Sean Monaghan
@DrSeanMon
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#paedsrocks/PEM consultant @StaffsChildrens. Adolescenty. Safety-II stan. Into teaching and social determinants of health. Northern. Views my own. He/him.
Stoke-on-Trent, UK
Joined May 2013
It's Cost Improvement Programme season in NHS Trusts. Departments are scrabbling to please organisational leadership by upping their budgetary efficiency. Let's use the Job Evaluation Handbook and save some money!. TL;DR: you're overpaying your PAs. Long š§µ incoming. 1/.
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RT @jabberwock951: Two speakers from induction turn out to be on annual leave. Guess they didn't have to find cover for their duties beforā¦.
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RT @Ruth4Peace: Zohran Mamdani moved a table, Jeremy Corbyn owns a jacket, these are the kinds of "scandals" we are supposed to get mad atā¦.
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RT @jabberwock951: If you want an explanation for why doctors seem to have lost a lot of respect, pay and conditions over recent years, youā¦.
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Interesting post-dinner discussion this evening around ward rounds inspired by @DrLKVaughan's thread from yesterday - listening to two very different generations of doctor, one of whom could not imagine a world without a firm system, and the other having never experienced this š¤.
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RT @BharatRamamurti: This study finds that when a PE firm buys a hospital:. -wages and jobs are cut.-patient satisfaction declines.-pricesā¦.
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patient, as triadic consultation is also standard for us. We have 46 inpatient beds. Our system isn't funded to provide safe and sufficient care, never mind educational excellence, and it's VERY frustrating. Still, it's lovely to dream. Also, LOL:
the pts ahead of actually seeing the pts. But this requires pre-rounding, and it's slow. If the alternative is a scribe/noctor, then the system will need to accommodate the fact that consultants can only see 12-15 pts per day on their own safely. 8/
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Dr Blackwell's ward rounds sound like an excellent learning experience, and I'd love to be able to deliver them. I work on a single "consultant of the week" model in a specialty committed to consultant-delivered care and we expect the primary carer to be present with the. 1/.
Iām always try to develop how to do WRs better. Iām convinced discussion & teaching improves pt care & makes it all more fun. Then I see @dglau.
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Last night covering the strikes. Solidarity persists department-wide for our excellent residents. Meanwhile, the crash bleeps are down, so I get a crash walkie talkie tonight and I'm illogically giddy at the thought yet terrified I'm going to leave it lying around somewhere š¬
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RT @jabberwock951: What most of the public probably don't know is trusts allow unsafe conditions to avoid paying the high cost of last-minuā¦.
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RT @RickyHale_: Capitalism is better than socialism because one man gets to be a trillionaire instead of everyone having healthcare.
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RT @jabberwock951: And yet when I refer to my hospital as "the home of trauma" I'm banned from doing the F1 induction. Unfair.
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Pleased to report that the night team I am currently covering have chosen to strike in their entirety, and this particular consultant can use a computer, so no significant patient safety issues. What an absolute embarrassment. Imagine working for this lot.
Due to the failure to train consultants on a new EPR system, lack of planning and action taken by the Northern General in Sheffield, we are forced to accept a derogation for 3x resident doctors for tonight's night shift (26th July) for Acute Medicine. Protecting patient safety.
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RT @DrSteveTaylor: How to tell if your appointment was cancelled due to a Doctors strike. Answer you canāt. On a average day in the NHS hosā¦.
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RT @zarahsultana: Itās not the BMA āundermining the trade union movementā. Itās a Labour Prime Minister, writing in the Murdoch press, urgā¦.
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Full solidarity with our striking residents. The job is not 20% easier than it was in 2008. The nation's average salaries have recovered since then. No reason why a job this mentally and emotionally challenging deserves different. #PayRestorationNow.#ResidentDoctorStrike
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RT @ollieburtonmed: @ProfKarolSikora Prof Sikora, if we calculated your lifetime reward package and mine, would you give back the differencā¦.
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RT @ollieburtonmed: The question everyone needs to ask is whether they would work for free as a doctor, and if they won't, where is the linā¦.
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