Tristan Lane
@Tristan27856485
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Vascular Surgeon and Honorary Senior Lecturer. Own opinions of course.
United Kingdom
Joined December 2018
I admit I really do rather enjoy it when someone uses AI/LLM to try and win a discussion and I can then get the same AI/LLM to disagree with what their AI/LLM just told them, like I'm doing now. Many don't understand AI/LLMs are full of something worse than a medieval cesspit.
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1/4 SAVE the DATE: Join our YouTube live event with Andy Pow @medicaccountant for pre-launch of upcoming Goldstone PenFinTech modeller! SUNDAY 2nd November 6pm We will walkthrough FREE modeller & more advanced options including £100k + taper tax traps, & what you can do!
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🩻 “The radiologist sees the shadow, the surgeon sees the patient" ➡️ https://t.co/2b17Q0OLYw Paul McCoubrie makes the case for smaller, focused surgical X-ray meetings — and questions whether today’s giant MDTs are helping or hindering care. @PMccoubrie @BJSurgery @BjsOpen
bjsacademy.com
Welcome back to Dr Paul McCoubrie’s a 'view from the dark side' — a series looking at the world of surgery through the lens of a radiologist _______________________ This summer has been difficult for...
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I have over 16 years of ENT experience- ex ENT surgeon/speciality doctor and see appalling patients experience at the hand of “ear syringing ” clinics/misdiagnosis by pharmacists/ PAs etc
My ENT experience: ✅ Anatomy preclinical + clinical teaching + ENT exams in medical school ✅ 3 Months ENT SHO job ✅ 12 years GP mx ENT patients daily ….& at times STILL feel uncertain after otoscope exam Pharmacists do a 2 HOUR WEBINAR & manage undiff ENT patients?! HOW?
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Pharmacists earn £15 for managing an ear infection after doing a 2 hour webinar. Yet ENT consultants aren’t able to see these same patients in General practice as it would be considered not appropriate. I would be smiling too if I managed to get more of that wonga secured!
Today NPA Chief Exec @HenryMGregg and Chair @OlivierPicardUK met with Pharmacy Minister @SKinnock alongside the @IPAPharmacy and @CCApharmacy Demonstrating sector-wide unity to government is so important and we were clear pharmacies were still under significant pressure. We
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My ENT experience: ✅ Anatomy preclinical + clinical teaching + ENT exams in medical school ✅ 3 Months ENT SHO job ✅ 12 years GP mx ENT patients daily ….& at times STILL feel uncertain after otoscope exam Pharmacists do a 2 HOUR WEBINAR & manage undiff ENT patients?! HOW?
Pharmacists earn £15 for managing an ear infection after doing a 2 hour webinar. Yet ENT consultants aren’t able to see these same patients in General practice as it would be considered not appropriate. I would be smiling too if I managed to get more of that wonga secured!
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@thetimes I’d be interested to know how many doctors (especially recent trainees) were involved in said thinking process of this ThinkTank, given that they’ve got basic facts about PG Med training wrong. Respiratory specialist registrars don’t exist below ST3 level.
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@thetimes This is untrue and said ThinkTank needs to do some research. Most ST3 (speciality training) commences at ST3/ST4, min 4-5yrs postgrad. By this point, doctors have had a lot of generalist training, gaining MRCP/MRCS which is the qualification of generalist doctors internationally
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@thetimes So this is a document written by two non-medical people, who’ve never undergone medical training or worked in a clinical capacity. For some reason they’ve re-invented the wheel by suggesting a speciality that already exists: Acute Medicine.
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It's worthwhile noting that specialty training posts aren't optional - the NHS and patients need them to exist in order for health services (both public and private) to exist. This shouldn't be anything to do with negotiations.
Health and Social Secretary @wesstreeting: “My message to resident doctors: the fewer doctors who go on strike, the more specialty jobs I can afford to create.”
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@RoyLilley Roy - with due respect it’s not mistakes when it’s the plan
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For the NHS, it’s another escalation in a destructive cycle brought about by an inexperienced health secretary, advised by people who want us to make the same mistakes they made 20 years ago. It’s time for a change.
myemail.constantcontact.com
Email from nhsManagers.net A destructive cycle View as Webpage Share This Email Share This Email Share This Email Latest Health News Weather IHSCM Academy of Fab' Stuff nhsManagers.net 24th October 20
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The ‘Spin Doctor’ using training pathways for future patent care as a threat This isn’t about pay it’s about control It’s not about patient care Wes ‘The Spin Doctor’ https://t.co/IJcaLUDh51
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Holding doctors’ jobs ransom whilst patients can’t access doctors and waiting lists soar, is a disgraceful position for a health secretary to adopt. Wes is right, strikes have a cost. And at £250m a pop, he’d be better off tabling a credible offer that addresses pay and jobs.🤷🏻♂️
Wes Streeting, from the party of organised labour, threatens workers that if they go out on strike over pay he'll cancel their essential training. Labour, on the side of working people until they stand up for themselves, & then its sneers & threats.
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The Medical Training Review Diagnostic Report today makes 4 recommendations to improve postgraduate medical training. I’m very pleased that these all align with priorities I had already set out in my Manifesto for College President at https://t.co/uUV2W6modX. We can do this!
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@docib @VincentVanGrump @KreedKafer @LittlePersonDoc @RCEMpresident @gmcuk I would also say (and my current exploding inbox from people wanting to remain anon would agree), that consultant perception of the impact and trainee perception may not necessarily align in all units . And trainees do not feel at all able to express this.
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Have you 5 mins to spare to help a PhD student pls? Exploring the role of sub-ulcer plexus foam sclerotherapy in the management of venous leg ulcers
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@RCSnews Great article! Often hear complaints that NHS is less productive despite more money. Last 20yrs - ⭐️ Laparotomy mortality - halved ⭐️ Surgical site infection - halved ⭐️ VTE - halved ⭐️ MRSA - 90% reduction The NHS is safer than ever, despite what media will have you believe
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@Tristan27856485 @VSGBI @VascularWebinar @vascularsurgeon @ForumRsm @VascResearchNet @RouleauxClub @ImperialVasc @Cambridgevascu1 Looking forward to seeing the amazing creativity of the Vascular community again!
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Don’t forget the VSGBI and RSM VF Pump Priming Competition!!! @VSGBI @VascularWebinar @vascularsurgeon @ForumRsm @VascResearchNet @RouleauxClub @DanielCarradice @ImperialVasc @Cambridgevascu1
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