Does it matter what we wear as doctors? My thoughts in this week's @bmj_latest #GPlife https://t.co/fKXEKO3A0E

"For me, dressing down isn’t about comfort: it’s a conscious act to redress the power imbalance in the consulting room and help patients to feel no barriers between us." @RammyaMathew writes on redressing the power imbalance in general practice https://t.co/5LOogTCO8R

If these kids can - somehow - find a way to keep going, then what right have we to despair at the task ahead, or fail to stand at their side. #Gaza

PSA screening media coverage is currently very poor. Various charities are not helping but instead adding to the confusion and hype. The Times today carries another high profile individual story of how they were "absolutely" saved by screening with PSA testing.

Wow, I started out as a medical student @UCLMS twenty one years ago. I remember the hospital being built and opening. I have fond memories of it as a medical student - so many excellent teachers. What a remarkable institution it has become.

"In my consultations I often now open the relevant guidance there and then, talking the patient through my thinking." I use Google in front of my patients—and now use AI too, writes @RammyaMathew https://t.co/RC1pFAI2az

Why I use Google in front of patients - and now I use AI too. https://t.co/jK17K5JKnz

"Rather than trying to preserve the illusion that doctors never need to look things up, we should be open with patients about how we use the tools available to us." I use Google in front of my patients—and now use AI too, writes @RammyaMathew https://t.co/RC1pFAI2az

The main message of the history of medicine is that observation should always trump theory. Theory leads people to see only what they want to see. I'm not talking just about Galen, the 4 humours and so on. I'm talking about the present.

This is my will and my final message. If these words reach you, know that Israel has succeeded in killing me and silencing my voice. First, peace be upon you and Allah’s mercy and blessings. Allah knows I gave every effort and all my strength to be a support and a voice for my

Such patients quickly turn to others with their condition & far outstrip doctors in understanding, often (e.g. in Addison's) saving their lives in the process. Generative AI will transform diagnosis and connectivity for these patients &millions more (incl Long Covid) @crblease

The plan promises that patients will carry the power and their feedback will be impactful, even used punitively against providers. But is this gaslighting the majority of patients who sound like they'll be shut out altogether in this new world? Who do they feedback to?

So it's now harder to be seen in primary care, & even less likely you'll see a GP expert generalist once you make it past the app. Your GP then feels you need to see a specialist but two thirds of the time an AI tool will screen you out & give you automated info/ digital advice.

Patients say it's difficult to access their GP & long waits for specialist care are unacceptable -(& most GPs feel hospitals are overtriaging referrals and turning patients away inappropriately).The NHS plan responds by guaranteeing an appt with an app.. https://t.co/AMISbx3OGv

Disempowerment is woven into the fabric of the patient experience and, despite promises to change this, we may be heading further in the wrong direction with the new NHS 10 year plan, writes @RammyaMathew https://t.co/kBNPF5gEgZ

radio this am: NHS will do more prevention. true prevention is reducing the commercial and social determinants of health jobs housing green spaces active transport affordable childcare +ok yes vaccinations but if looking to the NHS to do prevention you are not doing it right

"The hope for AI enabled care rests on three flawed assumptions: universal digital access, algorithmic neutrality, and technological sufficiency." Can a digital NHS be equitable? Infrastructure and inclusion are key to the rollout of AI https://t.co/6mz8ccq2vn

David Oliver: The NHS 10 year plan—more a set of ambitions than a plan

This is so true. When a student kept interrupting a colleague taking a history the other day, he said to him "for a GP, the history is like a scalpel to a surgeon" it's our superpower and how we make difficult decisions fast and safely. It is a complicated and skilled process

The NHS ten year plan: patient power or quiet exclusion. Diverting patients to apps and closing the door on outpatients by using automated information and digital advice does not equate to patient empowerment in my book. https://t.co/p9nHOd74sw