@parthaskar @RCPhysicians @DrLKVaughan @doctor_oxford @DrAsifQasim @EileenBurns13 @UKGastroDr @ShrillaB @COPDdoc @ShivaniM_KC @Zudin_P @respirologist Can they just do that without stating the reason?!
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Jan Klepacki
438 posts
Jan Klepacki
@JanKlepacki
Physician, diabetes, endocrine Humanist, science nerd Passionate about social equality and education. Outdoors enthusiast Views own
Katılım Şubat 2015
329 Takip Edilen37 Takipçiler
FINALLY- Decision @RCPhysicians investigation
Removal from the Council of an elected member
Barring standing for elections
12 months
By a panel which is unknown - with zero right to reply.
(To be ratified by Council on 15/7)
For exposing chicanery around PAs by senior execs
While prev PRCP and Reg have zero sanctions after their actions brought along an EGM @djnicholl
Pretty much as expected by an organisation trying to suppress any dissenting voice
Regrets? Nil
You can try whatever you want - the direction around PAs has changed for good
Kids- never ever give up a fight when you are doing the right thing.
On the upside?
RCP have asked me to see my GP for mental distress this may have caused me.
That’s nice- no? 😊
GIF
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Jan Klepacki retweetledi
In 2024, applications for IMT outstripped the number of posts available by 73%.
‘We risk abandoning a generation of UK medical graduates to an uncertain future. We urgently need to understand why competition ratios are changing so quickly and improve the way we shortlist, interview and appoint doctors in training.’
Chair of our Student Foundation Doctor Network, @SeanCoghlan_, speaks out as we publish a new position statement on competition ratios.
In our new position statement, we’re calling on the UK government and NHS England to take this situation seriously and bring forward solutions in time for the 2026 recruitment round: ow.ly/AOpN50V1Qy7
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Jan Klepacki retweetledi
This is not sustainable @wesstreeting. It’s also a gross waste of taxpayers money to be training people in the UK for them to have no job. So much for doubling medical student numbers - our brightest 16-18 year olds know to look at a graph like 👇and look elsewhere
Resident Doctors@BMAResidents
Reports from @FT show 6k+ applicants for just 1700 training posts last year. Doctors are being left in limbo, without posts and unable to progress in their career. In an understaffed NHS this is a scandal. Government must urgently increase training posts. ft.com/content/ddb51e…
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Jan Klepacki retweetledi
UK is facing a critical failure in medical workforce planning
Thousands of doctors are trapped in a bottleneck, blocked from progressing due to a shortage of training posts
A crisis that was foreseeable and entirely preventable
@wesstreeting @NHSE_WTE
ft.com/content/ddb51e…
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Jan Klepacki retweetledi
In a world where Kim Kardashian promotes whole body scans, the money men see the potential in guidable politicians & NHS leaders
CDCs connected to AI via an App
Healthcare is taken away from well trained, experienced clinicians who save the NHS £billions but what do they know🤷🏻♂️
Dr Steve Taylor@DrSteveTaylor
So this is the new great idea🤔 I’m pretty sure if Sarah had seen a GP she wouldn’t have needed to have a CT scan, no need to speak to the ENT registrar & yes it could be managed in the community Why does NHS England always underestimate the skills of GPs england.nhs.uk/long-read/refo…
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Jan Klepacki retweetledi
When firefighters are sent out in crews of just three in a fire engine, lives are put at risk.
The fragmentation of the fire and rescue service has led to a dangerous post-code lottery for firefighter crews.
To protect firefighters and the public, we need national standards.
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Jan Klepacki retweetledi
Hyponatraemia
In order to investigate the cause of hyponatraemia, first check the serum and urine sodium and osmolality at the same time.
medschool.co
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Jan Klepacki retweetledi
23 year old female who was brought in an agitated and troubled state to the ER. She wasn't verbalising coherently and was unable to provide an account of her symptoms.
Caregivers in her family noted the restless behaviour, anxiety, palpitations and sleep deprivation with constipation; and were convinced she had "mobile phone addiction" and took her to a psychiatrist who started risperidone (a medication for psychosis) and benzodiazepines (sedatives) 3 days ago.
We noted bradycardia at presentation and an irregular pulse. This was her ECG.
Thoughts?
#MedTwitter
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Jan Klepacki retweetledi
Number of people who go bankrupt every year because of medical bills or illness-related work loss:
Australia 0
Canada 0
Denmark 0
Finland 0
France 0
Germany 0
Iceland 0
Ireland 0
Italy 0
Japan 0
Netherlands 0
Norway 0
Portugal 0
Spain 0
Sweden 0
UK 0
United States 530,000
There’s a lesson there.
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Jan Klepacki retweetledi
Drs are NOT ‘choosing’ to be out of training
Last year there were 26,000 drs applying to 9,000 training posts
Drs are choosing not to be unemployed so they can put food on the table
On current trajectory most Drs will never become consultants
Dire state of affairs
@gmcuk
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Jan Klepacki retweetledi
@gmcuk There has been a 201% increase in applications to specialty training but only a 9% increase in posts over the last decade.
Doctors are not "choosing" to go into LE jobs.
Many doctors are now in fact facing unemployment.
This is abysmal workforce planning.
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Jan Klepacki retweetledi
Here are 10 things that expert clinicians do everyday, often without realizing it🩺
(and how we can all start to implement these in our own practice)
A 🧵
#foamed #MedTwitter
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Jan Klepacki retweetledi
💥What is Type 1 Diabetes?💥
Have you seen #DigiBete's animation helping to educate young people and families on what #type1diabetes is? You can watch the full film in your #DigiBeteApp age page or learn more here:
digibete.org/type-1-awarene…
It's also great to share this animation with family, friends and schools to help them understand and raise awareness of what type 1 diabetes is.
#T1D #Diabetes #DiabetesAwareness #GBdoc #Core20plus5 #CommunityLed #ClinicallyApproved #t1dlookslikeme
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Jan Klepacki retweetledi
2.2 liters - massively dilated left atrium !!🫀🫀
Can you guess the cause ?
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Jan Klepacki retweetledi
This is @thelizcarr, in 1 minute 30 seconds, summing up perfectly why assisted suicide is a disability rights issue.
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Jan Klepacki retweetledi
Palliative Care Doctor, Dr Rachel Clarke,
"The predicament of those of us who work in palliative care - and I've worked with thousands of patients approaching the end of their life - is that the real world, right now, is one in which palliative care services are failing patients because they're underfunded understaffed"
"Wes Streeting himself admitted this"
"The lack of care might coerce patients into feeling that their only option is to take their life, because we're not giving them a life worth livinG"
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Jan Klepacki retweetledi
Approx 29k resident doctors applied for 9k training posts this year. They're not "choosing" to forgo specialist training, @gmcuk, they're being forced out of it by the decision to artificially suppress numbers of doctor training posts, even though we're so short of consultants.
GMC@gmcuk
We're pleased to share the second in our annual series of #StateOfMed reports – Workforce. This focuses on the changing shape of the medical workforce across the UK. This year’s report shows that the medical register continues to grow, as does the diversity of the doctors on it. Doctors’ career paths are also changing, with more doctors than ever before choosing locally employed (LE) roles, working outside of formal postgraduate training pathways and with local contracts. In England and Wales, where data is currently available to us, the number of LE doctors grew by 75% between 2019 and 2023 – this makes this the fastest growing cohort on the register. As we look to the next decade, it’s critical that all doctors have the infrastructure, support and resources they need to achieve their ambitions. That’s in the interests of doctors, as well as the interests of a growing and ageing population. Discover more insights and key statistics by reading the report on our website gmc-uk.org/-/media/docume…
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Jan Klepacki retweetledi
Real-world study
Veterans with T2 diabetes initiated on SGLT2i (vs GLP1RAs) associated with reduced risk of:
Mortality
Worsening eGFR
Renal endpoints including ESKD
Improved glycemic, metabolic control
journals.lww.com/kidney360/full…
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Jan Klepacki retweetledi
Today's #StateOfMed report shows a medical training system under severe strain.
There aren't enough training jobs available for resident doctors. This means unprecedented competition for posts, with both UK and IMG medics left to wonder if their vocation is still worth it. (1/2)
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