then brag about how great PAs are?
Utterly shameful political advert from
@NHSEngland
in the week legislation to regulate PAs is rushed through parliament- ignoring patient safety concerns raised by…
Physician associates support the wider clinical team, reduce workload pressure and enhance patient experience.
The NHS Long Term Workforce Plan sets out how to build the right staffing and skills mix for the future, including expanding roles like these.
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7
72
319
Dear
@gmcuk
Please act to protect the public from this misinformation. This doctor’s conduct is contrary to good medical practice
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@kelvmackenzie
Kelvin is making things up again
NHS Consultant starting salary £88k - that's for your brain surgeon, cardiologist, oncologist - and 20 years after starting medical school
Pay rises after 19 years as a consultant to £119k
Which is less than the starting salary for city…
15
43
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@OWS1892
Can you imagine anyone non-white swearing like that at a police officer non getting arrested?
77
12
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Great to see clarity on PA safety issues from
@TheBMA
with this motion passed at the consultants’ conference today
@TomStocks1982
@RobLaurensonD4P
@ERunswickBMA
@drmattuk
@djnicholl
@mmamas1973
@Doc_IonaCollins
13
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@mmamas1973
We really do need to protect the public - this wave of non doctors working in place of doctors is a patient safety disaster waiting to happen
10
56
306
Important work by the
@TheBMA
- protecting patients and supporting NHS staff by defining PA scope
This give a template for the Royal Colleges,
@NHSEngland
,
@gmcuk
and others to follow
@DrOKaneAgain
@TomStocks1982
@RobLaurensonD4P
@ERunswickBMA
@djnicholl
@martinmckee
…
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