Dr Samyar
@drsamyar
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Paediatric doctor; bookworm; Gooner. 🏴🇮🇷
England, United Kingdom
Joined October 2022
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Here's an example for why rotational training is such a headache:
I'm moving to Watford General for ST3 (80% LTFT). I need to rent a property there to avoid commuting for two hours a day. My base salary isn't high enough to be able to pass referencing checks.
🧵
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I always openly admit it. Even though I enjoy my job as a paediatric doctor, I only go to work for money. I literally don’t care about anything more than money.
If this job won’t pay me enough, I will change my job, and you will lose one more paediatric doctor. It’s that simple.
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The 40% pay rise since 2008 is “unreasonable” and “unaffordable”.
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Caroline is unhappy doctors are withdrawing their services for 96 hours and claims many in her department choose not to participate in the strikes.
Let’s look at this a bit more closely…
Remarkable interview.
Thankfully not the attitude of most junior doctors.
Pleased that so many junior doctors in my dept are not striking today that my clinic has been able to be reinstated.
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You could earn £14.10 an hour working at Pret A Manger.
Alternatively, you could go to medical school for six years, accumulate £80-90k of debt, be forced to work nights and weekends, and earn £14.09 an hour as an FY1.
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Matt Hancock believes an FY1 (£14.09 per hour) should earn less than 1% of what he should be earning (£1,500 per hour). Strike hard. No mercy.
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Caroline herself has partially withdrawn her services for many years now to pursue a career in politics to accomplish big feats such as deny schoolchildren free meals. She does not cover acute services at all and so hardly interacts with doctors in her department anyway.
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Mid next year I’m hoping to propose a motion at JDConf to defund the GMC. 🥳
1/3 Late next year we’ll be welcoming physician associates and anaesthesia associates into regulation. Regulation will help to increase the contribution they can make to UK healthcare, while keeping patients safe.
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FY1s at my hospital have created a survey about their experiences during the first three weeks.
The results are fucking horrific. I did my best to support them. I feel I have failed them.
There’s a question in the survey about how often they’ve cried at work. See for yourself:
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Doctors in her department have told me not once has Caroline decided to step in and cover acute services affected by doctors on strike, despite worrying about patients so much on Twitter.
This also means that her clinic was always going ahead regardless of strikes, anyway.
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Damn, so many opinions on junior doctors. 📢
I couldn’t hear them in 2020 when I was putting my health at risk to see COVID patients while being paid £13.27 an hour as a junior doctor. 🤔
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She’s a ‘trainee consultant’, but ST7s are still called ‘junior’!
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My only motivation for passing my MRCPCH exams is so I can move on to studying for a new degree and leave medicine… 🤦♂️
I just need to pass the exams so I can fund my studies with reg locums. 🙃
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I get paid £149 extra per year for working in Watford, which is a ‘fringe’ area of London.
NHS employees on Agenda for Change contracts will get an extra 5% instead, which would have been worth around £2,011 for me.
That’s 1,250% more!
The NHS hates its doctors…
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New trust misses deadline by five weeks
New trust messes up dates on the offer letter
Offer letter doesn't state total salary
Old trust messes up dates on signed contract
New trust won't give me signed contract until I start
Current salary as an ST2 doesn't meet the threshold
🔚
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So let me conclude with two questions
@drcarolinej
…
1. Exactly how many doctors in your department are striking?
2. Why are you not covering acute services during the strikes, yourself?
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A few months ago, I was given an envelope containing a thank you note & a £5 Costa voucher from the parents of a baby I resuscitated. I don’t even drink hot drinks but it meant the world to me.
According to the GMC’s new rules, I would have had to return if it happened now. 🤦♂️
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Dear all paediatricians,
Please VOTE NO on this survey about the role of PAs in paediatrics:
Protect our children and the profession!
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@_VivekTrivedi
@BimAfolami
I wrote to Bim Afolami as a BMA rep last year and we scheduled a virtual meeting. This was before the first strike. He didn’t show up and ignored all correspondence thereafter.
Very rich of
@BimAfolami
to talk about coming to the table!
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Now being a paediatric doctor in the same region myself, I know a few doctors on strike in her department. They tell me that they are, in fact, striking.
A consultant there has confirmed to me that they were still short-staffed yesterday.
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Outrage over healthcare assistants being called assistants must be the funniest thing I’ve ever seen on Twitter… 🙃
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Another consultant working in her department tells us that the doctors who weren’t striking are still supportive of the strikes and cannot strike for personal reasons, such as having thousands to lose if they’re due to go on mat leave.
@drcarolinej
Being on-call Consultant in the same department,I can confirm some who turned up were supportive of the strikes wearing BMA lanyards… some trainees do decide to work few shifts during strike for personal reasons and not cause they are against the strikes!! Glad u had ur clinic👍
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@drcarolinej
Meanwhile news out of
@PboroCityHosp
is that they are so desperate for doctors because of shortages resulting from the strike that they have escalated their locum rates.
One of you is lying,
@drcarolinej
. But who? 🤔
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So I need to show my total salary including enhancements to be able to rent the property I'm after. But my department sent me my work schedule five weeks late, so I didn't have a total salary until less than three weeks before I was supposed to move.
🧵
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In my opinion, the only way to force the GMC to push through major reforms is to defund it. Mass cancellation of direct debits supported by the BMA would be my proposed first step. Anything less radical is doomed to fail. One day the rest of the BMA will understand. 🙃
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But guess what?! My current contract also has incorrect dates on it, which shows I left months ago, so they rejected that too. My new hospital is also under no obligation to sign a contract with me until eight weeks after I start there!
🧵
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Then when I finally got the letter with my total salary stated, the dates were all wrong, so the referencing agency rejected it again. Then, I had to get a new letter with the correct dates, which you can all guess how difficult that was.
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So what am I supposed to do now that I am still unable to pass referencing checks only seven days before my supposed move in date?
Here's a summary of all the obstacles I've faced just to pass referencing in my fifth year working as a doctor:
🧵
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Obviously this is my personal take on this, but please reject this offer. It will lead so many doctors in training out of the exit door knowing this is only what is waiting for them after years sacrifice.
11/ changes to pay scale are:
- higher starting salary ~£100k
- shorter time to top of scale 14 years instead of 19
- fewer pay points -4 rather than 8
- higher top paypoint ~£132k
- a range of additional increases from 0-12.8% on top of the 6% but payable from Jan 24
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Then they said this employment letter is conditional to background checks so rejected me again. I then explained that as a doctor, my job is regulated and will obviously pass the background checks as I'm currently working as a doctor. So they asked for my current contract.
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Tory MP Philip Davies on claiming rent for a property in London: “As far as I am aware, all workplaces cover the accommodation costs of people working away from home, and I am surprised … [you] … think that should no longer be the case.”
Me crying in ST3-at-Watford like 😭😭😭
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I wrote to Nadine Dorries three times over the past year but she ignored all my emails. Every other MP in Bedfordshire wrote back and met with me. Four out of other five also accepted my invitation and visited the hospital to meet doctors and listen to their concerns.
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Tens of thousands of junior doctors will go on strike for 72 hours, tomorrow. Every junior doctor will be giving up a part of their salary to participate. Also, hundreds of junior doctor activists have worked hard for over a year to get us here, overcoming countless obstacles.
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If they do a different job rather than a water down version, they must be doing at least one thing a doctor isn’t. What does a PA do that a doctor can’t? Please enlighten us.
Our PAs do a different job, not a watered down version of a doctors job. And it’s really helpful. Thank you PAs.
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@NadineDorries
Do you care about your constituents as much as Boris? Because I have emailed you multiple times on behalf of tens of junior doctors who are you constituents but you’ve ignored all of them…
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£20 per hour for a doctor.
Full restoration is cheap!
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For those of you stressing about SJT results, I got 32.04. Then, I was put on the reserves list for an FY job, randomly sent to a hospital in the region that I ranked first, got a training post in the speciality I liked first time around, & have passed every ARCP I’ve ever had.
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@jymort
I applied to med school in 2008. The current pay and work conditions are nothing like then. Also, I was 17 at the time.
You, however, are still an idiot. You don’t seem to realise that when people like me leave, there won’t be anyone left to look after your family.
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@ExplosiveEnema
I know of a foundation doctor who got a warning in his portfolio because he went to an ANP for advice then ran it by a reg too. Apart, he undermined the nurse practitioner who’s apparently identical to a registrar in terms of knowledge and experience.
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I have proposed a 'let's get rid of the GMC' motion for JDConf (still waiting for approval). In light of recent events, I could probably sing Celine Dion at the podium instead of delivering a speech and still see the motion pass.
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Some Trusts in East of England have been behaving appallingly & in bad faith in negotiating strike ‘Christmas cover’ rotas, from lying about minimum staffing levels & the number of non-striking doctors to stopping doctors leaving after they turn up to high levels of staffing…
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@mariamichle29
@drmattuk
@Xeon4f145d96s1
@potsy70
Yep, I’m sure that BSc in geography could help a surgeon locate the Islets of Langerhans.
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1/ Last month I wrote twice to
@BimAfolami
, Tory MP for Hitchin & Harpenden, about junior doctor issues as the BMA rep for junior doctors at L&D Hospital where many of his constituents are treated. His office replied saying he wants a virtual meeting. We confirm the date for 9/3.
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@Xeon4f145d96s1
Eilidh shouldn’t worry, nothing will happen. If I had a penny for every time I have been reported for something I said on Twitter I wouldn’t need FPR anymore!
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@SteveBarclay
@BMA_JuniorDocs
There are times I really regret that I don’t have the freedom to say what I am thinking out loud, Steve. This is one of them… 🥲
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@juniordrtruths
Taking locums on strike days is an unforgivable betrayal and undermines the sacrifices and efforts of junior doctors around the country!
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@BBCPolitics
Victoria, I think you underestimate how content doctors are to carry on striking for the foreseeable future. You, on the other hand, have a general election… 🙂
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Needless to say that that I will lose 51% of the £149 to tax, NI and student loan repayment, meaning I will take home an extra £6.08 a month for working in a town where I have to pay £1,720 for rent.
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Labour betraying junior doctors by saying they are not worth £19 per hour…
'I don't think 35% is affordable'
Labour leader Sir Keir Starmer agrees that the pay demand from junior doctors is too much, but says the government must 'get round the table'
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@kelvmackenzie
It’s not Emma’s job to ensure A&Es are run safely! You’re vile for singling out someone who’s done more than almost everyone to stand up for junior doctors.
You can hope we fail all day long. We’re holding all the right cards.
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Nothing like working your ass off representing doctors at your Trust for four years with minimal support just to see a list released for ARM with an unknown candidate who’s never been on the picket line or attended the JDF preferred to you… 😂🤦♂️
#itiswhatitis
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You honestly don’t think I’ve worked throughout the night tonnes of times playing FIFA online?
@BcfcStewart
You honestly don’t think I’ve worked throughout the night tonnes of times working in Politics?
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@LBC
@emilysheffield
"Now junior doctors striked during 2016. They never went to three days."
Yes, well we’ve learnt out lesson. 😂 Funny how she didn’t say what happened after those strikes…
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If only the BMA cared about its members at Watford General Hospital too… 🥲
When I negotiated locum rates with another Trust after a locum boycott last year, I didn’t just reverse the cuts, I delivered up to 28% higher than the pre-cut rates. 📈
UPDATE:
Yesterday management at Kettering reversed their controversial decision to cut rates for doctors in response to 100 doctors cancelling their shifts.
This was only possible due to the unity of grassroots doctors.
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@DocAhmadMalik
That’s fine. Doctors like you are part of the problem. You can’t also be part of the solution.
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@drmattuk
They did this at my Trust, which led to withdrawal of extracontractual work until they were raised again to significantly higher than the original rates. I negotiated the new rates and terms as the junior rep. Am happy to share my experiences if you are thinking of taking action.
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I get paid £11.63 per month (£5.70 after deductions) as a London bonus. 🫠
Other NHS workers get a 5% bonus instead.
What an insult!!!
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@Xeon4f145d96s1
It is extremely difficult and it’s not fair on the PAs, other doctors or the children to bring them on the ward. We all know they will be used to do all sorts of work they shouldn’t be doing.
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@amateuradam
The ones I’ve seen at my hospital are hardworking individuals desperate for a job but they’re not allowed to work! 🙃
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The RCPCH are going to ignore this too, abandoning children in the hands of MAPs while they focus on climate change instead.
@RCPCHtweets
3 things becoming true of large Specialist Tertiary UK hospitals:
- The referrer is more likely to have more training in the speciality than the advice giver
- The referrer continues to hold responsibility if acting on PA advice
- The referrer should request consultant advice
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On another note, please vote for my ‘bye-bye GMC’ motion (J1064) to be debated at JDConf. Link for voting has just been sent out by the BMA.
It seems like I won’t be there to present it, but oh well.
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@GMCharlatan
IMGs often come from countries where trade unions don’t exist or their activists routinely end up behind bars. When you explain the situation in England to them, they don’t need much persuading to join our campaign. They’re far smarter than those trying to exploit them.
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There was “additional context” to the Chief Executive saying they shouldn’t make accommodation “too comfortable” for exhausted junior doctors who have just completed a long shift… 😭😭😭
On another note, doesn’t everybody just love pizza? 🍕
@Xeon4f145d96s1
1 of 2 replies: Whilst we apologise for any distress caused, this is an historic email from 2019 and doesn’t reflect current policy.
Dr Hal Spencer, Chief Executive, commented: “I am really sorry for any offence this has caused. There was additional context to the email…
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If I had a penny for ever lie in a BBC article about FPR, I wouldn’t need FPR.
“Unlike junior doctors, consultants are not asking for full pay restoration in one go.”
When did we ever say we wanted FPR in one go?
@SamuelHorti
@BBCNews
@TheBMA
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@Xeon4f145d96s1
There’s a reason why ST3s are still on the SHO rotation in paediatrics.
Does
@RCPCHtweets
have an opinion about this danger to neonates?
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@DocShivSharma
@KateAndrs
So your private messages repeated the BMA’s official position and what other reps have been saying privately and publicly for a month? 😱
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His wife,
@EstherMcVey1
also a Tory MP, had said doctors should accept they wouldn’t become millionaires, “because they were working in a system paid for by the taxpayer.”
However, she has also been happy to waste taxpayers’ money on rent despite owning a flat a mile away.
💩?
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“Dear [Steve], I wrote you but you still ain't callin',
I left my cell, my pager, and my home phone at the bottom,
I sent two letters back in autumn, you must not've got 'em,
There probably was a problem at the post office or somethin'…”
We visited
@SteveBarclay
’s constituency office on Friday. His door was not open, even though he claims it always is. We left him the following letter.
We urge him to get around the table with
@TheBMA
so that we can finally solve this dispute.
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Honoured to have been given the opportunity to propose a composite motion at the JD conference. I was thrilled to have all ten parts of it passed by a large majority!
The problems of rotational training are multitudinous.
This composite motion has multiple ideas to tackle them. Dr Samyar Siadati proposing on behalf of all in the composite.
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@BaronLeSanj
@thegradmedic
@BMA_JuniorDocs
Who are we meant to serve? I’m the only one who contributes towards my rent.
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@LBC
@emilysheffield
Does she not understand that our backs are not against the wall here? We could easily leave full-time employment, earn much more and live a happier life. Who will lose out in the end when we do? This is already happening too!
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@DrEilidhMaria
This what happens when your rotation length isn’t divisible by your work schedule length. Ask medical staffing for a work schedule that matches the entire duration of your rotation.
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@Jo77Jo
I don’t think you should be conflicted or concerned about my motivation.
The only reason I go to work is money & I suspect hardly any doctors will go to work for free. But once I turn up, I’m empathetic towards my patients and completely committed to delivering high quality care.
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@Micky_Kip
I respectfully disagree. This is not normal or necessary. I don’t think these doctors are crying because they can’t cope with the emotional load of work. It’s because of abuse, bullying and unrealistic expectations.
I started my FY1 in a supportive department and was so happy.
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By the way, when it came to doctors’ strikes,
@PhilipDaviesUK
said doctors should “hang their heads in shame” and that the Government has already given doctors far too many concessions.
Philip, how do you explain this hypocrisy?
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I’m honoured to have been elected to the East of England regional doctors committee as the LTFT rep.
It’s clear doctors are craving an honest, aggressive and zero bullshit approach from reps who put them first and are done with careerists and ideologues.
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@DrNeilStone
70% of my salary currently goes to rent and bills and I can’t save a penny despite being forced to rent by rotational training. I would strike 70 times without any guilt to get a fair pay rise.
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3/ I was actually working that day and freeing up time for the meeting took quite a bit of planning ahead as it was a busy day on the paediatric ward. This man showed he has zero respect for the time of a junior doctor who had reached out to him in good faith.
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@DrNeilStone
Welcome to the club of out-of-touch doctors who hate anons!
The anons have achieved so much and have really changed MedTwitter for the better. I stand by them.
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4/ What’s even more astonishing is that the meeting was supposed to go ahead only four days before the planned strike, & just like his frontbench colleagues, he proved he does not value junior doctors even when I was trying to repair our relationship with the Conservative Party.
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@sarah_aslannnn
An issue I come across is that when waiting times cross a threshold in our paediatric assessment unit, I have to take time from seeing patients to explain wait times and address concerns of parents who are tired of waiting, which further delays everything again.
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@mancunianmedic
@gmcuk
@TheBMA
@MPS_UK
Been through this too; it’s not nice. Medical students to consultants joined in. Ended up deleting my Twitter account & dealing with complaints to my trust (obviously no action was taken).
You would be shocked at how benign what I had said that attracted all this actually was!
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I decided to become a rep as an FY1 when I realised hardly anyone has any respect for me despite being a fully qualified doctor. I have been fighting people like Jess for three years now. I am still hopeful. 💪
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After I entered negotiations with Bedfordshire Hospitals (
@bedfordhospital
&
@LandDHospital
) an LNC member, we have now reached an agreement to abandon plans for double strike pay deductions in July! 🥳
Hopefully others Trusts will follow & show compassion for their doctors. 👀
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@RCPCHtweets
Now I know you generally ignore all criticism on social media because you see yourselves at the College above having to answer to your trainees, but please this once do confirm for us who funded this ‘trip?’
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