The philosophy in the #NHS over maybe the last decade has been to encourage everyone to be proud of who they are as a profession Which is as it should be Except doctors. Be ABSOLUTELY proud of your training, skills & knowledge YOU bring as a doctor. Ignore gaslighting.

It’s got nothing to do with me (but that’s never stopped me in the past) but if RDs vote for this, then they’ll get exactly what they deserve. If Streeting gets away with this, there’ll be no stopping him…

Hello @BMAResidents We’ve now shared the offer from Wes Streeting. On the headline, it sounds big: “4,000 jobs.” But you need to read the detail, not the headline. First: it’s only 1,000 more jobs this year. We currently have around 10,000 training posts and more than 30,000

A consistent pattern in healthcare: the farther an initiative is from the bedside, the less it understands the work it claims to improve. National bodies create fantasy problems, systems chase metrics, hospitals chase checkboxes, and units clean up the leftovers. #medtwitter

Has @svig2 been gagged by @wesstreeting and @DHSCgovuk? A post calling for Wes to get around the table and negotiate is now deleted Reposting her previous support for Resident Doctors in solidarity #FreeStella 💪

AI will be a power tool for ICU teams, automating documentation, monitoring, and prediction. The hard part is judgment, including when to bend or ignore a protocol. That lives in the moment, not in the chart. That is much harder to automate. 3/3

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

Most people have no idea how bad the UK doctor training system really is. It demands double the training time of other countries, pays doctors less at every stage, and then often keeps them “junior” even after they finish all their training. Look at the numbers. 🧵⬇️

Ways to reinvigorate the physical exam in medicine Step 1. Do the exam. No "WNL"—we never looked https://t.co/2zpB6Xjtqt

@Shr_Nottingham We have been researching this for two years. Power shifted from doctors to midwives in the mid 1990s. At the same time, the training, supervision and regulation of midwives were diluted as a reaction to natural childbirth ideology. Three other factors then came into play: growing

@NephroP Start here ⬇️ https://t.co/Mw9a91NfPW

Nephrologists, I have found the best books on dialysis, acid base balance and electrolytes disorders, and I think a good resource for glomerular diseases are the KDIGO guidelines (although I'm open to better suggestions). What recommendations do you have for transplantation?

@RCEMpresident @docib That’s not true Dr Higginson Crowding isn’t just exit block - it’s system collapse in slow motion. Beds matter, but so does flow inside the queue. Over the past decade, EDs have lost tens of thousands of years of senior clinical experience, replaced by roles that need

@docib @LittlePersonDoc @KreedKafer @RCEMpresident @gmcuk However CT3s are doctors with 5+ years experience, many post membership, with anaes/ICM/paeds competencies, and a broader deeper knowledge. They can (should be able to) switch to system 2 thinking, deal with more complexity and a broader range of cases.

@mancunianmedic @wendyburn That’s a bit unkind David. The issues of scope creep, role substitution, & progressively deteriorating employment prospects for residents is very real, & merits discussion. There may be ‘enough work for everyone’ (to quote Gerada), but there may not be enough salaried work for

@mancunianmedic @wendyburn Perhaps if you’ve reached an - understandable - point of exhaustion with the whole mess; of ‘juniors’ always wanting change; and of having to endlessly defend the decisions of the past, it’s just time to just stop commentating? You have always been one of our best. If all you

Consultants SHOULD see pts on their own! Using resident doctors just to drive computers is awful! Work fit for only someone else! The hoo-ha over derogations has prompted me think a bit more about what ACTUALLY happens on a WR. Thread about cognition + safety 🧵 1/

Remember, the new Medical Act and AAPA Order is being drafted in secret between the DHSC and the GMC as we speak. Other than PA title changes, this presents a once in a generation moment to reform the GMC to meet the needs of the profession and wider public.

There’s talk that @wesstreeting is looking at student loan forgiveness instead of pay restoration for Resident Doctors Let’s set aside arguments about fairness and consider what each option could mean in raw financial terms vs the 5.4% offer this year for Doctors earnings

Day 3 of asking @wesstreeting for my money back or funding to study medicine 📣📣 NHS Employers has been updated to reflect what Physician Assistants can do… @wesstreeting You are still telling PAs they can see undifferentiated patients You sold us a lie - refund us!