Giovanna Kossakowska
@gioronium
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Consultant Paediatric Anaesthetist. Former Councillor representing trainees at the RCOA. Greyhounds & horses 🌈 & 🇪🇺 (she/her)
Joined July 2022
The Health Secretary is responsible for the delivery of care within the NHS. Despite record waiting lists, Anaesthetics training numbers are down [2025 = 539 places]. The trend started before IA. Who is to blame?
We can deliver on jobs, training places and conditions for resident doctors. Our ability to do so will be hamstrung by unnecessary and irresponsible strike action. My message to the BMA is simple: call off the strikes, come back to the table and improve doctors’ lives.
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@AoAA_uk @lengreview Completely limited use. There is no further career development, as you will never be independent. I will do my upmost best to get this project scrapped. My apologies in advance.
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It's always weird to see these bizarre claims that the committee is "hard left" or "corbynistas". This is a wave of young people aged typically between 23-35 who see Broken Britain for what it is. Raising rent, raising house prices, raising energy prices, raising leisure
thetimes.com
Though the BMA’s leaders are Corbynites, its members just want the pay and treatment they feel they deserve
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The simpler the message the easier the sell Want to avoid the strikes @wesstreeting ? Then pay resident doctors more than their assistants! What could be simpler than that? 🦀 🦀
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Some days, you can’t hear anything through the cacophony of ladders being pulled up.
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@DrHWazir I've had to look up 5 of these people. Why do they think their opinions are relevant? Sod off, and come back when you've got the £100k of debt, job insecurity and 20% real terms pay cut that your inaction brought us.
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The Leng Review has published the expression of interest form to attend the webinar for anaesthetists on 14 April at 7pm :
forms.office.com
🧵In response to our request for a webinar solely for anaesthetists, the Leng Review has agreed to schedule one on Monday 14 April at 7-8pm. We will share the registration link as soon as we have it... (1/2)
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Final call - voting still open! Please do consider all candidates & cast your votes for those you think will best convey your views to the College. DOI: I am running & would value the chance to represent you. See my statement on the voting platform.
✔️ Don't forget to vote! Voting for election to Council closes tomorrow at noon. Successful candidates will take up their positions in March 2025. There are 4 vacancies and 11 candidates. Full details: https://t.co/QIBem2IXRf
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When there are few options available due to unnecessarily low training numbers, then it’s not a choice.
Genuinly flabbergasted by this choice of wording & @gmcuk could possibly think "with more doctors than ever before choosing locally employed (LE) roles" Please can @drcolinm or GMC confirm that this was a social media faux pas, and you actually know its not a "choice" per 👇
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@gmcuk “…with more doctors than ever before choosing locally employed (LE) roles” When there are ~29k applicants for ~9k core training posts, doctors are not *choosing* LE roles They have no other option
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Is it because all the leavers are trying to access it on the day it was released? 🙄 🤔
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📢 tonight!
We're looking forward to seeing members at next week's AGM. If you can't join us on the night, don't forget to vote in advance before midday on Monday. Full AGM details: https://t.co/TAHWIl9AdY
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In 2007, a "toolkit" was made in collaboration with the RCoA and DoH for departments to use. It made clear patients can decline care by an Anaesthetic Practioner (AP), the previous title for AA without detriment to their care. It was this document used to apply for regulation
Important advice for all NHS patients - just read this screenshot from a medical law specialist. Know your rights when you’re sent to see a Physician’s Associate instead of a Doctor.
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These competition ratios are insane. This is not “healthy competition”, this is forcing extremely bright (and expensive) talent out of the UK to countries where they are valued #braindrain #workforceplanning
Most Competitive Specialities in the UK - CT1 /ST1 level 2024 I have arranged the specialities from highest to lower level competition ratios. Important to note, the IMT recruitment ratios are not published yet and not part of the list. Least competitive specialities are
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Fantastic bit of #MedEd to be enjoyed with your Sunday ☕️ of choice.
Top-Down & Bottom-Up Mechanisms of Anaesthesia If you give propofol quickly, your EEG looks VERY different to a slow infusion (very slow). Why does this happen and what brain effects does it represent? It's because the way they cause unconsciousness are different! 1/9
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"The clinical knowledge and skills required for the assessment and examination of children in these circumstances, are such that they are far beyond the level at which a PA should be working, even under supervision." The professional body has spoken. https://t.co/BRek8e1Roq
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Today the @AoMRC - supposedly the defender of the once world-leading standards of UK medicine - claimed that doctors' concerns over the use of PAs was “almost devoid of factual information”. Is this factual enough for you?
🚨 EXCLUSIVE: NHS children’s hospital let physician associate examine abuse victims Alder Hey Children's Hospital tonight admits PA was removed from safeguarding team over concerns that their findings would not stand in court. https://t.co/xtHafEpPHW
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Couldn’t have said it better myself.
@AoMRC @wesstreeting @NHSEngland I see. What a convenient way to undermine & silence doctors expressing safety concerns. Simply insinuate that they're trading in nothing more than hearsay - despite multiple official surveys (eg from @RCPhysicians) in which doctors have reported precisely these concerns. 3/n
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My thoughts on this consultation, which is now hitting inboxes, can be summarised as: 🧵
Member consultation on the draft AA Scope of Practice 2024 will begin next week. All eligible members have been emailed details on how to participate. Relevant organisations are invited to respond too. Read the draft Scope of Practice & briefing 👇 https://t.co/yhHN9TeNBE
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