Dom

@SamiMFouda @drkeithsiau Presumably you wouldn't advocate for freedom for sibling marriage?

@drkeithsiau Yes if you’re going to apply this to every couple/ person with significantly higher risk of genetic conditions in their offsprings. No if you believe that people are free and can be counselled and let them to decide as adults.

We are all educated people here. Should first-cousin marriages be banned in this modern era?

@Jeanthebean8816 @Jenny_1884 GPs would be in favour of being paid per appointment! £30 per appointment would increase their funding by 50%!!

@Jenny_1884 Could backfire as they rush everyone through appointments to get their payments, rather than listen.

Who agrees that GPs should be paid per patient seen not per patient on their books? This may encourage them to free up more appointments.

@Megsenmumdr @Dr__Sarmy My CS will ask for the dentist's details (often patient hasn't actually been) and then call them prior to seeing the patient to clarify

@Dr__Sarmy Often see patients who try this out I doubt if they actually saw a Dentist Because for Dentist they often have to pay & GP is “free” I hope he’s been sent back to Dentist or 111 for emergency Dentist

Second appt of the day: “Facial swelling - his dentist referred him back to GP for antibiotics” Either someone is lying, or this is gross professional incompetence & peak buck passing… 🤦🏽‍♂️

@wendybrownreid @SameenaAhmad7 @DrVoles Yes I do. If you're expected to work at more than one hospital or make home visits you need business car insurance.

@SameenaAhmad7 @DrVoles Resident doctors are not require business car insurance. They need to commute as do most employees. Indemnity insurance is tax deductible, and as a resident doctor is likely less than cleaners (appreciate it’s much more as a consultant). Most resident doctors don’t have their own

I'm not a Resident Doctor. I am privileged enough to pay for a cleaner. I pay my cleaner £25 per hour. Resident Doctors are asking for less than that. My cleaner makes my house smell nice. A Resident Doctor will save your life. #Strikehard

@MikeTho04795078 @tomhfh @adb0wen No we don't. Number of locum shifts is low and the pay is the same as a decade ago

@tomhfh @adb0wen Any junior doctor will tell you they do VERY WELL from locum work.

Junior/Resident Doctors claim they need a further 29% pay rise to ‘restore’ their pay. But by using their unusually high RPI measure of inflation, everyone in the country has had a 14.3% pay cut. via @adb0wen

@ovoflips @cmwilliams99 @RCollEM If you chose to redefine the term and use it in a way that's not relevant to this thread, then yes.

@_Doctor_Dom @cmwilliams99 @RCollEM In a situation where it calls for it, as my example above, yes they can

Can @RCollEM please explain why if I decide to do EM I will need to do 6 years med school, 2 years FY, get an ST1 NTN, do 6 years of training + MRCEM/FRCEM to be a consultant but an ACP can become a senior decision maker without any of that.

@ovoflips @cmwilliams99 @RCollEM 'SDM' is a recognised and specific term. An SHO could not be an SDM by definition

@cmwilliams99 @RCollEM Disagree. You don’t have to be a consultant to be a senior decision maker. SHO’s could be a SDM if no else is around. Usually Reg’s minimum are SDM. So please don’t conflate. ACP’s also do their training according to their framework so let’s not dismiss that

@dru_jlh I'm not arguing you should strike, but voting to strike gives our union bargaining power

@dru_jlh Voting yes will not have any negative impact on you though...

He is risen. Happy Easter.

@DrJoFranklin @fletchjack @Mohamedkhaled_Z @NHSE_WTE @NavinaEvans @BMAResidents Regardless, if their error has lost you other work they must have a financial obligation to make you whole

@fletchjack @Mohamedkhaled_Z @NHSE_WTE @NavinaEvans @BMAResidents The offers absolutely should stand. It's not as though UK is over-supplied with Clinical Radiologists.

Another day, another @NHSE_WTE disaster. Today, Radiology. Doctors’ jobs in the lurch due to NHSE failure. It needs fixed immediately: 1️⃣ All offers need guaranteeing 2️⃣ Jobs for anyone who scored highly enough 3️⃣ A public investigation - no of drs, how & plan to prevent again

@augierakow @TehBananaMaster @dioscuri That's not a moral quality though. Not many would consider it an immoral act to consume orange juice and toothpaste.

@TehBananaMaster @dioscuri We can replace feces with “orange juice and toothpaste”.

Teaching ethics to undergrads in 2025 is bizarre, because: (1) They insist morality is entirely relative and culturally constructed... (2) ...while simultaneously holding unshakeable ethical convictions and viewing disagreement as moral monstrosity.

Winston Churchill in the White House… Not wearing a suit because he is at war

In a medical school session for our entire year group today. Our faculty are encouraging students to look at careers outside of medicine because "when it comes to speciality training - there are simply no jobs". What has UK medicine become?

Can you imagine the rush of adrenaline that must have been experienced when they realised they had accidentally sent this around all their JMOs? @NSWHealth

🪧 Yday PM clinic Pts “Lovely to see you today Dr, I can never get appt with a GP-will you be here permanently now?” Me “Apologies but there are no jobs going for experienced GPs” Pts “You’ve got to be kidding me, how can that be?!” The absolute state of general practice rn.

@Terrible_TerriC @TJCoats Why though?

@TJCoats When I worked in health care I remember staff being told not to document units being short staffed in individual patient notes...

We are not documenting crowding in individual patient notes. Makes it difficult to give context around delayed care for coroner, solicitor etc Do you document crowding in clinical notes? If so what phrases do you use?

@TJCoats "Examination limited due to taking place on X corridor due to lack of space" is something I've been writing

When patients show up sicker, they stay longer. Without a family doctor they’re harder to discharge or they bounce back. Inpatient units at capacity can’t accept patients from emerg. You’re not waiting in the waiting room for 10 hours because someone showed up with a paper cut.

Poor young woman walked in with her mum to local UTC with classic plaque psoriasis on scalp, face, neck, elbow & thighs burning her skin. Has been trying to see a doctor at her surgery for the last 3 months - passed from pillar to post - pharmacy 1st to seeing everyone but a GP!