Kade 🧑🏻‍🔬🌌

Got It! How beautiful! #Sar2667 #Asteroid

@Doc_IonaCollins @Microbedoc2 This is genius! How do you set up the auto delete function? Is it within Outlook?

@Microbedoc2 Not long- I have an auto deletion mechanism in place with automatic message that all messages are deleted to avoid any confusion during my absence. Please re-send on x date on my return.

When you have annual leave and come back to an inbox of emails - how long do you take to respond upon return?

@medicalmodelbri "Can sometimes help bridge the gap during doctor shortages". So if ACPs can just slot into doctor roles, that must mean that doctors are overtrained and they're not required?? This hubris would be funny if it wasn't so dangerous for patients.

ACP vs Doctor

For doctors, most diagnoses come from the history and examination. In many non-medical pathways, it can feel like the reverse: very little diagnosis from history/exam, and a heavy reliance on tests or onward referral, sometimes with no working diagnosis at all. If someone doesn’t understand what history and examination are for, it’s easy to skip them and default to “do tests” or “admit/refer so a specialist can diagnose”. The problem is that tests are then interpreted without a Bayesian “a priori” anchor. Without a pre-test probability built from a good story, a focused exam, and an understanding of how common conditions are so you’re left with results that can mislead, over-diagnose, or generate incidental findings. And if you don’t have a detailed grasp of disease patterns, you don’t know which questions to ask or what to look for to diagnose dementia or depression or diabetes or diphtheria. You can’t form a meaningful differential if you don’t know what’s common, what’s dangerous, and what’s discriminating. So the whole process drifts into secondary referrals and scanning as the default route to certainty. In parallel, some non-medical exams don’t require a deep knowledge base, so people are expected to “look it up” in real time under pressure. That isn’t the same as understanding, and it’s hard to expect consistently good outcomes from it. The final issue is that often one doesn't know what one doesn't know. This can lead to overconfidence or a very defensive position. Finally if you want to be seeing patients and making good diagnoses there is course for this called Medicine. Exams do expect knowledge.

@dru_jlh This is peak achievement! What a lovely thing to do 🎄

My proudest achievement since starting paeds training is spending an hour on the phone to IT today and managing to sweet talk them into putting the Santa Tracker on our ward status board 🎅🏻

@LittleOleMeMe @medicalmodelbri @rockridge63 But thats exactly the problem. What you have just said is "low level" may not be. The education, training and experience of doctors is required to determine what is "low level" as safely as possible. Paramedics are amazing as paramedics, not as doctors.

@medicalmodelbri @rockridge63 Paramedics don’t ’play GP’. They see eg coughs, cold, earaches, wrist pain, gout - low level issues that allow the GP to see more poorly patients. If the paramedic needs to escalate they do, that’s their role. It’s called triage

ARRS physician Assistant numbers continue to fall . pulsepcn.co.uk/news/arrs-phar…

@AJamesMcCarthy @ShawnChittle This is huge.

@ShawnChittle 🙏

@SuperMarv74 An engineer is not a trade. Production staff that assemble defibrillators are amazing but they do not require degrees and a decade of training. This is not a race to the bottom. Other professions should have strong trade unions to fight against similar pay and conditions erosion.

@KadeF96 What you think the engineers that designed pace makers don’t save life’s, or the production staff that assemble defibrillators don’t save lives ?Have any of had a 30% pay rise recently do they 10% pension employer contributions, guaranteed pay rises 35 days holiday 🤦🏻‍♂️

In 2024 Labour said they’d sorted a pay deal to end doctor’s strikes. This is the second time doctors have gone on strike since then. Labour lack the backbone to deal with strikes. The @Conservatives have a plan to ban strikes, to stop doctors holding the NHS to ransom.

@SuperMarv74 Of course, you're a doctor yourself aren't you? You must be if you think it's "typically correct"?

@KadeF96 @CraigMyton @KemiBadenoch @Conservatives I do, guess what dr ai is always online, I get an analysis in 30 seconds and is typically correct

@SuperMarv74 Quite the illogical leap but OK, if that makes you feel better about your self. Your feelings do not change the reality of the situation. If you think our resident doctors are money hungry, try any other country in the Western world.

@KadeF96 @sanny9025 @KemiBadenoch @Conservatives Many trades save you life … not just doctors … this comment proves these junior doctors are self entitled and money hungry

@the_wise_party @DrNeenaJha GPs aren't striking. Please contribute only if the basis of your point is accurate.

My GP patients: • ?head & neck cancer • Abnormal haematology results • Complex neuro symptoms • Acute abdomen • Paediatric case - borderline admission • Severe mental health I can’t iterate this enough… NO-ONE is safe to work as a GP if they have not trained AS A GP!

@the_wise_party @DrNeenaJha For an account that's called 'thewiseparty', you're really not that wise.

Protecting it by... leaving their jobs for the day, cancelling how many peoples appointments they have been waiting for already? Protecting your cushty wages more like. Certainly NOT protecting the UK public. Your greed and entitlement only does us all harm. You know if you all worked, did unpaid overtime, actually tried to help clear the backlog and reduce the need for "plastic doctors" - the UK people would be marching for you. Now we all completely distrust you. Can you all just leave the politics to your union representatives, and can doctors just get on with healing people again, please? Thank you. Love, British Tax Payers.

@SuperMarv74 @sanny9025 @KemiBadenoch @Conservatives Why are you bringing trades into the conversation? Trades are extremely important of course, but we're not talking about trades here? We're talking about people who will literally save your life and require at least a decade of training to do so.

@KadeF96 @sanny9025 @KemiBadenoch @Conservatives Oh dear ….. show me one trade that has had pay rises in,one with inflation, junior doctors are entitled Affronts

@SuperMarv74 @CraigMyton @KemiBadenoch @Conservatives Sure. Well use AI for all of your medical requirements then. Good luck 👍

@KadeF96 @CraigMyton @KemiBadenoch @Conservatives Are you serious …. I’d trust AI over a doctor any day of the week and twice on Sunday …. Todays doctors are bred from money hungry charlatans

@sanny9025 @KemiBadenoch @Conservatives Not a pay rise - they are asking to be paid the same relative to how they were paid in 2008. By this logic, if pay isn't restored to 2008 levels, doctors should be less productive.

@KemiBadenoch @Conservatives Rishi was right pay rises should be a reward for productivity. Streeting gave the pay rise without any productivity increase and now they strike again. Shameful

@CraigMyton @KemiBadenoch @Conservatives This is exactly what somebody who doesn't really understand medicine would say. We are a very, very long away from this idea of medical utopia that you have.

@KemiBadenoch @Conservatives The end of the GP is coming… Ai will never strike, will never be in a bad mood, hungover.. And there won’t be waiting times to see it.. I’d imagine it will also take over specialist roles. Robots will perform surgeries, far better than a human… massive cost reductions too!

@TENkobo_21 @anonresidentd Spending 5-6 years in medical school will, on average, make you a better clinician. Your cousin's experience of a poor cannulation does not, on average, mean that doctors are poorer clinicians.

@anonresidentd What's important is that they're doing the job well. Spending 5-6 years in a class does not necessarily make you a better clinician. A doctor was unable to insert a common cannula into my cousin's vein the last time she was in hospital, and it was a nurse who finally did it.

This has nothing to do with jealousy nor insecurity. 2 years of condensed information does not equate to >5-6 years of medical training. E.g. A pilot assistant with 2 years of education and less experience without necessary qualifications would be safe to fully operate a plane

@prospectivetACP @D__Melb @cmwilliams99 @drvk_voice Don't comment on things you have no idea about. As a scientist who has passed all the FRCPath exams in Biochemistry, I can tell you that I am still not a doctor. The difference with us is we don't pretend to be or think we are equivalent to any medics, we know we are different.

@D__Melb @cmwilliams99 @drvk_voice To pass the part 1 Histopathology exams you don’t need a med degree. As you said it’s non patient facing so no clinical skills needed. A biomedical student could pass that.

It’s astonishing that merely asserting a fundamental truth - that non-doctors are not equivalent to doctors - can provoke such existential distress among consultant-level doctors, as though dissenting were an act of rebellion in North Korea.

@Wodun001 @MarcusSchuff @ZacksJerryRig Of course patients have the choice - thats not what I meant (sorry). What I meant was that it's the doctor's responsibility to consider overall medical care to appropriately advise patients, who then of course have the right to make up their own mind.

@KadeF96 @MarcusSchuff @ZacksJerryRig It is the patient's choice regarding medical care. Doctors arent dictators. They present information and the pros/cons of different choices and then the patient decides.

The opinion of people who received a medical degree is vastly superior to the opinion of those who did not, when it comes to medically related topics.

@blk1116 @mitch7294 @ZacksJerryRig Yes, completely agree. But a medical degree is the minimum baseline required, which is then built up over the additional 5+ years of experience and more training.

@KadeF96 @mitch7294 @ZacksJerryRig Hands on experience as well in the medical field is soo vital! Bc it’s not one size fits all

@mitch7294 @ZacksJerryRig No, you missed the point of the original post. This is not about other degrees and other jobs, but medicine specifically. A medical degree is required to be knowledgeable (to practise) in medicine. When it comes to medicine, a doctor's medical knowledge is superior to yours.

You completely missed my point. Yes a degree is needed if you want a job as proof is needed. However a degree is not needed to be knowledgeable within the field. I will never listen to a doctor that says I'm intellectually superior to you so you must blindly believe what I say because it's impossible for you to understand anything in the medical field unless you have a degree.