Martyn the Molar

@drkeithsiau @albertoortegana This is categorically not amalgam tattoo - as multiple others have said this is retraction cord, which is used in restorative dentistry procedures to accurately isolate the margins of a prepared tooth

@albertoortegana Well done for getting to the root of the problem! 👍🙇🏻‍♂️

What has happened here?

@anaesthetic_spr Being currently on both the GMC register as a doctor and GDC register as a dentist, no I was not a doctor when I was a dentist, I was in fact a dentist. And the road to OMFS includes a medical degree for a good reason - it is a medical specialty

@MolarMartyn Do you really think dentists aren’t doctors? I’ve seen another guy questioning this, and it is hilarious. Dentists can also become maxillofacial surgeons.

ONLY doctors should prescribe medications in the UK. They have studied pharmacology, pathophysiology, allergy/immunology, and every system in the body. Discuss.

@LarcombePeter @MiloKostusiak @Choudhr69986800 Can I ask Peter, how does this come about >200k? Whilst I’m a number of years away from consultancy I am trying to take a long view with financial planning

@MiloKostusiak @Choudhr69986800 3/consultants are taxed punitively at £100k. Established consultants risk working for free if their taxable income exceeds £200k The solution is either tax reform, or many many more people on the payroll

@DocMeezbah @agemjourney I think this is my big concern (also currently doing one) but it unfortunately seems to be a box that needs checked if I want a formal education component in my long term career

@agemjourney Having learned medicine in developing as well as developed world, there’s no replacement for a great teacher/eductor/trainer. It doesn’t come from attending the course like PGCert MedEd but from true motivation, dedication & experience to learn & practice the art of teaching.

I’ve started a PGcert in med Ed and it’s genuinely one of the most boring things I’ve ever done 😅🙃🫩

@Liz_ORiordan If only you were in Germany and that’s what we would be calling you! Congratulations, it is truly well deserved

Today I was awarded an Honorary Doctorate from the University of Winchester I am now Dr Dr Dr Liz

@Microbedoc2 Welcome to Scotland! (Picked the wrong side though, west coast is best coast etc 😂)

New start.

@juliaisobela Malaga is usually a good call, loads to see and do, gorgeous old town area to wander through with lots of nice bars and restaurants, guadi museum, flights pretty cheap from most places in UK too

Want to book a nice holiday for ~5 days this autumn in October/November time as a nice break Any recommendations? I want good food, nice weather (not too hot), nice & interesting sights to see Think I want to visit somewhere I haven’t been yet

@davidbridges @DrLKVaughan Human Medicines regulations 2012 say otherwise, doctors and dentists can prescribe as per primary quals, NMP qual allows nurses/pharmacists/paramedics etc to prescribe, usually tied into advanced practice training

@DrLKVaughan AFAIAA only doctors and dentists can prescribe. Other can supply and administer preparations under exemptions or patient group directives - a sort of mass prescription to cover specific people in specific circumstances. Wasn’t aware of any legislation changes to allow this?

Interesting. So a Pharmacy degree now has prescribing rights built in. Look at the language. Remember, the 10YP puts Pharmacy and not GP at the heart of the new neighborhood services.

@chriskilroy @el_dentisto @TrowsdaleGary @andjamwar Not if they’re a consultant surgeon. Historical tradition from pre-19th century dictates that surgeons revert to Mr/Miss after entering specialist surgical training (and passing the MRCS) as a nod to the barber surgeon roots of the specialty

@el_dentisto @TrowsdaleGary @andjamwar That’s Dr Nanda….

@juliaisobela And tied to this, try to eat your meals normally but 12 hours offset - breakfast at 6pm, lunch at 1am, dinner at 6am sort of thing. What actually works for you is so individual it takes a while to figure out

@juliaisobela Prior to the first night of a run, I have always tried to stay up *ridiculously* late (like 3-4am) and then sleep through as much of the daytime of night 1 as possible getting up as close to your leaving time as possible, helps flip your body clock

Next week I start my 1st ever series of night shifts as a doctor Anyone got any good tips for surviving them? Genuinely don’t know what to expect or how to prepare (Think I’ve seen threads 🧵 about this before but can’t seem to find them, so feel free to link them if you can)

@doctorwibble @drphiliplee1 Ahhh thank you! I was looking for that this morning to share with my FY1 cohort! It truly is a medtwitter gem!

It’s changeover day when the doctors start jobs, so here’s a belated reminder of this gem from @drphiliplee1.

Act 3 of professional life incoming. Another minor bio update, now that my medical degree has been officially conferred

@JanThou95 @DrGoblin3 Hi Jane, I have a medical degree and a dental degree. None of this is accurate. Doctors working in OMFS can do some “dental” procedures, and an emergency physician can replant a tooth. For a doctor to practice dentistry is illegal.

@DrGoblin3 Also, it’s one ☝️ of the many reasons Dentists can call themselves Doctor by title these days, as they in fact are Specialists of a Medical area of the body…

Must be the ONLY page that says this:

@DrEilidhMaria Well done Eilidh, congratulations!

@Beandoc2 @SPuro88 Give them time - people are already doing trans-oral and trans-axillary thyroidectomites…

@SPuro88 I like the less invasive techniques. I had my appendix removed robotically through my right lacrimal duct and I hardly shed a tear.

I will vote for any candidate that makes this illegal.

@Roddy_Neilson @UMAPsUK @pa_StephenNash Interestingly, the cubs were still using that version of the badge in the 90s! I’ve got one knocking about somewhere too

Here is a picture of my first ever medical qualification - a Cub Scout first aid badge from 1972. Recognised internationally and still of more utility than any PA qualification. @UMAPsUK @pa_StephenNash

@juliaisobela I was speaking to a classmate about this a couple of days ago, I suspect the whole thing relies on a few lines of code from 20 years ago and it all breaks if they try to change anything

Istg ranking FY jobs on Oriel is logistically so difficult Like why is it such a clunky, annoying system?? Surely they could make a better website. Surely!

@TAhillan Slow is smooth, smooth is fast. I’ve worked with a multitude of OMFS consultants who embody this, individual actions appear slow and deliberate but the outcome is technically complex operations completed accurately, safely and quickly. The same surely applies in medicine

The best clinicians I’ve worked with actually think through things. They’re not “quick” - they know when less is more, and genuinely think a of a plan to suit the patient in front of them. Not just something “generic”. THAT’S the kind of medicine we should be encouraging.

Amen. When clerking it’s either good, safe medicine with sensible plans (which can take around 2 hours per patient) or it’s quick, lazy medicine which does the patient a disservice. We’re doctors who should create thorough plans, not generic job monkeys.