benedictwarner.bsky.social ๐Ÿฆ‹

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benedictwarner.bsky.social ๐Ÿฆ‹

benedictwarner.bsky.social ๐Ÿฆ‹

@benedictwarner

Respiratory Med Reg ๐Ÿซ; dad to two. He/him. @MMPhDHP fellow @UofGlasgow & @MEIRU_Malawi ๐Ÿ‡ฒ๐Ÿ‡ผ | @EADTMH ๐Ÿ‡น๐Ÿ‡ฟ๐Ÿ‡บ๐Ÿ‡ฌ | @AHPdoctors ๐Ÿ‡ฟ๐Ÿ‡ฆ | @RCPEdinTrainees T&MC

Malawi ๐Ÿ‡ฒ๐Ÿ‡ผ ๊ฐ€์ž…์ผ Aralฤฑk 2009
1.5K ํŒ”๋กœ์ž‰508 ํŒ”๋กœ์›Œ
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benedictwarner.bsky.social ๐Ÿฆ‹
benedictwarner.bsky.social ๐Ÿฆ‹@benedictwarnerยท
I need a new social network like I need a hole in the head (I am trying to wean off them in general) - but engagement is an important part of science, so you can now find me over at BlueSky @benedictwarner.bsky.social ๐Ÿฆ‹ see you there!
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benedictwarner.bsky.social ๐Ÿฆ‹ ๋ฆฌํŠธ์œ—ํ•จ
Heather Walker
Heather Walker@h_j_walkerยท
Exploring KFRE performance in frailty, use of cystatin C based eGFR and competing mortality risk
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benedictwarner.bsky.social ๐Ÿฆ‹ ๋ฆฌํŠธ์œ—ํ•จ
RCPEdin Trainees
RCPEdin Trainees@RCPEdinTraineesยท
Dr Giannoudi speaks with Dr Schoeman about the genitourinary medicine (GUM) clinic. They discuss the prevalence of STI's, approaching patient's sexual health and interesting cases from Dr Schoeman's clinical experience. Listen now: podcasts.rcpe.ac.uk/show/clinical-โ€ฆ
RCPEdin Trainees tweet media
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benedictwarner.bsky.social ๐Ÿฆ‹ ๋ฆฌํŠธ์œ—ํ•จ
RCPEdin Trainees
RCPEdin Trainees@RCPEdinTraineesยท
At our EMU on Respiratory Medicine on 22 Oct, Dr Tom MacKay will discuss โ€˜Non-clinical: Setting up a virtual Respiratory ward.โ€™ More info and booking: events.rcpe.ac.uk/respiratory-meโ€ฆ #rcpeEMU
RCPEdin Trainees tweet media
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benedictwarner.bsky.social ๐Ÿฆ‹ ๋ฆฌํŠธ์œ—ํ•จ
RCPEdin Trainees
RCPEdin Trainees@RCPEdinTraineesยท
RCPEdin Trainees tweet mediaRCPEdin Trainees tweet media
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benedictwarner.bsky.social ๐Ÿฆ‹
benedictwarner.bsky.social ๐Ÿฆ‹@benedictwarnerยท
In danger of losing my coffee in my enthusiasm. Honestly, it was great to share some of our work from @MEIRU_MALAWI - I find discussing it always helps clarify my thinking on what we are actually doing. It was also inspiring hearing all the other research going on in Malawi!
Kamuzu University of Health Sciences@KUHeS_mw

The last poster session featured 111 posters covering diverse themes, including Maternal, Neonatal, and Child Health, Infectious Diseases, Non-Communicable Diseases, Clinical Management, Epidemiology and Public Health, and Environmental, Climate Change, and One Health.

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benedictwarner.bsky.social ๐Ÿฆ‹ ๋ฆฌํŠธ์œ—ํ•จ
Dr Jackie Sham
Dr Jackie Sham@JackieShamยท
So I have received a reply from the clinical director of the specialty service - and I am afraid it is a pile patronising boo-boo. 1/
Dr Jackie Sham@JackieSham

I have the misfortune to see a PA today for my hospital appointment. The clinic nurse introduced them as a doctor, he never said he is not a doctor. I am naturally unimpressed, but feel trapped in the situation. I will be writing to PALS and the consultant team.

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benedictwarner.bsky.social ๐Ÿฆ‹ ๋ฆฌํŠธ์œ—ํ•จ
MEIRU MALAWI
MEIRU MALAWI@MEIRU_MALAWIยท
@Owen_Nkoka Dr @CharlotteMSnead , a PhD student at @LSTM, doing a secondary analysis with MEIRU data, is presenting on 'Association between impaired kidney function and all-cause mortality in rural, Northern Malawi." #3rdKUHeSRDC
MEIRU MALAWI tweet mediaMEIRU MALAWI tweet media
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benedictwarner.bsky.social ๐Ÿฆ‹ ๋ฆฌํŠธ์œ—ํ•จ
MEIRU MALAWI
MEIRU MALAWI@MEIRU_MALAWIยท
Dr @Owen_Nkoka our Cohort Manager, is presenting a preliminary analysis from our NCD longitudinal population study; which shows a rapid rise in diabetes in our cohort, with adult all-cause mortality for those with diabetes now comparable to HIV. #3rdKUHeSRDC
MEIRU MALAWI tweet mediaMEIRU MALAWI tweet media
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benedictwarner.bsky.social ๐Ÿฆ‹
benedictwarner.bsky.social ๐Ÿฆ‹@benedictwarnerยท
But we canโ€™t know how that money would have been spent, because the decision had already been made centrally how to spend it - on anyone but doctors
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benedictwarner.bsky.social ๐Ÿฆ‹
benedictwarner.bsky.social ๐Ÿฆ‹@benedictwarnerยท
I suspect if practices were offered the salary of a PA to spend as they choose, many partners might have taken a pay cut to supplement it enough to employ a salaried GP instead - opposite of greed
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benedictwarner.bsky.social ๐Ÿฆ‹
benedictwarner.bsky.social ๐Ÿฆ‹@benedictwarnerยท
I donโ€™t this is quite fair-more likely offer of a free PA via ARRS seen as a lifeline to save overwhelmed practices. But it does show how the workforce landscape is consciously shaped by ARRS scheme & not primarily by choices of practices responding to needs of their communities
The NHS Whistleblower@ItsnotrightUK

#askforadoctor GP partners are in part responsible for the mess we are in. Each PA they employ saves ยฃ100k in paying a GP. The partner gets the PA for free via ARRS. Unlimited scope is a product of the Partners greed.

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benedictwarner.bsky.social ๐Ÿฆ‹ ๋ฆฌํŠธ์œ—ํ•จ
Dr Rachel Clarke
Dr Rachel Clarke@doctor_oxfordยท
Oof. The @RCPEdin is not pulling its punches here, calling for: - legislation regarding PA regulation to be delayed in its implementation. - @gmcuk not to regulate PAs until clear, nationally-agreed scope & ceiling of practice protocols are in place. Thank you @RCPEdin ๐Ÿ™
Royal College of Physicians of Edinburgh@RCPEdin

We have today published a further statement on our position on Physician Associates. Please read in full on our website: rcpe.ac.uk/college/furtheโ€ฆ #PhysicianAssociates

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benedictwarner.bsky.social ๐Ÿฆ‹
benedictwarner.bsky.social ๐Ÿฆ‹@benedictwarnerยท
I guess the question - which should be answered by research - are why/when do people want to see a doctor (rather than eg a physio, pharmacist, or PA) and how do outcomes differ when people are seen by another professional where previously theyโ€™d have seen a doctor?
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benedictwarner.bsky.social ๐Ÿฆ‹
benedictwarner.bsky.social ๐Ÿฆ‹@benedictwarnerยท
The choices boil down to whether public want: a) to spend same ยฃ on healthcare & continue to struggle for timely 1โ€™ care appts b) spend same ยฃ on healthcare + get timely 1โ€™ care appoints, but potentially not w/a Dr c) spend more on healthcare & get timely 1โ€™ care appts w/ a Dr
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benedictwarner.bsky.social ๐Ÿฆ‹
benedictwarner.bsky.social ๐Ÿฆ‹@benedictwarnerยท
The bottom line here is the government (and by extension health workforce planners) have decided we as the UK cannot for everyone that wants to see a doctor, to see a doctor. I donโ€™t think there has been enough public conversation about this.
Roy Lilley ๐Ÿ’™@RoyLilley

Optimal interventions are made by shifting the physician-patient-contact to the earliest process. myemail.constantcontact.com/Ask.html?soid=โ€ฆ

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benedictwarner.bsky.social ๐Ÿฆ‹
benedictwarner.bsky.social ๐Ÿฆ‹@benedictwarnerยท
Also, I am sure my dad would have been delighted that this scientific conference is being opened by two poets - adding a powerful human dimensions to all the stats and methodologies to follow
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ํƒ์ƒ‰

@MEIRU_MALAWI @Owen_Nkoka @CharlotteMSnead @LSTM @UofGlasgow @RCPEdin @gmcuk @KUHeS_mw