Debbie Sharman (also on Bluesky)💙

@JessicaToale @TomHayesBmouth

@anaesthetic_spr I’m saddened by this whole debate. We desperately need more specialist training places for our resident doctors. We need more doctors but there is a place for non- medical practitioners/AHPs within MDTs. A physio ACP is valuable within e.g the MSK MDT. The skill mix is key.

Patients would choose an IMG doctor over a clueless physio ACP. Change my mind.

ACPs bashing IMG doctors, thinking that paramedics, dietitians, OTs, physios, etc., are safer than IMGs. While ACPs are learning on the job with no formal exams, the average IMG doctor goes through: 👉🏻 Medical school with rigorous assessments for 5–6 years 👉🏻 IELTS/OET language exams 👉🏻 PLAB 1 👉🏻 PLAB 2 👉🏻 PSA exam 👉🏻 SJT 👉🏻 MRCP Part 1 👉🏻 MRCP Part 2 👉🏻 PACES

Robert F Kennedy Jr: 1 year of failure - The Lancet thelancet.com/journals/lance…

@LostDazes @anaesthetic_spr Agree It is indeed and these all need to be considered

@Debbiesharman @anaesthetic_spr My worry for NMPs with limited background is risks such as - QT prolongation - interactions with other meds eg statins, cyp inhibitors - c diff Medicine is complex

If student ACPs (paramedics, physios, podiatrists, OTs…) and PAs don’t study microbiology in depth, how are they allowed to prescribe antibiotics and antifungals, given the risk of hepatotoxicity? This prescribing course does not cover microbiology at medical student level. Discuss

@DrBoofle @anaesthetic_spr For example, where raised K from Co-trimoxazole prescribed for moderate (PEDIS grade 3) infection /osteomyelitis

@Debbiesharman @anaesthetic_spr Genuine question (as I do not know the answer!) but when (clinical scenarios) do you follow the hyperkalemia guidelines within your daily work?

@anaesthetic_spr @Trac36Tracytots Yes I do share your concerns

Debbie: You are doing an amazing job working within your specialty/profession. I’m pretty sure doctors regularly refer patients to be reviewed by podiatrists who work closely with the vascular team. No one has an issue with what you do. We are concerned about some AHPs doing the MSc and cracking on with doctors’ jobs, claiming to be SHO/reg equivalent in ED, for example. This is unsafe. Ttots: Read above, advanced practice used to be within the same profession (advanced physio, etc.), but now it’s getting vile, with ED ACPs working at consultant level.

@anaesthetic_spr I follow local guidelines e.g. antimicrobial and hyperkalaemia. I’m as safe as any of us can be. I am not a doctor and don’t claim to be. I have real concerns regarding PAs and ‘fast track ACPs’. Please don’t tar us all with the same brush. Discuss?

@anaesthetic_spr I prescribe for a very limited specialist area based on C&S from deep tissue samples. I request and review bloods and regularly discuss with our MDT and microbiologists. I support our resident doctors with their prescribing decisions and teach on management of DFIs.

The British Association of Prosthetics and Orthotics (BAPO) launches call for awareness campaign #WhyWeValuePO #ValuePO #ProstheticsAndOrthotics

@DrPyaricetamoI In defence of my ‘proper’ diabetologist colleagues, they usually only get the opportunity to review their patients once or twice a year. Is it not reasonable to highlight obs of hypertension to GP (who will be the prescriber of anti-hypertensive meds) to monitor and treat?

Saw a 36 year old man today whose BP was 180/80 mmHg. He's been seeing a "diabetologist" since 7 years who's noted this BP since last 2-3 years or more but has neither evaluated or treated him further. When I auscultated him, turned out he has a grade 4 murmur with a proper thrill. His treating diabetologist has never put a stethoscope to his chest in all these years 😵‍💫

@ldwijesinghe I think the latter is far more sustainable 😉

Asking for a friend. This Dry January business. Does it mean dry for all the days in the same January or can you spread it out with 1 day every Jan for 31 yrs?

@silverpebble Found the wee owl and love the way you’ve arranged the colours. Nature can be so uplifting in many different ways! Hope you can find a little bit of light today.

My brain’s not well at all today-depression, but I made this photo to try to lift my dark thoughts & have hidden a tiny owl in it. If you find it &/or your brain likes this image maybe let me know below? Connecting with other humans is another way to lift very low mood 🌿

Delighted to be presenting on diabetes foot today at 21st National Conference of the Primary Care Diabetes and Obesity Society @pcdosociety

Extremely rare opportunity for a band 8A podiatry ACP to join our team in Dorset. Please share. Current vacancies :: Careers Dorset careers.dorsethealthcare.nhs.uk/live-jobs-list…

@paulchadpod @ThePodiatristUK @footindiabetes @FootcareNetwork @PodVascSAG @Darciedot @Debbiesharman @stephpod1 @Martinfox2000 @PrashVas @nas_vascular @mrdavid_russell @Franers13 @VanessaGouldin1

@mancunianmedic How lovely 🥰 we had a fabulous family weekend in the Peak District celebrating my parents’ 60th in July.

My mum and Dad's 60th anniversary today We have all gathered somewhere near the Severn

@ldwijesinghe How lovely- you’re in my neck of the woods now (ey up me duck!)- about half an hour from where I was born & bred!

This is a gem. Lea Hurst, near Matlock is the former home of Florence Nightingale, now a B&B, and an idyllic place to stay. Loads of memorabilia including a copy of Barrett's painting The Mission of Mercy, in the hallway.

“The NHS needs every doctor it can get. But we now inhabit a world where doctors are unemployed. It’s madness. Please, @wesstreeting, do not be the health secretary in post while doctors are unemployed & signing on with Uber shifts. You do not want to be that person. Any health secretary in that position is doing something terribly wrong.” Did you know 20,000 young NHS doctors face not getting a training post this summer? That some are already unemployed - when the NHS needs every doctor it can possibly get. @DHSCgovuk needs to fix this immediately, now - it's a workforce debacle of monumental proportions & it's harming our patients. Thank you @lspencerelliot & @Independent for covering this hugely important issue today.

@footindiabetes @RoyColPod @HIOWH_NHSFT @LegsMatter Sneaky early start to Legs Matter week 9-13th June. MSK Better Health day at The Riverside Centre, Newport, Isle of Wight. TVN, Podiatry, Physio, OT, liaison and community advice. Legs Matter....shape better care