ExplosiveEnema
@ExplosiveEnema
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Defecation Associate | Advanced Flow Practitioner #OneHoleTeam #BeHind
Joined May 2023
Small disclaimer. This is the account of a bright pink douche who does not claim to be a doctor. As such, use discretion when following, liking, or retweeting anything that it posts. Thank you.
@ExplosiveEnema and fingers crossed the doctor you see isn’t @ExplosiveEnema.
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Brilliant summary of where things have moved from 24 months ago. Everyone who was involved in big and small ways should be incredibly proud. Works not done, but the tide has well and truly turned.
When I first started openly tweeting about the issues the medical profession was facing, just under 24 months ago, I was labelled with various things, but the most relevant were “elitist” and “bully”. Since then, the same opinions were then upgraded to a “small vocal minority”.
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Deleted a post due to the individual going through some personal issues at present. My comment still stands though. There are many people who gaslit and walked us into this PA issue. Own it, we remember.
@ExplosiveEnema @two_medics Whilst I disagree profoundly with what the individual is saying here, I would ask you to consider deleting this in light of what is going on in their personal life currently.
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While #BeKind is an amazing ideal, in practice it has a litany of issues. If you've made it this far & are bristling because you've experienced trolls, I hugely sympathise but refer you back to this 👇. 8/8.
Let me preface this by saying this is not carte blanche for dickheads. You want to be an ad hominem troll, throwing insults and threats at people then go away. This isn't a defense of you. Abuse & harassment can lead to criminal charges. So then, what's wrong with #BeKind?. 2/🧵.
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It's boring. To open up every thread and be greeted with he said/she said, #BeKind is just tedious and not cognitively engaging. I want to see points challenged firmly, and if you can be humourous all the better. 7/🧵.
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It's lazy. People want to be seen as clever and partake in conversations but aren't willing to put in the work. Much easier to default to #BeKind than actually engage the wrinkly ball of mush. 6/🧵.
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It's cowardly. Instead of nailing your colours to a mast, it's much easier to yell #BeKind from the sidelines. Nobody can disagree with that and you'll always be seen as "reasonable". You risk absolutely nothing. 5/🧵.
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It's used to silence. Similar to above, but more intentional. You know you're not able to defend your point so instead you tell the other person to #BeKind. What defence can they use when faced with that? First one to say it wins!. Needless to say, it has a chilling effect. 4/🧵.
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It's a deflection . Most threads on Medtwitter will have reasonable concerns and comments. Some heated debate is expected and actually welcome. But inevitably at some stage there is genuine/perceived offence & the conversation will pivot to behaviour instead of the debate. 3/🧵.
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Let me preface this by saying this is not carte blanche for dickheads. You want to be an ad hominem troll, throwing insults and threats at people then go away. This isn't a defense of you. Abuse & harassment can lead to criminal charges. So then, what's wrong with #BeKind?. 2/🧵.
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Yes, it's perfectly reasonable if those accounts have a solid track record. Anonymous accounts are the canary in the coalmine that you ignored. @drcolinm you are dangerously wrong on PAs. Everyone is now telling you to stop. Time to listen. Pause recruitment, reasses, then move.
Is it reasonable to attribute provenance to multiple anonymous anecdotes posted from an anonymous account? .Formal processes exist to report concerns about access to training:.Student > med school > GMC.Trainee > DME > PGDean > GMC. Im more than happy to consider genuine concerns.
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Main character checklist on PAs. ✅ Don't add anything of value to the debate for months.✅Claim you knew it was unsafe all along.✅Signal your virtue by saying be kind. To everyone else who has been working hard both on & offline to raise and fix this issue - you are amazing.
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Many "leaders" who have been full throated supporters of the PA project should (and probably do) know better, but in for a penny in for a pound eh?. This has always been about calling out the obvious
📢 New #ASiT Report on Physician Associate Impact on Surgical Training and Patient Care 🏥👩⚕️. 🔍 Largest ever ASiT survey: 1,978 doctors across all surgical specialties in the UK. 🤝 Focus: Physician Associates (PAs) impact on surgical training and patient care.📈 73.8% worked
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87.9% of surgical trainees thought PAs misrepresented the role to patients. This whole thing is damning.
@ASiTofficial 70.5% reported negative impact. 15.5% being supervised by PAs. 47% reported negative impact on patient care. 88%believed trainees should be involved in.defining the scope for PAs. 70% did not believe PAs should have a role in surgical procedures.@KeeleyMP @shaungw @ShaunLintern
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Each year @FPARCP conduct a census of PAs. In 2017 they asked:. "Have you ever been asked to cover trainee rota gaps at your hospital?". The results were damning with ~60% responding "YES". This question was dropped from subsequent census reports. PAs are replacing Drs
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For anyone following along we've had a few late additions. 8 universities in total claiming to have 100% pass rate on the written PA National Exam. Amazing!. 🥳
There is a lot of talk about the PA National Exam. So here are 6 of the top performing Unis for the written PANE, all achieving a 100% pass rate!. Amazing!. Nothing strange about that at all….
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