Mamas A. Mamas
@mmamas1973
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Professor of Cardiology @KeeleUniversity . Research: CV Epidemiology. Associate Editor @CircIntv . Senior clinical editor @TCTMD . @BCIS_uk audit lead.
United Kingdom
Joined February 2017
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I'm a Professor of Cardiology with 23 yrs clinical experience (11 as a consultant). I get invited all over the world to give lectures and teach and I'm involved in international guidelines for the treatment of cardiovascular diseases.
I would be a danger to patients working in…
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1. Medicine is rapidly becoming an expensive hobby- working class people can no longer afford to become doctors given the poor salaries and huge debts on graduation.
I am the son of immigrants - I couldn't speak English until i was 5-i was born/ brought up in longsight,…
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I am the educational and academic supervisor of several junior doctors and I run projects for medical students in my research group.
It is frightening how many are taking exams for the US and Canada and how many are applying for jobs in Australia. I have never seen anything…
Junior doctors are set to go on strike for five days from Thursday 13th July.
This will be the longest walkout in NHS history.
It's time for a new approach to end disruptive strikes.
We're urging the government and unions to enter arbitration to break the current deadlock.
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1. Tomorrow i will be supporting the NHS
#ConsultantsStrike
About Me:
➡️ I am a cardiology consultant / professor
@UHNM_NHS
➡️ i was from a working class background, i went to a state comprehensive. My dad left school at 16, mum at 12. I am the first / only member of my family…
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2. It doesn't make me a bad Cardiologist and doesn't mean that my role shouldn't exist- It merely means that I should work with a clear scope of practice / regulation in what I have been trained to do.
There are no shortcuts in medicine, patient safety should always be a…
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This is so messed up- paediatricians that raised concerns were forced to write letters of apology to the UKs biggest murderer of babies and were reprimanded - and managers who covered up her actions have had no consequences. Doctors ended up going to the police themselves as the…
Paediatricians realised that Lucy Letby was on duty every time there was an “unexpected catastrophic event” that led to the deaths. Letby took out a grievance against the doctors. She won, and the consultants were forced to make a written apology to the murderer. 2/
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My drain became blocked recently - i was charged £160 to unblock it (for 1hr work). A junior doctor unblocking your coronary artery during a heart attack and 10-15 yrs training will get £28.
“During the last strike we examined the BMA's claim that junior doctors are paid £14 an hour and discovered that while that may be true for some, the figure rises quite quickly as their careers progress to £28 after 10 years.”
@BBCNews
£28/hr after 10 years as a doctor.
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I'm pretty sure that you didn't have £100,000 loan to pay back and you got free / heavily subsidised accommodation. I was only paying £200/ month for accommodation 5 mins walk from harrods in knightsbridge as an SHO and I couldn't afford to buy the house i bought as an SHO now.…
When I was a junior doctor I wasn’t paid well, but I accepted I was an ‘apprentice’ and thus couldn’t expect a massive salary.
Our junior colleagues need to realise that they are simply doctors in training whose priority should be their patients not income.
#JuniorDoctorsStrike
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When you take some of the brightest people of their generation, make them work in a system that is broken, understaffed, with a bullying / racist culture- cut their salaries by 30% then refuse to meet with them to discuss terms and conditions, and blame them for being…
The junior doctors operating on your appendix are paid just £66.55 between them. For a potentially life-saving procedure, which lasts about an hour.
Is this a fair price to put on high quality healthcare?
#PayRestoration
#JuniorDoctorsStrike
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There are many that say that the reason doctors are raising patient concerns is that they feel threatened by PAs
As a professor of cardiology - I will never be in competition against PAs. They will never be a threat to my career.
Also, by virtue of who I am, If ever admitted to…
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There's no such thing as "non- medical consultants" delivering acute stroke care they're either medically qualified ( a medical degree and CCT in stroke medicine - 10 yrs training post qualification) or a danger to patients. Leave Cosplaying to cartoon characters / superheroes,…
Sent to me, the answer to uncompetitive pay is not to recruit ‘non medical consultants’, it’s to pay fairly and competitively. If we allow this these people will eat our lunch (and breakfast and dinner). Join the BMA take action to defend pay.
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Article published today around the sad case of Peter Marshall -who presented with excruciating abdominal pain and was diagnosed by a PA with irritable bowel syndrome (IBS) and suggested over-the-counter peppermint tablets. He died a few months later from bowel cancer having…
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I have worked as a consultant Cardiologist for the past decade, and have 20 years experience as a cardiologist. I would not be competent to work as a nursing matron / nurse manager running a cardiology ward- it is outside my scope of practice and it would be unsafe for patients.…
There's no such thing as "non- medical consultants" delivering acute stroke care they're either medically qualified ( a medical degree and CCT in stroke medicine - 10 yrs training post qualification) or a danger to patients. Leave Cosplaying to cartoon characters / superheroes,…
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1. I'm a consultant interventional Cardiology that has performed thousands of interventional procedures in patients with heart attacks . Similar procedures are performed in patients with strokes but there are not enough people to deliver these- so patients die or are left with…
So GMC rejected proposals for Neurosurgeons to train in some IR procedures, but has no criticism of PAs training in IR procedures.
Or neurosurgery for that matter.
The walls will come crumbing soon.
🔥
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Take a minute for this to sink in. Medicine attracts the brightest and most academically able students, and is probably the most challenging degree to complete.
We value our doctors so little in the UK and break them down that they quit to become dog walkers for a better salary.…
There is somebody out there, in the UK, who worked out that quitting their job as a doctor in order to work as a dog walker at £15/hr made financial sense. We are not just losing doctors to other healthcare employers, folks.
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Safety fears as non-medical staff / PAs learn neurosurgery ‘on the job’ from medical secretary via a two year's PA masters to amputating limbs- with no medical training and no surgical training
What is happening to medicine in the uK? The last time…
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@Joe_Sutton92
Because i have no clinical training in gynaecology, pediatrics, psychiatry, dermatology, ENT, Opthalmology etc apart from that during my medical degree. GPs require the broadest expertise / experience of medicine of any specialty and hence why PAs are wholey unsuited to this…
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I think what you are describing is a doctor- what you are advocating is a danger to patients- someone with a two years master degree has no role going anywhere near patients and formulating a management / treatment plan.
If people want to practice medicine they should do a…
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PAs at Reading only need 40% to pass their exams and 30% to pass a module. Some of finals exams questions posted online could be passed by most members of the public.
In my professional career I have never seen such mediocre standards to "pass" exams.
This is not about being…
PA’s at Reading university only need 40% to pass their course & they only study “40% of the medical curriculum”. So why are they then given free reign to replace doctors on rotas all over the country and see complex pts in GP? Patients WILL suffer!
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A PA who is not medically trained with a 2 years masters and 1 years "experience" in GP could potentially be earning only £4000 a year less than a NHS consultant who has completed a medical degree, several professional exams, and 10-15 years of medical training and advanced…
What a bonkers world we live in where physicians assistant gets paid more than the physician….
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You became an MP for NE Cambridgeshire in 2010. You have enjoyed a 36% increase in pay. Junior Doctors have seen a 30% decrease in real term pay(see ONS figure)
➡️ Why do you deserve fairpay, and yet junior doctors are told that they are unrealistic asking for the same as you?
➡️…
The government has shown it will engage in meaningful and constructive talks with health unions.
We want to find a way forward with
@BMA_JuniorDocs
but a demand of a 35% pay rise is not reasonable.
If the BMA move significantly on this and cancels strikes we can resume talks.
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There is not a single good reason why an unregulated individual who has had no medical training and isn't an obstetrician should be performing caesarean sections on women.
Women are not lab rats. When maternal mortality is the highest it's been in 20 years in the UK,…
There are PAs who do caesarean sections in the UK...(24.00 onwards)
@RCObsGyn
did you know this?
@parthaskar
@iDrSunny
@HelenRSalisbury
@carolvorders
@natalieben
@djnicholl
@doctor_oxford
@Dr_BellaR
@Dr_Done_
@Xeon4f145d96s1
@DrLindaDykes
@mmamas1973
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I qualified 24 years ago. I have been a medical registrar treating some of the sickest hospital patients and a consultant cardiologist for 12 years, and have trained in specialties such as neurology, diabetes, gastroenterology, renal, gen med. I also undertook numerous…
A reminder that as things stand?
As per
@NHSE_WTE
@PrimaryCareNHS
?
A non-GP doctor can’t see ‘undifferentiated’ patients
as it’s unsafe
A PA (a non-medic) -with far less training & experience-can
And
@rcgp
-the college of GPs have yet to have a stance on this
Facts-yeah? 😳
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The uk faces an unprecedented healthcare crisis. Soon the only healthcare available to the majority will be from PAs with no medical degrees and no regulation. A Third of medical students plan to quit NHS within two years of graduating - I don't think the public appreciates the…
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8. Doctors are not being greedy to ask for a fair wage, paying some of our brightest people that have responsibilities of life and death, £14 /hr isn't right. The NHS can no longer go on like this.
Penultimately it will be for the general public to decide what they want for…
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Welcome to Uk medicine- someone who has finished training and is at the level of a consultant/ attending (5 yr med school and close to 15 yrs clinical training) earns less than a PA with a 2 yrs masters...
This is insulting. If I was a trainee i would be doing everything in my…
👀 Spot the difference 👀
Post CCT/ST8 neurosurgeon in London commands the same salary as a PA straight out of uni 🤯
15+ years studying medicine Vs 2yr PA degree
Who would you want operating on you?
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Literally every single junior doctor I am the educational / academic supervisor for is making plans to leave. This is not an exaggeration. The general public has no insight into how screwed they are going to be in the next couple of years in relation to their healthcare.
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5. If I was an 18-year-old lad now, with the same family background, I couldn't afford to do medicine- particularly when the job prospects at the end are so bleak.
The reason this is important is that people who do medicine should represent a broad section of society, not just…
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Isn't it appalling that your future health and delivery of healthcare services in the NHS was decided upon last night by these few unelected individuals who will probably never need to use NHS services themselves - And that tens of thousands of doctors and patients who have…
Look at the attendance level in a debate on a topic that could drastically change the healthcare delivery in this country!
@natalieben
@djnicholl
@Doc_IonaCollins
@carolvorders
@TheBMA
@TheDA_UK
@UKLabour
@LBCNews
@Andrew_Jordan_
@VirtueOfNothing
@AnaesUnited
@VirtueOfNothing
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UK healthcare is falling apart, the waiting list is over 7 million appointments, unregulated individuals with no clinical training are delivering healthcare and doctors are being made redundant or are unemployed
Yet our regulator - the general medical Council, is worried about…
From the end of this month, doctors should not accept ‘an unsolicited gift’ unless it is ‘of minimal value’, defined as gifts such as flowers, fruit, sweets or cake.
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More proof that medicine in the UK is becoming a joke. This year only 75 new opthalmology training posts for the whole of the UK were advertised (population 67 million) and yet the royal college is keen to train opthalmologists without a medical degree/ qualifications.
I…
In November, we are launching a one-year pilot of physician associates within ophthalmology, to explore expanding the healthcare workforce while increasing non-medical eyecare professionals within hospital service.
Read more 🔗
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I secured my national training number in cardiology 20 years ago in 2004. In those days, after 6 years training you could become a consultant.
I was offered an academic consultant post in 2010 and i declined it- I didn't feel I was safe and my skills in interventional Cardiology…
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Wow it seems somebody has uploaded the EGM meeting of
@RCPhysicians
on YouTube.
The public and media can see for themselves now how senior officers:
💥 refused to answer patient safety questions,
💥refused to answer what role PAs bought to MDT
💥purposefully rambled to run out…
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10 years and 20kg lighter. Lessons learnt
1. Need to change lifestyle completely- its for long haul
2. dont eat junk - Chocolates 4 breakfast don't cut it 😜
3. Keep active, whether it be running, hiking or cycling. Always find time
4. Buy clothes more regularly 😉 (same shirt)
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Why do you believe that a salary increase of £20,000 (32%) for yourself /MPs is fair and yet everytime a Junior Dr, Teacher, Nurse, Police Officer, Ambulance Driver (delete as appropriate) asks for reversal of their cuts in salary that have been between 10-30% over the last…
I hoped to begin meaningful negotiations when I met the BMA last month.
But its demand for a 35% pay rise is unreasonable – it would see some junior doctors receiving a pay rise of over £20,000.
If the BMA move significantly on this and cancels strikes we can resume talks.
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2. When I qualified (2000) we had no debt, stayed in hospital accommodation for free
➡️ junior drs leave with 100k of debt
➡️ earn less that i did 20 yrs ago
➡️ have had a real term pay cut of 20% over the past 13 yrs
Many are struggling to afford rent.
We are losing…
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She's not a doctor so how can she be "doctor of the week" ? - congratulations on undermining every single doctor in your trust with your micro aggressions.
Are you saying that in your whole trust there was not single Dr worthy of this so you decided to award this to someone who…
Eau doctor of the week, Hannah, our physician associate. Extremely competent, good independent decision making, dependable and very well respected
@NTeesHpoolNHSFT
@MADEinHEENE
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They are not trainee doctors. Also as part of the cardiology consultant body at university hospital north midlands, we unanimously voted against hosting PAs in our department- for patient safety, aswell as the fact that medical students, medical trainees, ACNPs will always remain…
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@GHCardiology
this is so inappropriate on so many levels. Being a TAVR operator is not just about deploying a valve, but working up the pt for the optimal mx of their AS, managing the patient prior to procedure and dealing with complications. This is not safe for patients…
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A PA performed an invasive procedure on a patient with a bladder infection and the patient died 48 hrs later from sepsis
➡️The c̴o̴v̴e̴r̴u̴p̴ review team report authors involved the PA who did the procedure.😳
How could this have any hope of being independent? That's why in…
Family of film make-up artist call for inquest after treatment by physician associate which led to death.
@JanetEastham
@TheDA_UK
@TheBMA
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The government says in times of austerity that we're
#AllinItTogether
Except we aren't.
starting salary of an MP v a junior doctor over time:
2008: MPs – £61,820, first year junior doctors – £28,274
2023: MPs – £86,584, first year junior doctors – £32,398
MPs will get a 7.1%…
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The fact that we even need to state this shows how far UK medicine has fallen.
It takes 10 to 15 years of medical training AFTER a 5 / 6 year medical degree to become an NHS consultant. How can a science graduate with a 2 year masters with no formal medical training as per…
Physicians associates should not be the Consultant on-call rota.
Consultants have (usually) atleast a decade of training and are heavily regulated.
PAs, neither. They have a place. They should be supported in that place.
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7. Medicine is more than just science, it's about interpersonal skills and being able to identify with the experiences of your patients. I think it will be a sad loss for medicine if a whole stratum of society can no longer afford to go into this beautiful profession, and more…
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There have been points made in the media that the junior doctors are losing support from the consultant body in the NHS
Nothing could be further from the truth .
I do not know a single consultant that does not support the junior doctors. I love my profession and have worked in…
We strike again today.
While workload and waiting lists are at record highs, doctors’ pay has been cut by more than a quarter since 2008.
Enough is enough. The Government must come back to the table with a credible offer.
#DoctorsStrike
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6. If we want to have a diverse workforce that represents the population they serve, we have to make medicine attractive again, to young people from underprivileged backgrounds like mine. This means paying them- so that medicine doesnt become an expensive hobby for the privileged…
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This is the toxic environment that UK doctors have to work in. I can't imagine any other workplace that would tolerate this behaviour. This isn't a prison but a UK NHS hospital.
The general public / our senior NHS leaders should pause to reflect and wonder why so many junior…
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@TheBMA
7. I am not striking to line in my pockets. I could easily move to outside of the UK and increase my salary 3-5 fold.
I support the strikes:
1) improve the working conditions of our junior doctors so that they will want to stay and work in the NHS
2) improve services for…
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If I did private practice and I started offering cystoscopies privately as a yr 12 NHS consultant cardiologist I would most likely probably be struck off the medical registrar, and yet those with no medical degree / medical training and no formal post graduate medical urology…
Dear Britain,
If I told you that unregulated healthcare workers - who aren’t doctors and nurses, and with no formal surgical training pathway - were performing SURGICAL procedures on you in the NHS
How would you feel?
(Cystoscopy is keyhole into the bladder up the urethra)
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3. When I studied medicine we didn't have to pay fees, received financial grants if you were underprivileged, and had free accommodation in the hospitals. The salaries 23 yrs ago. When I qualified weren't too bad- I saved enough for a house. In contrast....
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I was a slow starter. Even though i was born in the UK, I couldn't speak a word of English in my first day at school and no one could speak Cypriot (both parents immigrants). It was tough.
Early on a teacher told me that people like me would never become a doctor because you…
I want to hear some underdog stories. Tell me about your 12th grade advisor who said you wouldn’t get into college, your premed advisor who said you wouldn’t get into med school, etc. tell me all the ways you’ve turned their doubt into fuel 💪
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I received a review back from a paper i submitted today from a cardiac journal with an IF>4. They asked us to cite 60 😳 papers that have been published in their journal before. Has anyone ever been asked to do this? do you think this is appropriate? and when? NO NAMES PLS.
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From the BMA - "Physician and anaesthetic associates do not hold a medical degree, and neither are they medically trained. They are not doctors" better transparency for the public is important with a clearly defined scope of practice.
I think this is…
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I'm sorry but there is absolutely no role for a PA doing many of these things particularly cath lab with an interventional consultant. If you want to do this with me, do a medical degree and several years of training as a cardiology Spr then you're very welcome in my lab...
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@OMadlom
You could also extend this argument to hairdressers... my hairdresser does a great job cutting my hair, I wouldn't want him to manage clinical conditions just because there are not enough GPs..
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2. My father had to work two jobs to support us. I went to a state school. My friend ended up in prison for holding up an off-licence with a gun.
I am the first person / only person in my family that has received an education over the age of 16 and to get into university…
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This is an absolute crazy situation on two counts- that PAs with no medical training are advising doctors as the "on call paediatrician " 😳 and that if doctors follow this advice they are legally responsible.
I think if faced with such a situation doctors should ask to speak…
The future of the NHS isn’t just scary for patients, but doctors too.
Always check you’re speaking to another doctor, or you’ll be responsible & thrown under the bus.
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The fact that we are having to state that someone with a two year's masters degree is not an appropriate substitute for someone with a 5-6 year medical degree, post graduate exams and 5+ years of clinical training shows the depth that UK medicine has fallen.
I feel like I'm in a…
i) asserts that PAs are neither a safe nor an appropriate substitute for a GP
ii) calls for an immediate pause on all recruitment of PAs across PCNs and General Practice until appropriately safe regulatory processes and structures are in place…
(2/11)
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4. Doctors today do not receive such grants, pay tuition fees and leave university with debts > £100,000. they no longer get free accommodation and less comparatively than I did 23 years ago ➡️
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Who says the NHS is failing? we are succeeding in training a high quality workforce for Australia....
@mmamas1973
@parthaskar
@RowanHarwood
@CliffJonesGP
@UKGastroDr
@DrLKVaughan
@Trisha_the_doc
@trishgreenhalgh
@AntonEmmanuel2
@MRCPandFRCPs
@morefluids
For which we in Australia are very grateful. We have had widespread doctor shortages and are very happy that the UK is helping solve our problem. But what a tragedy for the UK
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Even several senior consultant colleagues are leaving, the President of the British cardiac Society has recently taken up a post in Australia...
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I have had a lot of DMs
As way of context, a 🧵
1) Any health professional doing an invasive procedure should be able to deal with complications particularly life-threatening ones.
If they cant pt lives are put at risk
I trained full time for 3 yrs, did >1000 first opertor…
@GHCardiology
this is so inappropriate on so many levels. Being a TAVR operator is not just about deploying a valve, but working up the pt for the optimal mx of their AS, managing the patient prior to procedure and dealing with complications. This is not safe for patients…
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True leadership by
@doctor_oxford
Similarly I will never sully my reputation by giving any lectures at the Royal College of physicians under the curre leadership . When they place finances over patient safety then the Royal College is no longer fit for purpose.
I was deeply honoured to be invited to be a keynote speaker at this year's
@RCPhysicians
annual conference.
But after last night's
#RCPEGM
I can no longer, in all conscience, give my speech. I feel duty bound to share in public my reasons why.
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Data from NHS England- the junior doctors haven't been striking for 13 years- yet the Conservative Party has been in power during this time. The only thing that has contributed to waiting lists is government policy.
The Prime Minister blaming Junior doctors for hospital waiting lists is one of the most despicable things he’s said
& for the record he’s offered them a crappy real terms pay cut
If like me you stand with the junior doctors who sacrificed so much to keep us safe RT this widely
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Wow, the public should be up in arms. This is a danger to public safety , someone with a two years Masters and no medical training can never replace a GP with 10 years experience.
“We’re creating PAs to support NOT replace GPs” IS A COMPLETE LIE!
The practice I locum in have now replaced me with a PA 😞
I’ve been a GP for 10 years & can’t get work?!
My GP colleagues CANNOT GET work!
We ARE being replaced, by significantly less qualified people?!
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This is what leadership looks like. I will be writing to the Royal College physicians Edinburgh to see whether I can transfer my fellowship to them and resign from London.
We published a position statement, earlier today, about physician associates in the UK.
Please visit our website to read the full statement:
#PhysicianAssociates
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Doctors are not in short supply, this is a cynical move in reducing training opportunities for doctors to make it look as though there are shortages and push through an agenda that places patients at risk
In general practice and other specialties thousands of doctors are unable…
"Physician associates can be a vital support when doctors are in short supply.
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NHS failing- 2x ppci overnight. This pt phoned ambulance at 10 pm. Phoned further 21x with worsening CP. at 6am wife chose to drive him in- VF - ivus guided PPCI. 2nd pt- waited 4 hrs for ambulance, wife drove him in. This is not how to run a service
@DrAsifQasim
@ShrillaB
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Honestly I can't believe this is happening and how far uk medicine has fallen. Now you can qualify as a doctor by doing a 4 year part time course whilst working as a physiotherapist, nurse, health support worker etc.
we already have graduate entry medicine in the UK why not…
Aaaand don't say we didn't tell you.
Plymouth medical apprenticeships will be a shortcut (< 48 months, band 6 pay) to MBBS!!
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I'm rapidly coming to the conclusion that patients should refuse to see PAs in Primary Care for a new medical problem and should demand to see a doctor. This simply isn't safe for patients.
PAs do not have the training after a 2 years masters to be able to do this (a doctor…
An Instagram post from a PA that is newly qualified.
Running their own clinics.
- abdominal pain
- dizziness
- wt loss
Can anyone tell me why this is not a GP doing this? Would the outcomes be better with a GP? Or am I just going crazy?
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I went to
@UniofOxford
medical school in 1991 and became a consultant interventional cardiologist in 2012 - 21 yrs later.
There are no short cuts in medicine. Just hubris at the expense of patient safety
How long does it take to train a doctor??
It takes a LONG time to develop clinical skills and expertise. And to just see enough stuff to be prepared for when something new pops up.
Congratulations Max!
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Patient with diabetes presenting with chest pain sent home with missed heart attack, electrocution of staff members during defibrillator discharge, missed breast cancer diagnosis by physician associates.
A 2 yrs masters does not prepare students to practice medicine- only a…
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Someone who is neither medically trained or qualified should NEVER dictate who receives resuscitation in an NHS hospital (or anywhere for that matter) following a cardiac arrest, and SHOULD NEVER sign off "do not resuscitate orders" on patients.
This is incredibly serious…
I think this is extremely disturbing.
Your loved ones are having their DNAR decision made by PAs who are not regulated and are likely contravening the strict rules around who can sign the DNAR.
It is a national scandal.
@GMCUk
this is completely your fault.
@ShaunLintern
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Any junior doctor / medical student that leads a project in my group/ writes it = first author. Any junior doctor that contributes to a Projects but doesn't lead it = authorship. Don't work with anyone who doesn't offer this.
Don't accept anything else- irrespective of what…
When involving more junior colleagues in projects you are supervising, it's key to be transparent with them
1. They will be accredited for their hard work. In what formats.
2. ☝️
Please don't take advantage of more junior colleagues as someone to do your projects for you.
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3. Many will say that Drs have great pensions, earn money doing private practice etc
➡️ future pensions when you're 67 wont help you buy a house, pay your rent, feed your kids
➡️ most of don't do private practice
➡️ most of us will work for free- I have covered many on calls…
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Medicine in the UK is finished as we know it. Its a sad day for many of us.
The GMC will not set any boundaries for the scope of practice of PAs and AAs.
NHS trust executives, who are unregulated, will be free to continue using them in any way they see fit with all of the legal liability lying with the supervising doctors.
10,000 PAs by 2035.
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The
@BritishCardioSo
have released a statement to
@TCTMD
about the ANP leading a
#TAVR
. I am afraid it shows how much our national cardiac society is out of touch. A 🧵
1. "The performance of a specific procedure is only one part of the patient journey, with consultant…
@GHCardiology
this is so inappropriate on so many levels. Being a TAVR operator is not just about deploying a valve, but working up the pt for the optimal mx of their AS, managing the patient prior to procedure and dealing with complications. This is not safe for patients…
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Earn more as a student anaesthetic associate without a medical degree than an anaesthetic doctor with 5-7 yrs experience. Welcome to the NHS and you wonder why people are leaving
Anaesthetists, missed out on a highly competitive ST4 post? Worry not because you can work as a clinical fellow where you earn less than a STUDENT anaesthesia associate
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1. This investigation by
@Telegraph
raises very serious questions about patient safety. PAs are working on doctors rotas for which they have no qualifications/ training, are illegally prescribing or using doctors gmc numbers without consent for illegal prescriptions, and missing…
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I am in a national role in interventional cardiology- i am the
@BCIS_uk
National audit lead responsible for writing the annual report of PCI practising in the UK and individual operator reporting that relates to patient safety for the national transparency agenda.
Many of the…
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A post CCT fellow is someone who has finished their training and eligible for a consultant post.
Someone with a 5 yrs medical degree and 10-15 yrs clinical training earning less than someone with a 2 years masters that hasn't even been medically trained.
This is tragic
A post CCT fellow getting £44k a year
MAPs getting £50k a year or more.
What is going on?
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The key is in the smallprint. This includes extra out of hours payments and DOES NOT represent junior dr salaries. The 355 conservative MPs made an extra £15.2million salary since 2019 () but this is never considered when discussing MPs pay- Why the…
The BMA has demanded a 35% pay rise for junior doctors.
Here's their current average pay rates at different levels.
3K
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4. The government/press will tell you that the strikes are pushing up waiting lists and putting patients at risk.
➡️ waiting lists have been increasing over the past 13 years.
This is data from NHS England- this is Way before the strikes happened.
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Becoming a doctor without the science..
that's the model of care that's being pushed in the UK . You don't even need to have a medical degree to practice in Primary Care.
All the fun, none of the knowledge.
“Learn from a clinical perspective without delving too deep into the nitty-gritty science”
What on earth is this.
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This is one of the biggest safety scandals to happen in the NHS- patient lives are being placed at risk.
An independent review of how individual with a 2 years masters and no medical training are manning doctors on call rotas up and down the country needs to happen NOW and this…
Today
@TheBMA
council chair Prof Philip Banfield has called on the Health Secretary to launch an “independent inquiry to uncover the full extent of what is essentially a patient safety scandal”.
“Only last month, NHS England’s national medical director, Prof Sir Stephen Powis,…
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You couldn't even make up what is happening in UK medicine ⬇️
we have a duty of care to protect the public - stop this madness
There is a PA currently employed by
@AiredaleNHSFT
who has not passed any national exams
Can you imagine the reaction if a medical student without regulation, registration or qualifications was quietly employed by a Trust to be a doctor?
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Healthcare by distance learning with only 8 weeks of clinical skills- and PAs will be seeing unselected patients in GP, A&E etc..
This sounds really safe for patients 😳
In contrast a medical student would spend 3 yrs full time on the wards, and 2 years as a foundation doctor…
Not concerned about the Wild West that is current UK medical workforce planning?
Don’t know what the problem is… 8 whole weeks of in-person training and assessment. A medical degree is so boring and long after all.
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It's a national scandal, that individuals without a medical degree, with no formal surgical training are doing invasive procedures on patients. The public is no longer safe.
This may upset some people. My job as a consultant is to treat patients and to educate trainees in my specialty. It is not to give validation to unregulated, dubiously qualified individuals who believe normal training in healthcare need not apply to them.
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Training PA vs ANP
This is from our Cardiology ANP:
➡️ 3years experience in cardiology post registration.
➡️Cardioloy specific MSc (3years)
➡️Health Assessment at MSc level (1 year)
➡️non medical prescribers course (6mths)
➡️ interpretation of the adult chest X-ray at MSc level…
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This is exactly the same pay rise that politicians gave themselves over the same timeframe. This is not a pay rise, merely restitution for a decrease in salary. A newly qualified doctor earns less than when i qualified 23 yrs ago- and I didn't have to pay university fees or have…
'A demand for 35%... is not fair or reasonable'
Health Secretary
@SteveBarclay
says the government wants to get round the table with junior doctors, but their current pay demand is not realistic
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The consultants enabling this should be struck off for placing patients at risk. This is a national scandal - far bigger than anything else in medicine
@BBCPanorama
@MailOnline
@thetimes
@C4Dispatches
@guardian
@Telegraph
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How come data be so misrepresented by
@RCPhysicians
before a vote and halfway through the vote when the actual data is released is so damning that it could potentially change the way people vote.
Doctors up and down the country have been voting based on misleading data and the…
FINDING 1: Of the MRCPs who feel able to comment (73% of the total sampled), 61% say that having a PA on the team impacts negatively on their OWN training opportunities.
5/
[those looking for alt text - these are just screen shots of the data, key figures are in the tweets]
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This is incredibly frightening, it could happen to any of our loved ones. This is what happens when you put people with inadequate training taking on doctors roles that they are wholly unsuitable for.
This is not about being kind- it's about protecting patients. If you want to…
Attempted to hide identities as much as pos. Sent this and found it too damning not to share.
PT presents around 3pm. A doctor doesn’t appear to be contacted for support or help, and instead a Facebook group of PAs (PAAUK) consulted instead. PT in HB sent to a&e not until 6pm.
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I still probably discuss one in every three cases that I do with one of the other consultant cardiologists in the Cath Lab next door, and similarly they will discuss cases with me. I will take many of my cases to the wider group meeting involving cardiac surgeons too. This is…
I hit my peak confidence after 2 yrs as a doctor
THEN I did A&E & GP jobs, saw undifferentiated patients & my confidence⬇️
❌Diagnoses presented atypically
❌Well patients had abnormal results
❌Algorithms didn’t fit
Only then, did I appreciate how RISKY & complex medicine is!
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5. Over the past 13 years the NHS has been grossly underfunded. The increase in waiting list / falling apart of the NHS is a political choice. Look at annual changes in spending when the waiting list has increased
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When to eat a banana, hadn’t appreciated difference in nutritional value. I prefer mine barely ripe... and you?
@TheVeggieMD
@AnastasiaSMihai
@mirvatalasnag
@DrToniyaSingh
@purviparwani
@DrMarthaGulati
@hvanspall
@ShelleyZieroth
@Libbyextra
@gina_lundberg
@avolgman
@cardioPCImom
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Now that the Registrar has resigned - the rest of the senior team including the president needs to go from the
@RCPhysicians
.
They have lost the confidence of their members and have destroyed the reputation of a 500-year-old institution. There is no way back from this.
We…
No reflection
No admission of wrongdoing
@RCPhysicians
Code of Conduct and
@gmcuk
GMP still apply
This looks like gaslighting to me
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Likewise, I have been qualified as a doctor for 23 years and as a cardiology consultant for 12 years, I would not be safe holding the stroke bleep / pager. The lack of insight/ integrity to do this is Frightening
A PA holding the Stroke consultant bleep?!
One of the key things that’s rammed into us our entire medical training & career is KNOW YOUR LIMITATIONS!
I’ve been a doctor for almost 15 years & wouldn’t dream of taking the stroke consultant bleep
This is genuinely terrifying!
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it is a serious criminal offence for anyone other than a doctor, dentist, pharmacist or vet to supply controlled drugs under the Misuse of Drugs Act 1971. In this trust PAs have been illegally prescribing opiates.
This is not an oversight / error but a wanton criminal act- PAs…
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I am sorry but this is not true- it is completely at odds with what was posted- where it is clear that the individual concerned (who isnt an ANP) performed the whole procedure themselves as first operator. Also a few months earlier- Being an operator and implanter for 3 core TAVI…
We want to make clear that the lead operator for the procedure was a consultant structural interventionist. However, we are looking into the circumstances, including a review of clinical governance. (2/3)
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